Treatment Fears: Barriers to Young Psychotropic Substance Abusers Receiving Residential Drug Rehabilitation Treatment

Yida Y.H. Chung, Daniel T.L. Shek

Research output: Journal article publicationJournal articleAcademic researchpeer-review


This study examined the treatment fears about the residential drug treatment among 303 young male substance abusers from non-government treatment agencies in Hong Kong. Treatment fears including early treatment fears and anticipated discharge fears were assessed by an indigenous 35-item Early Treatment Fears Scale (ETF) and a 39-item Anticipated Discharge Fears Scale (ADF). Reliability analyses showed that both scales were internally consistent. Regarding dimensionality of the two scales, seven factors (maladaptation, social problems, criminal justice concerns, loss of autonomy, intimacy concern, family issues, and other fears) were abstracted from the ETF, whereas a five-factor structure (treatment failure, uncertainty, people problems, future problems, and family issues) was found for the ADF. As predicted, all subscales of ETF and ADF were significantly correlated with each other. The present findings provide practical implications for social workers and allied professionals when they work with young substance abusers receiving treatment in residential drug treatment agencies.

Original languageEnglish
Pages (from-to)1322-1342
Number of pages21
JournalInternational Journal of Mental Health and Addiction
Issue number6
Publication statusPublished - 1 Dec 2018


  • Barriers to drug treatment
  • Hong Kong
  • Residential drug treatment
  • Treatment fears
  • Young psychotropic substance abusers

ASJC Scopus subject areas

  • Psychiatry and Mental health

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