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

预防药物滥用

• 批准号: 7905075
• 负责人: DANA K SMITH
• 金额: $ 49.95万
• 依托单位: OREGON SOCIAL LEARNING CENTER, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7905075
• 关键词: AIDS/HIV problem; Accountability; Acquired Immunodeficiency Syndrome; Address; Adolescent; Age; Behavior; Biological; Cessation of life; Child; Child Abuse and Neglect; Childhood; Chronic; Communication; Communities; Contracts; County; Decision Making; Development; Diagnosis; Drug abuse; Drug usage; Emotional; Etiology; Failure; Family; Gender; HIV; Health; Health system; Home environment; Imprisonment; Infection; Intervention; Justice; K-Series Research Career Programs; Life; Male Adolescents; Measures; Mediating; Mediation; Mental Health; Mentors; Modeling; Outcome; Parenting behavior; Parents; Population; Preventive Intervention; Problem Solving; Problem behavior; Psychopathology; Randomized; Recording of previous events; Relative (related person); Research; Risk; Risk Behaviors; Risk Factors; Risk-Taking; Running; Sampling; Schools; Self Efficacy; Services; Socioeconomic Status; Supervision; Symptoms; System; Testing; To specify; Training Support; Variant; Youth; adolescent drug abuse; anti social; authority; base; boys; community based treatment; coping; deviant; emotion regulation; evidence base; experience; foster care; girls; high risk; high risk behavior; improved; intervention effect; juvenile justice system; parental monitoring; peer; prevent; probation; programs; skills; social; youth conduct problem

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).

大量研究强调了青少年司法系统中青少年的艾滋病毒危险行为、吸毒和行为问题同时发生。这种同时发生的问题的三重威胁给青少年带来了不利的社会、健康和心理健康结果，这是有据可查的，随着年龄的增长，还会出现一系列其他问题，包括艾滋病、严重和持续的身心健康问题、监禁和早逝。尽管已经确定了针对具有三重威胁星座的青少年的预防和干预的具体目标，但尚未开发出基于证据的模型来与青少年少年司法群体综合解决这一星座。鉴于先前的研究强调了这些高风险行为之间存在密切的相互关系，并且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，因此需要可以在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。拟议的研究旨在与当地少年司法当局合作，测试针对参与少年司法系统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、吸毒和感染艾滋病毒/艾滋病等问题的高风险。拟议样本 (N=80) 包括 14-18 岁的男孩，他们至少有过一次刑事转介、吸毒记录、居住在社区（例如亲生/养父母、亲戚或寄养），并已被俄勒冈州雷恩县少年司法系统置于监督缓刑或正式问责合同之下。青少年及其家长将被随机分配到综合行为问题、吸毒和艾滋病毒风险干预（ICDH；n=40）或照常服务（SAU；n=40）控制条件。 ICDH 条件将包括青少年的沟通、决策、自我效能和技能培养，以及家长培训和支持。青少年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。拟议的研究以指导职业发展奖 (K23 MH070684) 的初步结果为基础。