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

许多研究都强调了在少年司法系统中涉及的青少年的艾滋病毒风险行为、吸毒和行为问题的共同发生。这些问题的三重威胁对青少年的社会、健康和精神健康造成了有害的后果，这是有案可稽的，随着他们年龄的增长，还会出现一系列其他问题，包括艾滋病、严重和持续的身心健康问题、监禁和过早死亡。虽然已经确定了针对青少年三重威胁星座的预防和干预的具体目标，但尚未开发出以证据为基础的模型来综合解决青少年少年司法人群的三重威胁星座问题。鉴于先前的研究强调了这些高危行为之间的强烈相互关系，以及越来越多的证据表明，犯罪、吸毒的青少年感染艾滋病毒的风险特别高，因此需要在现有青少年服务系统（如少年司法）的背景下实施干预模式。本研究旨在测试一种以家庭为中心的预防干预措施，该措施是与当地少年司法当局合作实施的，针对青少年司法系统中有长期犯罪、吸毒和感染艾滋病毒/艾滋病等问题的高风险男孩。建议的样本（N=80）包括14-18岁的男孩，他们至少有一次犯罪转送，有吸毒记录，生活在社区（例如，亲生/养父母，亲戚或寄养），并被俄勒冈州莱恩县少年司法系统置于监督缓刑或正式责任合同中。青少年和他们的父母将被随机分配到综合行为问题、吸毒和艾滋病毒风险干预组（ICDH; n=40）或正常服务组（SAU; n=40）控制组。ICDH条件将包括为青少年提供沟通、决策、自我效能和技能培养，以及为父母提供培训和支持。青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 MH070684）的初步研究结果的基础上。

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).