Bernard Segal, Andrew R. Morral, Sally J Stevens

• About the Editors Contributors Preface Section I: Overview Chapter 1. The Need for Developing and Evaluating Adolescent Treatment Models Adolescent Substance Use and Problems The Public Treatment System for Adolescents in the United States The History and Evaluation of Adolescent Treatment Practice CSAT’s Adolescent Treatment Model Program Implications Section II: Outpatient Treatment Models Chapter 2. The Teen Substance Abuse Treatment Program: Program Design, Treatment Issues, and Client Characteristics Introduction Teen Substance Abuse Treatment Program Description (TSAT) Evaluation Design Client Population Description Discussion Chapter 3. Chestnut Health Systems’ Bloomington Outpatient and Intensive Outpatient Program for Adolescent Substance Abusers Overview Recruitment, Assessment, and Placement of Clients Characteristics of Clients Description of Treatment Components Critical Issues Central to Treatment Determining Readiness for Discharge or Transfer Description of Staff and clinical Supervision Process Conclusion Chapter 4. Evaluation of a Group-Based Outpatient Adolescent Substance Abuse Treatment Program Statement of the Problem Overview of Epoch Counseling Center and the Evaluation Team Theoretical Background Epoch’s Adolescent Program Program Evaluation Procedures Subject Characteristics Conclusion Section III: Family-Oriented Outpatient Treatment Models Chapter 5. Family Therapy for Early Adolescent Substance Abuse Introduction Multidimensional Family Therapy: A Developmental and Ecological Approach The Self of the Early Adolescent and Clinical Implications Peer Relationships in Early Adolescence and Clinical Implications Relationships with Parents During Early Adolescence and Clinical Implications Conclusions Section IV: Residential Treatment Models Chapter 6. Mountain Manor Treatment Center: Residential Adolescent Addictions Treatment Program Overview Patient Characteristics Treatment Approach Centralized Linkage Young Adults Managed Care Discharge Conclusion Chapter 7. Culturally Competent Substance Abuse Treatment for American Indian and Alaska Native Youths Prevalence of Alcohol and Other Drug Abuse Among American Indian Youths Impact of AOD Abuse on AI/AN Youths Biculturally Competent Treatment Model Client Profile and Program Environment Outcome Survey Conclusion Chapter 8. La Cañada Adolescent Treatment Program: Addressing Issues of Drug Use, Gender, and Trauma Introduction La Cañada Treatment Program Evaluation Activities Population Description Discussion Section V: Modified Therapeutic Community Treatment Models Chapter 9. An Evaluation of Substance Abuse Treatment Services for Juvenile Probationers at Phoenix Academy of Los Angeles Introduction The Phoenix Academy of Los Angeles at Lake View Terrace The Phoenix Academy Evaluation Discussion Chapter 10. Dynamite Youth Community, Incorporated: A Multiphase, Step-Down Therapeutic Community for Adolescents and Young Adults Introduction DYC Therapeutic Community Treatment Phases Parent/Relative Sponsors DYC Staff Summary of the DYC Model Evaluation of the DYC Treatment Model Chapter 11. Thunder Road Adolescent Substance Abuse Treatment Program Introduction History and Origins of the Hybrid Therapeutic Community Treatment Model Course of Treatment Elements of the Treatment Approach Profile of Clients Admitted to Treatment in 1999 Treatment Challenges Index Reference Notes Included

