The Effectiveness of Community-Based Delivery of an Evidence-Based Treatment for Adolescent Substance Use

Published in: Journal of Substance Abuse, v. 43, no. 2, Sep. 2012, p. 211-220

Posted on on January 01, 2011

by Sarah B. Hunter, Rajeev Ramchand, Beth Ann Griffin, Marika Booth, Daniel F. McCaffrey, Andrew R. Morral

Read More

Access further information on this document at Journal of Substance Abuse

This article was published outside of RAND. The full text of the article can be found at the link above.

This study evaluates the effectiveness of motivational enhancement therapy/cognitive behavioral therapy–5 (MET/CBT-5) when delivered in community practice settings relative to standard community-based adolescent treatment. A quasi-experimental strategy was used to adjust for pretreatment differences between the MET/CBT-5 sample (n = 2,293) and those who received standard care (n = 458). Results suggest that youth who received MET/CBT-5 fared better than comparable youth in the control group on five of six 12-month outcomes. A low follow-up rate (54%) in the MET/CBT-5 sample raised concerns about nonresponse bias in the treatment effect estimates. Sensitivity analyses suggest that although modest differences in outcomes between the MET/CBT-5 nonrespondents and respondents would yield no significant differences between the two groups on two of the six outcomes, very large differences in outcomes between responders and nonresponders would be required for youth receiving MET/CBT-5 to have fared better had they received standard outpatient care.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.