Cultural Adaptation of an Alcohol and Other Drug Use Treatment for Black Justice Involved Youth

项目概要/摘要 拟议的NIAAA K23指导以患者为导向的研究职业发展奖的目标是 支持布列塔尼·布莱恩特博士获得成功过渡所需的知识、技能和专业知识 从临床实践到作为一名独立的临床研究人员建立职业生涯，专注于改善治疗 黑人司法参与青年（JIY）的选择。黑人JIY在刑事司法系统中的代表性过高， 制度化的种族主义和歧视。一般应变理论认为，高水平的民族和种族 歧视（ERD），再加上目睹或经历警察暴行的程度提高， 酒精和其他药物使用（AOD）增加的独特风险，作为应对压力事件的一种手段。黑色 JIY报告从事共病酒精和大麻的使用，以实现暂时缓解歧视- 诱导压力。虽然JIY与非司法人员相比，酒精和大麻的共病使用率更高， 参与青年，总体而言，黑人JIY不太可能被转移到物质使用治疗计划，不太可能 在缓刑释放后从事护理，不太可能从物质使用治疗中受益， 减少再犯的风险，并且比白色JIY更不利地受到早发性AOD活性的影响。到 迄今为止，没有已知的青少年物质使用治疗直接解决ERD，由于 ERD，或明确提出了如何适当应对AOD和歧视困扰的工具， 黑色JIY。为了解决这一问题，布莱恩特博士的研究计划渴望提高对1） ERD对黑人JIY人群中青少年AOD的影响; 2）文化上适应基于证据的 大麻青少年治疗系列（CYT）使用ADAPT-ITT模型解决ERD，减少AOD， 从黑JIY，父母和社区成员的投入累犯;和3）试点文化适应 干预，以评估可行性，可接受性和物质使用和歧视痛苦的变化。为 在获奖期间，布莱恩特博士将1）增加她的学术出版记录; 2）扩大知识 和技能的混合方法研究和应用研究方法; 3）发展专业知识，有效地 开展以社区为基础的研究;以及4）获得有效适应文化的培训 干预措施。向布莱恩特博士提供的培训和指导将促进她的职业发展和长期- 成为一个独立的社区为基础的临床研究人员，专注于改善治疗的长期目标 选择，政策和程序，使物质使用合法化，并优先将黑色JIY转向物质 使用治疗。此外，拟议项目符合NIAAA的战略计划，1）优先发展 2）采取文化上适当的干预措施，以预防或减少酒精滥用及其相关后果， 实施，可获得性，以及根据个人需求量身定制的酒精治疗的使用，以及3）提高 认识酒精对健康和福祉的影响，同时支持代表性不足的妇女 在AOD研究中训练的颜色。

PROJECT SUMMARY/ ABSTRACT The goal of the proposed NIAAA K23 Mentored Patient-Oriented Research Career Development Award is to support Dr. Brittany Bryant in gaining the knowledge, skills, and expertise required for the successful transition from clinical practice to building a career as an independent clinical researcher focused on improving treatment options for Black justice-involved youth (JIY). Black JIY are overrepresented in the criminal justice system due to institutional racism and discrimination. The General Strain Theory posits that high levels of ethnic and racial discrimination (ERD), paired with elevated levels of witnessing or experiencing police brutality, places Black JIY at unique risk of increased alcohol and other drug use (AOD) as a means of coping with stressful events. Black JIY report engaging in comorbid alcohol and cannabis use to achieve temporary respite from discrimination- induced stress. While JIY engage in higher rates of comorbid alcohol and cannabis use compared to non-justice- involved youth, overall, Black JIY are less likely to be diverted to substance use treatment programs, less likely to engage in care after being released on probation, less likely to benefit from substance use treatment in terms of reduced risk of recidivism, and are more adversely affected by early onset of AOD activity than White JIY. To date, no known adolescent substance use treatment directly addresses ERD, the increased risk of AOD due to ERD, or explicitly presents tools on how to appropriately respond to AOD and discrimination distress among Black JIY. To address this problem, Dr. Bryant’s research program aspires to improve the understanding of 1) the impact of ERD on adolescent AOD within the Black JIY population; 2) culturally adapt the evidence-based Cannabis Youth Treatment Series (CYT) using the ADAPT-ITT model to address ERD, reduce AOD, and reduce recidivism with input from Black JIY, parents, and community members; and 3) pilot the culturally adapted intervention to assess feasibility, acceptability, and changes in substance use and discrimination distress. For the duration of the award, Dr. Bryant will 1) increase her record of scholarly publications; 2) expand knowledge and skills in mixed methods research and applied research methods; 3) develop expertise in effectively conducting community-based research; and 4) obtain training in effectively culturally adapting evidence based interventions. The training and mentorship afforded to Dr. Bryant will enhance her career development and long- term goals of becoming an independent community-based clinical researcher focused on improving treatment options, policies, and procedures to decriminalize substance use and prioritize diverting Black JIY to substance use treatment. Moreover, the proposed project aligns with NIAAA’s strategic plan to 1) prioritize the development of culturally appropriate interventions to prevent or reduce alcohol misuse and related consequences, 2) improve the implementation, accessibility, and use of alcohol treatment tailored to the needs of individuals, and 3) raise awareness about the effects of alcohol on health and well-being, while supporting an underrepresented woman of color trained in AOD research.