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Retrospective Evaluation of ASAM Criteria in Adolescents Receiving Weekly Outpatient Treatment for Co-Occurring Psychiatric and Substance Use Disorders.

Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, Scottsdale, AZ, June 12-17, 2010.

Beverly W. Holmes, MSW (Lexington/Richland Alcohol and Drug Abuse Council, SC Node), Louise F. Haynes, MSW (Lexington/Richland Alcohol and Drug Abuse Council, SC Node), Jeffrey D. Leimberger, PhD (Duke Clinical Research Center, DSC), Paula D. Riggs, PhD (University of Colorado, OV Node).

American Society of Addiction Medicine (ASAM) criteria are widely used to determine level of care/treatment intensity. However, there is a lack of research on the validity of ASAM placement criteria in adolescents with co-occurring psychiatric and substance use disorders (SUD), who generally meet ASAM criteria for more intensive treatment. No studies have been done evaluating whether integrated treatment approaches for co-occurring disorders might produce similar outcomes to more intensive (and costly) levels of care. This study examined the charts of 32 adolescents who participated in protocol CTN-0028 (OROS-MPH for ADHD in Adolescents with Substance Use Disorders) to determine ASAM placement criteria. Despite the fact 82% of the sample would have been assigned to more intensive treatment based on retrospective determination of ASAM placement criteria, treatment outcomes were comparable across all study groups. If replicated, results would suggest that less intensive integrated treatment approaches may produce comparable outcomes to more intensive (e.g., residential) for adolescents with co-occurring psychiatric and substance use disorders. (Poster, PowerPoint slides, English, 2010)

Keywords: Adolescents | Co-occuring disorders | Community health services | CTN platform/ancillary study | Patient placement criteria | College on Problems of Drug Dependence (CPDD) annual meeting, 2010

Document No: 498

Submitted by Beverly Holmes, MSW, SC Node, 6/28/2010.

AUTHORS SEARCH LINK
Haynes, Louise F. search mail
Holmes, Beverly W. search mail
Leimberger, Jeffrey D. search mail
Riggs, Paula D. search mail
PROTOCOLS
NIDA-CTN-0028 search www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 6/2010 -- http://ctndisseminationlibrary.org/display/498.htm
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