Center for Implementing Juvenile Justice Drug Abuse & HIV Systems Interventions

描述（由申请人提供）：本竞争延续申请扩展了我们的CJDATS 1工作（1 UO 1 DA 016193）。利用现有的研究基础设施，并与公共安全，青少年和刑事司法合作伙伴，治疗和保健提供者合作，实施少年司法药物滥用和艾滋病毒系统干预（CIJJI）的中心的总体目标是开发和测试评估方法和干预实施模式，以减少药物滥用，犯罪和青少年罪犯中的艾滋病毒风险。研究伙伴包括来自美国的少年司法和药物滥用评估和服务、艾滋病预防、实施科学、方法学和经济分析方面的专家。来自迈阿密埃默里大学联合的Ga.，联合在Conn健康中心，和U。色葡萄佛罗里达。CIJJI涉及来自弗拉少年司法部、治疗机构和诊所的合作伙伴，佐治亚州，和Conn，作为合作研究者、顾问委员会成员和性能研究中心。这项工作为实施以护理为重点、研究支持的药物滥用和艾滋病毒预防干预措施的具有成本效益的连续性奠定了经验基础。我们建议测试我们在CJDATS1中成功开发和测试的循证药物滥用和艾滋病毒预防做法的实施模式，更加注重创造更广泛的系统变革，并最终进行少年司法改革。我们扩大了我们的青少年艾滋病毒预防重点，通过检查不同的实施过程和结果的两个有前途的连续护理模式（一个组为基础，一个家庭为基础）与青少年拘留和过渡服务，以卫生诊所释放后。我们计划开发和测试青少年心理社会评估工具的有效性和实施问题，这些工具可以指导有关治疗、安置和转移到成人法庭的决策。这些概念按主题、实际和顺序联系在一起。评估工作扩展了CJDATS1青少年核心措施，并提供了一个多层次，多源的工具电池的两个实施研究。我们的目标是推进我们的执行工作，为少年犯提供有效和具有成本效益的跨系统连续照顾，进行创新评估，在拘留期间预防艾滋病毒和药物滥用干预，并在青年获释后将更大的系统支持服务成功过渡到社区机构。

DESCRIPTION (provided by applicant): This competing continuation application expands our CJDATS1 work (1 UO1 DA016193). Using an existing research infrastructure and collaborations with public safety, juvenile and criminal justice partners, and treatment and health care providers, the overarching aim of the Ctr for Implementing Juvenile Justice Drug Abuse & HIV Systems Interventions (CIJJI) is to develop and test assessment methods and intervention implementation models to reduce substance abuse, delinquency, and HIV risk among juvenile offenders. Research partners include experts in juvenile justice and drug abuse assessment and services, HIV prevention, implementation science, methodology, and economic analyses from the U. of Miami, Emory U., U. of Ga., U. of Conn. Health Center, and U. of S. Florida. The CIJJI involves partners from Dept of Juvenile Justice, treatment agencies, and health clinics in Fla., Ga., and Conn, as Co-Investigators, Advisory Board Members, and performance sites. This work establishes an empirical foundation for implementing cost-effective continuum of care-focused, research-supported substance abuse and HIV prevention interventions. We propose to test the implementation model of evidence-based substance abuse and HIV prevention practices that we successfully developed and tested in CJDATS1, with increased focus on creating more extensive systems change and - ultimately - juvenile justice reform. We expand our adolescent HIV prevention focus by examining differential implementation processes and outcomes of two promising continuum of care models (one group-based and one family-based) with juveniles in detention and transitioning services to health clinics post-release. And we plan to develop and test the effectiveness and implementation issues of youth psychosocial assessment tools that could guide decision making about treatment, placement, and transfer to adult court. These concepts are linked thematically, practically and sequentially. The assessment work extends the CJDATS1 Adolescent Core Measure and provides a multilevel, multi-source instrument battery for the two implementation studies. We aim to advance our implementation efforts with effective and cost-effective cross-systems continuum of care for juvenile offenders, with innovative assessments, in-detention HIV prevention and substance abuse intervention, and successful transition of larger system supported services to community agencies upon youths' release.