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Basis for an Evaluation of the Effectiveness of a Rehabilitation Program: 8-Week, Ten-Bed Facility for Homeless, Pregnant Teens with Substance Abuse Problems

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This is a 5 page paper discussing the effectiveness of an 8-week rehabilitation program. An 8-week program within a ten-bed facility is evaluated regarding its substance abuse rehabilitation and effectiveness for pregnant, homeless teen clients and is compared with other programs and research. The program addresses health, psychological and social issues in addition to substance abuse and prevention of relapse. As in almost all drug treatment facilities, “three out of four teens in drug treatment drop out of their programs before finishing”. Most drug treatment programs are based on a minimum 90-day program, considered the minimum required for the best prevention against relapse, in which case an 8 week program of ~ 60 days may have a slightly higher completion rate, in that the program is not as long, but also a higher relapse rate within the teens after they leave the program. If only 3-4 teens out of 10 complete 90-day programs, a 60-day program may have a completion rate slightly higher in that perhaps 4-5 teens may complete the program. Overall, an 8-week substance abuse rehabilitation program for teens by all accounts seems to be too short to have any long term effect providing that the teens even complete the program. In addition, the teens in this program were pregnant and homeless. In most cases then, the program would not even cover the time of the pregnancy which would release these teens back out on the street in the same basic state in which they entered the program. The program should be at least as long as the pregnancy and an additional six months within the program would prove even more beneficial. In this time, the teen could acquire more contact with community social and medical care facilities and programs in additional to learning valuable medical care, family planning and care of the child if she desires to keep the infant. In addition, because a child is involved, the social and community services need to be involved from the onset in regards to the social planning while the facility can focus on the substance abuse factors and programming for the teen. Bibliography lists 6 sources.

Page Count:

5 pages (~225 words per page)

File: D0_TJhprog1.rtf

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Unformatted sample text from the term paper:

and effectiveness for pregnant, homeless teen clients and is compared with other programs and research. The program addresses health, psychological and social issues in addition to substance abuse and prevention of relapse. As in almost all drug treatment facilities, "three out of four teens in drug treatment drop out of their programs before finishing" (ABCNews, 2003). Most drug treatment programs are based on a minimum 90-day program, considered the minimum required for the best prevention against relapse, in which case an 8 week program of ~ 60 days may have a slightly higher completion rate, in that the program is not as long, but also a higher relapse rate within the teens after they leave the program. If only 3-4 teens out of 10 complete 90-day programs, a 60-day program may have a completion rate slightly higher in that perhaps 4-5 teens may complete the program. In regards to relapse, on average "three in four teens relapse in the first three months after treatment programs" (ABCNews, 2003). This again is based on a 90-day program which would have a higher prevention against relapse than a 60-day program which does not bode well for a 60-day program. Assuming 10 clients did complete the 60-day program successfully, then 7 or 8 would relapse into drug use within the first three months after completion. More than likely, the number would be closer to 8 out of 10 since the program was shorter than most recommended. While relapse prevention is related to length of stay within a program, so too does a positive outcome in the pregnancy. Women who remained within the treatment demonstrated a "reduced likelihood of delivering preterm babies, experiencing intrauterine or neonatal death, delivering babies who produce a positive toxicology screen and delivering babies who require an extended hospital stay" ...

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