Quality Community Services for Adolescent Drug Abuse

针对青少年药物滥用的优质社区服务

• 批准号: 7577396
• 负责人: Aaron Hogue
• 金额: $ 61.3万
• 依托单位: PARTNERSHIP TO END ADDICTION
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7577396
• 关键词: Address; Adherence; Adolescent; Adoption; Adult; Alcohol or Other Drugs use; Ambulatory Care; Ambulatory Care Facilities; Archives; Behavioral Symptoms; Benchmarking; Caregivers; Childhood; Clinic; Clinical; Communities; Community Hospitals; Community Mental Health Centers; Community Practice; Community Services; Complex; Consumer Satisfaction; Control Groups; Costs and Benefits; Counseling; Data; Development; Drug user; Economics; Effectiveness; Elements; Ensure; Environment; Evidence based practice; Experimental Designs; Family; Family Study; Family psychotherapy; Foundations; Healthcare; Intake; Intervention; Interview; Justice; Laboratories; Laboratory Study; Legal; Long-Term Effects; Measures; Medical; Mental Health; Mental Health Services; Mentors; Modeling; Outcome; Outpatients; Parent-Child Relations; Parenting behavior; Parents; Participant; Patient Self-Report; Performance; Personal Satisfaction; Pharmaceutical Preparations; Philosophy; Population; Procedures; Provider; Randomized; Records; Recruitment Activity; Reporting; Research; Research Personnel; Research Support; Risk; Schools; Science; Services; Site; Staging; Stress; Supervision; Techniques; Technology Transfer; Teenagers; Testing; Training; Transportation; Treatment Effectiveness; Treatment Efficacy; Underserved Population; Youth; addiction; adolescent drug abuse; adolescent substance abuse; alternative treatment; base; behavioral health; cohesion; comparative; compare effectiveness; control trial; cost; cost effectiveness; design; dissemination research; economic cost; economic evaluation; effectiveness research; effectiveness trial; efficacy trial; evidence base; follow-up; high school; improved; innovation; juvenile delinquent; knowledge base; medical specialties; meetings; mental health center; organizational structure; programs; routine care; routine practice; satisfaction; service intervention; service utilization; skills; standard of care; success; treatment adherence; treatment as usual

The ultimate objective of the proposed study is to test the effectiveness, implementation quality, and cost effectiveness of family-based treatment services for adolescent substance abuse delivered in an agency setting. Despite the success of family-based ecological interventions (FBEI) in controlled trials, this highly promising services approach has not been tested under pure field conditions with ASA populations. Controlled effectiveness research invariably enhances training, supervision, and service delivery conditions in partnering sites in an effort to ensure treatment adherence and consistency. An alternative strategy for advancing dissemination science is rigorous naturalistic research on community clinics that already implement evidence-based practices in the course of routine care. The proposed study will follow this "bottom up" strategy by investigating the quality and impact of ASA services delivered by front-line therapists in a community-based mental health center that already features FBEI as the routine standard of care. The study will use a randomized design to compare naturalistic FBEI services to services as usual (SAD) for ASA. Participants (N = 260)will be recruited from local high schools, enrichment programs, and juvenile justice programs. Eligible adolescents will meet ASAM criteria for outpatient treatment. The SAD condition will contain the three most common service venues for ASA in urban communities: hospital-based ambulatory mental health clinics, drug counseling/addictions specialty clinics, and community mental health centers. The primary aims of the study are to examine the effectiveness of FBEI versus SAD and to compare the strength of FBEI adherence and outcomes to performance benchmarks set during a previous FBEI Stage II efficacy trial. The secondary aims are to compare cost effectiveness, services utilization, and consumer satisfaction in FBEI versus SAU. A multitrait, multimethod assessment design will include adolescent and parent interviews at baseline and 3, 6, and 12 months follow-up. Cost and service utilization data will be collected from self report and from provider agencies in both conditions. The study will yield the first evidence on whether a widely endorsed treatment approach for ASA is potent and feasible in real-world conditions and superior to SAU in outcomes and cost-benefit. An important secondary yield will be increasing the scarce knowledge base on commonly practiced community approaches in the SAU condition.

拟议研究的最终目标是测试有效性、实施质量和成本 一个机构提供的以家庭为基础的青少年药物滥用治疗服务的效果 设置.尽管以家庭为基础的生态干预（FBEI）在对照试验中取得了成功，但这一高度 有前途的服务方法尚未在纯田间条件下与阿萨人群进行测试。 受控的有效性研究不可避免地提高了培训、监督和服务提供条件 以确保治疗的坚持性和一致性。另一种战略是 推进传播科学是对社区诊所进行严格的自然主义研究， 在日常护理过程中实施循证实践。拟议的研究将遵循这一点 通过调查一线治疗师提供的阿萨服务的质量和影响， 在一个以社区为基础的精神健康中心，已经将FBEI作为常规护理标准。的 研究将采用随机设计，比较自然主义FBEI服务与常规服务（SAD）， 阿萨检察官参与者（N = 260）将从当地高中、丰富项目和青少年中招募 正义方案。符合条件的青少年将符合ASAM门诊治疗标准。SAD条件 将包含城市社区阿萨最常见的三个服务场所：医院 门诊心理健康诊所、药物咨询/成瘾专科诊所和社区心理健康 中心.本研究的主要目的是检查FBEI与SAD的有效性，并比较 FBEI遵守上一个FBEI阶段设定的绩效基准的力度和结果 II功效试验。次要目的是比较成本效益、服务利用率和消费者 FBEI与SAU的满意度。一个多特质、多方法的评估设计将包括青少年和 在基线和3个月、6个月和12个月随访时进行父母访谈。成本和服务利用率数据将 在这两种情况下从自我报告和提供者机构收集。这项研究将产生首个 关于广泛认可的阿萨治疗方法在现实世界中是否有效和可行的证据 在结果和成本效益方面上级SAU。一个重要的次级收益率将是 在SAU条件下，增加关于常用社区方法的稀缺知识基础。