A Trauma-Informed, Mindfulness-Based Yoga Intervention for Juvenile Justice-Involved Youth

项目摘要/摘要 有一些干预措施旨在减少少年司法中的青少年累犯率。 (Jj)系统，其中一些系统记录了有效性的证据。然而，平均降幅 这些方案实施后的累犯率充其量是温和的，留下了大多数JJ-参与 青少年面临再次犯罪的风险。以前的许多干预措施都不是为解决创伤相关问题而设计的 症状，尽管有证据表明JJ系统中的大多数年轻人都有创伤和接触过 创伤性事件是再次犯罪的预测因素。创伤暴露可导致和 永久化的犯罪可能是由发生在以生存为导向的生物变化的 暴露在创伤中的儿童的大脑--即受损的自我调节系统 负责奖励/激励、承受痛苦和执行职能。结果是，年轻人有一个 有创伤病史的人通常有能力受损，以调整他们的行为和认知反应 一系列压力源。因此，鉴于创伤暴露在这一人群中的普遍程度，针对JJ的干预措施-- 参与其中的青年应解决创伤问题，具体地说，应向青年提供与增强自我有关的资源 监管技巧。尽管一些创伤知情干预已经证明了经验证据 对JJ相关青年的有效性，许多人在方法上存在局限性，还没有测试过 补充性正念或以身体为导向的干预可以通过增强自我来减少再犯罪 在这群人中的监管。我们建议完善、实施和评估创伤-知情、正念- 以瑜伽为基础的干预，将加强佐治亚州少年部青少年的自我调节 司法(DJJ)系统。这项混合方法调查的目的是提炼和引导创伤- 知情的正念瑜伽(Timby)计划，评估该计划对青少年的初步影响 行为和心理社会结果和测试关键方面的研究设计，以告知设计一个完整的 规模试验。这项建议的目的是：(1)采用迭代起草和修订过程，以完善 专门针对JJ系统中的年轻人的创伤知情瑜伽干预，(2)进行草案的初步试点 Timby在2个DJJ设施对参与JJ的青年进行干预；(3)开展和评估小规模活动 蒂姆比干预的可行性研究。拟议研究的预期产品包括精炼的 干预方案和程序手册，关于干预的影响的初步数据 参与者结果，以及关于干预可接受性、依从性、保真度、剂量/持续时间、参与者的数据 招聘、留住和自然减员、评估可行性和其他障碍和促进者对大规模 实施。这些产品和数据将使后续快速推出、大规模的务实 通过未来应用程序资助的集群式区域合作研究。

PROJECT SUMMARY/ABSTRACT There are a number of interventions that aim to reduce recidivism among youth in the juvenile justice (JJ) system, some of which have documented evidence of effectiveness. However, the average reduction in recidivism following the implementation of these programs is modest at best, leaving a majority of JJ-involved youth at risk for recidivism. Many previous interventions have not been designed to address trauma-related symptoms despite evidence that most youth in the JJ system have a history of trauma and exposure to traumatic events is a predictor of recidivism. The pathway by which trauma exposure can lead to and perpetuate delinquency may be explained by some of the survival-oriented biological changes that occur in the brain of children who have been exposed to trauma – namely the compromised self-regulation systems that are responsible for reward/motivation, distress tolerance and executive function. As a result, youth with a history of trauma often have an impaired ability to modulate their behavioral and cognitive responses to a wide range of stressors. Thus, in light of the prevalence of trauma exposure in this population, interventions for JJ- involved youth should address trauma and, specifically, provide youth with resources related to enhancing self- regulation skills. Though some trauma-informed interventions have demonstrated empirical evidence of effectiveness with JJ-involved youth, many have methodological limitations and have not tested whether complementary mindfulness or somatically-oriented interventions can reduce recidivism by enhancing self- regulation in this population. We propose to refine, implement and evaluate a trauma-informed, mindfulness- based yoga intervention that will enhance self-regulation among youth in the Georgia Department of Juvenile Justice (DJJ) system. The objectives of this mixed-methods investigation are to refine and pilot a trauma- informed, mindfulness-based yoga (TIMBY) program, assess the preliminary impact of this program on youth behavioral and psychosocial outcomes and test key aspects of the study design to inform the design of a full scale trial. The aims of this proposal are: (1) employ an iterative drafting and revision process to refine a trauma-informed yoga intervention specifically for youth in the JJ system, (2) conduct an initial pilot of the draft TIMBY intervention with JJ-involved youth at 2 DJJ facilities and (3) conduct and evaluate a small scale feasibility study of the TIMBY intervention. The expected products of the proposed research include a refined intervention protocol and manual of procedures, preliminary data regarding the impact of the intervention on participant outcomes, and data on intervention acceptability, adherence, fidelity, dose/duration, participant recruitment, retention and attrition, assessment feasibility and other barriers and facilitators to large-scale implementation. These products and data will enable a rapid launch of a subsequent, large-scale pragmatic cluster RCT funded through a future application.