Brief Intervention for Drug-Abusing Delinquents/Parents

对吸毒者/家长的简短干预

• 批准号: 7016673
• 负责人: Ken C WINTERS
• 金额: $ 16.35万
• 依托单位: TREATMENT RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7016673
• 关键词: alcohols; behavior; child rearing; clinical research; conditioning; drug abuse; early /brief intervention /therapy; handbook; parents; schools; training

DESCRIPTION (provided by applicant): Adolescent drug use remains a serious public health problem, with frequent use of alcohol and other drugs among as many as one in three high school seniors (Johnston, O'Malley, & Bachman, 2002). In particular, substance use rates are substantially higher among youth involved in the juvenile justice system, with treatment access quite limited. This puts such youth at high risk for escalation of substance use and continued justice system involvement. The proposed R21 study will address this treatment gap by modifying an existing school-based brief intervention (Bl) for application with at-risk juvenile offenders and parents/caregivers. The proposed study targets a context (juvenile justice system) and a stage of drug use severity (mild or moderate drug abuse; MMDA) under-studied in the adolescent clinical treatment literature. After manual modification, we will evaluate the Bl's feasibility and acceptability by conducting a Stage 1b controlled pilot study with a randomized trial of 90 juvenile offenders at the Hillsborough County, FL Juvenile Arbitration Program (ARB), a juvenile diversion program. Three groups will be compared: 2-session adolescent only condition (BI-A); 3-session adolescent (2-session) and parent (1-session) condition (BI-AP); and an assessment only control condition. Specific Aims are: AIM 1: To adapt BI-A and BI-AP for a juvenile delinquent population and develop associated training manuals and training protocols; AIM 2: To conduct a pilot study of the efficacy of BI-A and BI-AP on post-treatment outcomes among MMDA diverted juvenile offenders. The primary hypotheses are that participants will show a significant reduction in drug use at outcome compared to baseline, and that the BI-AP participants will show greater treatment effects compared to BI-A. The study will build upon our team's previous and current research on the impacts of Bl on at-risk youth, and treatment interventions for juvenile offenders. Evidence of the feasibility and acceptability of the Bl will set the stage for future R01s to test in randomized trials the efficacy and effectiveness of the Bl for juvenile offenders in the community, and to develop strategies to implement diffusion and technology transfer to other jurisdictions. If successful, this efficient, relatively inexpensive intervention has enormous potential for reducing risks for escalating drug abuse and delinquency among under-served, at-risk delinquents.

描述（由申请人提供）： 青少年吸毒仍然是一个严重的公共卫生问题，多达三分之一的高中生经常使用酒精和其他药物（Johnston、O'Malley 和 Bachman，2002 年）。特别是，少年司法系统中青少年的药物使用率要高得多，而获得治疗的机会却相当有限。这使得这些年轻人面临药物使用升级和司法系统持续介入的高风险。拟议的 R21 研究将通过修改现有的基于学校的简短干预措施 (Bl) 来解决这一治疗差距，以适用于高危青少年罪犯和家长/照顾者。拟议的研究针对的是青少年临床治疗文献中未充分研究的背景（青少年司法系统）和药物使用严重程度（轻度或中度药物滥用；MMDA）的阶段。手动修改后，我们将通过在佛罗里达州希尔斯伯勒县少年仲裁计划 (ARB)（一项少年分流计划）中对 90 名少年罪犯进行 1b 阶段对照试点研究进行随机试验，评估 BL 的可行性和可接受性。将比较三组：仅 2 个疗程的青少年条件（BI-A）； 3 阶段青少年（2 阶段）和家长（1 阶段）状况 (BI-AP)；和仅评估控制条件。具体目标是： AIM 1：针对青少年犯罪群体调整 BI-A 和 BI-AP，并制定相关培训手册和培训方案；目标 2：开展一项试点研究，了解 BI-A 和 BI-AP 对 MMDA 转学青少年罪犯治疗后结果的功效。主要假设是，与基线相比，参与者在结果中的药物使用量将显着减少，并且与 BI-A 相比，BI-AP 参与者将表现出更好的治疗效果。这项研究将建立在我们团队之前和当前关于 BL 对高危青少年的影响以及对青少年罪犯的治疗干预的研究的基础上。 BL 的可行性和可接受性的证据将为未来的 R01 奠定基础，以便在随机试验中测试 BL 对社区少年犯的功效和有效性，并制定向其他司法管辖区实施推广和技术转让的策略。如果成功，这种高效、相对廉价的干预措施将具有巨大的潜力，可以降低服务不足、高危违法者中药物滥用和违法行为升级的风险。