@article{ref1,
title="Social ecological determinants of substance use treatment entry among serious juvenile offenders from adolescence through emerging adulthood",
journal="Journal of substance abuse treatment",
year="2016",
author="Davis, Jordan P. and Dumas, Tara M. and Wagner, Eric F. and Merrin, Gabriel J.",
volume="71",
number="",
pages="8-15",
abstract="PURPOSE: To examine the social-ecological determinants of substance use treatment entry among serious juvenile offenders over a 7 year period. Using the social-ecological framework, relevant predictors of substance use from the literature were used to assess risk (and protective) factors at the individual, parental, peer and neighborhood level. <br><br>METHOD: Serious juvenile offenders (N=1354, Mage baseline=16.0 years, SD=1.14) were prospectively followed over 7 years (Mage Conclusion=23.0 years, SD=1.15). Cox regression with time invariant and time varying predictors was used to predict time to first substance use treatment entry. <br><br>RESULTS: Results for each dimension, separately, varied slightly from the full model. In the full model peer delinquency, peer arrests, post-traumatic stress disorder (PTSD), impulse control, temperament, and emotional regulation remained salient risk (and protective) factors for treatment entry. <br><br>CONCLUSION: Associating with more deviant peers and having more of your peers arrested over the 7 year study period was associated with substantial increase in time to treatment entry. Furthermore, one of the strongest risk factors for treatment entry was a PTSD diagnosis. Treatment implications are discussed regarding peer affiliation and PTSD symptomology as well as potential neurological and biological contributors to increased risk for treatment entry.<br><br>Copyright © 2016 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0740-5472",
doi="10.1016/j.jsat.2016.08.004",
url="http://dx.doi.org/10.1016/j.jsat.2016.08.004"
}