A family-oriented therapy program for youths with substance abuse: Long-term outcomes related to relapse and academic or social status

Liang Jen Wang; Shing Fang Lu; Mian Yoon Chong; Wen Jiun Chou; Yu Lian Hsieh; Tong Ning Tsai; Ching Chen; Yi Hsuan Lee

doi:10.2147/NDT.S105199

A family-oriented therapy program for youths with substance abuse: Long-term outcomes related to relapse and academic or social status

Liang Jen Wang^*, Shing Fang Lu, Mian Yoon Chong, Wen Jiun Chou, Yu Lian Hsieh, Tong Ning Tsai, Ching Chen, Yi Hsuan Lee

^*Corresponding author for this work

School of Medicine

Chang Gung University

Research output: Contribution to journal › Journal Article › peer-review

11 Scopus citations

Abstract

Objective: The abuse of illegal substances by youths in Taiwan has become a major public health issue. This study explores the outcomes (relapse rate and academic or social status) of a family-oriented therapy program conducted for substance-using youths who were referred by a judge to participate in it. Methods: The present study includes 121 participants categorized into three groups: 36 youths underwent a weekly ten-session outpatient motivational enhancement psychotherapy (MEP) group program; 41 youths participated in a program that combined the aforementioned MEP program with an additional weekly ten-session parenting skill training (PST) program for their guardians (MEP + PST group); and 44 adolescents who received standard supervision by the court served as the control group. All participants were followed-up for a maximum of 2 years. Results: Of the 121 participants (mean age: 16.1±1.1 years), 33.1% relapsed into substance use during the follow-up period. The probability of relapse did not differ significantly between the MEP group (36.1%) and the control group (40.9%), but the youths in the MEP + PST group (22.0%) were at a lower risk of relapse than the control group participants (adjusted hazard ratio =0.48, 95% confidence interval [CI] =0.21–1.09). By the end of the study follow-up period, participants in both the MEP group and the MEP + PST group were more likely to be attending school (MEP group: adjusted odds ratio [aOR] =6.61, 95% CI =1.60–27.35; MEP + PST group: aOR =8.57, 95% CI =1.94–37.82) or employed (MEP group: aOR =7.75, 95% CI =1.95–30.75; MEP + PST group: aOR =7.27, 95% CI =1.76–29.97), when compared to the control group. Conclusion: This study revealed that a family-oriented treatment approach may be a more effective option for preventing youths’ relapsing into substance abuse. In comparison to individuals who received standard supervision by the court, those who received MEP experienced a better school attendance or social outcome over the follow-up period.

Original language	English
Pages (from-to)	699-706
Number of pages	8
Journal	Neuropsychiatric Disease and Treatment
Volume	12
DOIs	https://doi.org/10.2147/NDT.S105199
State	Published - 30 03 2016

Bibliographical note

Publisher Copyright:
© 2016 Du et al.

Keywords

Family
Juvenile delinquency
Longitudinal study
Psychotherapy
Substance abuse

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2147/NDT.S105199

Cite this

@article{03fdb86a2ffd470badb06924f04bffcd,

title = "A family-oriented therapy program for youths with substance abuse: Long-term outcomes related to relapse and academic or social status",

abstract = "Objective: The abuse of illegal substances by youths in Taiwan has become a major public health issue. This study explores the outcomes (relapse rate and academic or social status) of a family-oriented therapy program conducted for substance-using youths who were referred by a judge to participate in it. Methods: The present study includes 121 participants categorized into three groups: 36 youths underwent a weekly ten-session outpatient motivational enhancement psychotherapy (MEP) group program; 41 youths participated in a program that combined the aforementioned MEP program with an additional weekly ten-session parenting skill training (PST) program for their guardians (MEP + PST group); and 44 adolescents who received standard supervision by the court served as the control group. All participants were followed-up for a maximum of 2 years. Results: Of the 121 participants (mean age: 16.1±1.1 years), 33.1\% relapsed into substance use during the follow-up period. The probability of relapse did not differ significantly between the MEP group (36.1\%) and the control group (40.9\%), but the youths in the MEP + PST group (22.0\%) were at a lower risk of relapse than the control group participants (adjusted hazard ratio =0.48, 95\% confidence interval [CI] =0.21–1.09). By the end of the study follow-up period, participants in both the MEP group and the MEP + PST group were more likely to be attending school (MEP group: adjusted odds ratio [aOR] =6.61, 95\% CI =1.60–27.35; MEP + PST group: aOR =8.57, 95\% CI =1.94–37.82) or employed (MEP group: aOR =7.75, 95\% CI =1.95–30.75; MEP + PST group: aOR =7.27, 95\% CI =1.76–29.97), when compared to the control group. Conclusion: This study revealed that a family-oriented treatment approach may be a more effective option for preventing youths{\textquoteright} relapsing into substance abuse. In comparison to individuals who received standard supervision by the court, those who received MEP experienced a better school attendance or social outcome over the follow-up period.",

keywords = "Family, Juvenile delinquency, Longitudinal study, Psychotherapy, Substance abuse",

author = "Wang, \{Liang Jen\} and Lu, \{Shing Fang\} and Chong, \{Mian Yoon\} and Chou, \{Wen Jiun\} and Hsieh, \{Yu Lian\} and Tsai, \{Tong Ning\} and Ching Chen and Lee, \{Yi Hsuan\}",

note = "Publisher Copyright: {\textcopyright} 2016 Du et al.",

year = "2016",

month = mar,

day = "30",

doi = "10.2147/NDT.S105199",

language = "英语",

volume = "12",

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T1 - A family-oriented therapy program for youths with substance abuse

