Preventing HIV/STI Risk Behavior in Girls with Delinquency, Drug Abuse & Trauma

项目摘要/摘要 行为问题、滥用药物和艾滋病毒危险行为并存是被广泛接受的，而且有许多 研究突出了青少年司法系统中的青少年共同存在的这些问题。 这种三重威胁并存，对青少年的社会、健康和心理健康造成不利影响 问题是有据可查的。这样的年轻人有很高的风险出现连锁的其他问题，比如 他们的年龄包括艾滋病、严重和持续的身心健康问题、监禁和早期 死亡。尽管针对青少年的预防和干预的具体目标是三重威胁星座 已经确定，还没有开发出基于证据的模型来完整地解决这个星座 与青少年司法群体合作。需要程序模型来处理这个星座 协调青少年司法和心理健康系统的时尚。缺乏对发展的研究 以及针对患有三重威胁的青年实施综合、多系统治疗干预措施 星座导致研究基础和针对高风险的有效综合服务存在差距 年轻人。这项拟议的研究建立在辅导职业发展奖(K23)的初步调查结果基础上 MH070684)，旨在测试一种针对青春期男孩和 品行有问题的女孩，有长期犯罪、吸毒等问题的高危人群 虐待和感染艾滋病毒/艾滋病，以及他们的父母与当地少年司法当局合作 干预措施将会实施。拟议样本(N=160)包括14-18岁的年轻人，他们至少有 一名罪犯转介，有记录的吸毒，居住在社区(例如，亲生/养父母， 亲属或寄养)，并已被监督缓刑或正式问责合同 少年司法系统在莱恩县，或。青少年和他们的父母(S)将被随机分配到 综合行为问题、药物使用和艾滋病毒/艾滋病风险干预(ICDH；n=80)或照常提供服务 (SAU；n=80)控制条件。分析将检查近期和长期结果的组间差异 基于小组分配(干预或对照)，潜在中介变量对 分组分配与近期和长期结果以及一般发育的关系 针对高危青少年的建模和理论构建问题。

PROJECT SUMMARY/ABSTRACT The co-existence of conduct problems, drug abuse, and HIV risk behaviors is widely accepted, and numerous studies have highlighted the co-occurrence of these 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. Such youths are at high risk for 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. Program models are needed that treat this constellation in a coordinated fashion across juvenile justice and mental health systems. A lack of research on the development and implementation of integrated, multi-system treatment interventions targeting youths with the triple-threat constellation has led to a gap in the research base and in effective comprehensive services for high-risk youths. The proposed study builds on preliminary findings from a Mentored Career Development Award (K23 MH070684) and aims to test an integrated, family-centered preventive intervention for adolescent boys and girls with conduct problems who are at high risk for experiencing problems with chronic delinquency, drug abuse, and contracting HIV/AIDS, and their parents in partnership with the local juvenile justice authority where the intervention will be delivered. The proposed sample (N=160) includes youths 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/AIDS risk intervention (ICDH; n=80) or to a services-as-usual (SAU; n=80) control condition. Analyses will examine group differences in proximal and longer-term outcomes based on group assignment (intervention or control), the effects of potential mediating variables on the association between group assignment and proximal and longer-term outcomes, and general developmental modeling and theory-building questions specific to high-risk adolescents.