| dc.description.abstract | The course and correlates of adolescent alcohol use disorder (AUD) recovery remains underexplored. Research that identifies protective and risk factors for adolescent AUD recovery, which include alcohol use, well-being, family contexts, and school settings can inform clinical, research, and policy directions to promote the health and wellbeing of adolescents with AUD alongside their families. This dissertation features three studies that explore 1) the psychometrics of the Assessment of Recovery Capital and Positive Youth Development-Very Short Form among adolescents attending a recovery high school; 2) the co-development of recovery outcomes and parenting practices among adolescents with alcohol use disorder that attended treatment in the last 12 months; and 3) how the staff at recovery high schools perceive organizational hybridity. Study 1 uses multilevel confirmatory factor analysis with recovery high school students (n = 414) and finds that neither measurement tool is valid among this population. Study 2 uses random intercept cross-lagged panel models among adolescents with alcohol use disorder that attended treatment in the last 12 months (n = 190) and found little support for reciprocal effects between recovery and parenting practices outcomes. Positive parenting was linked with later life satisfaction. Study 3 uses rapid qualitative data analysis with 14 semi-structured interviews and focus groups with 20 recovery high school staff across 9 schools. Organizational hybridity was evidenced in structural forms, institutional logics, and organizational identity, and an integrated Structured Flexibility in Crisis model is proposed for future testing. Findings from this dissertation can guide measurement, methodology, and theory to advance recovery science among adolescents in recovery. The findings can also support the future development and improvement of recovery support services for adolescents and their families. | |
