TRIALS Coordinating Center to Reduce Substance Use, HIV Risk Behaviors, & Crime

减少药物使用、艾滋病毒危险行为试验协调中心，

• 批准号: 8587391
• 负责人: MICHAEL L DENNIS
• 金额: $ 68.32万
• 依托单位: CHESTNUT HEALTH SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8587391
• 关键词: AIDS prevention; Address; Administrator; Adolescence; Adolescent; Adoption; Alcohol or Other Drugs use; Clinical; Clinical Trials Data Monitoring Committees; Communication; Communities; Complex; Computer software; Crime; Data; Data Collection; Data Quality; Data Reporting; Databases; Drug Courts; Ensure; Evidence based treatment; Family; Fostering; Goals; HIV; HIV risk; Human; Information Systems; Justice; Lead; Measures; Mental Health; Monitor; National Institute of Drug Abuse; Nature; Needs Assessment; Online Systems; Organizational Culture; Outcome; Penetration; Performance; Persons; Policies; Prevention; Preventive Intervention; Procedures; Process; Protocols documentation; Quality Control; Records; Recovery; Rehabilitation therapy; Reporting; Research; Research Activity; Research Infrastructure; Research Personnel; Resources; Risk Behaviors; Secure; Services; Severities; Sexually Transmitted Diseases; Site; Structure; Substance Use Disorder; Supervision; Surveys; System; Telecommunications; Testing; Time; Training; Training Activity; Work; Youth; community reentry; computerized data processing; effective therapy; evidence base; experience; implementation research; improved; juvenile justice system; meetings; organizational climate; parole; probation; programs; reduced substance use; service utilization; substance abuse prevention; syntax; web site

While 45 to 65% of youth in the juvenile system meet criteria for substance use disorders (SUDs), less than half have ever received treatment, and less than one third of those received treatment while under community or correctional supervision. Prevention and treatment are critical given that onset of SUD during adolescence can lead to significantly longer periods of substance use, more severe offending, and penetration in the justice system. Complicating things further, SUD severity is associated with HIV and other sexually transmitted infections, and mental health problems. Despite the preponderance of evidence demonstrating these youths¿ unmet SUD and HIV needs, the short and long-term consequences resulting from their unmet needs, the low implementation rates of evidence-based treatments, and low service utilization rates, a number of agency and system level factors serve to further widen the gap between need and service utilization. Through 3-5 Research Centers (RC), and one Coordinating Center (CC), the NIDA TRIALS cooperative will seek to improve the continuum of evidence-based services including HIV prevention available to youth within the juvenile justice system. The proposed CC combines the collective experiences of Dr. Michael Dennis and Dr. Chris Scott in operating 6 juvenile justice and 7 adolescent treatment coordinating centers across the continuum of juvenile settings (e.g., diversion, drug court, probation, detention, community re-entry, parole), prevention, treatment, and recovery settings. The Coordinating Center¿s AIMS are to: 1) conduct a national survey of juvenile justice agencies that provides a context and comparison standard for the TRIALS pre-implementation needs assessment and subsequent implementation studies; 2) coordinate each Research Center¿s preimplementation needs assessment; 3) develop and manage a common data base infrastructure for cross-site Research Implementation Studies, and 4) Provide state-of¿the-art communications and logistical support for the steering committee, workgroups, training activities and data safety monitoring board. Due to the complex and time-sensitive nature of the Coordinating Center¿s responsibilities, Drs. Michael Dennis and Christy Scott will serve as PIs for the proposed TRIALS Coordinating Center. Having two highly experienced researchers with complementary expertise work in tandem will ensure that our Coordinating Center will be able to simultaneously develop and conduct the national survey of juvenile justice facilities, as well as help ensure that the Research Centers meet the overall TRIALS research objectives.

虽然青少年系统中 45% 至 65% 的青少年符合物质使用障碍 (SUD) 标准，但低于 一半曾接受过治疗，其中不到三分之一在社区接受治疗 或惩教监督。鉴于 SUD 在青春期发病，预防和治疗至关重要 可能导致药物使用时间显着延长、犯罪更加严重以及司法渗透 系统。让事情变得更加复杂的是，SUD 的严重程度与 HIV 和其他性传播疾病有关 感染和心理健康问题。尽管有大量证据表明这些年轻人 未满足的 SUD 和 HIV 需求、未满足的需求导致的短期和长期后果、低 循证治疗实施率低，服务利用率低，一些机构和机构 系统级因素进一步拉大了需求与服务利用之间的差距。通过3-5 NIDA TRIALS 合作社将寻求改善研究中心 (RC) 和一个协调中心 (CC) 为青少年提供包括艾滋病毒预防在内的连续循证服务 司法系统。拟议的 CC 结合了 Michael Dennis 博士和 Chris 博士的集体经验 斯科特在整个国家运营着 6 个少年司法中心和 7 个青少年治疗协调中心 青少年环境（例如转移、毒品法庭、缓刑、拘留、重返社区、假释）、预防、 治疗和恢复设置。协调中心的目标是： 1) 开展全国调查 少年司法机构为 TRIALS 实施前提供背景和比较标准 需求评估和后续实施研究； 2）协调各研究中心实施前的需求评估； 3）开发和管理跨站点的通用数据库基础设施 研究实施研究，以及 4) 提供最先进的通信和后勤支持 指导委员会、工作组、培训活动和数据安全监测委员会。由于复杂 以及协调中心职责的时间敏感性，博士。迈克尔·丹尼斯和克里斯蒂·斯科特 将担任拟议的 TRIALS 协调中心的 PI。拥有两名经验丰富的研究人员 与互补的专业知识协同工作将确保我们的协调中心能够 同时开展和开展全国少年司法设施调查，并帮助确保 研究中心满足总体 TRIALS 研究目标。