Research & Results

Teen Challenge Success Rate: The Honest Answer

What the research actually shows, where the numbers come from, and what really predicts long-term transformation.

“Therefore, if anyone is in Christ, he is a new creation. The old has passed away; behold, the new has come.”

— 2 Corinthians 5:17

Quick Answer

There is no single verified “Teen Challenge success rate” because outcomes vary by center and measurement method. Studies show 67-86% of graduates report being drug-free, depending on the study. The 1975 NIDA study using urinalysis found 67% verified drug-free at 7-year follow-up. The clearest predictor of success isn't a statistic—it's whether someone completes the program and stays connected to church, community, and accountability afterward.

Need a broader overview? Start with what Teen Challenge is and learn what to expect in a long-term discipleship program.

Context Matters

Completion & Aftercare drive outcomes.

The data consistently shows graduates do far better than dropouts. Teen Challenge is a 12-18 month program. People who finish, engage with discipleship, and stay connected after graduation are the ones who see long-term change.

Explore how to choose the right program: Faith-based recovery guidance

Considering Virginia programs? See Virginia options

Curious about cost? Learn about Teen Challenge costs

What the Studies Show

What the research actually found.

Teen Challenge has been studied multiple times since the 1970s. Here's what each study actually found, how it was conducted, and what the limitations are.

NIDA-Funded Study: Rehrersburg, PA (1975)

The original federal study that put Teen Challenge on the map.

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Background: In 1973, Teen Challenge's claims of a 70% cure rate attracted attention from the U.S. Federal Government. Most secular programs reported cure rates of 1-15%. The National Institute on Drug Abuse (NIDA) funded a study to evaluate these claims.

The study focused on the Brooklyn, NY Teen Challenge class of 1968 who transferred to Rehrersburg, PA. Researchers followed up seven years later (1975). The study was conducted under Dr. Catherine Hess, M.D., former assistant chief of the Cancer Control Program of the U.S. Public Health Service. The National Opinion Research Center at the University of Chicago developed the survey, conducted interviews, and obtained urine samples.

Key Findings (Graduates, n=64):

  • 67% drug-free by urinalysis (verified)
  • 86% self-reported drug-free (19-point gap from verified)
  • 75% employed
  • 72% continued education
  • 73% self-supporting
  • 67% regularly attending church
  • 87.5% needed no additional treatment
  • Only 30% arrested in seven years since graduation

Dropout Comparison:

  • 79% of early dropouts arrested (vs 30% of graduates)
  • 56% of later dropouts arrested

Note: The 79% number sometimes gets misquoted as a success rate. It's actually the arrest rate for dropouts.

Limitations:

  • Small sample (64 graduates)
  • Single program, single era
  • Study is now 50 years old
  • Self-report was 19 points higher than urinalysis

Northwestern/Bicknese Study (1999)

The most commonly cited modern study.

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Background: Aaron Todd Bicknese conducted this doctoral dissertation research at Northwestern University, surveying graduates from East Coast to West Coast over three years.

Key Findings:

  • 86% of graduates drug-free (self-reported)
  • 90% employed 1-2 years later (vs 41% in other programs)
  • 84% attend church weekly
  • Nearly all escaped the “revolving door” of repeated treatment
  • Researchers credited work training and strict discipline as key features

When asked why they no longer use drugs, graduates consistently said: “Jesus Christ filled a void in their life.”

Limitations:

  • Self-reported data (no urinalysis)
  • Surveyed graduates only
  • Selection bias toward completers

Chattanooga Study (1994)

Independent university research on a single program.

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Background: Dr. Roger Thompson from University of Tennessee at Chattanooga surveyed alumni from 1979-1991.

Key Findings:

  • 67% abstaining from drugs and alcohol
  • 76% attend church regularly
  • 72% employed
  • 76% free of legal involvement
  • 88% needed no additional treatment
  • 72% had tried other treatment before Teen Challenge
  • 80% credited “a personal relationship with Jesus Christ” as the major factor
  • 92% said Teen Challenge had great impact on their life

Limitations:

  • 50% response rate
  • Single program
  • Self-reported data

Indianapolis Adolescent Study (1992)

The only study focused on teenagers.

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Background: Conducted by Shawna Girgis at Teen Challenge Indianapolis (female adolescent program).

Key Findings:

  • 70% of graduates abstaining from illegal drugs
  • 70% reported improved family relationships
  • 65% rated program as helpful or very helpful
  • 95% listed rebellion against authority as major issue when entering

Limitations:

  • Small sample, single program
  • Adolescent females only
  • Three-year lookback only

ATC USA National Outcome Study (2019)

The most recent official data.

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Background: Adult & Teen Challenge USA surveyed 340 graduates 8-20 months post-graduation.

Key Finding:

  • 78% reported complete abstinence post-graduation

This is the cleanest recent number ATC USA uses.

Limitations:

  • Self-reported
  • 8-20 month window only
  • Survey respondents may skew positive

The Bottom Line

The most honest reading of the data.

What we can say with confidence:

  • Studies consistently show 67-86% of graduates report being drug-free.
  • Verified urinalysis (1975) showed 67%; self-reported numbers run higher.
  • Graduates have significantly better outcomes than dropouts.
  • Employment, church attendance, and legal outcomes are strong.
  • Most graduates credit faith as the primary factor.
  • Results compare favorably to secular treatment.

