Treatment and Rehabilitation for Youth with Substance Use Problems

2001
ISBN 0-662-29819-5
Cat. No. H49-154/2001E

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Table of Contents

Acknowledgements and Summary of Report

Section I: Project Background and Description

• 1. Introduction and Organization of This Report
  • 1.1 Background of Key Experts
  • 1.2 Organization of This Document
• 2. Project Objectives and Questions
• 3. Sources of Information
  • 3.1 Key Expert Interviews
    • 3.1.1 Identification and Characteristics of Key Experts
    • 3.1.2 Key Experts Interviews: Methodology
    • 3.1.3 Interview Length and Process.
  • 3.2 Literature Review
    • 3.2.1 Parameters of Literature Review
    • 3.2.2 Initial Literature Sources
• 4. Project Parameters and Definitions
  • 4.1 Focus on Youth and Specialized Groups
  • 4.2 Definitions: Treatment and Best Practice
    • 4.2.1 Treatment
    • 4.2.2 Definition and Scope of Best Practice
  • 4.3 Definition of Consensus
• 5. Project Limitations
  • 5.1 Scope of Literature Review
  • 5.2 Topics and Groups with Special Needs Not Addressed in the Report

Section II: Results

• 6. Patterns of Youth Substance Use: Overview
  • 6.1 Youth Substance Use Patterns
  • 6.2 Youth Substance Use Problems
  • 6.3 Factors Associated with Youth Substance Use Problems
• 7. Summary Information on Specific Population Groups
  • 7.1 Street Involved, Homeless and Marginalized Youth
  • 7.2 Ethno-cultural Minority
  • 7.3 Youth with Concurrent Substance Use and Mental Health Disorders
  • 7.4 Youth Who Inject Drugs and/or are Living With HIV/AIDS, Hepatitis B and Hepatitis C
  • 7.5 Aboriginal Youth
  • 7.6 Youth Involved in the Criminal Justice System
• 8. Barriers to Treatment
  • 8.1 General Barriers to Treatment: Key Expert Perspectives
    • 8.1.1 Personal Barriers
    • 8.1.2 Barriers Related to Family and Peer Relationships
    • 8.1.3 Structural and Program-Related Barriers
  • 8.2 Barriers Experienced by Specific Groups
    • 8.2.1 Street-Involved, Homeless and Marginalized Youth
    • 8.2.2 Youth with Concurrent Substance Use and Mental Health Disorders
    • 8.2.3 Youth Who Inject Drugs
    • 8.2.4 Ethno-cultural Minority Youth
    • 8.2.5 Aboriginal Youth
    • 8.2.6 Youth Involved with the Criminal Justice System
  • 8.3 Barriers to Treatment: Literature Review.
• 9. Best Practices: Treatment Outreach, Contact and Engagement
  • 9.1 Treatment Outreach, Contact and Engagement: Key Expert Perspectives
    • 9.1.1 Program Location and Physical Accessibility
    • 9.1.2 Program Approaches and Philosophy
    • 9.1.3 Program Outreach Strategies
    • 9.1.4 Program Structure and Content.
  • 9.2 Treatment Outreach, Contact and Engagement: Literature Review
• 10. Client Retention in Treatment
  • 10.1 Client Retention in Treatment: Key Expert Perspectives
    • 10.1.1 General Comments
    • 10.1.2 Assessment and Intake
    • 10.1.3 Program Philosophy and Approach
    • 10.1.4 Outreach to Families
    • 10.1.5 Program Content
    • 10.1.6 Needs of Specialized Groups
  • 10.2 Retention in Treatment: Literature Review
• 11. Treatment Principles and Values
  • 11.1 Treatment Principles and Values: Key Expert Perspectives
  • 11.2 Treatment Values and Philosophy: Literature Review
• 12. Treatment Approaches and Methods
  • 12.1 Scope of Literature Review
    • 12.1.1 Treatment Approaches to Address Physical Health Issues
    • 12.1.2 Treatment Approaches and Methods to Address Personal Issues (including mental health disorders)
    • 12.1.3 Approaches and Methods to Address Interpersonal Issues
  • 12.2 Best Practices to Address Relapse Management and Prevention
  • 12.3 Treatment Approaches: Literature Review
• 13. Program Structure, Duration and Intensity
  • 13.1 Program Structure and Duration: Key Expert Perspectives
    • 13.1.1 Program Structure
    • 13.1.2 Program Duration
  • 13.2 Treatment Structure, Duration and Intensity: Literature Review
• 14. Support Services: Type and Integration
  • 14.1 Required Support Services: Key Expert Perspectives
  • 14.2 Optimal Integration of Services: Key Expert Perspectives
• 15. Additional Best Practices: Key Expert Perspectives
  • 15.1 Staff Characteristics
  • 15.2 Involvement of Healthy Adults/Group Therapy
  • 15.3 Wider Scope of Treatment Availability
  • 15.4 Additional Best Practices: Literature Review
    • 15.4.1 Staff Characteristics
• 16. Measuring Treatment Outcomes
  • 16.1 Measuring Treatment Outcomes: Key Expert Perspectives
• 17. Model Program Elements
• 18. Selected Bibliography

List of Tables

• Table 1: Background of Key Experts
• Table 2: Geographical Distribution of Key Experts.
• Table 3: Types of Programs Represented by Key Experts
• Table 4: General Barriers: Key Expert Perspectives
• Table 5: Barriers to Treatment: Youth with Special Needs: Key Expert Perspectives
• Table 6: Best Practices Related to Treatment Outreach, Contact and Engagement: Key Expert Perspectives
• Table 7: Client Retention in Treatment: Key Expert Perspectives
• Table 8: Treatment Principles and Values: Key Expert Perspectives
• Table 9: Specific Treatment Approaches and Methods to Support Effective Treatment: Key Expert Perspectives
• Table 10:Program Structure, Duration and Intensity: Key Expert Perspectives
• Table 11: Best Practices: Additional Elements: Key Expert Perspectives
• Table 12: Model Program Elements: Key Expert Perspectives