Reducing Parenting Stress to Facilitate Justice-Involved Youth’s Treatment Engagement

项目概要/摘要 参与司法的青年表现出高比例的物质使用和心理健康症状，但很少有人接受 拘留或重返社区期间的待遇。一旦被释放到社区，护理人员必须促进 青年的治疗参与，调动大量资源，面临许多障碍（例如，运输， 不信任）这样做。在青少年拘留和重返社区期间，父母的压力会加剧， 与更大的治疗障碍有关，在整个治疗过程中， 和过早放弃治疗解决父母的压力可以提高青少年治疗的参与度， 表现出反社会行为的青年人的结果，但考虑到治疗的许多障碍， 需要采取各种干预措施;移动的保健技术是一种很有前途的办法。 参与司法的青年和系统利益相关者的照顾者对mHealth治疗和mHealth感兴趣 解决了工具性障碍（例如，运输）进行治疗。技术和社区的进步 参与式研究允许利益相关者在mHealth应用程序开发中积极合作， 通过参与性信息学，提供所需的技术专门知识; 干预将是相关和有效的可能性。本混合方法K23研究的目的是 1)使用参与式信息学开发mHealth育儿压力干预; 2）评估可行性， 参与式信息学方法和干预的可接受性; 3）评估干预的 在减少父母压力和增加青少年参与药物使用或双重 通过试点RCT进行拘留后的诊断治疗;以及4）了解可能 影响最终系统采用和可持续性。此K23应用程序的总体目标是提供 受保护的，指导的时间，以扩大博士约翰娜民间（PI）的能力，作为一个独立的物质使用 具有专业知识的卫生服务研究人员使用参与式研究方法开发和评估新的 采取干预措施，使涉及司法的青年和家庭参与青年药物使用治疗。佛克医生会 与经验丰富和知识渊博的导师团队（Tolou-Shams博士，Aguilera，Knight，Arevian， 和卓别林），以提高她的能力：1）物质使用服务的研究; 2）参与性研究 方法; 3）mHealth方法。拟议的研究是一个合乎逻辑的延伸博士民俗的 迄今为止的研究计划已经跨越了发展范围，并集中在复杂的 司法参与，物质使用，心理健康和人际关系之间的相互作用。这 早期职业发展奖将为候选人提供必要的培训，并为更大的R 01奠定基础 混合设计的临床试验测试的mHealth育儿压力干预期间设计的效果 K23，推动联邦资助的研究计划，旨在增加物质使用治疗 参与并改善涉及司法的青年和家庭的行为健康结果。

PROJECT SUMMARY / ABSTRACT Justice-involved youth exhibit high rates of substance use and mental health symptoms, yet few receive treatment during detention or community re-entry. Once released into the community, caregivers must facilitate youth's treatment engagement, mobilizing significant resources and facing many barriers (e.g., transportation, mistrust) to do so. Parenting stress, which is heightened during youth detention and community reentry, is associated with greater perceived barriers to treatment, less youth therapeutic change throughout treatment, and premature treatment dropout. Addressing parenting stress improves youth treatment engagement and outcomes among youth exhibiting antisocial behavior, yet given the many barriers to treatment, novel approaches to intervention are needed; mobile health (mHealth) technology is one promising approach. Caregivers of justice-involved youth and system stakeholders are interested in mHealth treatment and mHealth addresses instrumental barriers (e.g., transportation) to treatment. Advances in technology and community engaged research allow for active stakeholder collaboration in mHealth application development, with no technological expertise required, through participatory informatics; caregiver involvement increases the likelihood the intervention will be relevant and efficacious. The purpose of this mixed-methods K23 study is to 1) develop a mHealth parenting stress intervention using participatory informatics; 2) assess the feasibility and acceptability of the participatory informatics approach and the intervention; 3) evaluate the intervention's preliminary efficacy in reducing parenting stress and increasing youth engagement in substance use or dual diagnosis treatment post-detention through a pilot RCT; and 4) understand systems-level factors that could influence eventual system adoption and sustainability. The overall goal of this K23 application is to provide protected, mentored time to expand Dr. Johanna Folk's (PI) capacities as an independent substance use health services researcher with expertise using participatory research methods to develop and evaluate novel interventions to engage justice-involved youth and families into youth substance use treatment. Dr. Folk will work with a team of experienced and knowledgeable mentors (Drs. Tolou-Shams, Aguilera, Knight, Arevian, and Chaplin) to increase her competency in: 1) substance use services research; 2) participatory research methods; and 3) mHealth methodology. The proposed research study is a logical extension of Dr. Folk's program of research to date which has spanned the developmental spectrum and focused on the complex interplay between justice involvement, substance use, mental health, and interpersonal relationships. This early career development award will provide the necessary candidate training and foundation for a larger R01 hybrid design clinical trial testing the efficacy of the mHealth parenting stress intervention designed during the K23, propelling a federally-funded program of research designed to increase substance use treatment engagement and improve behavioral health outcomes for justice-involved youth and families.