CBT Treatment for PTSD and SUDs in Minority Youth

本提案是为Lisa博士颁发的以患者为导向的研究职业发展奖(K23) 福图纳是一位儿童和青少年精神病学家。福图纳博士的长期职业目标是成为一名独立的 具有将经验支持的治疗转化为社区环境的技能的研究人员， 特别是对于患有精神障碍和药物使用障碍的少数族裔青少年。这项建议 重点关注在#年创伤后应激障碍(PTSD)背景下的药物滥用治疗 暴力暴露了少数族裔青年。创伤后应激障碍是一种普遍存在的人的共生疾病，包括 患有药物使用障碍的青少年。创伤后应激障碍与物质的启动和延续有关 青少年遭受虐待、治疗结果不佳和社会功能不佳。然而，有效的疗法是存在的， 在社区环境中没有实施有效的治疗方法是一个有据可查的问题 毒品滥用领域。少数族裔青年特别有可能得不到服务。本研究建议1) 评估认知行为疗法治疗创伤后应激障碍的疗效 有药物滥用的多文化青年；和2)通过以下方式改善获得这种循证治疗的机会 将其整合到基于社区的组织的服务中，并超越传统的临床 设置。使用Onken等人(1997)的行为疗法发展阶段模型的框架， 和社区参与的方法，本研究提出了创伤后应激障碍CBT的1a&1b阶段研究。 14-18岁患有药物滥用障碍的少数族裔青少年，居住在社区 组织机构设置。第1a阶段涉及修改、程序说明和可行性测试 成瘾、少数族裔青年和社区环境。阶段Ib涉及改良干预的试点试验 与等待名单比较的三个结果指标：1)药物使用；2)创伤后应激障碍症状； 3)磨损性。如果有这些研究的数据支持，下一步就是对治疗进行疗效研究。

This proposal is a Mentored Patient-Oriented Research Career Development Award (K23) for Dr. Lisa Fortuna, a child and adolescent psychiatrist. Dr. Fortuna's long-term career goal is to be an independent researcher with skills in the translation of empirically supported treatments into community settings, particularly for minority adolescents with co-occurring psychiatric and substance use disorders. This proposal focuses on the treatment of substance abuse in the context of Post Traumatic Stess Disorder (PTSD) in violence exposed minority youth. PTSD is a prevalent co-occurring disorder in persons, including adolescents with substance use disorders. PTSD is associated with initiation and continuation of substance abuse, poor treatment outcomes and poor social functioning for youth. Effective therapies exist, however, the nonimplementation of efficacious therapies in community settings is a well-documented problem in the drug abuse field. Minority youth are at particular risk of not receiving services. This research proposes to 1) assess the efficacy of a cognitive behavioral treatment for Post Traumatic Stress Disorder (PTSD) with multicultural youth with substance abuse; and 2) improve access to this evidence based treatment by integrating it into the services of a community-based organization and to move beyond traditional clinical settings. Using the framework of the Onken et al (1997) Stage Model of Behavioral Therapy development, and community participatory methods, this research proposes a Stage la & 1b study of CBT for PTSD with minority adolescents ages 14-18 years with substance abuse disorders and in a community based organization setting. Stage la involves the modification, procedural specification and feasibility testing for addiction, minority youth and community setting. Stage Ib involves a Pilot Trial of the modified intervention compared to waiting list comparison on three outcome measures: 1) substance use; 2) PTSD symptoms; and 3) attrition. If supported by data from these studies, an efficacy study of the treatment is the next step.