A Pilot Study Examining Outcomes Associated with the Implementation of Progress Monitoring at a Substance Use Disorder Treatment Program for Adolescents

Autor/inn/en	Russell, Keith C.; Gillis, Harold L.; Law, Liam; Couillard, Jeff
Titel	A Pilot Study Examining Outcomes Associated with the Implementation of Progress Monitoring at a Substance Use Disorder Treatment Program for Adolescents
Quelle	In: Child & Youth Care Forum, 47 (2018) 3, S.403-419 (17 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Russell, Keith C.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1053-1890
DOI	10.1007/s10566-018-9437-2
Schlagwörter	Pilot Projects; Outcomes of Treatment; Program Implementation; Progress Monitoring; Substance Abuse; Adolescents; Youth Programs; Statistical Analysis; Effect Size; Statistical Significance; Metacognition; Case Studies; Response to Intervention; Therapy + Suchen Sie Ihr Suchwort? Pilot project; Modellversuch; Pilotprojekt; Drug use; Drug consomption; Drogenkonsum; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Jugendsofortprogramm; Statistische Analyse; Meta cognitive ability; Meta-cognition; Metakognitive Fähigkeit; Metakognition; Case study; Fallstudie; Case Study; Therapie
Abstract	Background: Progress monitoring (PM) is the periodic and reliable assessment of client progress to evaluate and inform psychotherapeutic treatment. PM's use in a variety of treatment contexts show improved treatment outcome, dropout rate reduction, moderated treatment deterioration, and more efficient treatment delivery. Objective: This study reports the preliminary results of a PM implementation initiative at a youth care program that focuses on substance use disorder treatment. Methods: Participants were 70 adolescent clients (mean age 16.6 years, 56% male, 58% White, 30% Aboriginal or Mètis). A time series evaluation design guided the study, where data were collected at admission, periodic intervals during treatment, and at discharge. Descriptive analysis was performed on all demographic variables. Pairwise t tests and effect sizes were calculated to determine clinically significant change. Results: PM was successfully implemented in the youth care program and the outcomes associated with PM were statistically and clinically significant with large effect sizes reported. Changes in the development of mindfulness related-skills were positively associated with changes in outcome. Case studies illustrate how PM can identify clients who are not responding to treatment. Conclusion: PM in adolescent substance use treatment programs is an important consideration for program providers. Implementation needs to involve staff, be flexible, empower clients, and be integrated into the culture of programs. The successful implementation of PM can help identify clients who are not responding to treatment and generate useful and reliable outcome data. Recommendations for how PM can be implemented in similar youth care programs are also discussed. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01