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Current Drug Abuse Reviews

Editor-in-Chief

ISSN (Print): 1874-4737
ISSN (Online): 1874-4745

Treatment of Adolescent Substance Use Disorders and Co-Occurring Internalizing Disorders: A Critical Review and Proposed Model

Author(s): Leslie A. Hulvershorn, Patrick D. Quinn and Eric L. Scott

Volume 8, Issue 1, 2015

Page: [41 - 49] Pages: 9

DOI: 10.2174/1874473708666150514102745

Price: $65

Abstract

Background: The past several decades have seen dramatic growth in empirically supported treatments for adolescent substance use disorders (SUDs), yet even the most well-established approaches struggle to produce large or long-lasting improvements. These difficulties may stem, in part, from the high rates of comorbidity between SUDs and other psychiatric disorders.

Method: We critically reviewed the treatment outcome literature for adolescents with co-occurring SUDs and internalizing disorders.

Results: Our review identified components of existing treatments that might be included in an integrated, evidence-based approach to the treatment of SUDs and internalizing disorders. An effective program may involve careful assessment, inclusion of parents or guardians, and tailoring of interventions via a modular strategy.

Conclusions: The existing literature guides the development of a conceptual evidence-based, modular treatment model targeting adolescents with co-occurring internalizing and SUDs. With empirical study, such a model may better address treatment outcomes for both disorder types in adolescents.

Keywords: Adolescent, co-occurring psychiatric disorders, evidence-based treatments, substance use disorders.


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