Each year, substance abuse treatment programs in the United States record approximately 150,000 admissions of youths under the age of 18. Nevertheless, little is known about the effectiveness of the types of community-based services typically available to youths and their families. Recognizing the need for better information on the effectiveness…

This document contains testimony and prepared statements from assistant secretaries in the Department of Education and the Department of Health and Human Services; directors from the Department of Health and Human Services; the general director of Beth Israel Medical Center; the president of Phoenix House Foundation, Inc., a drug-free treatment…

Self-help programs can be used to replace, complement, or supplement formal treatment, but their effectiveness has been underestimated. To test the effectiveness of bibliotherapy in the treatment of problem drinkers, six studies were conducted over 7 years (1975-1982) comparing different treatment approaches. The combined data showed that for…

A 12-month outcome study was conducted on 129 patients discharged from a hospital-based substance abuse treatment program in an effort to identify the progress of patients after treatment, evaluate the treatment program, and improve the program based on the evaluation. Subjects completed two demographic questionnaires and a 12-month post-discharge…

This report presents initial results of the first phase of the Treatment Outcome Prospective Study (TOPS) a longitudinal investigation of the natural history of persons identified as eligible for treatment at selected federally-funded drug treatment programs in 1979-1981. The materials describe the characteristics, behavior, and intreatment…

Results are reported of a study to determine the effects of detoxification centers on the people who use their services. A detoxification center is "a social rehabilitation facility established for the purpose of facilitating access into care and rehabilitation by detoxifying and evaluating the person and providing entrance into the continuum…

Recent advances in the study of life stress and social support suggest a new approach to the drug abuse client recidivism problem which encompasses the need for naturalistic, interactional studies. A longitudinal study was conducted with 49 ex-clients of a heroin detoxification program to test the hypothesis that experiencing life stress in the…

Describes Project Choices, a residential treatment program for drug-abusing adjudicated adolescents that employs the adventure-based counseling model to instill change. Describes Project Choices goals as being the reduction of conduct-disordered behavior associated with delinquency and drug use. Presents program evaluation results which suggest…

There is evidence that drug treatment in correctional facilities can impact recidivism, perceptions of self-efficacy, and mood states such as depression and anxiety. This study was designed to provide detailed and systematic descriptions of participants and treatment program components for five drug treatment programs. Also included are program…

A repeated measures design was used to assess the effects of a methadone maintenance program in several California locations. Subjects were 720 Chicano and Anglo men and women participating in rehabilitation programs for heroin addicts. The subjects were interviewed between 1978-1981, and the average follow-up time after initial treatment was 4-6…

An outline of vocational rehabilitation of the ex-addict is presented, with emphasis placed on the development of treatment plans, counselor inservice training, and clinical procedures. Discussion is based on the Beth Israel Medical Center (BIMC) programs of Methadone Maintenance Treatment and Alcohol Treatment. Section 1, Proceedings, defines…

TIP 43 provides best-practice guidelines for medication-assisted treatment of opioid addiction in opioid treatment programs (OTPs). The primary intended audience for this volume is substance abuse treatment providers and administrators who work in OTPs. Recommendations in the TIP are based on both an analysis of current research and determinations…

This article discusses the literature on drug treatment counselor practices and effectiveness and discusses relevant issues in a multilevel framework by considering client outcome in relation to varying characteristics of clients, counselors, and programs. A conceptual model is presented for understanding counselor effects on client outcomes. (SLD)

The effectiveness of an innovative outpatient drug-free treatment facility serving felony drug offenders who are placed on probation is evaluated. Treatment included educational and group therapy as well as acupuncture. Background characteristics, levels of treatment, and selected outcomes are described. Principles of successful interventions are…

A 1975 Dartmouth Outward Bound Mental Health Project, begun with a pilot project for disturbed adolescents, has evolved into an ongoing treatment option in three separate clinical settings for psychiatric patients and recovering alcoholics. Outward Bound consists of a series of prescribed physical and social tasks where the presence of stress,…