Table 2.
Barriers to adolescent treatment retention
| THEMES AND SUBTHEMES | |
| Family-related | |
| Limited family participation/visits | |
| Family members use substances | |
| Other1: costs associated with treatment, adolescent is caretaker, violence in the home | |
| Policy/Systems | |
| Health insurance barriers | |
| Inappropriate placement | |
| Other1: Transportation system | |
| Client | |
| Lack of motivation/readiness | |
| Difficulty adjusting to rules/structure | |
| Trauma history/mental health comorbidity | |
| Younger age | |
| Other1: Withdrawals symptoms at treatment entry, marijuana as main substance, run away | |
| Facility | |
| Staff burnout /turnover | |
| Other1: Non-smoking policies, following traditional model of talk therapy/coming to clinic, program location |
Note:1Mentioned less frequently