A Mixed-Methods investigation of the implications of Substance Use Disorder Stigma for Justice-Involved Youth

混合方法调查药物使用障碍耻辱对参与正义的青少年的影响

• 批准号: 10313043
• 负责人: Annalee Johnson-Kwochka
• 金额: $ 4.26万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10313043
• 关键词: Address; Adolescent; Caring; Communities; Criminal Justice; Data; Diagnosis; Discrimination; Environment; Evidence based treatment; General Population; Goals; Health Services Accessibility; Health system; Healthcare; Improve Access; Individual; Institutional Practice; Intervention; Interview; Investigation; Justice; Knowledge; Lead; Measures; Mental Health; Mental disorders; Mentors; Methods; Nature; Parents; Personal Satisfaction; Postdoctoral Fellow; Prevalence; Prevention; Reporting; Research; Research Personnel; Research Training; Resources; Role; Series; Services; Stereotyping; Stigmatization; Structure; Substance Use Disorder; Surveys; Symptoms; System; Target Populations; Techniques; Testing; Training; Vulnerable Populations; Youth; barrier to care; behavioral health; career; comorbidity; cost; design; evidence base; experience; high risk; improved; innovation; juvenile justice system; member; novel; prevention service; programs; recidivism; recruit; skills; social; social stigma; stakeholder perspectives; substance use prevention; treatment services

Project Summary/Abstract Compared to youth who are not involved with the justice system, justice-involved youth are more likely to be diagnosed with substance use disorders (SUDs) and less likely to access or fully engage in treatment. One potential contributor to low treatment engagement is SUD stigma. There is compelling evidence that stigma significantly detracts from the ability to access and subsequently engage in care. Although there is little extant research on SUD stigma, preliminary data suggests that SUDs are associated with different stereotypes compared to other behavioral health diagnoses and may be associated with more severe stigma. Little is known about the prevalence and potential consequences of SUD stigma among justice-involved youth or SUD stigma within the justice system. Yet given the negative consequences of mental illness self-stigma for treatment engagement, we postulate that youth with higher SUD self-stigma will be less likely to fully engage in treatment. We hypothesize that juvenile justice and community mental health staff members will report greater public stigma towards justice-involved youth with SUDs, that public stigma towards adolescents with SUDs will vary according to substance type, and that staff will describe barriers to SUD treatment indicative of structural stigma. In order to test these hypotheses, we will first deploy recently validated measures of SUD stigma to examine the nature and correlates of public and self-SUD stigma among justice-involved youth, their parents, and staff stakeholders in the juvenile justice and community mental health systems (aim 1). We will then conduct a series of qualitative interviews as well as collect data on treatment utilization to explore the impact of SUD stigma on youth’s ability to access and engage in treatment (aim 2). The proposed mixed-methods study is highly innovative and represents a crucial step in combating SUD stigma among justice-involved youth. This project includes a strong training plan and mentoring team that will help the candidate develop the skills necessary to be an independent investigator. Ultimately, this research and training will help the candidate launch a research career to develop interventions to decrease SUD stigma within the target population and thereby improve engagement in SUD treatment.

项目总结/摘要 与未参与司法系统的青年相比，参与司法的青年更有可能参与司法系统。 被诊断患有物质使用障碍（SUD），不太可能获得或完全参与治疗。一 治疗参与度低的潜在因素是SUD污名。有令人信服的证据表明， 这大大削弱了获得和随后参与护理的能力。尽管现存的 关于SUD污名的研究，初步数据表明，SUD与不同的刻板印象有关 与其他行为健康诊断相比，可能与更严重的耻辱感有关。之甚少 了解SUD污名在涉及司法的青年或SUD中的流行程度和潜在后果 司法系统内的耻辱。然而，考虑到精神疾病的负面后果， 治疗参与，我们假设具有较高SUD自我耻辱的青年不太可能完全参与治疗， 治疗我们假设，少年司法和社区精神卫生工作人员将报告更多的 公众对涉及正义的青少年SUD的耻辱，公众对青少年SUD的耻辱将 根据物质类型而不同，工作人员将描述SUD治疗的障碍， 耻辱为了检验这些假设，我们将首先部署最近验证的SUD污名措施， 研究涉及司法的青年，他们的父母， 少年司法和社区精神卫生系统的工作人员和利益攸关方（目标1）。然后我们将 进行一系列定性访谈，并收集有关治疗利用的数据，以探讨 SUD对青年获得和参与治疗能力的污名化（目标2）。拟议的混合方法研究 这是一项极具创新性的举措，是在参与司法的青年中打击对SUD的污名化的关键一步。这 项目包括一个强大的培训计划和指导团队，将帮助候选人发展技能 成为独立调查员的必要条件。最终，这项研究和培训将帮助候选人 开展研究工作，以制定干预措施，减少目标人群中对SUD的污名化， 从而改善SUD治疗中的接合。