HIV Prevention in the Family Drug Court

这项Mentofed以患者为导向的研究职业发展奖(K23)将使候选人能够 临床心理学家，成为青少年危险行为领域的独立研究员，拥有 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。最重要的是 此培训奖的目标是让候选人将研究成果应用于开发有效性 对滥用药物的少年犯进行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危险行为的风险增加，其次是较高的 精神病态和情绪困扰比他们的非冒犯同龄人更多。更高的物质使用率和 精神病理学大大增加了罪犯感染艾滋病毒的风险。虽然，基于家庭的治疗 他们在改变药物使用方面显示出了一些效果，但未能针对青春期性行为 风险行为，并且没有关注可能是长期核心的结构(情绪调节) 整个家庭的行为都会发生变化。因此，获奖期的研究目标是适应(和测试) 当前青少年对药物滥用青少年的艾滋病预防干预 以家庭为基础的有效情感管理对罪犯艾滋病预防干预的实质-- 虐待少年犯。这项研究将分为三个阶段。在第一阶段，将收集定性数据 通过焦点小组和适应性干预的试点运行，来自45名青少年-父母二人组。在……里面 第二阶段，60个二元组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 晋升情况，包括基线和3个月的跟踪评估。干预反应的差异 (例如，青少年药物使用和性风险的变化)将在每种情况下的受试者之间 为了估计以家庭为基础的干预的效果大小，进行了检查。第三阶段将涉及项目 总结和数据分析。应聘者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，以解决家庭情绪失调问题，以及4)在青少年内部工作 司法系统。针对艾滋病毒高危青少年人群的未来治疗开发工作 感染情况将由该项目的结果通知。

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.