This article describes an alternative treatment model for adolescent substance abusers confined to a residential juvenile correction facility. Substance abuse trends among youth and the connection between substance use and juvenile delinquency are explored. Essential components of effective adolescent substance abuse treatment programs are outlined with particular attention to arts-based delinquency intervention programs. Specifically, this article describes the program philosophy and program components of a model treatment program for juvenile offenders—Comprehensive Residential Education, Arts, and Substance Abuse Treatment (CREASAT). An integral piece of the CREASAT program is The Matrix Institute addictions model for adolescent treatment, which takes into account the developmental factors that initiate and/or maintain substance use. This comprehensive model is based on social learning theory, cognitive behavioral principles, and the adolescent's environment and readiness for change. Finally, the importance of cultural skills for substance abuse treatment professionals in the juvenile justice system is discussed.
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