Which of the following is NOT a treatment-level factor associated with better prognosis for adolescents with SUDs?

The distinction of social media influence as a factor not associated with better prognosis in adolescents with substance use disorders (SUDs) highlights the difference between direct treatment-level factors and broader societal influences.

Factors like longer duration of treatment, family involvement, and increased readiness to change have all been shown through research to correlate with better outcomes in the treatment of SUDs. Longer treatment duration allows for more comprehensive care, which can lead to improved retention and likelihood of achieving sustained recovery. Family involvement is crucial in adolescent treatment, as supportive family dynamics can help facilitate communication, reinforce positive changes, and provide emotional support. Increased readiness to change reflects an adolescent's own motivation to engage in recovery, which is a critical predictor of successful outcomes.

In contrast, social media influence does not directly impact the treatment process itself. While it may play a role in shaping perceptions and social interactions, it is not considered a structured component of treatment that can enhance or diminish therapeutic effectiveness. In fact, social media can sometimes have negative implications for adolescents struggling with SUDs, such as exposure to substance use glamorization or peer pressure, which can detract from positive treatment outcomes. Therefore, it stands out as not being a treatment-level factor linked to better prognoses in this population