A case-matched comparison of readmission patterns between primary methamphetamine-using and primary cocaine-using adolescents engaged in inpatient substance-abuse treatment

Abstract Objective In the United States and Canada, elevated patterns of methamphetamine-related treatment admissions among youth have triggered questions about appropriate substance-abuse treatment strategies for methamphetamine-using adolescents. This study aimed to provide a comparative examinati...

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Bibliographic Details
Published in:Addictive behaviors 2007-12, Vol.32 (12), p.3101-3106
Main Authors: Callaghan, Russell, Taylor, Lawren, Victor, J. Charles, Lentz, Tim
Format: Article
Language:English
Subjects:
Adolescence
Adolescent
Amphetamine-Related Disorders - rehabilitation
British Columbia
Case-Control Studies
Cocaine
Cocaine-Related Disorders - rehabilitation
Drug abuse
Female
Follow-Up Studies
Humans
Male
Methamphetamine
Patient Readmission - economics
Patient Readmission - statistics & numerical data
Psychiatry
Readmission
Socioeconomic Factors
Substance abuse treatment
Substance Abuse Treatment Centers
Teenagers
Treatment
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Summary:Abstract Objective In the United States and Canada, elevated patterns of methamphetamine-related treatment admissions among youth have triggered questions about appropriate substance-abuse treatment strategies for methamphetamine-using adolescents. This study aimed to provide a comparative examination of the readmission patterns of primary methamphetamine-using and primary cocaine-using adolescents to a cognitive behavioral therapy (CBT)-based alcohol-and-drug inpatient treatment program. Methods The current study employed a 5-year medical-chart review of all consecutive admissions to an inpatient, hospital-based substance-abuse treatment program for adolescents in northern British Columbia, Canada. After using a propensity-score-matching approach to construct a case-matched sample ( n = 202) of primary methamphetamine-using and primary cocaine-using adolescents, we employed a Kaplan–Meier survival analysis technique to test group differences in time-to-readmission. Results The findings demonstrated that the methamphetamine group did not have a more severe time-to-readmission profile. Conclusions General CBT-based treatment-as-usual approaches appear to produce similar long-term readmission outcomes for these two groups of treatment-seeking adolescents.
ISSN:0306-4603
1873-6327
DOI:10.1016/j.addbeh.2007.06.007