NCJ Number
198908
Date Published
2003
Length
28 pages
Annotation
This chapter discusses Thunder Road, a residential substance abuse treatment program for adolescents in California.
Abstract
Thunder Road incorporates elements of medical and social models. An extended period of residential treatment is intended to create a break in the behavioral patterns of both the adolescent and family members or other significant adults. The 12 steps to recovery have become one of the cornerstones of the program. Positive peer influence within the residential treatment setting is supported through a system of peer government and leadership. A unique hybrid treatment model has evolved from these various treatment approaches, combining psychosocial and cognitive-behavioral elements. A highly detailed system of behavioral standards addresses an array of emotional and behavioral difficulties that co-present with adolescent substance abuse. Decisions regarding the program’s response to client behaviors are flexible and case-specific. Failure to meet the behavioral expectations can result in discharge from the program. Treatment follows a phased format consistent with a therapeutic community treatment model. The three stages are orientation and education, primary treatment, and reunification and reentry. Clients are discharged from residential treatment under one of three conditions: honorable, concerned, and dishonorable. Continuing care services consist of three meetings at the Thunder road facility each week for clients and family members. The typical client is 16 years old, has been using drugs for about 5 years, often failing school or chronically truant, has a recent history of involvement with a variety of institutions, and comes from a family that is struggling with some kind of addiction. 4 tables, 19 references