RETAINING HISPANIC DRUG ABUSING YOUTH IN FAMILY THERAPY

让西班牙裔吸毒青少年接受家庭治疗

• 批准号: 3214054
• 负责人: JOAN D KOSS-CHIOINO
• 金额: $ 37.84万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-01 至 1997-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3214054
• 关键词: Hispanic Americans; adolescence (12-20); alcoholism /alcohol abuse; drug abuse; drug abuse education; family therapy; human subject; human therapy evaluation; longitudinal human study; psychological adaptation; toxicology registry /referral center

The proposed study will take place on the outpatient adolescent unit at the Center on Alcoholism, Substance Abuse and other Addictions (CASAA) of UNM. The general objective is to test the effectiveness of the engagement and treatment components of the Structural Strategic Systems (SSS) family intervention with New Mexican Hispanic youths, 13-18 years old and families. This is a replication of treatment studies of Cuban American youths by Szapocznik et al. in Miami. It explores the issue of treatment effectiveness relative to observed differences in family functioning among Hispanic cultures in the US, comparing Cuban American with Hispanic/Mexican American. It also looks at similar responses to treatment despite cultural differences. The SSS intervention will be compared with two control/comparison conditions, SSS therapy without engagement and group therapy. Two main research questions are examined: How effective is the SSS intervention (engagement plus family therapy) in engaging and retaining young Hispanic polydrug abusers and their families in treatment compared with the control conditions? And, how effective is the SSS intervention in treating clients relative to control condition? Relationships between family functioning, drug use and psychosocial adjustment of youths will be explored. A prospective design will be employed with random assignment to the three treatment conditions, each carried out over a modal 16 sessions. Treatments will follow the guidelines of manuals developed in Miami and therapists will be rated regarding adherence to treatment guidelines. Each treatment condition will be conducted by two therapists each Hispanic and Anglo, the ethnic mix of clinical staff. This will allow assessment of the effect of individual therapist/client helping alliances. Outcome measures will be administered at pretreatment, completion of treatment, and 6 and 12 month follow-up. Measures of outcome assess the effectiveness of the interventions along five dimensions: 1) rate of engagement in therapy; 2) rate of retention in therapy; 3) reduction or cessation of drug abuse; 4) improvement in psychosocial adjustment of the client; and 5) improvement in family functioning. Possible confounds are the quality of the therapist-client alliance; current family history of substance abuse or psychiatric illness; significant group differences in therapy contact hours, and in pre-test (intake) scores.

拟议的研究将在青少年门诊部进行， 酗酒、药物滥用和其他成瘾中心（CASAA） 的UNM。 总的目标是测试 结构战略系统的参与和治疗组成部分 (SSS)家庭干预与新墨西哥州西班牙裔青年，13 - 18岁 老人和家庭。 这是一个复制古巴的治疗研究 Szapocznik等人在迈阿密拍摄的《美国青年》。 它探讨了 相对于观察到的家庭差异的治疗效果 在美国的西班牙裔文化中发挥作用， 西班牙裔/墨西哥裔美国人 它还研究了类似的反应， 尽管存在文化差异。 SSS干预将是 与两种对照/比较条件相比，SSS治疗无 参与和团体治疗。 两个主要的研究问题进行审查： SSS干预（参与加家庭治疗）的有效性如何 在吸引和留住年轻的西班牙裔多药滥用者和他们的 治疗组与对照组的家庭情况比较？ 怎么会 有效的是SSS干预治疗客户相对于 控制条件？ 家庭功能、药物使用 以及青少年的社会心理适应。 一项前瞻性 将采用随机分配至三种处理的设计 条件，每一个都在16个模态会议上进行。 治疗将 遵循迈阿密制定的手册指南，治疗师将 对治疗指南的依从性进行评级。 每个治疗 条件将进行两个治疗师每西班牙裔和盎格鲁， 临床工作人员的种族混合。 这将有助于评估 个人治疗师/客户帮助联盟的效果。 结果 将在治疗前、治疗完成时， 随访6个月和12个月。 结果指标评估 干预措施的有效性沿着五个方面： 参与治疗; 2）治疗保留率; 3）减少或 停止吸毒; 4）改善患者的心理社会适应 （5）改善家庭功能。 可能 混淆是治疗师-客户联盟的质量;当前 药物滥用或精神疾病家族史;显著 治疗接触时间和试验前（摄入）的组间差异 成绩.