Enhancing Juvenile Drug Court Outcomes with EBPs

描述（由申请人提供）：滥用药物和酒精以及依赖不良者代表了一个庞大且服务严重不足的人群，他们极有可能给自己、家庭、社区和社会带来严重的有害后果和长期成本（Belenko & Dembo, 2003）。正如最近的评论者所描述的那样（Belenko & Logan, 2003; Cooper, 2002），青少年毒品法庭在20世纪80年代开始出现，以解决这些问题，到2003年12月，已有268个青少年毒品法庭在运作（Huddleston, Freeman-Wilson, & Boone, 2004）。虽然近年来青少年毒品法庭不断增加，但对其减少罪犯药物使用和犯罪活动能力的评价却滞后。拟议的研究建立在我们最近的研究结果的基础上，这些研究结果支持青少年毒品法庭的有效性和基于证据的治疗能力，以提高青少年毒品法庭的结果（Henggeler等人，出版中），并利用我们在将基于证据的实践转移到社区治疗环境方面的丰富经验。第1-B阶段治疗发展研究的首要目的是制定和测试一种相对灵活和低成本的战略，通过将循证治疗的组成部分纳入现有的药物滥用和毒品法庭服务，提高青少年毒品法庭的结果。具体目标包括：目标1：从基于证据的实践（即，治疗青少年药物滥用的应急管理；基于证据的少年犯治疗的家庭参与策略）中调整现有的干预和培训协议，以便融入青少年毒品法庭。目标2：进行一项研究，检查青少年（例如，物质使用和犯罪行为）和系统水平（例如，可行性，实施保真度，保留和完成率，消费者满意度，成本估算）在六个青少年毒品法庭实施干预协议的效果。目标3：如果研究结果支持，修订干预和训练方案，为II期研究做准备。

DESCRIPTION (provided by applicant): Drug and alcohol abusing and dependent delinquents represent a large and greatly underserved population that is at high risk of presenting significant deleterious outcomes and long-term costs for themselves, their families and communities, and society (Belenko & Dembo, 2003). As described by recent reviewers (Belenko & Logan, 2003; Cooper, 2002), juvenile drug courts began emerging in the 1980s to address these problems, and 268 juvenile drug courts were in operation by December, 2003 (Huddleston, Freeman-Wilson, & Boone, 2004). Although juvenile drug courts have continued to proliferate in recent years, evaluation of their capacity to reduce offender substance use and criminal activity has lagged. The proposed study builds on our recent research findings supporting the effectiveness of juvenile drug court and the capacity of evidence-based treatments to enhance juvenile drug court outcomes (Henggeler et al., in press) as well as taking advantage of our extensive experience in the transport of evidence-based practices to community treatment settings. The overriding purpose of this Stage 1-B Treatment Development Study is to develop and test a relatively flexible and low cost strategy for enhancing the outcomes of juvenile drug courts by integrating components of evidence-based treatments into existing substance abuse and drug court services. Specific aims include: Aim 1: Adapt existing intervention and training protocols from evidence-based practices (i.e., contingency management for treating adolescent substance abuse; family engagement strategies from evidence-based treatments of juvenile offenders) for integration into juvenile drug court sites. Aim 2: Conduct a study to examine youth (e.g., substance use and criminal behavior) and system level (e.g., feasibility, implementation fidelity, retention and completion rates, consumer satisfaction, cost estimates) effects of implementing the intervention protocols in six juvenile drug courts. Aim 3: Revise intervention and training protocols in preparation for Stage II study if findings are supportive.