Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents

Abstract Background Substance use disorders (SUD) are prevalent among those in the juvenile justice system. SUD treatment programs implemented in correctional settings can prevent overdose and other health-related problems among an underserved health disparity population. However, only a fraction of...

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Main Authors: Micah E. Johnson, Dieu X. Tran
Format: Article
Language:English
Published: BMC 2020-12-01
Series:Substance Abuse Treatment, Prevention, and Policy
Subjects:
Online Access:https://doi.org/10.1186/s13011-020-00332-z
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author Micah E. Johnson
Dieu X. Tran
author_facet Micah E. Johnson
Dieu X. Tran
author_sort Micah E. Johnson
collection DOAJ
description Abstract Background Substance use disorders (SUD) are prevalent among those in the juvenile justice system. SUD treatment programs implemented in correctional settings can prevent overdose and other health-related problems among an underserved health disparity population. However, only a fraction of justice-involved adolescents with SUDs complete a treatment program and the factors associated with treatment completion among adolescents in the criminal justice system have not been thoroughly investigated. Methods Using cross-sectional data on 25,587 adolescents from the Florida Department of Juvenile Justice (FLDJJ) who met the criteria for SUD treatment, the study investigated the factors associated with the completion of SUD treatment. Sociodemographic, mental health, and other variables were examined. Results Several factors were associated with an increased likelihood of SUD treatment completion: previous participation in treatment programs, prior drug and alcohol education class attendance, and involvement in court-directed programs. Additional factors included multiple incarcerations, and strong financial and support networks. Conclusions The strongest factors associated with a higher likelihood of SUD treatment completion among adolescents in the justice system are ones that can be translated into programs and practices. Repeated referrals to treatment, court-directed programs, and strong support networks may yield higher rates of completion.
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spelling doaj.art-5ebf2fea4eeb4f779c62e55cda4790332022-12-21T23:21:17ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2020-12-0115111110.1186/s13011-020-00332-zFactors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescentsMicah E. Johnson0Dieu X. Tran1Department of Mental Health Law and Policy, College of Behavioral and Community Sciences, University of South FloridaDepartment of Epidemiology and Biostatistics, College of Public Health, University of South FloridaAbstract Background Substance use disorders (SUD) are prevalent among those in the juvenile justice system. SUD treatment programs implemented in correctional settings can prevent overdose and other health-related problems among an underserved health disparity population. However, only a fraction of justice-involved adolescents with SUDs complete a treatment program and the factors associated with treatment completion among adolescents in the criminal justice system have not been thoroughly investigated. Methods Using cross-sectional data on 25,587 adolescents from the Florida Department of Juvenile Justice (FLDJJ) who met the criteria for SUD treatment, the study investigated the factors associated with the completion of SUD treatment. Sociodemographic, mental health, and other variables were examined. Results Several factors were associated with an increased likelihood of SUD treatment completion: previous participation in treatment programs, prior drug and alcohol education class attendance, and involvement in court-directed programs. Additional factors included multiple incarcerations, and strong financial and support networks. Conclusions The strongest factors associated with a higher likelihood of SUD treatment completion among adolescents in the justice system are ones that can be translated into programs and practices. Repeated referrals to treatment, court-directed programs, and strong support networks may yield higher rates of completion.https://doi.org/10.1186/s13011-020-00332-zJustice-involved adolescentsSubstance use disorderTreatment adherenceSubstance misuse
spellingShingle Micah E. Johnson
Dieu X. Tran
Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents
Substance Abuse Treatment, Prevention, and Policy
Justice-involved adolescents
Substance use disorder
Treatment adherence
Substance misuse
title Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents
title_full Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents
title_fullStr Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents
title_full_unstemmed Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents
title_short Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents
title_sort factors associated with substance use disorder treatment completion a cross sectional analysis of justice involved adolescents
topic Justice-involved adolescents
Substance use disorder
Treatment adherence
Substance misuse
url https://doi.org/10.1186/s13011-020-00332-z
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