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An experimental design, (the pretest/posttest design) was used in this study to investigate the efficacy of substance abuse treatment using two instruments, the Addiction Severity Index (ASI) and the biopsychosocial assessment. Fifty-six subjects admitted to the SYMBAS TEAM Substance Abuse Treatment Program were assessed during the initial stage of treatment using the biopsychosocial assessment and the ASI. Through the process of random selection, subjects were placed in one of two groups, an experimental group or a control group. Counselors working with the subjects in the experimental group had access to the results of the ASI and biopsychosocial assessment for treatment planning, and the counselors working with the subjects in the control group had access only to the results of the biopsychosocial assessment. At the end of treatment (gO-days), the subjects in both groups were re-assessed using the ASI to determine what differences, if any, occurred between the two sample groups. Data was analyzed using descriptive statistics along with the Student test. Results revealed that there were no statistically significant differences between the two sample groups at the .05 alpha level. However, significant reductions between the ASI pre- and posttests mean scores were noted among several of the variables in both sample groups. Also, the counselors' perceptions of the ASI suggested that the ASI was preferred over the bippsychosocial assessment for treatment planning, because of its structure and the amount of time required to administer the instrument. / Ed. D.

When adolescents enter residential treatment for difficulties experienced at school, with the juvenile justice system and/or their parent(s)r substance abuse is often not identified as a significant contributor to the presenting problem. However, the dynamics of adolescent substance abuse are described in the literature as interactive processes affected by family dysfunctions, inadequately learned coping skills and significant stressors. In this study, a treatment strategy was developed for families of adolescents in a residential treatment center setting, where adolescents, along with other identified problems were also determined to be actively abusing drugs and or alcohol. The treatment strategies focused on alcohol/drug abuse as a primary problem, and on relapse prevention through psycho education, family therapy and contingency contracting. Twelve adolescents and their families participated in the treatment program. A one year follow up was conducted. This thesis reports on four of these families indepth through the use of case studies. Comparisons and conclusions were drawn from the case studies which demonstrate that the treatment model is an effective auxiliary modality for use with substance abusing adolescents and their families. / Master of Science

This study examines the relationship between substance abuse and the need for parent skills training. Predicted is that adults in substance abuse treatment are likely to be in need of parent skills training. Previous research has associated the lack of parent skills with inept parenting practices that often leads to developmental problems in children.

Source: Dissertation Abstracts International, Volume: 70-03, Section: B, page: 1572. Adviser: Lu-Yu Hwang. Includes bibliographical references.

Substance abuse is an expensive problem facing the American public and the criminal justice field. Using secondary data analysis this study examined 1,921 participants across five substance abuse programs within California and New York jail systems. Specifically this study explored the impact of location, demographic characteristics, offense committed, and previous drug treatment on successful completion of the treatment program. Descriptive analyses were used to examine the demographic characteristics of the sample and the types of drugs used by participants in the thirty days prior to jail admission. Results from bivariate analyses indicated that location, demographic characteristics, and previous drug treatment were all significantly related to successful completion. Implications for current correctional treatment programs and future research on this topic are discussed

Analyzes the motivation of clients beginning a drug and alcohol treatment program to see if their level of motivation affects their success in the program, as measured by drug screens. Thirty-six participants from the Perris Valley Recovery Program (PVRP) in Southern California took a motivation for treatment questionnaire reflecting their levels of motivation for treatment. Results of the study found significant relationships between clients' motivation to be in substance abuse treatment and clean or dirty drug screens.

Background: The definition and concept of the rehabilitation differs across disciplines. However, the goals of comprehensive rehabilitation, as defined in the literature, could not be fully achieved without multidisciplinary cooperation, through which it is possible to apply a wider range of interventions, which is an important indicator in addiction treatment. The cooperation between individual fields has the potential not only in better quality care towards the target group, but it is also important to consider the possibility of better financing of care, which could lead to greater satisfaction of both users and service providers. Objectives: This diploma thesis seeks the interrelationships between theory and concept of rehabilitation in addictology, respectively in the aftercare program based on the Apolinar model of addiction treatment, and rehabilitation in physiotherapy - in terms of both theoretical anchoring and implementation of rehabilitation in practice. The objective was to map and evaluate the content of rehabilitation applied in the outpatient form of the after-care program in the women's and men's ward of substance abuse treatment at the Department of Addictology, which is based on the Apolinar model of addiction treatment. Finally, the aim was to assess how a physiotherapist could...

Despite the fact that a lot of information exist in the literature regarding factors leading to drug abuse, consequences of drug abuse for adolescents; little exists that focuses on family support for adolescents after rehabilitation. The purpose of this study was to explore family support for adolescents after rehabilitation for drug abuse. The study was based on semi-structured interview based qualitative research. Findings during interviews was that the families have no clear understanding or are not skilled as to how to continue supporting the adolescents after they are discharged from the rehabilitation centre. What was also interesting according to the participants was that even in the rehabilitation centres families are not made part of or involved during the rehabilitation process. There is a need to make the rehabilitation centres aware that families need to be involved during the rehabilitation process of the adolescent so that it becomes easy for the families to continue supporting the adolescents after they have completed the rehabilitation process. / Health Studies / M.A. (Health Studies)

The purpose of this study was to gain a deep phenomenological understanding of how young adults living in a detoxification centre for people with no fixed abode made the life changing decision to free themselves from substance use and provide insights that could be helpful for counselling psychologists working therapeutically with this client group. An exploratory study was conducted using Interpretative Phenomenological Analysis (IPA). The participants were between the ages of 25 and 29 years old (1 female and 5 males). All participants had spent 6 weeks in the detoxification centre at the time the interview took place. Two specific areas were pinpointed for exploration during the semi-structured interviews: (1) self-concept before entering the project and after having entered the project and been abstinent for at least 6 weeks, and (2) possible links between homelessness and substance use. Emerging themes were clustered in terms of polarities and existential dimensions. Four superordinate themes comprising of eight existential polarities were extrapolated: control-chaos; connectedness-disconnection; meaning-meaninglessness; responsibility-guilt. The data analysis revealed participants’ struggle to resolve the conflict between these polarities. Identity issues seemed to be crucial, as well as a sense of having lost touch with or possibly never developed an authentic self and a struggle to live and accept emotions in the present moment. Another aspect that emerged was difficulties in grieving losses as well as death anxiety. Connecting with others and caring about oneself seemed to be closely linked and conducive to wellbeing in participants’ experience of abstinence from substance use. On the basis of this study recommendations are made for professionals working therapeutically with this group of clients. These include taking an existential approach and using mindfulness techniques to support clients to accept the polarities we experience in life and to develop the capacity to embrace the contradictions of our existence.