Preventing HIV/STI Risk Behavior in Girls with Delinquency, Drug Abuse & Trauma

预防青少年犯罪和吸毒的艾滋病毒/性传播感染危险行为

• 批准号: 8785143
• 负责人: DANA K SMITH
• 金额: $ 60.84万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8785143
• 关键词: Preventing; HIV; STI; Risk; Behavior

PROJECT SUMMARY/ABSTRACT The co-existence of conduct problems, drug abuse, and HIV risk behaviors is widely accepted, and numerous studies have highlighted the co-occurrence of these problems for youths involved in the juvenile justice system. Detrimental social, health, and mental health outcomes for youths with this triple threat of co-occurring problems are well-documented. Such youths are at high risk for a cascading host of additional problems as they age including AIDS, severe and persistent physical and mental health problems, incarceration, and early death. Although specific targets for prevention and intervention for youths with the triple-threat constellation have been identified, no evidence-based models have been developed to integrally address this constellation with adolescent juvenile justice populations. Program models are needed that treat this constellation in a coordinated fashion across juvenile justice and mental health systems. A lack of research on the development and implementation of integrated, multi-system treatment interventions targeting youths with the triple-threat constellation has led to a gap in the research base and in effective comprehensive services for high-risk youths. The proposed study builds on preliminary findings from a Mentored Career Development Award (K23 MH070684) and aims to test an integrated, family-centered preventive intervention for adolescent boys and girls with conduct problems who are at high risk for experiencing problems with chronic delinquency, drug abuse, and contracting HIV/AIDS, and their parents in partnership with the local juvenile justice authority where the intervention will be delivered. The proposed sample (N=160) includes youths ages 14-18 who have at least one criminal referral, documented drug use, are living in the community (e.g., biological/adoptive parent, relative or foster care) and have been placed on supervised probation or a formal accountability contract by the juvenile justice system in Lane County, OR. Youths and their parent(s) will be randomly assigned to an integrated conduct problem, drug use, and HIV/AIDS risk intervention (ICDH; n=80) or to a services-as-usual (SAU; n=80) control condition. Analyses will examine group differences in proximal and longer-term outcomes based on group assignment (intervention or control), the effects of potential mediating variables on the association between group assignment and proximal and longer-term outcomes, and general developmental modeling and theory-building questions specific to high-risk adolescents.

项目总结/摘要 行为问题、药物滥用和艾滋病毒危险行为的共存被广泛接受， 研究突出表明，这些问题在少年司法系统中的青少年中同时发生。 有害的社会，健康和心理健康结果的青年与这三重威胁的共同发生 这些问题都有详细的记录。这些年轻人面临着一系列其他问题的高风险， 他们的年龄包括艾滋病，严重和持续的身心健康问题，监禁， 死亡虽然预防和干预具有三重威胁的青少年的具体目标 虽然已经确定了这些问题，但尚未开发出基于证据的模型来全面解决这一问题 青少年司法人口。需要程序模型来处理这个星座， 在青少年司法和精神卫生系统中采取协调一致的方式。缺乏对发展的研究 并实施针对青少年三重威胁的综合、多系统治疗干预措施 星座导致了研究基础和有效的高风险综合服务的差距 年轻人拟议的研究建立在指导职业发展奖（K23）的初步调查结果的基础上 MH 070684），旨在测试一种针对青春期男孩的综合性、以家庭为中心的预防干预措施， 有行为问题的女孩，她们很可能经历长期犯罪、吸毒等问题 虐待和感染艾滋病毒/艾滋病，他们的父母与当地少年司法当局合作， 干预措施将得到实施。建议的样本（N=160）包括14-18岁的青少年，他们至少有 一个犯罪转介，记录毒品使用，生活在社区（例如，亲生/养父母， 亲属或寄养），并已被置于监督缓刑或正式的问责合同，由 少年司法系统在莱恩县，或。青少年及其父母将被随机分配到一个 综合行为问题、药物使用和艾滋病毒/艾滋病风险干预（ICDH; n=80）或常规服务 (SAU对照组（n=80）。分析将检查近端和长期结局的组间差异 基于组分配（干预或控制），潜在中介变量对 组分配与近端和长期结果之间的关联，以及一般发展 针对高危青少年的建模和理论构建问题。