Piecing Together the Puzzle of Success: Attending to the Developmental Needs of Emerging Adults in Substance Use Disorder Programming
Bibliographic record
Abstract
ABSTRACT Objective: Emerging adults (those between the ages of 18–25) have the highest rate of substance use disorder (SUD) and drop out of treatment earlier when compared to the other age groups. Retention in treatment positively correlates to long-term sobriety. There is a gap in the literature regarding how to improve retention in this age group. To optimize services for emerging adults, a better understanding of what treatment interventions work best for this population is needed. Methods: This qualitative phenomenological study explored perspectives of health care professionals (HCPs) on barriers and facilitators to treatment retention for emerging adults with SUD. Semi-structured interviews were conducted with nine HCPs from two SUD programs (residential detoxification and residential treatment). Interviews were transcribed verbatim, coded by developing a list of significant common statements, and themes emerged from these statements. Results: Four themes related to facilitators and barriers to treatment retention were identified: the emerging adults’ development, their addiction and recovery, the environment, and SUD programming. Future policy recommendations include tailoring programs to the unique needs of the emerging adult, tailoring programs to be as flexible as possible, and including HCPs in the design of SUD programming. Conclusion: HCPs felt emerging adults with SUD are a distinct population that requires more support and understanding. Improving retention in treatment for emerging adults could help to ensure they are receiving the best possible care for their level of development. This will help improve their lives by increasing their quality of life and enhancing the likelihood of long-term sobriety. Objectif: Les adultes émergents (ceux âgés de 18 à 25 ans) ont le taux le plus élevé de troubles liés à la consommation de substances (SUD) et abandonnent les traitements plus tôt par rapport aux autres groupes d’âge. La persévérance en traitement est positivement corrélée à la sobriété à long terme. Il existe une lacune dans la littérature concernant la façon d’améliorer la persévérance à l’intérieur d’un traitement dans ce groupe d’âge. Afin d’optimiser les services pour les adultes émergents, une meilleure compréhension des interventions thérapeutiques les plus efficaces pour cette population est nécessaire. Méthodes: Cette étude phénoménologique qualitative a exploré les perspectives des professionnels de la santé (HCPs) concernant les obstacles et les facilitateurs à la persévérance de traitement pour les adultes émergents atteints de SUD. Des entretiens semi-structurés ont été menés avec neuf HCPs de deux programmes SUD (désintoxication résidentielle et traitement résidentiel). Les entrevues ont été transcrites textuellement, codées en élaborant une liste de déclarations communes importantes, et des thèmes ont émergé de ces déclarations. Résultats: Quatre thèmes liés aux facilitateurs et aux obstacles à la persévérance au traitement ont été identifiés: le développement des adultes émergents, leur dépendance et leur rétablissement, l’environnement et les programmes SUD. Les futures recommandations politiques incluent l’adaptation des programmes aux besoins uniques des adultes émergents, l’adaptation des programmes pour être aussi flexibles que possible et l’inclusion des HCPs dans la conception des programmes SUD. Conclusion: Les HCPs estimaient que les adultes émergents atteints de SUD constituent une population distincte qui nécessite plus de soutien et de compréhension. L’amélioration de la persévérance dans le traitement des adultes émergents pourrait aider à garantir qu’ils reçoivent les meilleurs soins possibles pour leur niveau de développement. Cela contribuera à améliorer leur vie en augmentant leur qualité de vie et en augmentant la probabilité de sobriété à long terme.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".