ArticleSubstance abuse treatment, prevention, and policy2020
Barriers, facilitators, and disparities in retention for adolescents in treatment for substance use disorders: a qualitative study with treatment providers.
Article in Substance abuse treatment, prevention, and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
37 citing papers in PubMed.
- Parent SMART: Effects of residential treatment and an adjunctive parenting intervention on behavioral health services utilization.Journal of substance use and addiction treatment · 2024Trial
- Parent SMART (Substance Misuse in Adolescents in Residential Treatment): Pilot randomized trial of a technology-assisted parenting intervention.Journal of substance abuse treatment · 2021Trial
- Using Machine Learning to Predict Features Within Substance Use Disorder Treatment Service Settings That Increase the Likelihood of Positive Treatment Outcomes.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- "I Just Knew That I Needed Help": Primarily Latine Adolescents and Young Adults Speak About Medication Treatment for Opioid Use Disorder in the Fentanyl Era.Substance use & addiction journal · 2026Article
- [Impact of an indicated prevention program on risk behaviors among adolescents at psychosocial risk].Anales del sistema sanitario de Navarra · 2026Article
- Personality Functioning and Antisociality of Youth Accessing Residential Substance Use Withdrawal in Australia.Drug and alcohol review · 2026Article
- A thematic analysis of caregiver engagement in adolescent substance use treatment.Addiction science & clinical practice · 2026Article
- Profiles of care trajectories among patients with substance-related disorders, assessed over nine years considering other patient characteristics and subsequent adverse outcomes.Substance abuse treatment, prevention, and policy · 2026Article
- Toward developing adolescent-centered machine learning methods to detect depression: Interviews with Latino adolescents to identify signals of emotional and somatic symptoms within social media data.PLOS digital health · 2026Article
- RE-MAKING SELVES AND SOCIAL WORLDS: EXPERIENCES OF LIVE-IN SUBSTANCE USE TREATMENT AMONG ADOLESCENTS EXPERIENCING SOCIAL STRUCTURAL MARGINALIZATION IN VANCOUVER.SSM. Qualitative research in health · 2025Article
- Emotionality Stigma, Sociocultural Factors, and Health Inequities in Urban Adolescents.International journal of environmental research and public health · 2025Article
- Perspectives from Systems-Level Key Informants on Optimizing Opioid Use Disorder Treatment for Adolescents and Young Adults.Children (Basel, Switzerland) · 2025Article
- Perspectives of treatment providers overseeing substance use disorder treatment among transition-age adults, aged 18-25 years.Journal of substance use and addiction treatment · 2025Article
- Building an integrated care continuum for youth substance use treatment and recovery: A qualitative study.Journal of social work practice in the addictions · 2025Article
- Building social support into mental health and substance use treatment trajectories: Insights from a longitudinal qualitative and ethnographic study with young people experiencing unstable housing and homelessness.Child & youth services · 2025Article
- Telehealth Disparities in Outpatient Substance Use Disorder (SUD) Treatment among Medicaid Beneficiaries during COVID-19.Substance use & misuse · 2025Article
- Engagement in substance use disorder treatment after an emergency department visit among persons at high risk of opioid overdose: A prediction analysis.Drug and alcohol dependence reports · 2024Article
- The Role of Emotionality Stigma in Adolescent Mental Health: Measure Development and Call for Systems-Level Change.International journal of environmental research and public health · 2024Article
- Looking beyond drugs: A scoping review of recovery in the context of illicit substance use among adolescents and young adults.The International journal on drug policy · 2024Article
- Refining Parent SMART: User feedback to optimize a multi-modal intervention.Journal of substance use and addiction treatment · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRetention in substance use treatment is one of the strongest predictors of improved outcomes among adolescents, making retention an important goal of treatment. We examined treatment providers' perspectives on barriers and facilitators to treatment retention among adolescents, and their views on contributors to racial/ethnic disparities in retention including ways to address disparities.
methodsSemi-structured interviews were conducted with 19 providers at state-licensed detoxification, residential, and outpatient facilities serving adolescents for substance use disorders in Massachusetts. Interviews were coded by at least two independent coders.
resultsProviders identified barriers and facilitators at the policy/systems, facility, family, and client levels. Some of the barriers included insurance limits on sessions/length of stay and low reimbursement (policy/systems), staff turnover (facility), low family engagement (family), and low internal motivation (client). Some facilitators mentioned were support from state's substance use agency (policy/systems), flexibility with meeting location (facility), family participation (family), and high internal motivation and presence of external motivators (client). Barriers that contributed to racial/ethnic disparities included lower socio-economic status, language barriers, and mistrust. Having bilingual/bicultural staff and multi-lingual materials, and facilitating transportation were identified as strategies for reducing disparities in treatment retention.
conclusionsIt is critical that adolescents who access substance use services remain and complete treatment and that there is equity in treatment retention. Provider perspectives in factors associated with retention can inform the development of comprehensive interventions and policies to help improve retention and reduce disparities.
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