Brief Intervention for Drug-Abusing Delinquents/Parents

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高年级学生经常使用酒精和其他药物（约翰斯顿，奥马利和巴赫曼，2002年）。特别是，少年司法系统所涉青年的药物使用率高得多，获得治疗的机会相当有限。这使这些青年处于药物使用升级和继续参与司法系统的高风险之中。拟议的R21研究将通过修改现有的基于学校的简短干预（BI）来解决这一治疗差距，以应用于有风险的少年犯和父母/照顾者。拟议的研究针对青少年临床治疗文献中研究不足的背景（青少年司法系统）和药物使用严重程度（轻度或中度药物滥用; MMDA）阶段。人工修改后，我们将通过在佛罗里达州希尔斯伯勒县青少年仲裁项目（ARB）（一项青少年分流项目）对90名青少年罪犯进行随机试验，进行第1b阶段对照试点研究，评估BI的可行性和可接受性。将比较三组：仅2次青少年条件（BI-A）; 3次青少年（2次）和父母（1次）条件（BI-AP）;以及仅评估对照条件。具体目标是：目标1：调整BI-A和BI-AP的少年犯人口和开发相关的培训手册和培训协议;目的2：进行一项试点研究的BI-A和BI-AP的疗效之间的MMDA转向少年犯治疗后的结果。主要假设是，与基线相比，受试者在结局时的药物使用将显著减少，并且与BI-A相比，BI-AP受试者将显示出更大的治疗效果。这项研究将建立在我们团队以前和目前关于BI对高危青少年的影响以及青少年罪犯治疗干预的研究基础上。有关指引的可行性和可接受性的证据，将为日后的研究计划作好准备，以便进行随机试验，测试指引对社会上的青少年罪犯的效用和成效，以及制订策略，向其他司法管辖区推广和转移技术。如果成功的话，这种有效的、相对便宜的干预措施具有巨大的潜力，可以减少服务不足、有风险的罪犯中药物滥用和犯罪升级的风险。

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.