A Mixed-Methods investigation of the implications of Substance Use Disorder Stigma for Justice-Involved Youth

项目摘要/摘要 与不参与司法系统的青年相比，参与司法的青年更有可能 被诊断为物质使用障碍(SODS)，不太可能获得或完全参与治疗。一 治疗参与度低的潜在因素是南德耻辱。有令人信服的证据表明耻辱 大大降低了获得并随后参与护理的能力。尽管几乎没有现存的 关于肥皂剧污名的研究，初步数据表明肥皂剧与不同的刻板印象有关 与其他行为健康诊断相比，可能与更严重的耻辱有关。小才是 已知在涉及司法的青年中普遍存在的SOD污名及其潜在后果 司法系统内的耻辱。然而，考虑到精神疾病的负面后果， 治疗参与度，我们假设具有较高SUD自我污名的年轻人将不太可能完全参与 治疗。我们假设青少年司法和社区精神卫生工作人员将报告更多 公众对患有肥皂剧的青少年的耻辱，公众对患有肥皂剧的青少年的耻辱将 根据物质类型不同，工作人员将描述SUD治疗障碍，以指示结构性 耻辱。为了测试这些假设，我们将首先部署最近验证的SUD污名测量来 审查在涉及正义的青年、他们的父母、 以及少年司法和社区精神卫生系统的工作人员利益攸关方(目标1)。到时候我们会的 进行一系列定性访谈，并收集有关治疗利用的数据，以探讨 对青年获得和参与治疗能力的羞辱(目标2)。建议的混合方法研究 具有很高的创新性，是在打击涉及司法的青年中的南德耻辱方面迈出的关键一步。这 项目包括一个强大的培训计划和指导团队，帮助应聘者发展技能 成为一名独立调查员所必需的。最终，这项研究和培训将对应聘者有所帮助 开展研究事业，制定干预措施，以减少目标人群中的性虐待污名，并 从而提高对SUD治疗的参与度。

Project Summary/Abstract Compared to youth who are not involved with the justice system, justice-involved youth are more likely to be diagnosed with substance use disorders (SUDs) and less likely to access or fully engage in treatment. One potential contributor to low treatment engagement is SUD stigma. There is compelling evidence that stigma significantly detracts from the ability to access and subsequently engage in care. Although there is little extant research on SUD stigma, preliminary data suggests that SUDs are associated with different stereotypes compared to other behavioral health diagnoses and may be associated with more severe stigma. Little is known about the prevalence and potential consequences of SUD stigma among justice-involved youth or SUD stigma within the justice system. Yet given the negative consequences of mental illness self-stigma for treatment engagement, we postulate that youth with higher SUD self-stigma will be less likely to fully engage in treatment. We hypothesize that juvenile justice and community mental health staff members will report greater public stigma towards justice-involved youth with SUDs, that public stigma towards adolescents with SUDs will vary according to substance type, and that staff will describe barriers to SUD treatment indicative of structural stigma. In order to test these hypotheses, we will first deploy recently validated measures of SUD stigma to examine the nature and correlates of public and self-SUD stigma among justice-involved youth, their parents, and staff stakeholders in the juvenile justice and community mental health systems (aim 1). We will then conduct a series of qualitative interviews as well as collect data on treatment utilization to explore the impact of SUD stigma on youth’s ability to access and engage in treatment (aim 2). The proposed mixed-methods study is highly innovative and represents a crucial step in combating SUD stigma among justice-involved youth. This project includes a strong training plan and mentoring team that will help the candidate develop the skills necessary to be an independent investigator. Ultimately, this research and training will help the candidate launch a research career to develop interventions to decrease SUD stigma within the target population and thereby improve engagement in SUD treatment.