Transposing the Adverse Social Dynamics of Adolescent Substance Use Disorders Into More Effective Treatment and Clinician Resilience

Matthew T. Lee; Stephen G. Post; Andrew B. Wylie; George S. Leibowitz; Chelsea Gelboin-Burkhart; Dishaw Holiprosad; Byron R. Johnson; Aaron B. Turk; Kevin L. Zacharoff; Nur Zakirkhodjaev

doi:10.1080/07347324.2018.1559004

Transposing the Adverse Social Dynamics of Adolescent Substance Use Disorders Into More Effective Treatment and Clinician Resilience

Matthew T. Lee
, Stephen G. Post
, Andrew B. Wylie
, George S. Leibowitz
, Chelsea Gelboin-Burkhart
, Dishaw Holiprosad
, Byron R. Johnson
, Aaron B. Turk
, Kevin L. Zacharoff
, Nur Zakirkhodjaev

Family , Population and Preventative Medicine

Stony Brook University

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

As the American opioid epidemic continues to spiral out of control and our medical model remains unable to reverse the staggering trends, this article seeks to broaden clinician understanding of adolescents with substance use disorders by discussing adverse causative social–psychological dynamics: the marginalization of today’s youth, decline of institutions of community and faith, and the burden of childhood trauma. The article then offers a holistic, multilevel model of substance use disorder treatment that recognizes and remediates these adverse dynamics in order to improve treatment outcomes and enhance clinician resilience.

Original language	English
Pages (from-to)	513-531
Number of pages	19
Journal	Alcoholism Treatment Quarterly
Volume	37
Issue number	4
DOIs	https://doi.org/10.1080/07347324.2018.1559004
State	Published - Oct 2 2019

Keywords

Adolescents
adverse childhood experiences
clinician resilience
holistic treatment
opioids
recovery capital
social dynamics

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10.1080/07347324.2018.1559004

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Lee, M. T., Post, S. G., Wylie, A. B., Leibowitz, G. S., Gelboin-Burkhart, C., Holiprosad, D., Johnson, B. R., Turk, A. B., Zacharoff, K. L., & Zakirkhodjaev, N. (2019). Transposing the Adverse Social Dynamics of Adolescent Substance Use Disorders Into More Effective Treatment and Clinician Resilience. Alcoholism Treatment Quarterly, 37(4), 513-531. https://doi.org/10.1080/07347324.2018.1559004

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title = "Transposing the Adverse Social Dynamics of Adolescent Substance Use Disorders Into More Effective Treatment and Clinician Resilience",

abstract = "As the American opioid epidemic continues to spiral out of control and our medical model remains unable to reverse the staggering trends, this article seeks to broaden clinician understanding of adolescents with substance use disorders by discussing adverse causative social–psychological dynamics: the marginalization of today{\textquoteright}s youth, decline of institutions of community and faith, and the burden of childhood trauma. The article then offers a holistic, multilevel model of substance use disorder treatment that recognizes and remediates these adverse dynamics in order to improve treatment outcomes and enhance clinician resilience.",

keywords = "Adolescents, adverse childhood experiences, clinician resilience, holistic treatment, opioids, recovery capital, social dynamics",

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year = "2019",

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doi = "10.1080/07347324.2018.1559004",

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Lee, MT, Post, SG, Wylie, AB, Leibowitz, GS, Gelboin-Burkhart, C, Holiprosad, D, Johnson, BR, Turk, AB, Zacharoff, KL & Zakirkhodjaev, N 2019, 'Transposing the Adverse Social Dynamics of Adolescent Substance Use Disorders Into More Effective Treatment and Clinician Resilience', Alcoholism Treatment Quarterly, vol. 37, no. 4, pp. 513-531. https://doi.org/10.1080/07347324.2018.1559004

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T1 - Transposing the Adverse Social Dynamics of Adolescent Substance Use Disorders Into More Effective Treatment and Clinician Resilience

AU - Lee, Matthew T.

AU - Post, Stephen G.

AU - Wylie, Andrew B.

AU - Leibowitz, George S.

AU - Gelboin-Burkhart, Chelsea

AU - Holiprosad, Dishaw

AU - Johnson, Byron R.

AU - Turk, Aaron B.

AU - Zacharoff, Kevin L.

AU - Zakirkhodjaev, Nur

PY - 2019/10/2

Y1 - 2019/10/2

N2 - As the American opioid epidemic continues to spiral out of control and our medical model remains unable to reverse the staggering trends, this article seeks to broaden clinician understanding of adolescents with substance use disorders by discussing adverse causative social–psychological dynamics: the marginalization of today’s youth, decline of institutions of community and faith, and the burden of childhood trauma. The article then offers a holistic, multilevel model of substance use disorder treatment that recognizes and remediates these adverse dynamics in order to improve treatment outcomes and enhance clinician resilience.

AB - As the American opioid epidemic continues to spiral out of control and our medical model remains unable to reverse the staggering trends, this article seeks to broaden clinician understanding of adolescents with substance use disorders by discussing adverse causative social–psychological dynamics: the marginalization of today’s youth, decline of institutions of community and faith, and the burden of childhood trauma. The article then offers a holistic, multilevel model of substance use disorder treatment that recognizes and remediates these adverse dynamics in order to improve treatment outcomes and enhance clinician resilience.

KW - Adolescents

KW - adverse childhood experiences

KW - clinician resilience

KW - holistic treatment

KW - opioids

KW - recovery capital

KW - social dynamics

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DO - 10.1080/07347324.2018.1559004

M3 - Article

SN - 0734-7324

VL - 37

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EP - 531

JO - Alcoholism Treatment Quarterly

JF - Alcoholism Treatment Quarterly

IS - 4

ER -

Transposing the Adverse Social Dynamics of Adolescent Substance Use Disorders Into More Effective Treatment and Clinician Resilience

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Keywords

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