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

项目摘要/摘要 拟议的NIAAA K23指导患者导向研究职业发展奖的目标是 支持Brittany Bryant博士获得成功过渡所需的知识、技能和专业知识 从临床实践到作为专注于改善治疗的独立临床研究员的职业生涯 黑人正义青年的选择(Jiy)。黑人在刑事司法系统中的比例过高 体制上的种族主义和歧视。一般紧张理论认为，高水平的民族和种族 歧视(ERD)，加上目击或经历警察暴行的水平上升，将Black Jiy 有增加酒精和其他药物使用(AOD)的独特风险，作为应对压力事件的一种手段。黑色 Jiy报告称，酒精和大麻并存是为了暂时摆脱歧视-- 诱导应激。虽然Jiy的酒精和大麻共病使用率比非正义者更高- 总体而言，涉足青少年的Black Jiy不太可能被转移到药物使用治疗计划中，不太可能 在缓刑释放后从事护理，从物质使用治疗中获益的可能性较小 可降低再次犯罪的风险，而且比白酒更容易受到AOD活动过早发作的不利影响。至 到目前为止，没有已知的青少年药物使用治疗直接解决ERD，由于以下原因增加了AOD的风险 ERD，或明确提出工具，说明如何适当应对AOD和 黑吉。为了解决这个问题，布莱恩特博士的研究项目渴望提高对1) ERD对黑人青少年AOD的影响2)文化适应循证研究 使用Adapt-ITT模式的大麻青少年治疗系列(CyT)，以解决ERD，减少AOD，并减少 来自Black Jiy、父母和社区成员的意见的累犯；以及3)试点文化适应 干预措施，以评估物质使用和歧视方面的可行性、可接受性和变化。为 在获奖期间，布莱恩特博士将1)增加她的学术出版物记录；2)扩大知识 和混合方法研究和应用研究方法的技能；3)有效地发展专业知识 开展以社区为基础的研究；以及4)获得有效适应以证据为基础的文化的培训 干预措施。为科比博士提供的培训和指导将促进她的职业发展和长期- 成为一名以社区为基础的独立临床研究人员的学期目标，专注于改善治疗 将毒品使用合法化并优先将Black Jiy转移到毒品上的选项、政策和程序 使用治疗方法。此外，拟议的项目与NIAAA的战略计划保持一致，以1)优先发展 文化上适当的干预措施，以防止或减少酒精滥用和相关后果，2)改善 实施、获得和使用根据个人需要量身定做的酒精治疗；3)提高 了解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研究中经过训练的颜色。

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.