T2 - Long-term outcomes related to relapse and academic or social status

AU - Wang, Liang Jen

AU - Lu, Shing Fang

AU - Chong, Mian Yoon

AU - Chou, Wen Jiun

AU - Hsieh, Yu Lian

AU - Tsai, Tong Ning

AU - Chen, Ching

AU - Lee, Yi Hsuan

PY - 2016/3/30

Y1 - 2016/3/30

N2 - Objective: The abuse of illegal substances by youths in Taiwan has become a major public health issue. This study explores the outcomes (relapse rate and academic or social status) of a family-oriented therapy program conducted for substance-using youths who were referred by a judge to participate in it. Methods: The present study includes 121 participants categorized into three groups: 36 youths underwent a weekly ten-session outpatient motivational enhancement psychotherapy (MEP) group program; 41 youths participated in a program that combined the aforementioned MEP program with an additional weekly ten-session parenting skill training (PST) program for their guardians (MEP + PST group); and 44 adolescents who received standard supervision by the court served as the control group. All participants were followed-up for a maximum of 2 years. Results: Of the 121 participants (mean age: 16.1±1.1 years), 33.1% relapsed into substance use during the follow-up period. The probability of relapse did not differ significantly between the MEP group (36.1%) and the control group (40.9%), but the youths in the MEP + PST group (22.0%) were at a lower risk of relapse than the control group participants (adjusted hazard ratio =0.48, 95% confidence interval [CI] =0.21–1.09). By the end of the study follow-up period, participants in both the MEP group and the MEP + PST group were more likely to be attending school (MEP group: adjusted odds ratio [aOR] =6.61, 95% CI =1.60–27.35; MEP + PST group: aOR =8.57, 95% CI =1.94–37.82) or employed (MEP group: aOR =7.75, 95% CI =1.95–30.75; MEP + PST group: aOR =7.27, 95% CI =1.76–29.97), when compared to the control group. Conclusion: This study revealed that a family-oriented treatment approach may be a more effective option for preventing youths’ relapsing into substance abuse. In comparison to individuals who received standard supervision by the court, those who received MEP experienced a better school attendance or social outcome over the follow-up period.

AB - Objective: The abuse of illegal substances by youths in Taiwan has become a major public health issue. This study explores the outcomes (relapse rate and academic or social status) of a family-oriented therapy program conducted for substance-using youths who were referred by a judge to participate in it. Methods: The present study includes 121 participants categorized into three groups: 36 youths underwent a weekly ten-session outpatient motivational enhancement psychotherapy (MEP) group program; 41 youths participated in a program that combined the aforementioned MEP program with an additional weekly ten-session parenting skill training (PST) program for their guardians (MEP + PST group); and 44 adolescents who received standard supervision by the court served as the control group. All participants were followed-up for a maximum of 2 years. Results: Of the 121 participants (mean age: 16.1±1.1 years), 33.1% relapsed into substance use during the follow-up period. The probability of relapse did not differ significantly between the MEP group (36.1%) and the control group (40.9%), but the youths in the MEP + PST group (22.0%) were at a lower risk of relapse than the control group participants (adjusted hazard ratio =0.48, 95% confidence interval [CI] =0.21–1.09). By the end of the study follow-up period, participants in both the MEP group and the MEP + PST group were more likely to be attending school (MEP group: adjusted odds ratio [aOR] =6.61, 95% CI =1.60–27.35; MEP + PST group: aOR =8.57, 95% CI =1.94–37.82) or employed (MEP group: aOR =7.75, 95% CI =1.95–30.75; MEP + PST group: aOR =7.27, 95% CI =1.76–29.97), when compared to the control group. Conclusion: This study revealed that a family-oriented treatment approach may be a more effective option for preventing youths’ relapsing into substance abuse. In comparison to individuals who received standard supervision by the court, those who received MEP experienced a better school attendance or social outcome over the follow-up period.

KW - Family

KW - Juvenile delinquency

KW - Longitudinal study

KW - Psychotherapy

KW - Substance abuse

UR - https://www.scopus.com/pages/publications/84962399003

U2 - 10.2147/NDT.S105199

DO - 10.2147/NDT.S105199

M3 - 文章

AN - SCOPUS:84962399003

SN - 1178-2021

VL - 12

SP - 699

EP - 706

JO - Neuropsychiatric Disease and Treatment

JF - Neuropsychiatric Disease and Treatment

ER -

A family-oriented therapy program for youths with substance abuse: Long-term outcomes related to relapse and academic or social status

Abstract

Bibliographical note

Keywords

UN SDGs

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