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).

许多研究强调了艾滋病毒风险行为，吸毒和为少年司法系统的年轻人的行为问题的共同发生。对同时发生问题的三重威胁的年轻人的有害社会，健康和心理健康成果已得到充分记录，随着年龄的增长，包括艾滋病，严重和持续的身体和心理健康问题，监禁和早期死亡，伴随着许多其他问题。尽管已经确定了针对三重威胁星座的年轻人进行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人群进行积分解决。鉴于先前的研究强调了这些高风险行为之间存在强烈的相互关系，并且积累的证据表明，违法，滥用毒品的年轻人对艾滋病毒感染的风险特别高，因此需要在现有的青年服务系统（例如少年司法）的背景下实施干预模型。拟议的研究旨在为参与青少年司法系统的青少年男孩测试以家庭为中心的预防性干预措施，他们面临与当地少年司法当局合作遇到长期犯罪，滥用毒品和艾滋病毒/艾滋病问题的高风险，在那里将提供干预措施。拟议的样本（n = 80）包括14-18岁的男孩，他们至少有一个刑事转诊，有记录的毒品使用，居住在社区中（例如，生物/收养父母，亲戚或福斯特护理），已被置于监督的缓刑或少年司法系统的正式责任合同上。年轻人及其父母将被随机分配到综合行为问题，毒品使用和HIV风险干预（ICDH； n = 40）或照常服务（SAU; n = 40）控制条件。 ICDH状况将包括沟通，决策，自我效能感和针对年轻人的技能，以及对父母的父母培训和支持。青年和家长组件将同时运行6个月。控制（SAU）条件将包括少年司法部提供的所有常规服务。拟议的研究基于指导职业发展奖（K23 MH070684）的初步发现。