CBT Treatment for PTSD and SUDs in Minority Youth

本提案是丽莎博士的“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疾病和药物使用障碍的少数民族青少年。这项建议 重点是在创伤后应激障碍（PTSD）的背景下治疗药物滥用， 暴力暴露的少数民族青年。创伤后应激障碍是一种常见的并发症，包括 青少年药物滥用障碍创伤后应激障碍与物质的开始和持续有关 虐待、治疗效果差和青年社会功能差。然而，有效的治疗方法是存在的， 在社区环境中不实施有效的治疗是一个有据可查的问题， 药物滥用领域。少数群体青年特别有可能得不到服务。本研究提出：（1） 评估认知行为治疗对创伤后应激障碍（PTSD）的疗效， 滥用药物的多元文化青年;以及2）通过以下方式改善获得这种循证治疗的机会： 将其整合到社区组织的服务中，并超越传统的临床 设置.使用Onken等人（1997）行为疗法发展的阶段模型的框架， 和社区参与的方法，本研究提出了一个阶段1a和1b的CBT研究创伤后应激障碍， 14-18岁患有药物滥用障碍的少数群体青少年， 组织设置。第一阶段包括修改、程序说明和可行性测试， 成瘾、少数民族青年和社区环境。Ib期涉及改良干预的初步试验 与等候名单比较三个结果指标：1）物质使用; 2）PTSD症状; （3）自然减员。如果得到这些研究数据的支持，下一步将进行疗效研究。

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.