COMPARISION OF COMMUNITY BASED MODELS FOR YOUTH OFFENDER

该申请要求提供资金，以评估有效性和成本 认知治疗方法和矫正方法的有效性 与滥用药物的青少年参与县青年的方法 法院系统的密西西比，并比较他们的结果与定期 试用期作为控制条件。300例药物滥用 青少年将被招募参加，因为他们进入三个县 少年法庭。分配到小组将根据哪个县的青年 青少年被带到法院面前，即所有符合条件的青年进入 麦迪逊县青年法庭将被分配到对照组。所有 进入福雷斯特县青年法庭的合格青年将被安置在 强化门诊咨询加认知训练（IOC + CT） 条件所有符合条件的青年进入朗兹县青年法庭将 处于严格的监督和监测状态。之前 在干预后6、12和18个月，所有受试者 将使用个人经历筛选问卷（PESQ）进行评估， 青少年物质使用筛查工具，百万青少年 人格量表（Personality Inventory，简称TASC）和修改后的TASC表格86， 自我报告的反社会，非法和亲社会行为，如学校 出勤和就业，超过6个月。重复测量 MANOVA将使用3（条件）比较实验条件， 4（时间）因子设计。如果总体MANOVA显著，则单变量 方差分析和Tukey成本特别检验将确定特定变量， 并阐明变化的模式。累犯 将使用逻辑回归分析进行评价。成本效益 将通过成本加参与者相对于 产生的成果效益。据推测， 在两个实验组中， 由于以下因素的结合，IOC+CT将产生最佳的总体结局 结构化认知训练、个体化治疗和 家长/监护人参与治疗。次要分析将评价 作为受试者的功能，结果是否存在差异 特色研究结果将对州和地方政府提供参考 规划社区少年司法方案的管理人员 为滥用药物的青少年提供机构收容的替代办法。

This application requests funding to evaluate the effectiveness and cost effectiveness of a cognitive treatment approach and a correctional approach with substance abusing juveniles involved in the County Youth Court System of Mississippi and to compare their outcome against regular probation as the control condition. Three hundred (300) substance abusing adolescents will be recruited for participation as they enter three county youth courts. Assignment to groups will be based upon which county Youth Court the adolescent is brought before, i.e. all eligible youth entering Madison County Youth Court will be assigned to the control group. All eligible youth entering Forrest County Youth Court will be placed in Intensive Outpatient Counseling plus Cognitive Training (IOC + CT) condition. All eligible youth entering Lowndes County Youth Court will be placed in Intensive Supervision and Monitoring condition. Before intervention and at 6, 12 and 18 months post intervention, all subjects will be assessed using Personal Experience Screening Questionnaire (PESQ), an adolescent substance use screening tool, the Million Adolescent Personality Inventory (MAPI) and a modified TASC form 86, which documents self reported antisocial, illegal and prosocial behavior, such as school attendance and employment, over a 6 month period. Repeated measures MANOVAs will compare the experimental conditions using a 3 (Condition) by 4 (Time) factoral design. If the overall MANOVA is significant, univariate ANOVAs and Tukey cost hoc tests will identify the specific variables for which change is present and clarify the pattern of changes. Recidivism will be evaluated using logistic regression analyses. Cost effectiveness of each model will be evaluated via cost plus participants relative to the outcome benefit produced. It is hypothesized that there will be reductions in recidivism and substance use in both experimental groups, but that IOC+CT will produce the best overall outcomes due to the combination of the structured cognitive training, individualized treatment and parent/guardian involvement in treatment. Secondary analysis will evaluate whether there are differences in outcome as a function of subject characteristics. The results will be useful to state and local administrators of juvenile justice programs in planning community based alternatives to institutionalization for substance abusing adolescents.