Feasibility of Substance Abuse Prevention in Foster Care Settings

这项R34(PA-09-146)研究旨在评估传播一项循证的、自我的 指导、以家庭为中心、药物滥用预防计划(与您的青少年保持联系) 寄养系统。寄养家庭的病史被发现与许多不良反应有关。 在青春期和成年期都会增加感染艾滋病毒风险的结果和行为(Barth， 1990年；D‘Angelo等人，2006年；赫西等人，2006年)。与青少年保持联系(SCT)是一种以家庭为基础的 预防药物使用、危险性行为和青春期暴力的自我指导干预 这在减少吸毒和危险的性行为方面显示了长期(两年)的效果，并 减少暴力行为的频率，特别是在低收入的非裔美国青少年中(Haggerty et 等人，2007年)。这项拟议的研究旨在建设三个孩子的能力[S服务管理局 华盛顿州各地区调整和实施这一循证预防计划。这项研究是 它的独特之处在于它采用了行为发展的理论模型(Catalano&Hawkins，1996)，其中 通过亲属关系调整和实施经过检验和有效的药物滥用预防方案的进程 照料和非亲属寄养家庭(WinGood&DiClemente，2008)。这项为期3年的可行性研究将1) 使用Wingwood和DiClimate ente？S(2008)采用循证艾滋病毒干预的适应-ITT方法，以 记录和加强对寄养家庭的SCT干预；2)确定和评估障碍和促进因素 为了成功实施，以及3)使用小型随机等待名单对照试点研究来评估影响 关于寄养家庭的关键近端家庭结果的方案。适应-IT流程和 将使用小型随机对照试点来建设实施自我指导的家庭方案的能力 在有青少年的寄养家庭中减少药物滥用和艾滋病毒危险行为。 这项提案的重点是与儿童福利从业者和寄养照顾者合作，以确定 在以证据为基础、自我指导的管理过程中遇到的具体需求和独特的执行问题 干预儿童福利系统中的寄养家庭。它汇集了两个研究小组， 社会发展研究小组，该小组制定并测试了一些预防措施的有效性 项目，与寄养研究小组为我们的儿童伙伴。我们预计这一合作 药物滥用预防与亲属照料和非亲属寄养相结合的可行性评价 CARE将为未来的对比试验奠定基础，该试验将进行更多的寄养护理药物滥用预防 育儿计划。这项研究将探索传播自我定向药物滥用的可行性 通过寄养系统实施预防方案，并将产生关于适应的宝贵知识， 有效执行的障碍和推动因素。

This R34 (PA-09-146) study is designed to evaluate the feasibility of disseminating an evidence- based, self¿ directed, family focused, substance abuse prevention program (Staying Connected with Your Teen) within the foster care system. A history of being in foster care has been found to be associated with a host of adverse outcomes and behaviors that increase the risk for HIV both during adolescence and into adulthood (Barth, 1990; D'Angelo et al., 2006; Hussey et al., 2006). Staying Connected with Your Teen (SCT) is a family-based, self-directed intervention to prevent substance use, risky sexual behavior, and violence during adolescence that has shown long-term (2-year) effects in reducing initiation into drug use and risky sexual activity, and has reduced the frequency of violent behaviors, especially among low-income African American teens (Haggerty et al., 2007). This proposed study is designed to build capacity within three Children¿s Services Administration regions in Washington State to adapt and implement this evidence-based prevention program. This study is unique in that it employs a theoretical model of behavior development (Catalano & Hawkins, 1996) with a process for adapting and implementing a tested and efficacious drug abuse prevention program with kinship care and non-relative foster care families (Wingood & DiClemente, 2008). This 3-year feasibility study will 1) use Wingwood & DiClimente¿s (2008) ADAPT-ITT method of adapting evidence-based HIV interventions, to document and augment the SCT intervention for foster families, 2) identify and evaluate barriers and enablers to successful implementation, and 3) use a small, randomized waitlist control pilot study to evaluate the impact of the program on key proximal family outcomes with foster care families. The ADAPT-IT process and the small randomized control pilot will be used to build capacity for conducting self-directed family programs among foster families with teens to reduce substance abuse and HIV risk behaviors. This proposal focuses on collaborating with child welfare practitioners and foster caregivers to identify the specific needs and unique implementation issues encountered in administering this evidence-based, selfdirected intervention to foster families in the child welfare system. It brings together two research groups, Social Development Research Group, which has developed and tested the efficacy of a number of prevention programs, with Partners for Our Children, a foster care research group. We expect that this collaborative evaluation of the feasibility of integrating substance abuse prevention into kinship care and non-relative foster care will set the stage for a future comparative trial with more intensive foster care drug abuse prevention parenting programs. This study will explore the feasibility of disseminating a self-directed substance abuse prevention program through the foster care system, and will generate valuable knowledge about adaptations, barriers, and enablers to effective implementation.