Associations Between School-Based Substance Use Treatment and Academic Outcomes
Mario J Lintz1, Brianne Sutton2, Christian Thurstone1,2
1Department of Psychiatry, University of Colorado School of Medicine, Aurora, Colorado.
Journal of Child and Adolescent Psychopharmacology
|July 13, 2019
Summary
School-based treatment for substance use disorders improved student behavior and attendance. This study shows the positive impact of integrated care on academic performance for adolescents.
Area of Science:
- Adolescent Health
- Substance Use Disorders
- Educational Psychology
Background:
- Substance use disorders (SUDs) negatively impact academic performance and school engagement.
- School-based health centers offer a unique setting for integrated SUD treatment and academic support.
- Developing simple, trackable metrics is crucial for evaluating the effectiveness of school-based interventions.
Purpose of the Study:
- To assess the association between school-based SUD treatment and academic outcomes.
- To implement and evaluate a system of academic performance metrics (Attendance, Behavior, Credits) alongside SUD treatment.
- To determine the feasibility and impact of a comprehensive 12-week SUD program in a high school setting.
Main Methods:
- A 12-week school-based SUD treatment program involving motivational interviewing, ACT, family sessions, case management, contingency management, and psychiatric consultation.
- Inclusion of 75 high school students seeking voluntary SUD care.
- Tracking of SUD metrics (urine drug screens, self-reported use) and academic metrics (missed classes, behavioral incidents, GPA).
Main Results:
- Participants attended an average of 6.4 treatment sessions, with nearly 50% achieving negative urine drug screens.
- Significant reduction in behavioral incidents per semester (1.2 to 0.41, p < 0.01).
- Significant reduction in mean missed classes per semester (148 to 127, p = 0.001).
Conclusions:
- School-based SUD treatment is associated with improved student behavior and class attendance.
- The developed academic metrics (ABCs) provide a feasible system for evaluating intervention effectiveness.
- This study supports the development of robust, evidence-based school-based SUD treatment programs.
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