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7 - The Drug Abuse Treatment Outcomes Studies: outcomes with adolescent substance abusers

from Part II - Practice and policy trends in treatment for adolescent substance abuse

Published online by Cambridge University Press:  26 August 2009

By
Christine Grella
Edited by
Howard A. Liddle  and
Cynthia L. Rowe
Christine Grella
Affiliation:
Integrated Substance Abuse Programs, University of California at Los Angeles, Los Angeles, CA, USA
Howard A. Liddle
Affiliation:
University of Miami School of Medicine
Cynthia L. Rowe
Affiliation:
University of Miami School of Medicine
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Summary

Large-scale studies of drug abuse treatment effectiveness provide benchmarks that can be used to gauge drug abuse treatment services at a given point in time, as well as over time. Such large-scale studies have inherent strengths and weaknesses: they provide a broad view of the nature of treatment services offered in community-based programs, yet, because of their breadth, they do not address the implementation or effectiveness of specific clinical treatment approaches. Consequently, national evaluation studies are best suited to examining global questions about the characteristics of individuals who utilize substance abuse treatment across a broad sample of settings and the outcomes associated with their treatment participation. Findings from these studies can help to advance the field by identifying gaps in existing treatment systems and, by informing the development of both clinical and policy approaches, to improve the quality of treatment provided.

Since the 1970s, three national treatment outcome studies sponsored by the NIDA have been conducted in the USA. The goals of these studies have been to examine the effectiveness of substance abuse treatment, to provide information for policy makers that can be used for developing national treatment plans and policies, and to obtain information that can be used to improve service delivery and clinical practices. In this chapter, we provide a brief review of the first two national treatment outcome studies (the Drug Abuse Reporting Program [DARP] and Treatment Outcome Perspectives Study [TOPS]) and examine in depth the last study (Drug Abuse Treatment Outcome Studies for Adolescents [DATOS-A]), which was the first to include a separate sample of adolescents who were treated in adolescent-oriented programs.

Type
Chapter
Information
Adolescent Substance Abuse
Research and Clinical Advances
 , pp. 148 - 173
Publisher: Cambridge University Press
Print publication year: 2006

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