Mississippi TRIALS Research Center

循证实践（ebp）并未被药物治疗提供者广泛使用。本研究中心申请试验合作协议资助机制的目标是促进两种药物治疗EBPs在密西西比州毒品法庭项目的青少年罪犯门诊环境中的采用和常规实践。药物治疗提供者已经对客户进行了有关艾滋病毒的教育，并引荐客户进行艾滋病毒检测。我们还将推动将循证艾滋病毒预防干预措施与青少年药物治疗服务相结合。为了实现这一目标，少年司法和精神卫生两个州级机构合作制定了拟议的研究概念。利用将组织变革视为分阶段发生、需要有意识和持续努力的实施框架，我们采用基于阶段的方法，在实施过程的每个阶段采用不同的实施策略。基于我们在少年犯艾滋病预防方面的经验，我们对密西西比州公共部门治疗系统的了解，以及青少年法院法官所期望的药物治疗干预类型，我们选择了12节的动机增强疗法结合认知行为疗法（MET/CBT12），家庭支持网络（FSN）干预和成为一个负责任的青少年（BART）艾滋病/性病预防计划作为EBPs来实施。

Evidence-based practices (EBPs) are not widely used by drug treatment providers. The goal of this Research Center application for the TRIALS Cooperative Agreement funding mechanism is to promote the adoption and routine practice of two drug treatment EBPs in outpatient settings for juvenile offenders in drug court programs in Mississippi. Drug treatment providers already educate clients about HIV and make referrals for HIV testing. We will also promote the integration of an evidence-based HIV prevention intervention with adolescent drug treatment services. To attain this goal, two state-level agencies, juvenile justice and mental health, collaborated in the development of the proposed research concept. Drawing on implementation frameworks that view organizational change as taking place in stages, requiring intentional and sustained effort to occur, we take a stage-based approach in which different implementation strategies are employed at each stage of the implementation process. Based on our HIV prevention experience with juvenile offenders, our knowledge of the public sector treatment system in Mississippi, and the types of drug treatment interventions desired by youth court judges, we selected the 12 session version of Motivational Enhancement Therapy combined with Cognitive Behavioral Therapy (MET/CBT12), the Family Support Network (FSN) intervention and Becoming a Responsible Teen (BART) HIV/STD prevention program as the EBPs to be implemented. To maximize the likelihood that juvenile drug court programs and treatment providers will participate throughout the 5-year study and will not only implement, but sustain the use of these EBPs after grant funding is withdrawn, we propose to develop a collaborative partnership with each juvenile drug court program and to facilitate local implementation planning groups (stage 1), provide training, coaching and performance feedback to treatment providers (stages 2 & 3), and provide site-specific information to drug court program stakeholders on service delivery, youth outcomes, costs and cost effectiveness (stage 4). We plan to use mixed methods for examining contextual, organizational, and other factors hypothesized to influence implementation and to use various statistical approaches to test a different hypothesized model for each stage of the implementation process. By tracking the progress of drug court programs across all stages of the implementation process and delineating the implementation facilitators and barriers, our research concept will contribute to implementation science. The proposed project has the potential to make a significant impact on the diffusion of EBPs in Mississippi as youth court judges will want to adopt adolescent drug treatment and HIV prevention interventions tried and found effective by their peers. Furthermore, results of implementation research conducted in Mississippi have implications for EBP implementation in other resource-poor settings.