This study investigated
baseline client characteristics that predicted long-term treatment outcomes
among adolescents referred from school and community sources and enrolled in
usual care for conduct and substance use problems.
Predictor effects for multiple
demographic (age, sex, race/ethnicity), clinical (baseline symptom severity,
comorbidity, family discord), and developmental psychopathology (behavioral
dysregulation, depression, peer delinquency) characteristics were examined.
Participants were 205 adolescents (52 % male; mean age 15.7 years)
from diverse backgrounds (59 % Hispanic American, 21 % African
American, 15 % multiracial, 6 % other) residing in a large inner-city
area.
As expected, characteristics from all three predictor categories were
related to various aspects of change in externalizing problems, delinquent
acts, and substance use at one-year follow-up. The strongest predictive effect
was found for baseline symptom severity: Youth with greater severity showed
greater clinical gains. Higher levels of co-occurring developmental
psychopathology characteristics likewise predicted better outcomes.
Exploratory
analyses showed that change over time in developmental psychopathology
characteristics (peer delinquency, depression) was related to change in
delinquent acts and substance use. Implications for serving multiproblem
adolescents and tailoring treatment plans in routine care are discussed.
Purchase full article at: http://goo.gl/PKP3SG
By:
- 1The National Center on Addiction and Substance Abuse, 633 Third Avenue, 19th floor, New York, NY, 10017, USA. ahogue@casacolumbia.org.
- 2Department of Psychology, Sam Houston State University, Huntsville, TX, USA.
- Adm Policy Ment Health. 2016 Feb 16.
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