DEVELOPING PRIME TIME PROJECT FOR DOUBLE JEOPARDY YOUTH

为双重危险青少年开发黄金时段项目

• 批准号: 6379033
• 负责人: ERIC W TRUPIN
• 金额: $ 11.68万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-29 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6379033
• 关键词: African American; adolescence (12-20); behavior therapy; behavioral /social science research tag; child psychology; clinical trials; cost effectiveness; drug abuse prevention; handbook; human subject; human therapy evaluation; juvenile delinquency; low socioeconomic status; method development

DESCRIPTION: This exploratory/development proposal (R21) will further the development of the Prime Time Project, an intervention that addresses the specific needs of a group of adolescents at extremely high risk of poor outcomes: low-income African American youth with a history of substance abuse, emotional disturbance, and criminal involvement. The Project targets two major impediments to reducing violent crime in our communities: youth substance use and emotional dysregulation. The Prime Time Project begins by implementing a manualized and well-tested, ecologically-based intervention, Multisystemic Therapy (MST). This intervention has demonstrated ability to reduce criminal involvement in delinquent youth. The intervention has not been shown to reduce adolescent substance use, nor has its effectiveness been demonstrated for delinquents with co-occurring substance abuse and psychiatric disorders. Through conducting preliminary studies, the investigators have learned that this population is particularly challenging to engage and to treat. The unique components of the Prime Time Project include embedding within the MST framework two individual-level enhancements that address these co-occurring problems. The enhancements are based on Dialectical Behavioral Therapy (DBT), a tested intervention that has been developed by psychologist Dr. Marsha Linehan at the University of Washington. The first enhancement involves pre-treatment engagement and motivational strategies to increase retention in treatment. The second enhancement addresses the youth's emotional disturbance using a DBT cognitive-behavioral skills-training approach. As steps in the development of this psychosocial treatment model, the specific aims of this project are to carry out three activities: 1. Complete the Prime Time Treatment Manual that will operationalize and standardize the treatment protocol. 2. Develop an adherence study protocol. 3. Conduct a pilot outcome trial to 1) assess the ability of the intervention to produce short-term gains as reflected in increased motivation to engage in intervention, reduced substance use, increased ability to regulate emotions, reduced criminal activity, increased school engagement and increased cost-effectiveness, 2) monitor our success in implementing the proposed study methods, and 3) Calculate power estimates for designing a larger randomized controlled trial. If these activities affirm our ability to implement a manualized intervention with this target population and our ability to study the effects of the intervention, we will continue developing the Prime Time Project and conduct further trials of its effectiveness. One of the innovative aspects of this Project is the effort to identify and treat within a mental health framework a population of minority youth whose behavior has traditionally and increasingly been labeled and sanctioned as criminal. As such, this development project addresses a number of priorities set forth in Healthy People 2000, including improving the health of low income and minority populations, reducing alcohol and marijuana use by youth, reducing the prevalence of mental disorders, and decreasing the occurrence of interpersonal violence.

描述：本探索性/开发提案（R21）将进一步 黄金时间项目的发展，一个干预，解决 贫困风险极高的青少年群体的特殊需要 结果：有药物滥用史的低收入非洲裔美国青年， 情感障碍和犯罪行为该项目主要针对两个 减少社区暴力犯罪的障碍：青年吸毒 和情绪失调 黄金时段项目首先实施一个手动和良好的测试， 多系统治疗（Multisystemic Therapy，MST）这种干预 已经证明有能力减少犯罪青年的犯罪参与。 干预措施没有显示出减少青少年物质使用， 它的有效性已被证明为违法行为与共同发生的物质 虐待和精神疾病。通过初步研究， 研究人员已经了解到，这一人群特别具有挑战性， 参与和治疗。 黄金时段项目的独特组成部分包括嵌入 MST框架两个单独级别的增强功能，可解决这些同时发生的问题 问题这些改进是基于辩证行为疗法（DBT）， 心理学家玛莎·莱恩汉博士 在华盛顿大学。第一个增强包括预处理 参与和激励策略，以提高治疗的保留率。 第二个增强解决青年的情绪困扰使用DBT 认知行为技能训练法。 作为发展这种心理社会治疗模式的步骤， 该项目的目标是开展三项活动： 1.完成《Prime Time治疗手册》， 规范治疗方案。 2.制定依从性研究方案。 3.进行一项试点结果试验，以1）评估干预的能力 产生短期收益，反映在参与的动机增加 干预，减少物质使用，提高调节情绪的能力， 减少犯罪活动，增加学校参与度， 成本效益，2）监察我们在推行建议研究方面的成效 方法，以及3）计算设计更大随机化 对照试验 如果这些活动证实我们有能力实施手动干预， 有了这个目标人群，我们有能力研究 我们将继续发展黄金时段项目， 进一步检验其有效性。 该项目的一个创新方面是努力查明和 在心理健康框架内治疗少数民族青年， 传统上，越来越多的行为被贴上标签， 罪犯因此，该开发项目解决了一些优先事项 《2000年健康人》中提出的目标，包括改善低收入人群的健康状况 减少青年人的酒精和大麻使用， 精神疾病的发病率，并减少 人际暴力