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Subst Abuse. 2012;6:141-55. doi: 10.4137/SART.S10389. Epub 2012 Oct 25.

All might have won, but not all have the prize: optimal treatment for substance abuse among adolescents with conduct problems.

Author information

  • 1The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior and Medicine, Division of General Internal Medicine at Rhode Island Hospital, 111 Plain Street, Suite 119, Providence, RI 02903, USA.

Abstract

Considerable evidence from the literature on treatment outcomes indicates that substance abuse treatment among adolescents with conduct problems varies widely. Treatments commonly used among this population are cognitive-behavioral therapy (CBT), 12-step facilitation, multisystemic therapy (MST), psychoeducation (PE), and motivational interviewing (MI). This manuscript thoroughly and systematically reviews the available literature to determine which treatment is optimal for substance-abusing adolescents with conduct problems. Results suggest that although there are several evidence-based and empirically supported treatments, those that incorporate family-based intervention consistently provide the most positive treatment outcomes. In particular, this review further reveals that although many interventions have gained empirical support over the years, only one holds the prize as being the optimal treatment of choice for substance abuse treatment among adolescents with conduct problems.

KEYWORDS:

adolescence; conduct problems; substance use; treatment outcome

PMID:
23170066
[PubMed]
PMCID:
PMC3498967
Free PMC Article
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