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Limitations of the Study This study will focus on the youth of Los Angeles County that are referred

to for substance abuse treatment. The Adolescent Intervention, Treatment, and Recovery (AITRP) system of care outpatient facilities will be examined in this paper. There are twelve agencies contracted by ADPA, and their treatment program services are located in twenty-five treatment facilities throughout the county. A majority of youth and families involved in the programs are low-income people of color. The treatment agencies are contracted by ADPA and the programs offer a variety of treatment approaches. Some agencies will utilize more clinical and mental health approaches to treatment. There are other agencies that will apply more youth development or Twelve Step (Alcoholics Anonymous, Narcotics Anonymous) treatment modalities. This study will not distinguish nor address the differences in the treatment administered by the agencies. This research will instead examine the data of youth coming from all the AITRP treatment facilities anonymously and will examine the generalized effects of AITRP system of care treatment. The data collection is limited to pre and post test surveys completed by treatment counseling staff/case managers. The instrument utilized is the Los Angeles County Participant Registration System (LACPRS). This instrument records the following client data at treatment admission: age, gender, educational level, corrections or juvenile justice involvement, referral source, primary drug, secondary drug, pregnant, mental health treatment, length of treatment, and frequency of AOD use. At client discharge, the following data is collected: whether or not client is AOD abstinent, satisfactory or

unsatisfactory discharge. This data collection instrument does not provide clear definitions of satisfactory or unsatisfactory treatment. The data collection will be collected and interpreted by agency staff. Treatment completion will be interpreted by agency staff when completing the post-treatment survey. There is not a clear definition of satisfactory treatment completion/non satisfactory treatment completion. Therefore, this information may have a wide ranging meaning of treatment success when analyzing client data along this indicator. For instance, an agency may define treatment completion as a client abstinence from AOD for a period of time during treatment. Another agency may determine treatment completion when a specified number of service activities or completed. Both examples would constitute some of the data for successful client completion from an AITRP treatment program. The length of treatment is determined by first recording the date of treatment admission and the administering of the pre-treatment LACPRS survey. Comparing that with the date of post-treatment LACPRS survey will provide the study with the length of time in treatment indicator. The number, type, and frequency of treatment events within the time span will not be addressed or included in the data analysis. This study will be limited to the generalized effect of treatment and will not include the impact of number, type and frequency of treatment events. The study will also not take into consideration the problem severity and scope of problem issues for each client presenting in AITRP treatment programs. Clients may present with mental health disorders, educational issues, health issues, and legal issues. Treatment agencies will provide services to address as many client needs as possible. The agencies will refer the

client out for services when they cannot be provided at the agency. All these services will be provided as substance abuse treatment and cannot be considered in the study. The AITRP study will provide general information of the treatment effects of the AITRP system of services. More specific information on specific treatment approaches, intensity of services, and duration of services will need to be conducted in future studies.