Bernard Segal, Andrew R. Morral, Sally J Stevens

• About the Editors Contributors Preface Section I: Overview Chapter 1. The Need for Developing and Evaluating Adolescent Treatment Models Adolescent Substance Use and Problems The Public Treatment System for Adolescents in the United States The History and Evaluation of Adolescent Treatment Practice CSAT’s Adolescent Treatment Model Program Implications Section II: Outpatient Treatment Models Chapter 2. The Teen Substance Abuse Treatment Program: Program Design, Treatment Issues, and Client Characteristics Introduction Teen Substance Abuse Treatment Program Description (TSAT) Evaluation Design Client Population Description Discussion Chapter 3. Chestnut Health Systems’ Bloomington Outpatient and Intensive Outpatient Program for Adolescent Substance Abusers Overview Recruitment, Assessment, and Placement of Clients Characteristics of Clients Description of Treatment Components Critical Issues Central to Treatment Determining Readiness for Discharge or Transfer Description of Staff and clinical Supervision Process Conclusion Chapter 4. Evaluation of a Group-Based Outpatient Adolescent Substance Abuse Treatment Program Statement of the Problem Overview of Epoch Counseling Center and the Evaluation Team Theoretical Background Epoch’s Adolescent Program Program Evaluation Procedures Subject Characteristics Conclusion Section III: Family-Oriented Outpatient Treatment Models Chapter 5. Family Therapy for Early Adolescent Substance Abuse Introduction Multidimensional Family Therapy: A Developmental and Ecological Approach The Self of the Early Adolescent and Clinical Implications Peer Relationships in Early Adolescence and Clinical Implications Relationships with Parents During Early Adolescence and Clinical Implications Conclusions Section IV: Residential Treatment Models Chapter 6. Mountain Manor Treatment Center: Residential Adolescent Addictions Treatment Program Overview Patient Characteristics Treatment Approach Centralized Linkage Young Adults Managed Care Discharge Conclusion Chapter 7. Culturally Competent Substance Abuse Treatment for American Indian and Alaska Native Youths Prevalence of Alcohol and Other Drug Abuse Among American Indian Youths Impact of AOD Abuse on AI/AN Youths Biculturally Competent Treatment Model Client Profile and Program Environment Outcome Survey Conclusion Chapter 8. La Cañada Adolescent Treatment Program: Addressing Issues of Drug Use, Gender, and Trauma Introduction La Cañada Treatment Program Evaluation Activities Population Description Discussion Section V: Modified Therapeutic Community Treatment Models Chapter 9. An Evaluation of Substance Abuse Treatment Services for Juvenile Probationers at Phoenix Academy of Los Angeles Introduction The Phoenix Academy of Los Angeles at Lake View Terrace The Phoenix Academy Evaluation Discussion Chapter 10. Dynamite Youth Community, Incorporated: A Multiphase, Step-Down Therapeutic Community for Adolescents and Young Adults Introduction DYC Therapeutic Community Treatment Phases Parent/Relative Sponsors DYC Staff Summary of the DYC Model Evaluation of the DYC Treatment Model Chapter 11. Thunder Road Adolescent Substance Abuse Treatment Program Introduction History and Origins of the Hybrid Therapeutic Community Treatment Model Course of Treatment Elements of the Treatment Approach Profile of Clients Admitted to Treatment in 1999 Treatment Challenges Index Reference Notes Included

Bernard Segal, Andrew R. Morral, Sally J Stevens

• About the Editors Contributors Preface Section I: Overview Chapter 1. The Need for Developing and Evaluating Adolescent Treatment Models Adolescent Substance Use and Problems The Public Treatment System for Adolescents in the United States The History and Evaluation of Adolescent Treatment Practice CSAT’s Adolescent Treatment Model Program Implications Section II: Outpatient Treatment Models Chapter 2. The Teen Substance Abuse Treatment Program: Program Design, Treatment Issues, and Client Characteristics Introduction Teen Substance Abuse Treatment Program Description (TSAT) Evaluation Design Client Population Description Discussion Chapter 3. Chestnut Health Systems’ Bloomington Outpatient and Intensive Outpatient Program for Adolescent Substance Abusers Overview Recruitment, Assessment, and Placement of Clients Characteristics of Clients Description of Treatment Components Critical Issues Central to Treatment Determining Readiness for Discharge or Transfer Description of Staff and clinical Supervision Process Conclusion Chapter 4. Evaluation of a Group-Based Outpatient Adolescent Substance Abuse Treatment Program Statement of the Problem Overview of Epoch Counseling Center and the Evaluation Team Theoretical Background Epoch’s Adolescent Program Program Evaluation Procedures Subject Characteristics Conclusion Section III: Family-Oriented Outpatient Treatment Models Chapter 5. Family Therapy for Early Adolescent Substance Abuse Introduction Multidimensional Family Therapy: A Developmental and Ecological Approach The Self of the Early Adolescent and Clinical Implications Peer Relationships in Early Adolescence and Clinical Implications Relationships with Parents During Early Adolescence and Clinical Implications Conclusions Section IV: Residential Treatment Models Chapter 6. Mountain Manor Treatment Center: Residential Adolescent Addictions Treatment Program Overview Patient Characteristics Treatment Approach Centralized Linkage Young Adults Managed Care Discharge Conclusion Chapter 7. Culturally Competent Substance Abuse Treatment for American Indian and Alaska Native Youths Prevalence of Alcohol and Other Drug Abuse Among American Indian Youths Impact of AOD Abuse on AI/AN Youths Biculturally Competent Treatment Model Client Profile and Program Environment Outcome Survey Conclusion Chapter 8. La Cañada Adolescent Treatment Program: Addressing Issues of Drug Use, Gender, and Trauma Introduction La Cañada Treatment Program Evaluation Activities Population Description Discussion Section V: Modified Therapeutic Community Treatment Models Chapter 9. An Evaluation of Substance Abuse Treatment Services for Juvenile Probationers at Phoenix Academy of Los Angeles Introduction The Phoenix Academy of Los Angeles at Lake View Terrace The Phoenix Academy Evaluation Discussion Chapter 10. Dynamite Youth Community, Incorporated: A Multiphase, Step-Down Therapeutic Community for Adolescents and Young Adults Introduction DYC Therapeutic Community Treatment Phases Parent/Relative Sponsors DYC Staff Summary of the DYC Model Evaluation of the DYC Treatment Model Chapter 11. Thunder Road Adolescent Substance Abuse Treatment Program Introduction History and Origins of the Hybrid Therapeutic Community Treatment Model Course of Treatment Elements of the Treatment Approach Profile of Clients Admitted to Treatment in 1999 Treatment Challenges Index Reference Notes Included