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: 7115092
• 负责人: Gayle Ann Dakof
• 金额: $ 5.36万
• 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/7115092
• 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、毒品治疗提供者、社会服务机构、研究人员和政策制定者之间的创新合作，共同掀起了成年人和青少年对毒品法庭模式的第一波支持和热情。少年毒品法庭和一般的毒品法庭一样，在参与计划期间收到了关于治疗保留、药物使用和累犯的令人鼓舞的评估，但方法上的限制使这一早期工作令人怀疑。目前的提案是针对RFA DA-03-003提出的，是科学调查少年毒品法庭程序和结果的首批尝试之一。这项研究解决了青少年毒品法庭知识基础中的几个空白，考察了一种得到经验支持的青少年药物滥用和犯罪治疗--多维家庭疗法--在多大程度上可以在提高毒品法庭毕业率、减少药物使用、犯罪行为和逮捕以及改善学校和职业成绩方面加强现有青少年毒品法庭服务的有效性。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、有效性和收益-成本：MDFT与现有的核心青少年毒品法庭服务(MJDC-MDFT)整合，以及以个人和同伴为重点的药物治疗干预(照常治疗；MJDC-TAU)与现有的核心青少年毒品法庭服务整合。此外，我们建议调查两种药物法庭模式实现其效果的变化机制。这项拟议的研究是对RFA的回应，因为它“建立在最近关于青少年药物滥用治疗的研究基础上，以改进和扩大向滥用药物的青少年提供有效治疗”。此外，拟议的研究将与SAMHSA在其“加强社区--青年”倡议(GFA TI 03-002)下正在审议的一个项目合作进行。这项拟议的研究有三个目的：1)实验比较迈阿密青少年毒品法庭-多维家庭治疗(MJDC-MDFT)计划与MJDC-TAU计划的可接受性和有效性；2)确定毒品法庭计划实现其效果的机制；以及3)比较为青少年毒品法庭参与者提供服务的MJDC-MDFT与MJDC-TAU的总和净金钱收益。共有150名有资格进入迈阿密青少年毒品法庭的青少年及其父母将组成研究样本(每种情况下75人)。符合条件的青年将被随机分配到MJDC-MDFT或MJDC-TAU，并将在药物法庭计划基线后、6个月、12个月、18个月和24个月接受评估。最先进的统计技术，包括潜在增长曲线建模(LGM)，将用于检查多个过程和结果随时间的变化。