Enhancing Juvenile Drug Court Outcomes with EBPs

说明(申请人提供)：吸毒和酗酒和依赖犯罪的人是一个庞大的、服务严重不足的人群，他们面临着给自己、他们的家庭和社区以及社会带来重大有害后果和长期代价的高风险(Belenko&Dembo，2003)。正如最近的审查者所描述的(Belenko&Logan，2003；Cooper，2002)，少年毒品法庭在1980年代开始出现，以解决这些问题，到2003年12月，已有268个少年毒品法庭在运作(Huddleston，Freeman-Wilson，&Boone，2004)。尽管少年毒品法庭近年来继续激增，但对其减少罪犯药物使用和犯罪活动的能力的评估一直滞后。拟议的研究建立在我们最近的研究结果的基础上，支持少年毒品法庭的有效性和循证治疗的能力，以提高少年毒品法庭的结果(Henggler等人，正在出版中)，并利用我们在将循证做法转移到社区治疗环境方面的丰富经验。这项第1-B阶段治疗发展研究的首要目的是开发和测试一种相对灵活和低成本的战略，通过将循证治疗的组成部分整合到现有的药物滥用和毒品法庭服务中来提高青少年毒品法庭的结果。具体目标包括：目标1：调整现有干预和培训方案，使之适用于循证做法(即，治疗青少年药物滥用的应急管理；针对少年犯的循证治疗的家庭参与战略)，以纳入少年毒品法庭地点。目标2：开展一项研究，以检查青少年(例如，药物使用和犯罪行为)和系统水平(例如，可行性、实施忠诚度、保留率和完成率、消费者满意度、成本估算)对六个青少年毒品法庭实施干预方案的影响。目标3：如果研究结果支持，修改干预和培训方案，为第二阶段研究做准备。

DESCRIPTION (provided by applicant): Drug and alcohol abusing and dependent delinquents represent a large and greatly underserved population that is at high risk of presenting significant deleterious outcomes and long-term costs for themselves, their families and communities, and society (Belenko & Dembo, 2003). As described by recent reviewers (Belenko & Logan, 2003; Cooper, 2002), juvenile drug courts began emerging in the 1980s to address these problems, and 268 juvenile drug courts were in operation by December, 2003 (Huddleston, Freeman-Wilson, & Boone, 2004). Although juvenile drug courts have continued to proliferate in recent years, evaluation of their capacity to reduce offender substance use and criminal activity has lagged. The proposed study builds on our recent research findings supporting the effectiveness of juvenile drug court and the capacity of evidence-based treatments to enhance juvenile drug court outcomes (Henggeler et al., in press) as well as taking advantage of our extensive experience in the transport of evidence-based practices to community treatment settings. The overriding purpose of this Stage 1-B Treatment Development Study is to develop and test a relatively flexible and low cost strategy for enhancing the outcomes of juvenile drug courts by integrating components of evidence-based treatments into existing substance abuse and drug court services. Specific aims include: Aim 1: Adapt existing intervention and training protocols from evidence-based practices (i.e., contingency management for treating adolescent substance abuse; family engagement strategies from evidence-based treatments of juvenile offenders) for integration into juvenile drug court sites. Aim 2: Conduct a study to examine youth (e.g., substance use and criminal behavior) and system level (e.g., feasibility, implementation fidelity, retention and completion rates, consumer satisfaction, cost estimates) effects of implementing the intervention protocols in six juvenile drug courts. Aim 3: Revise intervention and training protocols in preparation for Stage II study if findings are supportive.