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

支持重聚、参与和重视彼此 (STRIVE)

• 批准号: 8539832
• 负责人: Norweeta Germaine Milburn
• 金额: $ 23.12万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-01 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8539832
• 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; HIV risk; 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; conduct problem; conflict resolution; coping; court; family structure; improved; juvenile delinquent; juvenile justice system; physical conditioning; prevent; primary outcome; probation; recidivism; reduced substance abuse; 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.

洛杉矶每年有20,000多名犯罪青年被监禁，其中大部分是少数民族/少数民族 洛杉矶(LA)县青少年缓刑制度。曾被监禁的犯罪青年面临少校 在过渡回 社区。许多人在获释后的几年内多次与青少年或成人司法系统接触。 这个应用程序检验了以家庭为基础的干预措施的有效性，以改善老年人的再入。 通过减少药物滥用、其他艾滋病毒危险行为和精神疾病，监禁犯罪青年 精神障碍和改善家庭功能。对许多人来说，家庭的参与和支持往往被削弱 被监禁的青年。家庭支持，包括提供有组织的家庭环境和照顾他们的 儿童的教育、身体健康和心理健康需求对于留住再入犯罪青年至关重要 已步入正轨。努力通过少年加强对重返社会的犯罪青年的家庭支持和发挥作用 司法系统是有限的。家庭干预已被证明可以降低精神健康的严重程度 症状和预防青少年犯罪行为。这个研究团队已经成功地开发出 并对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 被称为努力(支持团聚、相互参与和相互重视)。努力在RCT中是有效的 在减少药物滥用、性风险和犯罪方面。将对其进行调整和实施，以减少 新出狱罪犯的精神疾病发病率和改善家庭功能 分两个阶段：1)争取重返犯罪青少年及其父母/监护人的适应；2)RCT 与400名青年及其父母/监护人在从监狱重新入境时进行斗争。参与者将 完成基线，然后像往常一样随机进入奋力干预条件或治疗 在3、6和12个月时进行评估。目的是：1.检查努力减少精神病患者的疗效 症状和行为障碍(犯罪、扰乱和行为问题)，降低关键的艾滋病毒风险 减少犯罪行为(吸毒、性危险行为)，减少再犯罪率。2.考察努力的效果 青少年和家长的冲突解决、积极互动、问题解决和应对；以及澄清 家庭作为犯罪青年重返社会的作用。3.检查调解家庭的改善是否 功能因素将改善目标1.4中描述的主要结果。探索奋斗是否会改善 健康和精神卫生服务的利用情况。