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Brief Intervention for Drug-Abusing Delinquents/Parents

对吸毒者/家长的简短干预

基本信息

批准号：
7244057
负责人：
Ken C WINTERS
金额：
$ 19.77万
依托单位：
TREATMENT RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-06-01 至 2009-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7244057
关键词：
Abstinence Address Adolescent Advisory Committees Alcohol consumption Alcohol or Other Drugs use Arbitration Behavior Caregivers Characteristics Clinical Treatment Collaborations Communities Condition Control Groups County Diffusion Diversion Program Drug abuse Drug usage Effectiveness Effectiveness of Interventions Exhibits Florida Foundations Funding Future Goals Health Services Accessibility Health Services Research Intervention Justice Literature MMDA Manuals Minor Modification National Institute of Drug Abuse Outcome Parenting behavior Parents Participant Patients Pennsylvania Pharmaceutical Preparations Pilot Projects Population Populations at Risk Problem behavior Process Protocols documentation Public Health Randomized Clinical Trials Randomized Controlled Clinical Trials Range Rate Recommendation Recording of previous events Relapse Research Research Institute Research Personnel Risk Schools Score Services Severities Site Staging Substance abuse problem Surgeon Surveys System Technology Transfer Testing Time Training Treatment outcome United States National Institutes of Health Universities Wood material Youth adjudication adolescent drug use alcohol and other drug base early /brief intervention /therapy expectation high school juvenile delinquent juvenile justice system offender pilot trial problem solving therapy programs rational emotive therapy treatment duration treatment effect

项目摘要

DESCRIPTION (provided by applicant): Adolescent drug use remains a serious public health problem, with frequent use of alcohol and other drugs among as many as one in three high school seniors (Johnston, O'Malley, & Bachman, 2002). In particular, substance use rates are substantially higher among youth involved in the juvenile justice system, with treatment access quite limited. This puts such youth at high risk for escalation of substance use and continued justice system involvement. The proposed R21 study will address this treatment gap by modifying an existing school-based brief intervention (Bl) for application with at-risk juvenile offenders and parents/caregivers. The proposed study targets a context (juvenile justice system) and a stage of drug use severity (mild or moderate drug abuse; MMDA) under-studied in the adolescent clinical treatment literature. After manual modification, we will evaluate the Bl's feasibility and acceptability by conducting a Stage 1b controlled pilot study with a randomized trial of 90 juvenile offenders at the Hillsborough County, FL Juvenile Arbitration Program (ARB), a juvenile diversion program. Three groups will be compared: 2-session adolescent only condition (BI-A); 3-session adolescent (2-session) and parent (1-session) condition (BI-AP); and an assessment only control condition. Specific Aims are: AIM 1: To adapt BI-A and BI-AP for a juvenile delinquent population and develop associated training manuals and training protocols; AIM 2: To conduct a pilot study of the efficacy of BI-A and BI-AP on post-treatment outcomes among MMDA diverted juvenile offenders. The primary hypotheses are that participants will show a significant reduction in drug use at outcome compared to baseline, and that the BI-AP participants will show greater treatment effects compared to BI-A. The study will build upon our team's previous and current research on the impacts of Bl on at-risk youth, and treatment interventions for juvenile offenders. Evidence of the feasibility and acceptability of the Bl will set the stage for future R01s to test in randomized trials the efficacy and effectiveness of the Bl for juvenile offenders in the community, and to develop strategies to implement diffusion and technology transfer to other jurisdictions. If successful, this efficient, relatively inexpensive intervention has enormous potential for reducing risks for escalating drug abuse and delinquency among under-served, at-risk delinquents.

描述(由申请人提供)：青少年吸毒仍然是一个严重的公共卫生问题，多达三分之一的高中生经常使用酒精和其他药物(Johnston，O‘Malley，&Bachman，2002)。特别是，参与少年司法系统的青年的药物使用率要高得多，获得治疗的机会相当有限。这使这些年轻人面临药物使用升级和司法系统持续参与的高风险。拟议的R21研究将通过修改现有的基于学校的短期干预(BL)来解决这一治疗缺口，适用于高危青少年罪犯和父母/照顾者。拟议的研究针对青少年临床治疗文献中正在研究的环境(青少年司法系统)和药物使用严重程度的阶段(轻度或中度药物滥用；MMDA)。在人工修改后，我们将通过对90名少年犯进行1b阶段对照试点研究，评估BL的可行性和可接受性。该研究是一项青少年分流计划，涉及90名青少年罪犯。将比较三组：2-青少年专用条件(BI-A)；3-青少年(2-会话)和家长(1-AP)条件(BI-AP)；以及仅评估对照组。具体目标是：目标1：使BI-A和BI-AP适用于少年犯群体，并制定相关的培训手册和培训方案；目标2：对MMDA改道的少年犯进行BI-A和BI-AP治疗后疗效的初步研究。主要假设是，与基线相比，参与者在结果中将显示出显著的药物使用减少，并且与BI-A相比，BI-AP参与者将显示出更大的治疗效果。这项研究将建立在我们团队之前和现在关于BL对高危青少年的影响以及对少年犯的治疗干预的研究基础上。这项条例的可行性和可接受性的证据，将为日后的R01以随机试验方式测试该条例对社会上少年犯的成效和成效，以及制订策略，向其他司法管辖区推广和转移技术奠定基础。如果成功，这种有效、相对廉价的干预措施将具有巨大的潜力，可以降低服务不足、有风险的罪犯中药物滥用和犯罪升级的风险。