HIV Prevention in the Family Drug Court

这个Mentofed以患者为导向的研究职业发展奖（K23）将使候选人， 临床心理学家，成为青少年风险行为领域的独立研究人员， 重点关注家庭过程、情绪调节、青少年药物滥用和艾滋病毒风险。总体 该培训奖的目标是让候选人将研究成果应用于开发有效的 对药物滥用少年犯的艾滋病毒预防和药物滥用干预。少年 犯罪者滥用药物和艾滋病毒风险行为的风险增加，其次是 精神病理学和情绪困扰方面的差异。药物使用率较高， 精神病理学大大增加了罪犯感染艾滋病毒风险。虽然家庭治疗 在改变药物使用方面表现出一定的功效，但他们未能针对青少年的性行为， 风险行为，并没有集中在一个结构（情绪调节），可能是中央的长期 改变整个家庭的行为。因此，奖励期间的研究目标是适应（和测试） 药物滥用青少年的艾滋病预防干预 罪犯进入一个有效的以家庭为基础的艾滋病毒预防干预物质的情感管理- 虐待少年犯。这项研究将分三个阶段进行。第1阶段将收集定性数据 通过焦点小组和适应性干预的试点运行，从45个单亲父母对。在 第2阶段，60对夫妇将被随机分配到基于家庭的影响艾滋病毒预防或一般健康 基线和3个月随访评估的促进条件。干预反应的差异 (e.g.,青少年物质使用和性风险的变化）， 为了估计以家庭为基础的干预措施的效果大小进行了检查。第三阶段将涉及项目 总结和数据分析。候选人将通过五年的严格培训实现上述所有目标 在1）开发临床试验，2）治疗青少年药物滥用，3）开发 以家庭为基础的干预措施，解决家庭情绪失调，和4）在青少年工作 司法系统。未来针对艾滋病毒高危青少年人群的治疗开发工作 感染将由该项目的结果告知。

This Mentofed Patient-Oriented Research Career Development Award (K23) will enable the candidate, a clinical psychologist, to become an independent researcher in the area of adolescent risk behaviors, with a focus on family processes, emotion regulation, adolescent substance abuse and HIV risk. The overarching goal of this training award is for the candidate to apply research findings to the development of efficacious HIV prevention and substance abuse interventions for substance abusing juvenile offenders. Juvenile offenders are at elevated risk for substance abuse and HIV risk behaviors secondary to higher rates of psychopathology and emotional distress than their non-offending peers. Higher rates of substance use and psychopathology substantially increase offenders' risk for HIV infection. Although, family-based treatments have demonstrated some efficacy in changing substance use, they have failed to target adolescent sexual risk behavior and have not focused on a construct (emotion regulation) that may be central to long-term behavior change for the entire family. Thus, the research goal for the Award period is to adapt (and test) a current adolescent-only Affect Management HIV Prevention Intervention for Substance-Abusing Juvenile Offenders into an effective Family-Based Affect Management for HIV Prevention Intervention for Substance- Abusing Juvenile Offenders. This study will have three phases. In Phase 1, qualitative data will be collected from 45 adolescent-parent dyads via focus groups and pilot run-throughs of the adapted intervention. In Phase 2, 60 dyads will be randomized to either the Family-Based Affect HIV prevention or General Health Promotion condition with baseline and 3 month follow-up assessments. Differences in intervention response (e.g., changes in adolescent substance use and sexual risk) between subjects in each condition will be examined in order to estimate the effect size of the Family-Based intervention. Phase 3 will involve project summation and data analysis. The candidate will achieve all of the above with five years of rigorous training and strong mentorship in 1) developing clinical trials, 2) treating adolescent substance abuse, 3) developing family-based interventions that address family emotion dysregulation, and 4) working within the juvenile justice system. Future treatment development work for an adolescent population at great risk for HIV infection will be informed by the results of this project.