Feasibility of Substance Abuse Prevention in Foster Care Settings

这项R34（PA-09-146）研究旨在评估传播一种基于证据的自我评估方法的可行性。 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）， 寄养系统被寄养的历史已被发现与许多不利的 在青春期和成年期增加HIV风险的结果和行为（Barth， 1990; D 'Angelo等人，2006; Hussey等人，2006年）。与您的青少年保持联系（SCT）是一个以家庭为基础， 自我指导的干预，以防止物质使用，危险的性行为，和暴力在青春期 在减少初次吸毒和危险性活动方面显示出长期（2年）效果， 减少了暴力行为的频率，特别是在低收入的非洲裔美国青少年中（Haggerty et 例如，2007年）。这项拟议的研究旨在建立三个儿童服务管理局的能力， 在华盛顿州的地区，以适应和实施这一循证预防计划。本研究 独特之处在于它采用了行为发展的理论模型（Catalano & Hawkins，1996）， 调整和实施经过检验的有效的亲属药物滥用预防方案的过程 寄养家庭和非亲属寄养家庭（Wingood和DiClemente，2008年）。3年的可行性研究将1） 使用Wingwood & DiClimente的（2008年）ADAPT-ITT方法调整基于证据的艾滋病毒干预措施， 记录和加强对寄养家庭的SCT干预，2）识别和评估障碍和推动因素 成功实施，以及3）使用一个小的，随机的候补名单控制试点研究，以评估影响 关于寄养家庭的关键近端家庭成果的计划。适应行动-信息技术进程和 将采用小型随机控制试点，以建立开展自我指导家庭方案的能力 在有青少年的寄养家庭中，减少药物滥用和艾滋病毒风险行为。 这项建议的重点是与儿童福利从业人员和寄养照顾者合作，以确定 在管理这种基于证据、自我指导的过程中遇到的具体需求和独特的实施问题 在儿童福利制度中对寄养家庭进行干预。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， 计划，与合作伙伴为我们的孩子，寄养研究小组。我们希望这次合作 评价将药物滥用预防纳入亲属照料和非亲属寄养的可行性 护理将为未来的比较试验奠定基础， 育儿计划本研究将探讨传播一个自我导向的物质滥用的可行性 通过寄养系统的预防计划，并将产生有关适应的宝贵知识， 有效执行的障碍和促进因素。

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.