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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

基本信息

批准号：
9907868
负责人：
PHILLIPPE Belton CUNNINGHAM
金额：
$ 69.47万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-08-05 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9907868
关键词：
Abstinence Address Adherence Adolescent Adoption Adult Behavior Behavior Therapy Behavioral Caregivers Child Communities Crime Criminal Justice Development Drug Courts Drug Screening 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 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 incentive program 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

项目摘要

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.