Substance Use, Education, Employment, and Criminal Activity Outcomes of Adolescents in Outpatient Chemical Dependency Programs
Substance Use, Education, Employment, and Criminal Activity Outcomes of Adolescents in Outpatient Chemical Dependency Programs
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DOI：
10.1007/s11414-007-9095-x
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发表时间：
2009-01-01
影响因子：
1.9
通讯作者：
Weisner, Constance M.
中科院分区：
文献类型：
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作者：
Balsa, Ana I.;Homer, Jenny F.;Weisner, Constance M.
虽然成瘾治疗项目临床评估的主要结果通常是戒断，但参与这些项目可能会产生广泛的后果。本研究评估了419名青少年（年龄12至18岁）在一个大型管理式医疗保健计划中参加化学品依赖康复计划的治疗开始对药物使用、上学、就业和参与犯罪活动的影响。使用工具变量估计方法，通过联合建模参与治疗的可能性和达到特定结局或结局水平的几率，来解释未观察到的治疗选择。治疗开始显着增加上学的可能性，促进禁欲，并降低青少年就业的可能性，但它并没有显着影响参与犯罪活动在12个月的随访。这些发现强调了在非实验性研究中解决选择问题的必要性，并证明了在评估青少年治疗的有效性时考虑多种结果的重要性。
Although the primary outcome of interest in clinical evaluations of addiction treatment programs is usually abstinence, participation in these programs can have a wide range of consequences. This study evaluated the effects of treatment initiation on substance use, school attendance, employment, and involvement in criminal activity at 12 months post-admission for 419 adolescents (aged 12 to 18) enrolled in chemical dependency recovery programs in a large managed care health plan. Instrumental variables estimation methods were used to account for unobserved selection into treatment by jointly modeling the likelihood of participation in treatment and the odds of attaining a certain outcome or level of an outcome. Treatment initiation significantly increased the likelihood of attending school, promoted abstinence, and decreased the probability of adolescent employment, but it did not significantly affect participation in criminal activity at the 12-month follow-up. These findings highlight the need to address selection in a non-experimental study and demonstrate the importance of considering multiple outcomes when assessing the effectiveness of adolescent treatment.