Mentoring to reduce substance use for youth in the juvenile justice system

项目摘要/摘要 这个K24职业生涯中期研究人员奖的目的是支持Marina Tolou-Shams博士，一位儿童临床 自2007年以来一直得到资助的心理学家，进行研究并指导其他人 涉及正义的青少年的物质使用、心理健康和共同发生的健康危险行为等领域。 这位候选人提议利用K24的支持来a)扩大她现有的青少年司法计划 数字行为健康干预领域的行为健康研究和b)导师初级博士 以及MD研究人员在识别和传播方法方面迅速推动科学进步 在少年司法系统中改善青少年的药物使用、精神和性健康结果， 包括开发和测试数字健康方法，以改善结果。拿走 凭借丰富的制度环境，候选人已经集结了一批专家 跨学科合作伙伴，以确保她和她的学员将处于数字前沿 针对弱势群体的行为健康研究。数字移动健康(MHealth)技术拥有 越来越多地被证明是一种有效、低成本的方式， 让他们参与和/或提供高质量的护理。因此，移动医疗代表着一种很有前途的 改善涉及司法的青年的物质使用和精神结果的办法。Tolou-Shams博士的 研究项目将重点进行定制短信平台的试点试验，以参与 法院参与的、非监禁(CINI)青少年的药物使用或双重诊断治疗服务。学习 目标包括1)确定是否以及如何定制二元(青少年/照顾者)短信 干预增加CINI青年治疗参与度和2)确定对以下方面至关重要的现实因素 为公正和行为健康系统考虑最终采用和可持续的短信文本- 青少年治疗参与的信息干预。此K24研究和保护时间用于 指导将引导该领域学习如何发展、测试和实施个人 以及针对未得到满足的青少年司法物质使用和心理健康的系统级数字健康干预 连续护理过程中不同点的治疗服务需求(例如，筛查、转诊、治疗 参与、提供治疗)。

PROJECT SUMMARY / ABSTRACT The purpose of this K24 MidCareer Investigator Award is to support Dr. Marina Tolou-Shams, a child clinical psychologist who has been continuously funded since 2007, to conduct research and to mentor others in the areas of substance use, mental health, and co-occurring health risk behaviors for justice-involved youth. This candidate proposes to utilize K24 support to a) expand her existing program of juvenile justice behavioral health research into the field of digital behavioral health intervention and b) mentor junior PhD and MD researchers in rapidly moving the science forward in identification and dissemination of ways to improving substance use, mental and sexual health outcomes for youth in the juvenile justice system, including the development and testing of digital health approaches for improved outcomes. Taking advantage of a rich institutional environment, the candidate has assembled a group of expert interdisciplinary collaborators to ensure that she and her mentees will be on the cutting edge of digital behavioral health research with vulnerable populations. Digital mobile health (mHealth) technologies have been increasingly demonstrated as an efficacious, low-cost way of reaching underserved, vulnerable, populations to engage them into and/or deliver quality care. Mobile health therefore represents a promising approach to improving substance use and psychiatric outcomes for justice-involved youth. Dr. Tolou-Shams’ research project will focus on conducting a pilot trial of a tailored SMS text-messaging platform to engage court-involved, non-incarcerated (CINI) youth into substance use or dual diagnosis treatment services. Study aims include 1) determining whether and how a tailored dyadic (youth/caregiver) SMS text-messaging intervention increases CINI youth treatment engagement and 2) identifying real-world factors critical to consider for justice and behavioral health systems eventual adoption and sustainability of an SMS text- messaging intervention for youth treatment engagement. This K24 research and protected time for mentoring will lead to ways in which the field will learn about how to develop, test and implement individual and system-level digital health interventions for unmet juvenile justice substance use and mental health treatment services needs across various points in the continuum of care (e.g., screening, referral, treatment engagement, treatment delivery).