Substance Use Disorders
Conditions
Brief summary
Following discharge from residential treatment 324 adolescents are randomly assigned to Assertive Continuing Care with and without motivational incentives in a 2 x 2 factorial design. Clinical outcomes are assessed at 3, 6, 9, and 12 months post discharge.
Interventions
Weekly community based behavioral counseling and case management
Weekly community based prize drawing opportunities contingent upon completed verifiable pro-social activities and clean urine and breath alcohol test results
recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.
Sponsors
Study design
Eligibility
Inclusion criteria
* Met DSM-IV diagnostic criteria for abuse or dependence on alcohol or another drug in the past year * Been between the ages of 12 and 18 at the time of residential admission; and (c) resided in one of ten Illinois counties targeted for the intervention
Exclusion criteria
* left residential treatment prior to the seventh day * did not return to a target county at discharge * showed evidence of cognitive impairment that interfered with understanding of study instruments, procedures, or the informed consent process * were deemed dangerous to themselves or others during treatment * were a ward of child protective services and inaccessible for the intervention * met DSM-IV criteria for pathological gambling * were discharged to the state department of corrections * were already participating in a treatment study