Impact/HIV Intervention/Adolescent Males Leaving Jail

影响/艾滋病毒干预/青少年男性出狱

• 批准号: 6442306
• 负责人: NICHOLAS FREUDENBERG
• 金额: $ 58.44万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-04-05 至 2006-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6442306
• 关键词: HIV infections; adolescence (12-20); alcoholism /alcohol abuse; behavior therapy; behavioral /social science research tag; clinical research; clinical trials; community health services; correctional institutions; counseling; criminal behavior; disease /disorder prevention /control; drug abuse; drug abuse education; female; gender difference; health care service; high risk behavior /lifestyle; human subject; interview; male; outcomes research; patient oriented research; questionnaires; sexually transmitted diseases; substance abuse related behavior

DESCRIPTION: (provided by applicant) The purpose of this randomized controlled study is to evaluate the impact of an intensive 30-hour post-release intervention versus a single jail-based discharge planning session in reducing drug use and drug selling, HIV and STI risk behavior, and rearrest among a population of jailed male adolescents. We are currently completing a randomized trial of a one-year post-release case management intervention for male adolescents. Our experience suggests that a shorter, more intensive intervention may achieve higher retention rates and effectively protect adolescents from returning to drug use, crime or HIV risk behavior in the hours, days, and weeks after they are released from jail. Whether a brief intervention in the two weeks after release from jail is more effective than a single jail-based discharge planning session is an open question. We propose to recruit in the New York City jail over four years 600 male adolescents from Manhattan and the Bronx with a history of substance abuse problems or drug selling, conduct an intake assessment, and then randomize individuals to receive either jail services only or jail and intensive community services. The specific aim of this study is to test the hypothesis that incarcerated male adolescents aged 16 to 18 who receive a jail and community intervention that includes at least 12 hours of jail services and 30 hours of community services in the two weeks after release will be more likely than a randomly assigned comparable group that receives only a discharge planning session in jail to demonstrate at 12 months post-release an increase in involvement in drug treatment, education and employment; and, reductions in the frequency and amount of alcohol and illicit drug use; lower rates of HIV risk behavior; lower rates of involvement in drug sales; and of rearrest. A secondary aim of this study is to compare patterns of drug use and HIV risk behavior among male and female incarcerated adolescents. To achieve this aim we will recruit 240 adolescent females who will complete an intake assessment and receive a jail-based discharge planning session. This sub-study will also be used to tailor the intervention tested in this proposal for adolescent females.

描述：（申请人提供） 这项随机对照研究的目的是评估 密集的30小时释放后干预与单个监狱 减少毒品使用和毒品销售，艾滋病毒和性传播疾病的出院计划会议 风险行为，并在监狱的男性青少年中重新占领。我们 目前正在完成一年释放后案件的随机试验 男性青少年的管理干预。我们的经验表明 较短的，更密集的干预可能会达到更高的保留率，并且 有效保护青少年免于返回吸毒，犯罪或艾滋病毒风险 在几个小时，几天和几周内被释放的行为。 从监狱释放两周后的两周中的短暂干预更多 有效比单个基于监狱的出院计划会议是公开的 问题。我们建议在纽约市监狱招募四年600 来自曼哈顿和布朗克斯的男性青少年有滥用毒品的历史 问题或毒品销售，进行摄入评估，然后随机分组 个人仅接受监狱服务或监狱和密集 社区服务。这项研究的具体目的是检验假设 那个被监禁的男性青少年，年龄在16至18岁，被监禁， 社区干预措施，包括至少12个小时的监狱服务和30个小时 发行后的两周内的社区服务时间更可能 比仅接收放电的随机分配的可比较组 释放后12个月在监狱中进行计划会议增加 参与药物治疗，教育和就业；而且，减少 酒精和非法药物使用的频率和数量；较低的艾滋病毒率 风险行为；降低参与药物销售的比率；并重新筹集。一个 这项研究的次要目的是比较吸毒的模式和艾滋病毒风险 男性和女性被监禁的青少年的行为。为了实现这一目标我们 将招募240名青少年女性，他们将完成摄入评估和 接受基于监狱的出院计划会议。这个子研究也将是 用于调整本提案中针对青少年女性的干预措施。