Table 3 Facilitators to adolescent treatment retention

THEMES AND SUBTHEMES

Family

 Family involvement

Facility

 Engage families

 Extended hours/walk-ins

 Flexibility in meeting location

 Flexibility with tardiness/missed appointments

 Devoted, motivational, respectful staff/staff-client relationship

 Meeting youth “where they’re at” with their substance use goals

 Food/program incentives

 Sober/pro-social activities

 Communication with youth between sessions

 Other¹:Communicate with collaterals/across agencies, recovery coach-case management, external funding/donations, use of evidence-based practices/telehealth, small program

Client

 Motivation

 External motivators

 Other¹: Extra-curricular involvement, more severe use/overdose, prior experience with treatment/sober, older age

Policy/Systems

 State’s Medicaid program

 Financial support from state’s substance use agency