Support To Reunite, Involve and Value Each Other (STRIVE)

支持重聚、参与和重视彼此 (STRIVE)

• 批准号: 8346171
• 负责人: Norweeta Germaine Milburn
• 金额: $ 19.03万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-04 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8346171
• 关键词: Accountability; Address; Adolescent; Adult; African American; Alcohol or Other Drugs use; Attenuated; Back; Behavior; Behavior Disorders; Child; Communities; Contracts; County; Development; Drug Courts; Environment; Environmental Risk Factor; Evaluation; Face; Family; HIV; Health; Home environment; Home visitation; Homeless Youth; House Call; Imprisonment; Instruction; Intervention; Justice; Knowledge; Latino; Location; Los Angeles; Mediating; Mental Health; Mental Health Court; Mental Health Services; Mental disorders; Minority; Minority Groups; Morbidity - disease rate; Outcome; Parents; Participant; Pharmaceutical Preparations; Phase; Population; Preparation; Problem Solving; Psychiatric Diagnosis; Randomized; Randomized Controlled Trials; Recommendation; Recruitment Activity; Reporting; Research; Risk; Risk Behaviors; Risk-Taking; Role; Schedule; Severities; Sex Behavior; Site; Substance abuse problem; Symptoms; System; Transportation; Visit; Youth; adjudicate; adolescent delinquent behavior; base; behavioral health; conflict resolution; coping; court; family structure; improved; juvenile delinquent; juvenile justice system; physical conditioning; prevent; primary outcome; probation; recidivism; social; tool; treatment as usual

Over 20,000 mostly ethnic/racial minority delinquent youth are incarcerated annually through the Los Angeles (LA) County juvenile probation system. Formerly incarcerated delinquent youth face major challenges to achieving successful, healthy developmental trajectories when transitioning back to the community. Many have repeat contact with the juvenile or adult justice system within a few years of release. This application examines the efficacy of a family-based intervention to improve the reentry of formeriy incarcerated delinquent youth by reducing substance abuse, other HIV risk behaviors and psychiatric disorders, and improving family functioning. Family involvement and support are often attenuated for many incarcerated youth. Family support, including providing a structured family environment and attending to their children's educational, physical health and mental health needs is vital to keeping reentry delinquent youth on track. Efforts to enhance family support and functioning for reentry delinquent youth through the juvenile justice system are limited. Family interventions have been shown to decrease severity of mental health symptoms and prevent delinquent behaviors of adolescents. This research team has successfully developed and implemented a brief five session family intervention for homeless youth and their parents/guardians called STRIVE (Support To Reunite, Involve and Value Each Other). STRIVE has been efficacious in a RCT in reducing substance abuse, sexual risk and delinquency. It will be adapted and implemented to reduce psychiatric morbidity and improve family functioning for delinquent youth newly released from incarceration in two phases: 1) Adaption of STRIVE for reentry delinquent youth and their parents/guardians; 2) An RCT of STRIVE with 400 youth and their parents/guardians upon reentry from incarceration. Participants will complete the baseline and then be randomized to the STRIVE intervention condition or treatment as usual and assessed at 3, 6 &12 months. Aims are to: 1. Examine the efficacy of STRIVE to reduce psychiatric symptoms and behavior disorders (delinquency, disruptive and conduct problems), reduce key HIV risk behaviors (substance use, sexual risk acts), and reduce recidivism. 2. Examine the effect of STRIVE on youth's and parent's conflict resolution, positive interactions, problem solving and coping; and clarifying the role of families as delinquent youth reenter. 3. Examine whether improvements in the mediating family functioning factors will improve primary outcomes described in Aim 1. 4. Explore whether STRIVE improves utilization of health & mental health services.

每年有超过 20,000 名主要是少数族裔/种族的青少年犯罪青年通过洛杉矶监狱被监禁 安吉利斯（洛杉矶）县青少年缓刑制度。前被监禁的青少年犯面临严重 过渡回正常状态时实现成功、健康发展轨迹的挑战 社区。许多人在获释后几年内多次与青少年或成人司法系统接触。 该应用程序检查了基于家庭的干预措施对改善以前的重返社会的有效性 通过减少药物滥用、其他艾滋病毒危险行为和精神疾病来关押青少年犯罪 疾病，并改善家庭功能。对于许多人来说，家庭的参与和支持往往会减弱 被监禁的青年。家庭支持，包括提供结构化的家庭环境并照顾他们 儿童的教育、身体健康和心理健康需求对于留住青少年犯罪至关重要 步入正轨。通过少年团努力加强对重返社会青少年的家庭支持和功能 司法系统有限。家庭干预已被证明可以降低心理健康的严重程度 症状并预防青少年的犯罪行为。该研究团队已成功研发 并为无家可归的青少年及其父母/监护人实施了简短的五次家庭干预 称为 STRIVE（支持团聚、参与和互相重视）。 STRIVE 在 RCT 中是有效的 减少药物滥用、性风险和犯罪。它将进行调整和实施，以减少 降低刚从监狱释放的犯罪青少年的精神发病率并改善其家庭功能 分两个阶段： 1) 为重返社会的不良青少年及其父母/监护人调整 STRIVE； 2）随机对照试验 出狱后与 400 名青少年及其父母/监护人一起努力。参与者将 完成基线，然后像平常一样随机接受 STRIVE 干预条件或治疗 并在 3、6 和 12 个月时进行评估。目的是： 1. 检查 STRIVE 减少精神疾病的功效 症状和行为障碍（犯罪、破坏性和行为问题），降低艾滋病毒的主要风险 行为（药物使用、危险性行为），并减少累犯。 2. 检查 STRIVE 对的影响 青少年和家长的冲突解决、积极互动、问题解决和应对；并澄清 家庭在犯罪青少年重返社会中的作用。 3. 检查调解家庭是否有改善 功能因素将改善目标 1 中描述的主要结果。 4. 探索 STRIVE 是否会改善 利用健康和心理健康服务。