Enhancing Juvenile Drug Court Outcomes with EBPs

描述（由申请人提供）：药物和酒精滥用和依赖性犯罪代表了一个庞大的和严重缺乏服务的人口，这是在高风险的呈现显着的有害结果和长期成本为自己，他们的家庭和社区，和社会（Belenko和Dembo，2003年）。正如最近的评论家所描述的（Belenko & Logan，2003;库珀，2002），青少年毒品法庭在20世纪80年代开始出现，以解决这些问题，到2003年12月，有268个青少年毒品法庭在运作（Huddfall，Freeman-Wilson，& Boone，2004）。虽然少年毒品法庭近年来继续激增，但对其减少罪犯药物使用和犯罪活动的能力的评价却滞后了。拟议的研究建立在我们最近的研究结果的基础上，这些研究结果支持青少年毒品法庭的有效性和循证治疗提高青少年毒品法庭结果的能力（Henggeler等人，在新闻），以及利用我们在运输循证实践社区治疗设置的丰富经验。本阶段1-B治疗开发研究的首要目的是通过将循证治疗的组成部分整合到现有的药物滥用和毒品法庭服务中，开发和测试一种相对灵活和低成本的策略，以提高青少年毒品法庭的成果。具体目标包括：目标1：根据循证实践调整现有的干预和培训方案（即，治疗青少年药物滥用的应急管理;对少年犯循证治疗的家庭参与战略），以便纳入少年毒品法庭。目标2：进行一项研究，审查青年（例如，物质使用和犯罪行为）和系统级（例如，可行性、执行忠实度、保留率和完成率、消费者满意度、成本估计）在六个少年毒品法庭执行干预议定书的效果。目标3：如果发现支持，则修改干预和培训方案，为第二阶段研究做准备。

DESCRIPTION (provided by applicant): Drug and alcohol abusing and dependent delinquents represent a large and greatly underserved population that is at high risk of presenting significant deleterious outcomes and long-term costs for themselves, their families and communities, and society (Belenko & Dembo, 2003). As described by recent reviewers (Belenko & Logan, 2003; Cooper, 2002), juvenile drug courts began emerging in the 1980s to address these problems, and 268 juvenile drug courts were in operation by December, 2003 (Huddleston, Freeman-Wilson, & Boone, 2004). Although juvenile drug courts have continued to proliferate in recent years, evaluation of their capacity to reduce offender substance use and criminal activity has lagged. The proposed study builds on our recent research findings supporting the effectiveness of juvenile drug court and the capacity of evidence-based treatments to enhance juvenile drug court outcomes (Henggeler et al., in press) as well as taking advantage of our extensive experience in the transport of evidence-based practices to community treatment settings. The overriding purpose of this Stage 1-B Treatment Development Study is to develop and test a relatively flexible and low cost strategy for enhancing the outcomes of juvenile drug courts by integrating components of evidence-based treatments into existing substance abuse and drug court services. Specific aims include: Aim 1: Adapt existing intervention and training protocols from evidence-based practices (i.e., contingency management for treating adolescent substance abuse; family engagement strategies from evidence-based treatments of juvenile offenders) for integration into juvenile drug court sites. Aim 2: Conduct a study to examine youth (e.g., substance use and criminal behavior) and system level (e.g., feasibility, implementation fidelity, retention and completion rates, consumer satisfaction, cost estimates) effects of implementing the intervention protocols in six juvenile drug courts. Aim 3: Revise intervention and training protocols in preparation for Stage II study if findings are supportive.