What we should acknowledge:

  • Most studies survey graduates only, not everyone who enrolled.
  • Self-reported data runs higher than verified testing.
  • Studies are limited in scope and sample size.
  • 200+ centers vary significantly.
  • More rigorous independent research would strengthen the evidence.

The most defensible numbers:

  • 67% drug-free by urinalysis at 7-year follow-up (NIDA, 1975)
  • 78% self-reported abstinence 8-20 months post-graduation (ATC USA, 2019)
  • 86% self-reported drug-free (Northwestern, 1999)

Does Teen Challenge Actually Work?

Yes, for the right person in the right circumstances.

Teen Challenge works for people who:

  • Are willing to engage with a faith-based approach.
  • Complete the full program (12-18 months).
  • Embrace discipleship, not just endure it.
  • Stay connected to church and accountability after graduation.
  • Don't return to old environments and relationships.

Teen Challenge struggles to work for people who:

  • Are forced in against their will.
  • Leave early when it gets hard.
  • Go through the motions without heart change.
  • Graduate and return to the same people and patterns.
  • Treat graduation as the finish line.

Want a deeper guide on program fit? Learn how to choose a faith-based recovery program.

What Really Predicts Long-Term Success

After 20+ years in this world, here's what actually matters.

Green flags:

  • Entered willingly (even if reluctantly).
  • Completed the full program.
  • Engaged with spiritual content.
  • Has a plan for after: housing, work, church, accountability.
  • Cut ties with old using relationships.
  • Talks about who they're becoming, not just what they're avoiding.

Red flags:

  • Forced or manipulated into entering.
  • Counting down days until graduation.
  • Planning to reconnect with old friends.
  • No church or accountability lined up.
  • Thinks graduation means “fixed.”
  • Family still enabling.

Learn more about enabling and why it matters: what does enabling mean for families?

What Happens After Matters Most

Graduation isn't the finish line.

Graduation isn't the finish line. What happens after the program matters more than what happens during it.

The people who thrive stay connected to church, accountability, and healthy community. They keep doing what worked: prayer, Scripture, honest relationships, service.

The people who struggle go back to the same environment, same friends, same patterns and expect different results.

Teen Challenge builds a foundation. The person has to build on it.

Read what happens after Teen Challenge graduation →

Relapse Doesn't Mean Failure

Recovery is a journey, not a single moment.

Relapse is serious. It's dangerous. It can be deadly. But it isn't always the final word.

I've seen people relapse after years of sobriety and come back stronger. I've seen people who “failed” by every clinical measure go on to build families, start ministries, and change communities.

What matters is whether they get back up and whether they have people to help them do it.

Read about setbacks in recovery →

How SVTC Can Help

We don't run a residential program. We help families find the right one.

If you're trying to figure out whether Teen Challenge is the right fit, we can help you think through the decision. We know the programs. We know the questions to ask.

If you're ready to start looking, our Teen Challenge locations guide covers Virginia programs and how to search the national network.

We've walked this road ourselves. There's no cost for a conversation.

FAQ

Frequently asked questions

What is the success rate of Teen Challenge?

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Studies show 67-86% of graduates report being drug-free, depending on the study and measurement method. The 1975 NIDA study using urinalysis found 67% verified drug-free. Self-reported numbers tend to run higher. These measure graduates who responded to surveys, not everyone who enrolled.

Does Teen Challenge actually work?

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For people who complete the program, engage with discipleship, and stay connected to church and accountability afterward, yes. For people who leave early or return to old environments, outcomes are much harder. No program works for everyone.

Is Teen Challenge better than rehab?

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They serve different purposes. Rehab provides medical detox and clinical treatment over weeks. Teen Challenge provides faith-based discipleship over 12-18 months. Some people need medical stabilization first. Others need the deeper identity transformation Teen Challenge offers.

Why is Teen Challenge 12-18 months?

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Because real transformation takes time. Addiction isn't just chemical. It's spiritual, relational, and identity-level. Addressing all of that requires more than 30 days.

What makes someone successful after Teen Challenge?

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Staying connected to church, accountability, and healthy community. Continuing spiritual practices. Having a plan for housing, employment, and relationships. Not going back to old environments.

What if someone relapses after Teen Challenge?

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Relapse is serious but not always final. What matters is whether they get back up and stay connected to support. Recovery continues after graduation.

Are there more studies on Teen Challenge?

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Yes, but they're limited in scope. The main studies are the 1975 NIDA study, the 1999 Northwestern dissertation, the 1994 Chattanooga study, and the 2019 ATC USA outcome report. More rigorous independent research would be valuable.

What percentage complete Teen Challenge?

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Completion rates vary by center. Not everyone who enters finishes 12-18 months. Those who complete have significantly better outcomes than those who leave early.

Is Teen Challenge a guaranteed cure?

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No. No program is. Teen Challenge provides a foundation for transformation, but the person has to build on it.

Why do graduates credit faith as the key factor?

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Across multiple studies, graduates consistently point to their relationship with Jesus Christ as the primary reason they're no longer using. Teen Challenge addresses addiction at every level. Not just the behavior, but the identity, the relationships, the spiritual life, and the purpose underneath it all.

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