Treatment process in the therapeutic community: Associations with retention and outcomes among adolescent residential clients

Maria Orlando Edelen, Joan S. Tucker, Suzanne L. Wenzel, Susan M. Paddock, Patricia Ebener, Jim Dahl, Wallace Mandell

Research output: Contribution to journalArticle

Abstract

This study examined associations of a new multidimensional measure of therapeutic community (TC) treatment process, the Dimensions of Change Instrument (DCI), with treatment retention (n = 397) and posttreatment outcomes (n = 207) among adolescent residential clients. Adolescents who increased during the first 30 days in treatment on three of the eight DCI factors (Positive Self-Attitude and Commitment to Abstinence; Problem Recognition; Social Network) were more likely to stay in treatment for 90 days or more. Although change in DCI factor scores was not directly predictive of posttreatment outcomes, staying in treatment for 90 days or more increased the likelihood of attending 12-step meetings and having a 12-step sponsor after leaving treatment. Several demographic and pretreatment characteristics also predicted retention, posttreatment outcomes, or both. Much remains to be learned about how the TC treatment process produces positive outcomes for adolescents; however, results from this study highlight components of the treatment process that may be particularly important for practitioners to consider and monitor in their clients.

Original languageEnglish (US)
Pages (from-to)415-421
Number of pages7
JournalJournal of Substance Abuse Treatment
Volume32
Issue number4
DOIs
StatePublished - Jun 1 2007

Keywords

  • Adolescents
  • Posttreatment outcomes
  • Retention
  • Therapeutic community
  • Treatment process

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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