This paper presents state-of-the-art models addressing issues related to coordination of treatment and evaluation activities, and integration of clinical, performance, and evaluation information. Specifically, this concept paper contains a discussion of the need for and types of cost analyses for CSAT treatment evaluation and knowledge-generating…

This paper presents state-of-the-art models addressing issues related to coordination of treatment and evaluation activities, and integration of clinical, performance, and evaluation information. Specifically it provides a framework for evaluation activities to be integrated within planning, management, operation, and substance abuse treatment…

This paper suggests that in order to facilitate the management of substance abuse problems, schools of nursing should adopt written, comprehensive, and equitable substance abuse policies for students, faculty, and staff. Such policies should be based on the assumption that substance abuse is an illness that can be treated successfully and the…

While other surveys seek to measure the extent of substance abuse in the population, the "CASA National Survey of American Attitudes on Substance Abuse VIII: Teens and Parents" probes substance-abuse risk and identifies factors that increase or diminish the likelihood that teens will abuse tobacco, alcohol or illegal drugs. This year,…

Examines gender-related beliefs about the causes of substance abuse, the power of various substances, the prevalence of substance use, and the effectiveness of various interventions. Results show that women were more likely to attribute causality to biological or environmental factors and to believe prevention and treatment were more effective.…

Studies of smoking relapse and temptation have relied on retrospective recall and confounded between- and within-subject variability. Real-time data on temptations and lapses to smoke were gathered using palm-top computers in 108 ex-smokers. Made within-subject comparisons of initial lapse, a temptation episode, and base rate data obtained through…

Assesses the relationship between discharge status and therapeutic outcomes after discharge from a residential treatment program for adolescents. Results of this study did not indicate superior outcomes for the planned discharge group. Several issues are raised regarding the use of discharge status as a performance indicator and recommendations…

Examines the relationship of two types of common behavioral problems of adolescence, substance involvement (SI) and Conduct Disorder Behavior (CDB), to traumatic injury related health problems (TRHP) during adolescence and young adulthood. Analyses suggest that early SI places females at risk for TRHP, while CDB is more related to TRHP for males.…

Presents results of a study of the graphic indicators in drawings by patients with substance abuse disorders. The Bird's Nest Drawing, an assessment task previously devised to elicit pictorial representations of attachment security, was used to examine attachment patterns of volunteers. Results showed that those with substance abuse diagnoses were…

Studies homeless adults entering the Healthcare for Homeless Veterans program to identify whether the rate of referral and admission to vocational rehabilitation differed between adults with psychiatric disorders and those with a coexisting substance-use disorder (SUD). Participants with an SUD had an 11% greater chance of being referred to…

Describes the prevalence of in-school substance use, why students use substances in school, and the effects of in-school substance use. Suggests preventive action on two fronts: Identify and respond to alienated students and limit the opportunity for substance use through increased student monitoring and intervention. (Contains 23 references.)…

A faculty development project increased nursing expertise in substance abuse issues through independent learning experiences, consultations, workshops, seminars, and retreats. A comprehensive evaluation plan measured impact on faculty, students, and curriculum through interviews, surveys, and a curriculum content map. (SK)

In treating a substance-abusing adolescent, the family is a key target of intervention. Multifamily therapy groups (MFTGs) have been used to involve families in treatment and have been found to be effective with a variety of populations. This article provides a theoretical overview of a MFTG model and describes the implementation of the model with…

Summarizes the results from four major studies under the Treatment Improvement Protocols (TIPs) evaluation project and uses the diffusion of innovations theory as a theoretical framework to understand substance abuse treatment providers awareness, attitudes, and practices regarding TIPs. (SLD)

Variations in attachment-autonomy configurations are explored as these relate to substance use and several adolescent competencies. Analyses of subgroups representing four attachment-autonomy patterns, derived from cluster analysis, showed higher competency levels and fewer problems related to substance use for the group combining strong…