Preventing Drug Abuse & HIV/AIDS in Delinquent Youths: An Integrated Intervention

许多研究都强调了艾滋病毒的风险行为，吸毒，以及青少年司法系统所涉及的青少年行为问题的共同发生。有害的社会，健康和心理健康的结果，为青年与这三重威胁的共同发生的问题是有据可查的，因为是级联主机的其他问题，因为他们的年龄，包括艾滋病，严重和持续的身心健康问题，监禁，和过早死亡。虽然已经确定了预防和干预具有三重威胁的青少年的具体目标，但尚未制定循证模式来综合解决青少年司法群体的这一问题。鉴于先前的研究已经强调了这些高风险行为之间的强烈相互关系，以及越来越多的证据表明，犯罪的吸毒青年感染艾滋病毒的风险特别高，因此需要在现有的青少年服务系统（如少年司法）中实施干预模式。拟议的研究旨在测试一个以家庭为中心的预防性干预措施，为青少年司法系统中的男孩谁是在高风险的经历与慢性犯罪，药物滥用和感染艾滋病毒/艾滋病的问题与当地的少年司法当局的伙伴关系，在那里的干预将交付。建议的样本（N=80）包括年龄在14-18岁之间的男孩，他们至少有一次犯罪记录，有记录的药物使用，生活在社区（例如，亲生/养父母，亲属或寄养），并已被置于监督缓刑或正式的责任合同，由少年司法系统在莱恩县，或。青少年及其父母将被随机分配到一个综合的行为问题，药物使用，艾滋病毒风险干预（ICDH; n=40）或服务照常（SAU; n=40）控制条件。国际人权中心的条件将包括青年的沟通、决策、自我效能和技能建设，以及家长培训和对家长的支持。青少年和家长部分将同时运行6个月。控制（SAU）条件将包括少年司法部门提供的所有常规服务。拟议的研究建立在指导职业发展奖（K23 MH 070684）的初步调查结果的基础上。

Numerous studies have highlighted the co-occurrence of HIV risk behaviors, drug use, and conduct problems for youths involved in the juvenile justice system. Detrimental social, health, and mental health outcomes for youths with this triple threat of co-occurring problems are well-documented as is a cascading host of additional problems as they age including AIDS, severe and persistent physical and mental health problems, incarceration, and early death. Although specific targets for prevention and intervention for youths with the triple-threat constellation have been identified, no evidence-based models have been developed to integrally address this constellation with adolescent juvenile justice populations. Given that prior research has highlighted a strong interrelation between these high-risk behaviors, and the accumulating evidence that delinquent, drug-abusing youth are at particularly high risk to contract HIV, intervention models are needed that can be implemented in the context of existing youth service systems such as juvenile justice. The proposed study aims to test a family-centered preventive intervention for adolescent boys involved in the juvenile justice system who are at high risk for experiencing problems with chronic delinquency, drug abuse, and contracting HIV/AIDS in partnership with the local juvenile justice authority where the intervention will be delivered. The proposed sample (N=80) includes boys ages 14-18 who have at least one criminal referral, documented drug use, are living in the community (e.g., biological/adoptive parent, relative or foster care) and have been placed on supervised probation or a formal accountability contract by the juvenile justice system in Lane County, OR. Youths and their parent(s) will be randomly assigned to an integrated conduct problem, drug use, and HIV risk intervention (ICDH; n=40) or to a services as usual (SAU; n=40) control condition. The ICDH condition will consist of communication, decision-making, self-efficacy and skill building for youths, and parent training and support for parents. The youth and parent components will run concurrently for 6 months. The control (SAU) condition will consist of all usual services provided by the juvenile justice department. The proposed study builds on preliminary findings from a Mentored Career Development Award (K23 MH070684).