Family-Based Juvenile Drug Court Services

以家庭为基础的青少年毒品法庭服务

• 批准号: 6806071
• 负责人: Gayle Ann Dakof
• 金额: $ 46.24万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6806071
• 关键词: academic achievement; adolescence (12-20); clinical research; drug abuse prevention; drug abuse therapy; family therapy; human subject; human therapy evaluation; interview; juvenile delinquency; legal /correctional; longitudinal human study; low socioeconomic status; outcomes research

DESCRIPTION (provided by applicant): Over a decade of innovative collaborations among judicial authorities, drug treatment providers, social service agencies, researchers, and policy makers combine to present a first wave of support and enthusiasm for the drug court model with both adults and juveniles. Juvenile drug courts, like drug courts generally, have received encouraging evaluations of treatment retention, drug use, and recidivism during program participation, yet methodological limitations leave this early stage of work suspect. The current proposal, submitted in response to RFA DA-03-003, represents one of the first attempts to scientifically investigate the process and outcomes of juvenile drug court. The study addresses several gaps in the knowledge base on juvenile drug courts by examining the extent to which an empirically-supported treatment for adolescent drug abuse and delinquency, multidimensional family therapy (Liddle, 2002; MDFT), can enhance the effectiveness of existing juvenile drug court services in terms of increasing drug court graduation rates, decreasing drug use, delinquent behavior, and arrests, and improving school and vocational outcomes. The study design is a fully randomized controlled trial that compares the acceptability, efficacy, and benefit-cost of two different juvenile drug court models: MDFT integrated with existing core juvenile drug court services (MJDC-MDFT), and an individual and peer focused drug treatment intervention (Treatment as Usual; MJDC-TAU) integrated with existing core juvenile drug court services. In addition, we propose to investigate mechanisms of change by which both drug court models achieve their effects. The proposed study is responsive to the RFA in that it "builds on recent studies of drug abuse treatment for adolescents to improve and expand the delivery of efficacious treatments to drug abusing youth." Moreover, the proposed research will be conducted in collaboration with a project being considered by SAMHSA under its "Strengthening Communities-Youth" initiative (GFA TI 03-002). The proposed study has three aims: 1) To experimentally compare the acceptability and effectiveness of the Miami Juvenile Drug Court-Multidimensional Family Therapy (MJDC-MDFT) Program versus MJDC-TAU; 2) To identify the mechanisms through which the drug court programs achieve their effects; and 3) To compare the total and net monetary benefits to the juvenile justice system of serving juvenile drug court participants with MJDC-MDFT vs. MJDC-TAU. A total of 150 juveniles eligible for the Miami Juvenile Drug Court and their parents will comprise the study sample (75 per condition). Eligible youth will be randomly assigned to either MJDC-MDFT or MJDC-TAU and will be assessed at baseline, 6 months, 12 months, 18 months, and 24 months following baseline to the drug court program. State-of-the-art statistical techniques, including latent growth curve modeling (LGM), will be used to examine change in multiple processes and outcomes over time.

描述（由申请人提供）： 十多年来，司法当局、戒毒治疗提供者、社会服务机构、研究人员和政策制定者之间的创新合作联合收割机结合起来，为成人和青少年提供了对毒品法庭模式的第一波支持和热情。青少年毒品法庭，毒品法庭一般，已收到令人鼓舞的治疗保留，药物使用和累犯的评价在程序参与，但方法的局限性离开这个早期阶段的工作怀疑。目前的提案是响应RFA DA-03-003提交的，代表了科学调查青少年毒品法庭的过程和结果的第一次尝试。该研究通过检查青少年药物滥用和犯罪的药物支持治疗，多维家庭治疗（Liddle，2002年; MDFT），可以提高现有的青少年毒品法庭服务的有效性，在增加毒品法庭毕业率，减少毒品使用，犯罪行为，和逮捕，以及改善学校和职业教育的成果。该研究设计是一项完全随机对照试验，比较了两种不同的青少年毒品法庭模式的可接受性、疗效和效益-成本：MDFT与现有的核心青少年毒品法庭服务（MJDC-MDFT）相结合，以及以个人和同伴为中心的药物治疗干预（治疗作为药物; MJDC-TAU）与现有的核心青少年毒品法庭服务相结合。此外，我们建议调查的变化机制，这两个毒品法庭模型实现其效果。拟议的研究是对RFA的回应，因为它“建立在最近对青少年药物滥用治疗的研究基础上，以改善和扩大对药物滥用青少年的有效治疗。“此外，拟议的研究将与SAMHSA在其“加强社区-青年”倡议（GFA TI 03-002）下正在考虑的一个项目合作进行。本研究的目的有三：1）通过实验比较迈阿密少年毒品法庭多维家庭治疗的可接受性和有效性（MJDC-MDFT）计划与MJDC-TAU：2）确定毒品法庭计划实现其效果的机制;和3）比较MJDC-MDFT与MJDC的青少年毒品法庭参与者对青少年司法系统的总收益和净收益-τ的共有150名符合迈阿密少年毒品法庭条件的青少年及其父母将组成研究样本（每种条件75人）。符合条件的青少年将被随机分配到MJDC-MDFT或MJDC-TAU，并将在基线、药物法庭计划基线后6个月、12个月、18个月和24个月进行评估。国家的最先进的统计技术，包括潜在增长曲线模型（LGM），将被用来检查随着时间的推移在多个过程和结果的变化。