Vanderbilt University, Department of Human and Organizational Development, PMB 90, 230 Appleton Place, Nashville, TN 37203-5721, USA.
Vanderbilt University, Department of Human and Organizational Development, PMB 90, 230 Appleton Place, Nashville, TN 37203-5721, USA.
J Subst Abuse Treat. 2018 Jun;89:20-27. doi: 10.1016/j.jsat.2018.03.003. Epub 2018 Mar 20.
Recovery high schools (RHSs) are an alternative high school option for adolescents with substance use disorders (SUDs), designed to provide a recovery-focused learning environment. The aims of this study were to examine the characteristics of youth who choose to attend RHSs, and to compare them with local and national comparison samples of youth in recovery from SUDs who were not enrolled in RHSs. We conducted secondary analysis of existing data to compare characteristics of youth in three samples: (1) adolescents with SUDs who enrolled in RHSs in Minnesota, Texas, and Wisconsin after discharge from treatment (RHSs; n = 171, 51% male, 86% White, 4% African American, 5% Hispanic); (2) a contemporaneously recruited local comparison sample of students with SUDs who did not enroll in RHSs (n = 123, 60% male, 77% White, 5% African American, 12% Hispanic); and (3) a national comparison sample of U.S. adolescents receiving SUD treatment (n = 12,967, 73% male, 37% White, 15% African American, 30% Hispanic). Students enrolled in RHSs had elevated levels of risk factors for substance use and relapse relative to both the local and national comparison samples. For instance, RHS students reported higher rates of pre-treatment drug use, past mental health treatment, and higher rates of post-treatment physical health problems than adolescents in the national comparison sample. We conclude that RHSs serve a population with greater co-occurring problem severity than the typical adolescent in SUD treatment; programming offered at RHSs should attend to these complex patterns of risk factors. SUD service delivery policy should consider RHSs as an intensive recovery support model for the most high-risk students with SUDs.
康复高中（RHS）是一种针对有物质使用障碍（SUD）的青少年的替代高中选择，旨在提供一个以康复为重点的学习环境。本研究的目的是考察选择就读 RHS 的青少年的特点，并将其与未就读 RHS 的从 SUD 中康复的当地和全国青少年比较样本进行比较。我们对现有数据进行了二次分析，以比较三个样本中青少年的特征：（1）从治疗中出院后在明尼苏达州、德克萨斯州和威斯康星州就读 RHS 的有 SUD 的青少年（RHS；n=171，51%男性，86%白人，4%非裔美国人，5%西班牙裔）；（2）同时招募的没有就读 RHS 的有 SUD 的当地比较样本中的学生（n=123，60%男性，77%白人，5%非裔美国人，12%西班牙裔）；（3）接受 SUD 治疗的美国青少年的全国比较样本（n=12,967，73%男性，37%白人，15%非裔美国人，30%西班牙裔）。与当地和全国比较样本相比，就读 RHS 的学生有更高水平的物质使用和复发风险因素。例如，RHS 学生报告的药物使用、前期心理健康治疗以及治疗后身体健康问题的发生率高于全国比较样本中的青少年。我们的结论是，RHS 为患有比典型 SUD 治疗中的青少年更严重的共病问题的人群提供服务；RHS 提供的项目应针对这些复杂的风险因素。SUD 服务提供政策应将 RHS 视为针对 SUD 风险最高的学生的强化康复支持模式。
