Temple University Center for Adolescent Implementation Research

这笔赠款将建立坦普尔大学青少年药物滥用和艾滋病毒中心 实施研究(TUCAIR)以实现干预措施翻译研究的目标 适用于青少年的法律制度(审判)合作协议。目标是开发和测试 改善艾滋病毒预防和治疗和药物滥用的连续性的执行战略 以及在社区青少年司法监督下为青少年提供服务。少年犯有很高的风险 艾滋病毒和其他性传播疾病，其中很大一部分风险与他们的药物滥用有关。我们将(1)识别、开发 并完善一套措施，以评估现有的艾滋病毒/其他性传播疾病和药物滥用服务以及 环境、跨部门、组织和个人因素，可能促进或阻碍有效 提供这些服务以及实施成果；(2)在我们的 合作少年司法和服务提供者机构；以及(3)设计和测试一个或多个数据驱动 多点实施干预措施，以解决服务差距，特别是在艾滋病毒和其他性传播疾病预防方面 和治疗干预。TUCAIR包括一支在青少年领域拥有丰富专业知识的研究团队 司法；艾滋病毒/其他性传播疾病预防、教育和治疗；药物滥用预防和治疗； 实施科学；以及现场多站点研究协议。TUCAIR将与青少年司法合作， 六个不同司法管辖区的公共卫生和社区服务机构伙伴，包括三个 宾夕法尼亚州的两个县，佛罗里达州的两个县和哥伦比亚特区，确保有充足的工作人员和 青少年受试者要达到试验的目标。TUCAIR�S小学少年司法研究伙伴 将在第13巡回法院的FL少年司法部工作，该部门负责青少年缓刑 希尔斯伯勒县。PiBelenko与希尔斯伯勒县的合作研究历史悠久 代理机构通过分包PI Dembo和南佛罗里达大学；这些合作 具体解决艾滋病毒/性传播疾病服务需求和改善预防和治疗的机会 针对青少年司法系统中的年轻人。我们提出的研究概念描述了Team�S的方法 正在试验中的实施研究，并提出了指导研究措施的概念模型， 设计和分析。这项研究将增加我们对青少年司法系统如何能够 有效实施以证据为基础的艾滋病毒/性传播疾病预防和治疗及相关工作的连续性 在社区监督下为青少年罪犯提供药物滥用服务，并使 对公共卫生和实施科学的贡献。

This grant will establish the Temple University Center for Adolescent Substance Abuse and HIV Implementation Research (TUCAIR) to carry out the goals of the Translational Research on Interventions for Adolescents in the Legal System (TRIALS) cooperative agreement. The goals are to develop and test implementation strategies to improve the continuum of HIV prevention and treatment and substance abuse and services for youth under community juvenile justice supervision. Juvenile offenders are at high risk for HIV and other STDs and much of that risk is related to their substance abuse. We will (1) identify, develop and refine a set of measures to assess existing HIV/other STDs and substance abuse services as well as environmental, interagency, organizational, and individual factors that may facilitate or impede effective delivery of these services, as well as implementation outcomes; (2) implement those measures in our partner juvenile justice and service provider agencies; and (3) design and test one or more data-driven multisite implementation interventions to address service gaps, particularly in HIV and other STD prevention and treatment interventions. TUCAIR includes a team of researchers with extensive expertise in juvenile justice; HIV/other STD prevention, education, and treatment; substance abuse prevention and treatment; implementation science; and fielding multisite research protocols. TUCAIR will work with juvenile justice, public health, and community-based service agency partners in six diverse jurisdictions, including three counties in Pennsylvania, two in Florida, and the District of Columbia, ensuring access to ample staff and adolescent subjects to achieve the goals of TRIALS. TUCAIR�s primary juvenile justice research partnership will be with the FL Department of Juvenile Justice, 13th Circuit, which operates juvenile probation in Hillsborough County. PI Belenko has a long history of collaborative research with Hillsborough County agencies through subcontract PI Dembo and the University of South Florida; these collaborations have specifically addressed HIV/STD service needs and the improvement of access to prevention and treatment for youths in the juvenile justice system. Our proposed research concept describes the team�s approach to implementation research under TRIALS and presents our conceptual model for guiding study measures, design, and analyses. This research will increase our knowledge of how juvenile justice systems can more effectively implement a continuum of evidence-based HIV/STD prevention and treatment and related substance abuse services to young offenders under community supervision, and make important contributions to public health and implementation science.