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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，

基本信息

批准号：
9923816
负责人：
MICHAEL L DENNIS
金额：
$ 98.83万
依托单位：
CHESTNUT HEALTH SYSTEMS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-07-01 至 2021-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9923816
关键词：
AIDS prevention Address Administrator Adolescence Adolescent Adoption Alcohol or Other Drugs use 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 Infrastructure Justice Lead Logistics 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 Standardization Structure Substance Use Disorder Supervision Surveys System Telecommunications Testing Time Training Training Activity Work Youth clinical decision support community reentry data warehouse disorder risk effective therapy evidence base experience implementation research implementation strategy improved interdisciplinary approach juvenile justice system meetings organizational climate parole prevention service probation program dissemination reduced substance use service utilization substance abuse prevention syntax treatment services web site

项目摘要

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.

虽然青少年系统中有45%至65%的青少年符合药物使用障碍的标准，但只有不到10%的青少年符合药物使用障碍的标准。有一半的人曾经接受过治疗，其中不到三分之一的人在社区治疗期间接受过治疗。或者是管教鉴于SUD在青春期发病，预防和治疗至关重要可能导致更长的物质使用时间，更严重的犯罪，以及司法渗透系统更复杂的是，SUD的严重程度与艾滋病毒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？未得到满足的可持续发展和艾滋病毒需求、未得到满足的需求造成的短期和长期后果、由于循证治疗实施率低，服务利用率低，一些机构和系统级因素用于进一步扩大需求和服务利用之间的差距。通过3-5 研究中心（RC）和一个协调中心（CC），NIDA TRIALS合作社将寻求改进在青少年中向青少年提供一系列循证服务，包括预防艾滋病毒司法系统。拟议的CC结合了Michael Dennis博士和Chris博士的集体经验斯科特在经营6个少年司法和7个青少年治疗协调中心在整个连续的青少年环境（例如，分流，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）进行全国调查，少年司法机构，为《审判前保护措施》的实施提供背景和比较标准需求评估和随后的实施研究; 2）协调每个研究中心的实施前需求评估; 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。由于复杂的迈克尔·丹尼斯博士和克里斯蒂·斯科特博士表示，协调中心的职责具有时间敏感性将担任拟议试验协调中心的PI。有两个经验丰富的研究人员与互补的专业知识一起工作将确保我们的协调中心能够同时制定和开展全国少年司法设施调查，并帮助确保研究中心满足TRIALS的总体研究目标。