{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T02:25:27Z","timestamp":1787192727289,"version":"build-2736575974"},"reference-count":67,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100018763","name":"Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018763","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This naturalistic study characterized clinical profiles of outpatient young adults with concurrent substance use and nonsubstance mental health symptoms in addition to evaluating reach and outcomes of a dialectical behaviour therapy skills training group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Descriptive statistics were generated to characterize demographic and clinical profiles of young adults (\n                      <jats:italic>N<\/jats:italic>\n                      =\u2009612) who initiated services at a psychiatric specialty clinic between June 2016 and January 2020. Chi\u2010square, independent\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and logistic regression models were used to examine factors associated with engagement with dialectical behaviour therapy skills training group. Paired samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests were utilized to evaluate psychiatric symptom and functional impairment outcomes associated with group completion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Self\u2010report measures indicated a high rate of substance use and co\u2010occurring nonsubstance mental health concerns in the sample as a whole. Young adults who engaged in group programming differed significantly from those who did not on several clinical and demographic variables; however, no variables were significantly associated with group engagement in regression models. While referral and attendance rates were relatively low (30.6% and 15.4% of total sample), for those completing dialectical behaviour therapy skills training group we observed positive pre\u2010post change outcomes on measures of psychiatric symptoms and functioning (\n                      <jats:italic>d<\/jats:italic>\n                      =\u20090.35\u20130.69).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Taken together, these findings provide initial support for offering dialectical behaviour therapy skills training as an adjunctive intervention for young adults with concurrent disorders. Future research identifying factors for enhancing engagement and examining outcome with more controlled conditions are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.70235","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T01:17:14Z","timestamp":1785374234000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outpatient Young Adults with Concurrent Disorders: A Naturalistic Study of Clinical Characteristics and\n                    <scp>DBT<\/scp>\n                    Skills Training Outcomes"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5888-3227","authenticated-orcid":false,"given":"Kiefer D.","family":"Cowie","sequence":"first","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"},{"name":"University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asher","family":"Weller","sequence":"additional","affiliation":[{"name":"Israel Centre for Addiction and Mental Health (ICAMH)  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Griffin","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dafna Sara","family":"Rubin\u2010Kahana","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"},{"name":"University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahalia","family":"Dixon","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jake","family":"Ross","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahar","family":"Amani","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Dickens","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1108-9453","authenticated-orcid":false,"given":"Lisa D.","family":"Hawke","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"},{"name":"University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Henderson","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"},{"name":"University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"Courtney","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"},{"name":"University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/002204260503500202"},{"issue":"2","key":"e_1_2_9_3_1","first-page":"60","article-title":"The Effectiveness of Emotion Regulation Training and Cognitive Therapy on the Emotional and Addictional Problems of Substance Abusers","volume":"5","author":"Azizi A.","year":"2010","journal-title":"Iranian Journal of Psychiatry"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2015.09.008"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278\u20106133.10.5.360"},{"issue":"3","key":"e_1_2_9_6_1","first-page":"167","article-title":"The Columbia Impairment Scale (CIS): Pilot Findings on a Measure of Global Impairment for Children and Adolescents","volume":"3","author":"Bird H. 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