Behavioral Incentives to Increase Caregiver Engagement in Juvenile Drug Courts

提高看护者参与青少年毒品法庭的行为激励

• 批准号: 9327060
• 负责人: PHILLIPPE Belton CUNNINGHAM
• 金额: $ 73.55万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-05 至 2021-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9327060
• 关键词: Abstinence; Address; Adherence; Adolescent; Adoption; Adult; Behavior; Behavior Therapy; Behavioral; Caregivers; Child; Communities; Crime; Criminal Justice; Development; Drug Courts; Drug usage; Effectiveness; Emotional; Enrollment; Etiology; Family; Family member; Frequencies; Funding; Goals; Health Personnel; Hearing; Incentives; Individual; Institutes; Intervention; Justice; Lead; Literature; Maintenance; Measures; Modality; Modeling; Motivation; Observational Study; Outcome; Parents; Participant; Pharmaceutical Preparations; Pharmacotherapy; Play; Population; Preclinical Drug Evaluation; Prize; Problem behavior; Procedures; Process; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Recommendation; Reporting; Research Support; Role; Science; Services; Societies; Substance abuse problem; System; Teenagers; Therapeutic; Treatment outcome; Underserved Population; Urine; Youth; adolescent drug abuse; adolescent drug use; adolescent substance abuse; adolescent substance use; base; behavior change; clinical care; contingency management; cost; court; court personnel; criminal offending; design; drug abstinence; effective therapy; evidence base; extrinsic motivation; high risk; improved; indexing; innovation; juvenile delinquent; motivational intervention; parental involvement; primary caregiver; programs; public health relevance; recidivism; reduced substance use; reinforcer; substance abuse treatment; treatment as usual; young adult

 DESCRIPTION (provided by applicant): Juvenile offenders with substance abuse problems represent a large and underserved population that is at high risk for persistent deleterious outcomes and long-term costs for themselves, their families, their communities and society. Moreover, a high percentage of juvenile offenders continue to abuse substances and engage in criminal activity into adulthood. Although one juvenile justice intervention, Juvenile Drug Court (JDC), has emerged as a promising model for reducing the cycle of drug use, crime and delinquency among youth, evidence of its effectiveness is variable. One important factor that may compromise drug court effectiveness is lack of caregiver engagement in JDC processes and concomitant adolescent drug treatment. Incorporating evidence-based incentive programs in JDCs to increase caregiver engagement may improve their effectiveness in reducing youth drug use and criminal re-offending. An extensive body of research supports the critical role that families play in the etiology, maintenance, and treatment of adolescent substance abuse. Although family-based interventions for adolescent substance abuse have been shown to be superior to other treatment modalities, parents must attend treatment and participate in meaningful ways for these superior outcomes to be realized. This R01 Stage II randomized clinical trial will examine the efficacy of a prize-based contingency management (CM) intervention for increasing caregiver engagement (attendance and participation) in JDC and adolescent drug treatment. This caregiver CM intervention (CCM) will be compared with drug court treatment as usual (TAU). One hundred and eighty youth enrolled in JDC will be randomly assigned along with a parent/caregiver to treatment as usual or CCM. Repeated measures analyses will examine the effects of CCM on measures of caregiver engagement in JDC. Analyses will also examine whether improved caregiver engagement contributes to reductions in youth substance use (urine drug screens) and criminal activity. Results from this study are predicted to demonstrate the effectiveness of CCM procedures for increasing caregiver attendance and participation in JDC and adolescent drug treatment above and beyond drug court and usual care. If effective, the CCM approach may ultimately be used to enhance JDC outcomes, thereby reducing substance use and recidivism in juvenile offenders served by this promising juvenile justice intervention. Thus this project has high significance in terms of potential public health impact and reduction in criminal justice system costs. Further, the proposed study is highly innovative because it is among the first to apply CM treatment to JDC, uses an approach designed to be easy to implement within the JDC context, and the first to examine the efficacy of CM for enhancing parental engagement in the JDC process.

 描述（由申请人提供）：有药物滥用问题的少年犯代表了一个庞大而服务不足的人口，他们面临着持续有害后果的高风险，并为自己、家人、社区和社会付出长期代价。此外，很高比例的少年犯继续滥用药物，并在成年后从事犯罪活动。虽然一种少年司法干预措施-少年毒品法庭-已成为减少青少年吸毒、犯罪和违法行为循环的一种有希望的模式，但其有效性的证据却各不相同。一个重要的因素，可能会损害毒品法庭的有效性是缺乏照顾者参与JDC的过程和伴随的青少年药物治疗。在JDC中实施以证据为基础的激励计划，以增加照顾者的参与，可能会提高其减少青少年吸毒和犯罪再犯的有效性。大量的研究支持家庭在青少年药物滥用的病因、维持和治疗中发挥的关键作用。虽然以家庭为基础的青少年药物滥用干预措施已被证明是上级的其他治疗方式，父母必须参加治疗，并参与这些上级的结果要实现有意义的方式。这项R 01 II期随机临床试验将检查基于奖品的应急管理（CM）干预措施在增加JDC和青少年药物治疗中的护理人员参与（出勤和参与）方面的有效性。将这种护理者CM干预（CCM）与药物法庭治疗（TAU）进行比较。180名参加JDC的青少年将与父母/照顾者一起被随机分配沿着接受常规治疗或CCM治疗。重复测量分析将检查CCM对JDC中护理人员参与措施的影响。分析还将检查改善护理人员的参与是否有助于减少青少年药物使用（尿液药物筛查）和犯罪活动。从这项研究的结果预计将证明CCM程序的有效性，增加照顾者出席和参与JDC和青少年药物治疗以上和超越药物法庭和常规护理。如果有效，CCM方法最终可能用于加强JDC的结果，从而减少这种有希望的少年司法干预所服务的少年犯的药物使用和累犯。因此，该项目在潜在的公共卫生影响和减少刑事司法系统费用方面具有重要意义。此外，拟议的研究是高度创新的，因为它是第一个应用CM治疗JDC，使用的方法，旨在易于实施的JDC的背景下，第一次检查CM的有效性，以提高家长参与JDC的过程。