COMMUNITY BASED INTERVENTION FOR CHILDREN

该研究项目旨在确定可行性和 针对市中心早期干预系统的有效性 黑人青年滥用毒品的高风险。 在现有的 社区计划，主要由黑人工作人员实施， 方法涉及调动和加强社区资源 已经到位（青年服务局），并提供个人，团体， 家庭服务，包括案件宣传和案件管理， 利用土著青年领袖，在六个月期间着重于 防止边缘青少年滥用药物。 男性和女性 青少年，年龄12至14岁，居住在高风险社区， 巴尔的摩市，并提到了附近的青年服务局， 评估和/或治疗，将是本研究的目标。 在 除了生活在高风险地区外，被认为处于风险中的青年 必须表现出以下问题之一：实验性使用 酒精和/或毒品，犯罪或其他越轨行为，或学校 失调 经过涉及12个案件的培训期后， 将向青年及其家庭提供拟议的干预措施。 将对干预措施的过程和一年期成果进行评价， 执行。 为成果评价目的， 将比较干预前暴露于标准治疗的患者 与新治疗相关的结果以及50例患者的结果 年轻人在同等社区接受标准治疗 局 结果为250名青年的额外样本， 同样的邻里局也将与 250名年轻人接受了新的治疗。 结果指标将包括 药物滥用的自我报告和客观措施;犯罪， 犯罪，异常行为;学校表现，和个人 态度和调整。

This research project intends to determine the feasibility and effectiveness of a system of early intervention directed at inner-city Black youth at high risk for drug abuse. Conducted within an existing neighborhood program and implemented primarily by Black staff, the approach involves the mobilization and enhancement of community resources already in place (a Youth Service Bureau) and provides individual, group, and family services, including case advocacy and case management and the use of indigenous youth leaders, over a six-month period focused on the prevention of substance abuse of youth at risk. Both male and female youth, aged 12 through 14, residing in high at-risk neighborhoods in Baltimore City and referred to a neighborhood Youth Services Bureau for assessment and/or treatment, will be targeted for this study. In addition to living in a high-risk area, youth considered to be at risk must have exhibited one of the following problems: experimental use of alcohol and/or drugs, delinquent or other deviant behaviors, or school maladjustment. After a training period involving 12 cases, 250 such youth and their families will be provided the proposed intervention. Both process and one-year outcome evaluations of the intervention will be performed. For outcome evaluation purposes, outcomes for 50 youth exposed to standard treatment prior to the intervention will be compared to outcomes associated with the new treatment and with outcomes for 50 youth administered standard treatment in an equivalent neighborhood bureau. Outcomes for an additional sample of 250 youth from the equivalent neighborhood bureau will also be compared to outcomes for the 250 youth administered the new treatment. Outcome measures will include both self-report and objective measures of substance abuse; crime, delinquency, aberrant behavior; school performance, and personal attitudes and adjustment.