Supporting Student Health and Resiience

家庭监禁(父母、兄弟姐妹、远亲)是一种不利的童年经历(ACE)， 与其他家庭压力源密切相关，影响了超过250万美国儿童；主要是青少年 低收入社区中的有色人种和年轻人。其家庭与刑事司法互动的青年 系统可以经历3次以上的ACE，并且更有可能使用药物，有行为问题， 并与司法系统本身互动，即使与那些 经历其他会增加危险行为脆弱性的破坏性事件和条件。2到7倍的 青少年中的药物使用风险、与药物使用相关的危险行为和退学风险增加 仅接触一种血管紧张素转换酶及其累积与健康的剂量反应关系 威胁性行为和精神健康受损，强调了确定有效的 预防策略。“助力学生健康与复原力(共享)”是一个为期四年的准实验项目 为满足以下青少年的需求而量身定做的预防方案的过程和结果评估 家庭参与刑事司法系统。监狱系统的痛苦(POPS)是一种以学校为基础的 将基本的社会情感能力嵌入创造性、艺术性的自我表达和 社区参与活动，并促进与同龄人和有爱心的成年人建立有意义的联系(关键 韧性的要素)。拟议的项目使用纵向设计来确定是否) 参与持久性有机污染物方案鼓励关键发展资产和社会情感的增长 促进健康发展的能力；b)比较以下六个时间点的相对变化 跨持久性有机污染物的假设保护因素(例如，社会联系、社会情感能力)， 配对比较，以及普通人群学生；以及c)评估是否参加持久性有机污染物 该计划减少药物使用，减少抑郁和焦虑的症状，并促进积极的学业成果 (GPA、标准化考试分数、纪律事件)。在第一年，拟议的项目将收集基线数据 并对AK的3所高中、CA的8所高中和GA的8所高中的POPS项目进行了过程评估。在……里面 2-3年这项研究将评估危险行为、心理健康和学校结果轨迹的变化 POPS参与者、配对对照组和普通人群学生。这项研究还将探索 社会文化因素(例如，感知到的歧视和族裔认同)在发展轨迹中的作用 和计划结果，并评估潜在的计划主持人(例如，性别、种族、社会经济地位)。推广 家庭监禁及其相关因素对青少年健康行为和学业成绩的影响 ACE是公共卫生的优先事项。这项多管齐下的评估研究将：产生关于a)的信息 方案的优势和不足；b)风险和复原力进程；并支持发展c) 针对弱势青年的循证预防方案和d)随机有效性试验。

Household incarceration (parent, sibling, extended relative) is an adverse childhood experience (ACE) that is strongly correlated with other family stressors and impacts over 2.5 million US children; predominantly youth of color and youth living in low income communities. Youth whose families interact with the criminal justice system can experience upward of 3 ACE and are more likely to use substances, have behavioral problems, and interact with the justice system themselves, differences that remain even in comparison to children who experience other disruptive events and conditions that increase vulnerability for risky behavior. The 2- to 7-fold increase in risk for substance use, substance use related risky behaviors, and school withdrawal among youth exposed to even one ACE, and the dose-response relationship between accumulated ACE and health threatening behaviors and compromised mental health, underscores the critical need to identify effective prevention strategies. “Supporting Student Health and Resilience (SHARE)” is a four-year quasi-experimental process and outcome evaluation of a prevention program tailored to meet the needs of adolescents whose families are involved in the criminal justice system. Pain of the Prison System (POPS) is a school-based program that embeds foundational socio-emotional competencies in creative, artistic self-expression and community engagement activities and fosters meaningful connections to peers and caring adults (key ingredients of resilience). The proposed project uses a longitudinal design to determine whether a) participation in the POPS program encourages growth in key developmental assets and socio-emotional competencies that promote healthy development; b) compares relative change over six time points in hypothesized protective factors (e.g., social connectedness, socioemotional competencies) across POPS, matched comparison, and general population students; and c) assesses whether participating in the POPS program curtails substance use, symptoms of depression and anxiety, and promotes positive school outcomes (GPA, standardized test scores, disciplinary events). In year 1, the proposed project will collect baseline data and conduct a process evaluation of POPS program delivered in 3 high schools in AK, 8 in CA, and 8 in GA. In years 2-3 the study will assess change in risk behavior, mental health, and school outcome trajectories of POPS participants, matched comparison group, and general population students. The study will also explore the role of sociocultural factors (e.g., perceived discrimination and ethnic identity) in developmental trajectories and program outcomes and assess potential program moderators (e.g., gender, ethnicity, SES). Promoting healthy behaviors and school achievement among youth impacted by household incarceration and associated ACE is a public health priority. This multipronged evaluation research study will: yield information about a) programmatic strengths and deficits; b) risk and resilience processes; and support the development of c) evidence-based prevention programming for vulnerable youth and d) a randomized effectiveness trial.