Login Register Cart 0
Generic placeholder image

Adolescent Psychiatry

Editor-in-Chief

ISSN (Print): 2210-6766
ISSN (Online): 2210-6774

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Research Article

Baseline and Outcome Comparison of Adolescents in Treatment for Opioid and Non-opioid Use Disorder

Author(s): Matthew LaCasse*, Ryan Loh and Christian Thurstone

Volume 13, Issue 1, 2023

Published on: 12 May, 2023

Page: [25 - 31] Pages: 7

DOI: 10.2174/2210676613666230503094501

Price: $65

Abstract

Background: In the current opioid epidemic, little is known about differences in treatment structure for youth with opioid use disorder (OUD) and youth with other substance use disorders.

Objective: This study analyzed baseline characteristics and outcome data comparing youth who suffer from OUD vs. those with other substance use disorders in an urban Denver, Colorado clinic.

Methods: A retrospective cohort review was conducted, analyzing clinical data between February 2017 and March 2021. Two groups were created and compared: those with OUD (n = 59) and those with other substance use disorders (n = 417). The primary outcome variable was achieving a negative urine drug screen within 16 weeks of baseline assessment. We hypothesized that there would be no difference between the groups in the primary outcome variable.

Results: Youth with OUD were slightly older and had more co-morbid stimulant use disorder. No difference between the groups was observed in achieving a negative urine drug screen within 16 weeks.

Conclusion: A multimodal, generalized treatment approach yielded similar outcomes for those suffering from OUD compared to those with other substance use disorders. There might not need to be significant variances in treatment approach depending on the specific substance use disorder.

« Previous Next »
Dindo, L., Van Liew, J.R., Arch, J.J. (2017). Acceptance and commitment therapy: A transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics, 14(3), 546-553.

[http://dx.doi.org/10.1007/s13311-017-0521-3] [PMID: 28271287]
Godley, M.D., Passetti, L.L., Subramaniam, G.A., Funk, R.R., Smith, J.E., Meyers, R.J. (2017). Adolescent Community Reinforcement Approach implementation and treatment outcomes for youth with opioid problem use. Drug Alcohol Depend., 174, 9-16.

[http://dx.doi.org/10.1016/j.drugalcdep.2016.12.029] [PMID: 28282523]
Hayes, S.C., Luoma, J.B., Bond, F.W., Masuda, A., Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes and outcomes. Behav. Res. Ther., 44(1), 1-25.

[http://dx.doi.org/10.1016/j.brat.2005.06.006] [PMID: 16300724]
Hopfer, C., Salomonsen-Sautel, S., Mikulich-Gilbertson, S., Min, S.J., McQueen, M., Crowley, T., Young, S., Corley, R., Sakai, J., Thurstone, C., Hoffenberg, A., Hartman, C., Hewitt, J. (2013). Conduct disorder and initiation of substance use: a prospective longitudinal study. J. Am. Acad. Child Adolesc. Psychiatry, 52(5), 511-518.e4.

[http://dx.doi.org/10.1016/j.jaac.2013.02.014] [PMID: 23622852]
Jalal, H., Buchanich, J.M., Roberts, M.S., Balmert, L.C., Zhang, K., Burke, D.S. (2018). Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science, 361(6408), eaau1184.
Öst, L.G. (2014). The efficacy of Acceptance and Commitment Therapy: An updated systematic review and meta-analysis. Behav. Res. Ther., 61, 105-121.

[http://dx.doi.org/10.1016/j.brat.2014.07.018] [PMID: 25193001]
Petry, N.M., Peirce, J.M., Stitzer, M.L., Blaine, J., Roll, J.M., Cohen, A., Obert, J., Killeen, T., Saladin, M.E., Cowell, M., Kirby, K.C., Sterling, R., Royer-Malvestuto, C., Hamilton, J., Booth, R.E., Macdonald, M., Liebert, M., Rader, L., Burns, R., DiMaria, J., Copersino, M., Stabile, P.Q., Kolodner, K., Li, R. (2005). Effect of prize-based incentives on outcomes in stimulant abusers in outpatient psychosocial treatment programs: A national drug abuse treatment clinical trials network study. Arch. Gen. Psychiatry, 62(10), 1148-1156.

[http://dx.doi.org/10.1001/archpsyc.62.10.1148] [PMID: 16203960]
Smout, M., Davies, M., Burns, N., Christie, A. (2014). Development of the valuing questionnaire (VQ). J. Contextual Behav. Sci., 3(3), 164-172.

[http://dx.doi.org/10.1016/j.jcbs.2014.06.001]
Subramaniam, G.A., Stitzer, M.L., Woody, G., Fishman, M.J., Kolodner, K. (2009). Clinical characteristics of treatment-seeking adolescents with opioid versus cannabis/alcohol use disorders. Drug Alcohol Depend., 99(1-3), 141-149.

[http://dx.doi.org/10.1016/j.drugalcdep.2008.07.016] [PMID: 18818027]
Thurstone, C., Hull, M., Timmerman, J., Emrick, C. (2017). Development of a motivational interviewing/acceptance and commitment therapy model for adolescent substance use treatment. J. Contextual Behav. Sci., 6(4), 375-379.

[http://dx.doi.org/10.1016/j.jcbs.2017.08.005]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy