PMID- 31627070
OWN - NLM
STAT- MEDLINE
DCOM- 20200414
LR  - 20200414
IS  - 1872-7123 (Electronic)
IS  - 0165-1781 (Linking)
VI  - 281
DP  - 2019 Nov
TI  - The utility and impact of the addiction comprehensive health enhancement support 
      system (ACHESS) on substance abuse treatment adherence among youth in an 
      intensive outpatient program.
PG  - 112580
LID - S0165-1781(19)31534-3 [pii]
LID - 10.1016/j.psychres.2019.112580 [doi]
AB  - Youth experiencing substance use disorders often are susceptible to relapse 
      because traditional support systems can be expensive, geographically dispersed, 
      operated on limited schedules and lacking in peer support. The continuity of care 
      offered via the digital Addiction Comprehensive Health Enhancement Support System 
      (ACHESS) system holds promise in preventing relapse because of its portability 
      and capability to foster virtually anytime/anywhere, cost-effective access to 
      supportive interventions. The aim of this mixed-methods study was to evaluate the 
      utility and impact of ACHESS on treatment adherence among youth with substance 
      use disorders in an intensive outpatient program in the US Midwest. Data on 28 
      clients using ACHESS during 2016-17 were compared to retrospective data on 28 
      carefully-matched others treated without ACHESS during 2014-16. Fifty-four 
      percent of the study group successfully completed treatment as opposed to 42.9% 
      of those in the comparison group. Staff focus group findings highlighted how some 
      features of ACHESS were effectively integrated into the care model and appeared 
      to positively impact outcomes, while other elements of the application offered 
      little utility. We suggest further study of ACHESS among larger samples of youth 
      with substance use disorders in intensive outpatient programs to assess its 
      efficacy in supporting adherence to treatment.
CI  - Copyright (c) 2019 Elsevier B.V. All rights reserved.
FAU - Hussey, David
AU  - Hussey D
AD  - Begun Center for Violence Prevention Research and Education, Jack, Joseph and 
      Morton Mandel School of Applied Social Sciences, Case Western Reserve University, 
      11402 Bellflower Road, Cleveland, OH 44106-7167.
FAU - Flynn, Karen Coen
AU  - Flynn KC
AD  - Begun Center for Violence Prevention Research and Education, Jack, Joseph and 
      Morton Mandel School of Applied Social Sciences, Case Western Reserve University, 
      11402 Bellflower Road, Cleveland, OH 44106-7167. Electronic address: 
      kcf16@case.edu.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190924
PL  - Ireland
TA  - Psychiatry Res
JT  - Psychiatry research
JID - 7911385
SB  - IM
MH  - Adolescent
MH  - Ambulatory Care/methods/psychology
MH  - Behavior, Addictive/epidemiology/psychology/therapy
MH  - Counseling/methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Outpatients/*psychology
MH  - Pilot Projects
MH  - Retrospective Studies
MH  - Secondary Prevention/methods
MH  - Substance Abuse Treatment Centers/*methods
MH  - Substance-Related Disorders/epidemiology/*psychology/*therapy
MH  - Treatment Adherence and Compliance/*psychology
OTO - NOTNLM
OT  - ACHESS
OT  - adolescent substance abuse
OT  - intensive outpatient treatment
OT  - mobile health technology
EDAT- 2019/10/19 06:00
MHDA- 2020/04/15 06:00
CRDT- 2019/10/19 06:00
PHST- 2019/07/17 00:00 [received]
PHST- 2019/09/18 00:00 [revised]
PHST- 2019/09/23 00:00 [accepted]
PHST- 2019/10/19 06:00 [pubmed]
PHST- 2020/04/15 06:00 [medline]
PHST- 2019/10/19 06:00 [entrez]
AID - S0165-1781(19)31534-3 [pii]
AID - 10.1016/j.psychres.2019.112580 [doi]
PST - ppublish
SO  - Psychiatry Res. 2019 Nov;281:112580. doi: 10.1016/j.psychres.2019.112580. Epub 
      2019 Sep 24.