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 物质使用障碍(SUD)，经常遭受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，至少有一种是常见的。 精神或行为障碍共同发生(国家药物滥用研究所，2014)。大自然 物质滥用与SUD共发障碍的关联是复杂的。一种型号 指出青少年吸毒是导致精神或精神疾病风险增加的一个因素 行为问题。另一个主要的概念性模型是儿童期起病的精神障碍 在吸毒之前，吸毒也使精神障碍的发展轨迹复杂化。在……里面 这种光，这些早发性的内化或外化问题导致心理上的， 社会和其他上下文功能触发使用物质。NIDA没有培训计划 目前的投资组合将青少年SUD和共同发生的行为/心理健康障碍作为 主要焦点。拟议的T32培训计划将包括一系列不同的研究 在青少年的指导、管理和研究方面拥有丰富专业知识的教师 药物滥用、自发性精神障碍和相关的精神健康障碍。培训将集中在导师的 针对病因、预防、干预和治疗的研究。该计划将 容纳三名博士前实习生(在研究生课程的3-5年期间) 和3名博士后实习生(各为期2年)组成的队列，将总共培养15名博士后 和博士后研究员在五年期间。训练的特点是严格 计划领导力、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，更新受训人员 资源，以及每年召开一个外部咨询委员会。实习生和 初级导师，在附属学院的额外帮助下，将制定个性化的 通过个人发展计划(IDP)制定培训路线图。国内流离失所者将为受训人员提供 关于这四项中至少一项的高级研究知识和技能的指导方针 内容领域：(1)发展精神病理学，(2)预防干预和 传播，(3)治疗和传播，(4)保健服务做法和 实施。总而言之，金融情报室拟议的T32培训方案包括所有必要的 与以下各项相关的研究活动的成功培训的要素 青少年精神障碍和共生疾病，该计划将成为全国的榜样 这一领域的年轻调查人员的训练场。

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.