Training Program in Adolescent Substance Use Disorders and Co-Occurring Mental and Behavioral Disorders

项目摘要 有充分的证据表明，滥用药物的青少年，包括那些符合标准的青少年， 物质使用障碍（SUD），经常患有至少一种其他精神健康或 行为障碍（Kaminer，2013）。在患有SUD的年轻人中，至少有一种情况很常见。 精神或行为障碍共同发生（国家药物滥用研究所，2014年）。性质 药物滥用与SUD共病的关系是复杂的。一个模型 指出青少年吸毒是导致精神或精神疾病风险升高的一个因素， 行为问题另一个主要的概念模型是儿童期精神障碍 在吸毒之前，吸毒也会使精神障碍的轨迹复杂化。在 这种光，这些早期发作的内在或外在问题有助于心理， 使用物质的社交及其他情境功能触发。NIDA没有培训计划 目前的组合有青少年SUD和共同发生的行为/心理健康障碍作为一个 主要焦点。拟议的T32培训计划将包括各种各样的研究 教师在指导，管理和研究青少年相当专业知识 药物滥用、SUD和相关精神健康障碍。培训将侧重于导师的 针对病因、预防、干预和治疗的研究。该计划将 容纳三名博士前学员的队列（在他们的研究生课程的第3-5年） 和三名博士后学员（每两年）的队列，将培养15名博士预科生 和博士后研究员在五年期间。培训的特点将是严格 项目领导，丰富多样的培训经验和资源，管理， 培训指导委员会的监督和持续监测， 资源，并每年召开一次外部咨询委员会会议。学员和a 主要导师，从附属学院的额外援助，将制定个性化的 通过个人发展计划（IDP）的培训路线图。IDP将为学员提供 指导方针，以推进研究知识和技能有关的至少一个这四个 内容领域：（1）发展性精神病理学，（2）预防性干预， 传播，（3）治疗和传播，（4）卫生服务实践， 实施.总而言之，FIU拟议的T32培训计划包括所有基本内容 成功培训的各种研究活动的要素， 青少年SUD和共同发生的疾病，该计划将作为一个国家的例子， 这一领域年轻调查员的训练场

Project Summary It is well documented that adolescents that abuse drugs, including those who meet criteria for a Substance Use Disorder (SUD), frequently suffer from at least one other mental health or behavioral disorder (Kaminer, 2013). Among youth with a SUD, it is common for at least one mental or behavioral disorder to co-occur (National Institute on Drug Abuse, 2014). The nature of the substance abuse and SUD-co-occurring disorder association is complex. One model points to the role of adolescent drug use as a contributor to an elevated risk of a mental or behavioral problem. Another major conceptual model is that childhood-onset mental disorders precede drug use, and that drug use also complicates the trajectory of the mental disorder. In this light, these early-onset internalizing or externalizing problems contribute to psychological, social and other contextual functional triggers to use substances. No training program in NIDA’s current portfolio has adolescent SUD and co-occurring behavioral/mental health disorders as a primary focus. The proposed T32 training program will include a diverse range of research faculty with considerable expertise in mentoring, administration, and research in adolescent substance abuse, SUD and related mental health disorders. Training will focus on the mentors’ research that address etiology, prevention, intervention and treatment. The program, which will accommodate cohorts of three predoctoral trainees (during years 3-5 of their graduate program) and cohorts of three postdoctoral trainees (for 2 years each), will train a total of 15 predoctoral and postdoctoral fellows over the five-year period. The training will be characterized by rigorous program leadership, rich and varied training experiences and resources, administration, oversight and continuous monitoring from the Training Steering Committee, updating of trainee resources, and the annual convening of an External Advisory Committee. Trainees and a Primary Mentor, with additional assistance from an Affiliated Faculty, will develop a personalized training roadmap via an Individual Development Plan (IDP). The IDP will provide the trainee guidelines as to advance research knowledge and skills pertaining to at least one of these four content domains: (1) developmental psychopathology, (2) preventive interventions and dissemination, (3) treatment and dissemination, and (4) health services practices and implementation. In sum, the proposed T32 training program at FIU includes all the essential ingredients for successful training across the spectrum of research activities associated with adolescent SUD and co-occurring disorders, and the program will serve as a national example of a training ground for young investigators in this field.