Substance abuse treatment with rural adolescents: issues and outcomes

James A Hall; Douglas C Smith; Scott D Easton; Hyonggin An; Julie K Williams; Susan H Godley; Mijin Jang

doi:10.1080/02791072.2008.10399766

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Substance abuse treatment with rural adolescents: issues and outcomes

Journal article

Peer reviewed

Substance abuse treatment with rural adolescents: issues and outcomes

James A Hall, Douglas C Smith, Scott D Easton, Hyonggin An, Julie K Williams, Susan H Godley and Mijin Jang

Journal of psychoactive drugs, Vol.40(1), pp.109-120

03/01/2008

DOI: 10.1080/02791072.2008.10399766

PMID: 18472670

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Abstract

This study compared the characteristics and treatment outcomes of rural adolescents with urban adolescents in substance abuse treatment programs in CSAT's Strengthening Communities for Youth (SCY) initiative. Using data from ten SCY programs nationally, the authors classified adolescents as rural or urban using Rural-Urban Commuting Area (RUCA) codes. We then evaluated changes in substance use frequency and substance-related problems at three, six, and 12 months after baseline assessments for the two sites that treated rural (n = 59) and urban (n = 345) youth in outpatient settings. Data were analyzed using a two-part mixed effects model for zero-saturated dependent variables. At treatment intake, rural youth exhibited greater problem severity on a number of substance abuse and mental health indices. From intake to the 12-month follow-up point, the percentages of both urban and rural youth who reported abstinence increased significantly. Both rural and urban youth also reported fewer problems due to substance use over time, but differences between groups were not consistent. Overall, treatment appears equally effective for both rural and urban adolescents. As few rural youth obtained treatment, we encourage funding agencies and treatment providers to consider innovative ways for providing services in rural areas and addressing gaps in primary prevention, early identification, and continuing care.

Clinical Trials

Comorbidity

Family Therapy

Nursing

United States

Alcoholism -- Rehabilitation

Rural Population

Substance Use Disorders -- Rehabilitation

Adolescence

Alcoholism -- Epidemiology

Ambulatory Care -- Statistics and Numerical Data

Cognitive Therapy

Combined Modality Therapy

Cross Sectional Studies

Female

Male

Medical Practice

Evidence-Based

Mental Disorders -- Epidemiology

Mental Disorders -- Rehabilitation

Motivation

Social Values

Substance Abuse and Mental Health Services Administration

Substance Use Disorders -- Epidemiology

Treatment Outcomes

Urban Population

Human

Details

Title: Subtitle: Substance abuse treatment with rural adolescents: issues and outcomes
Creators: James A Hall
Douglas C Smith
Scott D Easton
Hyonggin An
Julie K Williams
Susan H Godley
Mijin Jang
Resource Type: Journal article
Publication Details: Journal of psychoactive drugs, Vol.40(1), pp.109-120
DOI: 10.1080/02791072.2008.10399766
PMID: 18472670
NLM abbreviation: J Psychoactive Drugs
ISSN: 0279-1072
Language: English
Date published: 03/01/2008
Academic Unit: Nursing
Record Identifier: 9983557576002771

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