This study sought to determine whether a structured diagnostic interview using a direct questioning strategy administered at admission to a residential addictions treatment program could identify the nature and extent of victimization and relationships of victimization to co-occurring mental health conditions relatively early in the treatment process. Interview data from 198 consecutive admissions of female adolescents were analyzed. Results revealed that 85% of participants reported victimization (i.e., physical, sexual, or emotional abuse) at intake. Prevalence rates for mood, anxiety, and behavioral disorders were positively related to the extent of victimization. Early exploration of victimization using direct questioning at admission appears both feasible and clinically relevant. Clinical implications for the standard residential addictions treatment intake assessment procedures are discussed.
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