The majority of adolescents entering residential treatment programs already have chronic and relapsing problems with alcohol abuse and dependence as well as multiple comorbid problems that complicate treatment. Two thirds relapse to alcohol use within 90 days after discharge from residential programs, a fifth returning to weekly use. While all are referred to an outpatient program at discharge, in some counties as many as 60% never get any treatment and only a fraction of these stay in aftercare treatment for even four sessions. The primary goal of this research is to evaluate the effectiveness of an Assertive Aftercare Protocol (AAP) in increasing successful transfer and decreasing relapse and other problems relative to the current system's Status Quo (SQ) level of aftercare. AAP is designed to ensure a specified quantity and quality of aftercare services are provided including assessment, aftercare planning, frequent community-based contacts, linkages between systems, relapse prevention, problem solving, social skill building; family/social support and other forms of case management.
The specific aims are to evaluate two core hypotheses: Hl. Following discharge from residential treatment, clients randomly assigned to the experimental assertive aftercare protocol will have improved intermediate outcomes (treatment participation, self-efficacy We will test these hypotheses for both immediate and long-term effects in a blocked randomized field experiment. Over a 3-year period approximately 250 clients will be interviewed at intake to residential care, discharge from residential care, and then quarterly post-discharge for a year. At the point of discharge from residential services, half the clients will be randomly assigned to the experimental Assertive Aftercare Protocol (AAP) and the other half to receive the current Status Quo aftercare. Data will include self-reports, collateral reports, service records, and urine tests for alcohol, marijuana and cocaine. Additional comparisons will be possible with a pre-experimental baseline group of another 80 clients and a separate state-wide study we are currently conducting with 38 treatment units serving approximately 7200 clients per year.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA010368-05
Application #
6371368
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1997-06-01
Project End
2002-05-31
Budget Start
2001-06-01
Budget End
2002-05-31
Support Year
5
Fiscal Year
2001
Total Cost
$278,521
Indirect Cost
Name
Chestnut Health Systems, Inc.
Department
Type
DUNS #
City
Bloomington
State
IL
Country
United States
Zip Code
61701
Godley, Mark D; Godley, Susan H; Dennis, Michael L et al. (2014) A randomized trial of assertive continuing care and contingency management for adolescents with substance use disorders. J Consult Clin Psychol 82:40-51
Conrad, Kendon J; Conrad, Karen M; Mazza, Jessica et al. (2012) Dimensionality, hierarchical structure, age generalizability, and criterion validity of the GAIN's Behavioral Complexity Scale. Psychol Assess 24:913-24
Godley, Mark D; Coleman-Cowger, Victoria H; Titus, Janet C et al. (2010) A randomized controlled trial of telephone continuing care. J Subst Abuse Treat 38:74-82
Garner, Bryan R; Godley, Mark D; Funk, Rodney R et al. (2010) The Washington Circle continuity of care performance measure: predictive validity with adolescents discharged from residential treatment. J Subst Abuse Treat 38:3-11
Conrad, Kendon J; Riley, Barth B; Conrad, Karen M et al. (2010) Validation of the Crime and Violence Scale (CVS) against the Rasch measurement model including differences by gender, race, and age. Eval Rev 34:83-115
Garner, Bryan R; Godley, Susan H; Funk, Rodney R et al. (2009) Exposure to Adolescent Community Reinforcement Approach treatment procedures as a mediator of the relationship between adolescent substance abuse treatment retention and outcome. J Subst Abuse Treat 36:252-64
Garner, Bryan R (2009) Research on the diffusion of evidence-based treatments within substance abuse treatment: a systematic review. J Subst Abuse Treat 36:376-99
Chan, Ya-Fen; Godley, Mark D; Godley, Susan H et al. (2009) Utilization of mental health services among adolescents in community-based substance abuse outpatient clinics. J Behav Health Serv Res 36:35-51
Godley, Susan H; Godley, Mark D; Wright, Kelli L et al. (2008) Contingent reinforcement of personal goal activities for adolescents with substance use disorders during post-residential continuing care. Am J Addict 17:278-86
Godley, Susan H; Passetti, Lora L; Funk, Rodney R et al. (2008) One-year treatment patterns and change trajectories for adolescents participating in outpatient treatment for the first time. J Psychoactive Drugs 40:17-28

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