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Yeterian JD, Greene MC, Bergman BG, et al. Does Mandated Treatment Benefit Youth? A Prospective Investigation of Adolescent Justice System Involvement, Treatment Motivation, and Substance Use Outcomes. Alcohol Treat Q. 2013;31(4):431-449doi: 10.1080/07347324.2013.831671.
Yeterian, J. D., Greene, M. C., Bergman, B. G., & Kelly, J. F. (2013). Does Mandated Treatment Benefit Youth? A Prospective Investigation of Adolescent Justice System Involvement, Treatment Motivation, and Substance Use Outcomes. Alcoholism treatment quarterly, 31(4), 431-449. https://doi.org/10.1080/07347324.2013.831671
Yeterian, Julie D, et al. "Does Mandated Treatment Benefit Youth? A Prospective Investigation of Adolescent Justice System Involvement, Treatment Motivation, and Substance Use Outcomes." Alcoholism treatment quarterly vol. 31,4 (2013): 431-449. doi: https://doi.org/10.1080/07347324.2013.831671
Yeterian JD, Greene MC, Bergman BG, Kelly JF. Does Mandated Treatment Benefit Youth? A Prospective Investigation of Adolescent Justice System Involvement, Treatment Motivation, and Substance Use Outcomes. Alcohol Treat Q. 2013 Jan 01;31(4):431-449. doi: 10.1080/07347324.2013.831671. PMID: 24159252; PMCID: PMC3804375.
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Alcohol Treat Q. 2013 Jan 01;31(4):431-449. doi: 10.1080/07347324.2013.831671.

Does Mandated Treatment Benefit Youth? A Prospective Investigation of Adolescent Justice System Involvement, Treatment Motivation, and Substance Use Outcomes.

Alcoholism treatment quarterly

Julie D Yeterian, M Claire Greene, Brandon G Bergman, John F Kelly

Affiliations

  1. Massachusetts General Hospital, Center for Addiction Medicine, Department of Psychiatry, and Harvard Medical School, Boston, MA 02114.

PMID: 24159252 PMCID: PMC3804375 DOI: 10.1080/07347324.2013.831671

Abstract

BACKGROUND: The majority of adolescents treated for substance use disorder (SUD) in the United States are now referred by the criminal justice system. Little is known, however, regarding how justice-system involvement relates to adolescent community treatment outcomes. Controversy exists, also, over the extent to which justice system involvement reflects a lack of intrinsic motivation for treatment. This study examined the relation between justice system referral and reported reason for treatment entry and tested the extent to which each predicted treatment response and outcome.

METHOD: Adolescent outpatients (

RESULTS: JSI-M were less likely to be self-motivated compared to No-JSI or JSI (

CONCLUSIONS: Mandated adolescent outpatients were substantially less likely to report self-motivated treatment entry. Despite the notion that self-motivated treatment entry would be likely to produce better outcomes, a judicial mandate appears to predict an initially stronger treatment response, although this diminishes over time. Ongoing monitoring and/or treatment may be necessary to help maintain treatment gains for justice system-involved adolescents.

Keywords: adolescent; justice system; mandated treatment; motivation; substance use disorder; treatment

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