Strengthening Neighborhood Investment: An Evaluation

加强邻里投资：评估

• 批准号: 6740463
• 负责人: JOHN M BOLLAND
• 金额: $ 41.83万
• 依托单位: UNIVERSITY OF ALABAMA IN TUSCALOOSA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6740463
• 关键词: adolescence (12-20); behavioral /social science research tag; clinical research; community; drug abuse prevention; drug abuse therapy; human subject; interview; low socioeconomic status; socioeconomics; socioenvironment; substance abuse related disorder; urban area

DESCRIPTION (provided by applicant): Although poverty in the United States has decreased since 1959, poverty and its related problems continue to pose important threats to American inner cities. One of the poverty-related problems that has defied solution is substance use and abuse among adolescents living there. Many substance abuse programs have been implemented to serve adolescents living in impoverished inner-city areas. However, they have not been specifically designed to meet the needs of inner-city adolescents living in extreme poverty; nor has their effectiveness with this population been evaluated. The special circumstances of inner-city adolescents require a different approach than is typically adopted. Many experience feelings of disempowerment, hopelessness, and despair that may prevent them from actively engaging drug and alcohol services; and those that do receive substance abuse services return to the same environment that helped create their risk behavior in the first place. The only way to counter these negative forces is to couple substance abuse treatment with an intensive long-term effort to change the neighborhoods themselves, working with residents to build a sense of community and a belief that they can improve the quality of life in their neighborhoods. We have incorporated this approach into our Strengthening Neighborhood Investment Program (SNIP), a community-based substance abuse treatment program funded by CSAT; in fact, community development and outreach are tied directly to the treatment services, with outreach workers taking a role in the treatment and the aftercare that adolescents receive. This program has been implemented in five inner-city neighborhoods in Mobile, Alabama. We propose to conduct a comprehensive evaluation of SNIP, which will add to our understanding of adolescent substance abuse and its treatment in several ways. First, the evaluation will examine the effectiveness of evidence-based treatment modalities for underserved inner-city adolescents whose needs and circumstances are different from those adolescents who are typically served by treatment programs. Second, it will examine the value added by an intensive outreach and community- development component. Third, it will examine the implementation of substance abuse programs in inner-city neighborhoods. Fourth, it will explore the impact of this neighborhood-based program on the metropolitan area system of care for adolescent substance users and abusers.

描述（由申请人提供）： 尽管自1959年以来，美国的贫困一直在下降，但贫困及其相关问题继续对美国内城构成重要威胁。违反解决方案的与贫困有关的问题之一是居住在那里的青少年中的物质使用和滥用。已经实施了许多药物滥用计划，以服务于居住在城市贫困地区的青少年。但是，他们并未专门设计它们来满足生活在极端贫困中的城市中青少年的需求。他们在该人群中的有效性也没有得到评估。城市青少年的特殊情况需要与通常采用的不同方法。许多人体验到无义，绝望和绝望的感觉，可能会阻止他们积极参与毒品和酒精服务；那些确实接受药物滥用服务的人返回到同一环境，从而有助于创造风险行为。反对这些负面力量的唯一方法是将滥用药物治疗与大量的长期努力进行策划，以改变社区自己，与居民合作建立社区意识，并相信他们可以改善社区的生活质量。我们已经将这种方法纳入了我们的加强社区投资计划（SNIP），这是由CSAT资助的基于社区的药物滥用治疗计划；实际上，社区发展和外展与治疗服务直接相关，外展工作者在治疗和青少年获得的后果中发挥作用。该计划已在阿拉巴马州莫比尔市的五个城市社区实施。我们建议对SNIP进行全面的评估，这将增加我们对青少年药物滥用及其治疗的理解。首先，评估将检查基于证据的治疗方式对服务不足的内城青少年的有效性，他们的需求和情况与通常由治疗计划服务的青少年不同。其次，它将检查由密集的外展和社区发展组成部分所添加的增值。第三，它将检查在城市内社区中的药物滥用计划的实施。第四，它将探讨该基于社区的计划对大都市地区护理系统对青少年物质用户和施虐者的影响。