Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018–2023: Current Status, Best Practices, and Opportunities for Advancing the Science.

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Title: Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018–2023: Current Status, Best Practices, and Opportunities for Advancing the Science.
Authors: Hogue, Aaron (AUTHOR), Porter, Nicole P. (AUTHOR), Henderson, Craig E. (AUTHOR), Ozechowski, Timothy J. (AUTHOR), Wenzel, Kevin (AUTHOR), Fishman, Marc (AUTHOR), Becker, Sara J. (AUTHOR)
Source: Journal of Clinical Child & Adolescent Psychology. May/Jun2026, Vol. 55 Issue 3, p391-415. 25p.
Subjects: Motivational interviewing, Opioid abuse, Cognitive therapy, Family psychotherapy, Outpatient medical care, Marijuana abuse, Underage drinking, Behavior therapy
Abstract: Objective: This systematic review (1) updates the evidence base on outpatient behavioral treatments for adolescent substance use (ASU) since publication of the previous review completed for this journal by Hogue, Henderson, Becker, and Knight (2018); and (2) addresses public health concerns related to youth marijuana and opioid use. Method: We first summarize the earlier updates, along with those from recent literature reviews and meta-analytic studies, of ASU treatments. We then present study design and methods criteria used to identify five comparative studies subjected to JCCAP level of support evaluation. We detail these five studies in terms of their sample characteristics, quality of evidence, and substance use outcomes. Cumulative level of support designations are then made for each identified treatment approach. Results: These cumulative designations are identical to those of the previous review: ecological family-based treatment, individual cognitive-behavioral therapy, and group cognitive-behavioral therapy are Well-Established; behavioral family-based treatment and motivational interviewing are Probably Efficacious; drug counseling is Possibly Efficacious; and five multicomponent treatments (three of which include contingency management) are Well-Established or Probably Efficacious. Conclusions: To address pressing issues in ASU treatment, we discuss best practices and promising research on behavioral and medication interventions for marijuana use and opioid use. We conclude with opportunities for advancing ASU treatment science in the areas of technology-based intervention, co-occurring disorders, addiction recovery, and access to and delivery of evidence-based approaches. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018–2023: Current Status, Best Practices, and Opportunities for Advancing the Science.
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  Data: <searchLink fieldCode="AR" term="%22Hogue%2C+Aaron%22">Hogue, Aaron</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Porter%2C+Nicole+P%2E%22">Porter, Nicole P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Henderson%2C+Craig+E%2E%22">Henderson, Craig E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ozechowski%2C+Timothy+J%2E%22">Ozechowski, Timothy J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wenzel%2C+Kevin%22">Wenzel, Kevin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fishman%2C+Marc%22">Fishman, Marc</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Becker%2C+Sara+J%2E%22">Becker, Sara J.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22">Journal of Clinical Child & Adolescent Psychology</searchLink>. May/Jun2026, Vol. 55 Issue 3, p391-415. 25p.
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  Data: <searchLink fieldCode="DE" term="%22Motivational+interviewing%22">Motivational interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Opioid+abuse%22">Opioid abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Family+psychotherapy%22">Family psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+medical+care%22">Outpatient medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Marijuana+abuse%22">Marijuana abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Underage+drinking%22">Underage drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: This systematic review (1) updates the evidence base on outpatient behavioral treatments for adolescent substance use (ASU) since publication of the previous review completed for this journal by Hogue, Henderson, Becker, and Knight (2018); and (2) addresses public health concerns related to youth marijuana and opioid use. Method: We first summarize the earlier updates, along with those from recent literature reviews and meta-analytic studies, of ASU treatments. We then present study design and methods criteria used to identify five comparative studies subjected to JCCAP level of support evaluation. We detail these five studies in terms of their sample characteristics, quality of evidence, and substance use outcomes. Cumulative level of support designations are then made for each identified treatment approach. Results: These cumulative designations are identical to those of the previous review: ecological family-based treatment, individual cognitive-behavioral therapy, and group cognitive-behavioral therapy are Well-Established; behavioral family-based treatment and motivational interviewing are Probably Efficacious; drug counseling is Possibly Efficacious; and five multicomponent treatments (three of which include contingency management) are Well-Established or Probably Efficacious. Conclusions: To address pressing issues in ASU treatment, we discuss best practices and promising research on behavioral and medication interventions for marijuana use and opioid use. We conclude with opportunities for advancing ASU treatment science in the areas of technology-based intervention, co-occurring disorders, addiction recovery, and access to and delivery of evidence-based approaches. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/15374416.2025.2521855
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        Text: English
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        Type: general
      – SubjectFull: Opioid abuse
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      – SubjectFull: Cognitive therapy
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      – SubjectFull: Family psychotherapy
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      – SubjectFull: Outpatient medical care
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      – SubjectFull: Marijuana abuse
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      – SubjectFull: Underage drinking
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      – SubjectFull: Behavior therapy
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      – TitleFull: Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018–2023: Current Status, Best Practices, and Opportunities for Advancing the Science.
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              Text: May/Jun2026
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