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

许多研究强调，青少年司法系统中的青少年艾滋病毒危险行为、吸毒和行为问题并存。随着年龄的增长，随着年龄的增长，包括艾滋病、严重和持续的身心健康问题、监禁和过早死亡在内的一系列其他问题，对具有这三重共生问题威胁的年轻人的有害社会、健康和心理健康后果都有很好的记录。虽然已经确定了预防和干预青少年三重威胁星座的具体目标，但还没有制定出循证模式，将这一星座与青少年司法群体结合起来。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，因此需要能够在青少年司法等现有青少年服务系统的背景下实施的干预模式。这项拟议的研究旨在与当地少年司法当局合作，测试针对青少年司法系统中的青少年男孩的以家庭为中心的预防性干预措施，这些男孩面临长期犯罪、滥用药物和感染艾滋病毒/艾滋病的高风险。拟议样本(N=80)包括14-18岁的男孩，他们至少有一次刑事转介、有记录的吸毒、居住在社区(例如，亲生/养父母、亲戚或寄养)，并已被莱恩县少年司法系统置于监督缓刑或正式问责合同。青少年和他们的父母(S)将被随机分配到综合行为问题、药物使用和艾滋病毒风险干预(n=40)或照常服务(SAU；n=40)控制条件下。ICDH的条件将包括沟通、决策、青少年的自我效能和技能培养，以及对父母的培训和支持。青年部分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。这项拟议的研究基于导师职业发展奖(K23 MH070684)的初步调查结果。

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).