Substance Use and Dependency Disorders in Adolescent Girls in Group Living Programs: Prevalence and Associations with Milieu Factors

Abstract

Fifty-three adolescent girls residing in community-based group-living child welfare programs were administered a standardized measure (SASS-2) in order to assess probability of a substance use/dependency disorder in this highly vulnerable population. Findings revealed that one third of the sample, and one half of the nonpregnant/parenting girls, met the diagnostic criteria for a substance use/dependency disorder. Probability of such a disorder was associated with aspects of the group living milieu including access to peers who also use drugs and lack of perceived pressure from staff to abstain from using drugs and alcohol. Results support the need for broad-based screening of group home youth, intensive interventions to address existing substance use problems, and staff training in prevention and identification of youth who use substances. Findings also suggest that pregnancy and parenthood represent a window of opportunity for changing the trajectory of substance use in adolescent teens in the child welfare system.

KEYWORDS:

• substance abuse
• residential treatment
• adolescent girls