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Developing an Assessment of the Adolescent Therapeutic Community Treatment Process via Client Report

Introduction and Aims: We developed and evaluated an instrument (DCI-A) to measure the adolescent therapeutic community (TC) treatment process. Design and Methods: Participants were adolescents from one of seven U.S. TC programs (N1 = a76, N2 = a66). We used Sample 1 to identify the instrument’s structure, confirmed this with Sample 2, and generated descriptive statistics for the final solution using the combined sample. Results: We identified and confirmed a 5-factor solution (Treatment Motivation, Personal Development, Problem Recognition, Family Relations, Social Network). Analyses provide preliminary evidence for the instrument’s reliability and validity. Discussion and Conclusions: The DCI-A may be useful for assessing adolescent TC treatment process.