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WOUND care, SUBSTANCE abuse treatment, ANALYSIS of variance, PSYCHOTHERAPY, T-test (Statistics), RESIDENTIAL care, TREATMENT effectiveness, HUMAN services programs, EVALUATION of human services programs, DATA analysis software, and DESCRIPTIVE statistics

Evidence indicates the importance of integrating treatment of co-occurring traumatic stress and substance use disorders in adolescent populations. However, the effectiveness of trauma-informed research-supported treatments (TI-RSTs) depends on program fidelity, feasibility, and acceptability. This study assessed perceived fidelity, feasibility, and acceptability of two TI-RSTs, The Sanctuary Model and Seeking Safety, at one residential adolescent substance misuse treatment agency. Perceived fidelity was examined two years into implementation while feasibility and acceptability were examined over time from early in the implementation process (n = 25), to 1 year later (n = 31), and to 2 years later (n = 23) through a series of staff interviews. Findings suggest that implementation of The Sanctuary Model and Seeking Safety at adolescent residential substance misuse treatment agencies can be conducted with fidelity and is feasible and acceptable. However, findings indicate that not all TI-RSTs are responded to in the same way. Furthermore, findings suggest that additional efforts might be necessary to ensure improved and long-term feasibility and acceptability, and consequently, the success of the implementation of TI-RSTs. [ABSTRACT FROM AUTHOR]

SUBSTANCE abuse prevention, ANALYSIS of covariance, HEALTH behavior in adolescence, MENTAL health, QUESTIONNAIRES, STATISTICS, SUBSTANCE abuse treatment, TREATMENT programs, and EVALUATION of human services programs

This study examined the effectiveness of The Seven Challenges® comprehensive counseling program. Results, based on data from 392 adolescent clients enrolled in 7 different agencies providing The Seven Challenges, showed decreases in number of crimes committed; in frequency of substance use; and in severity of substance problems, substance issues, substance use disorders, and internalizing and externalizing disorder symptomatology. Finally, results evidenced improved involvement in self-help activities. These findings strengthen the existing evidence base of The Seven Challenges suggesting its effectiveness as a comprehensive counseling program and its effectiveness across multiple types of health-related outcomes and multiple treatment provider agencies. [ABSTRACT FROM AUTHOR]