Support To Reunite, Involve and Value Each Other (STRIVE)

支持重聚、参与和重视彼此 (STRIVE)

• 批准号: 8346171
• 负责人: Norweeta Germaine Milburn
• 金额: $ 19.03万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-04 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8346171
• 关键词: Accountability; Address; Adolescent; Adult; African American; Alcohol or Other Drugs use; Attenuated; Back; Behavior; Behavior Disorders; Child; Communities; Contracts; County; Development; Drug Courts; Environment; Environmental Risk Factor; Evaluation; Face; Family; HIV; Health; Home environment; Home visitation; Homeless Youth; House Call; Imprisonment; Instruction; Intervention; Justice; Knowledge; Latino; Location; Los Angeles; Mediating; Mental Health; Mental Health Court; Mental Health Services; Mental disorders; Minority; Minority Groups; Morbidity - disease rate; Outcome; Parents; Participant; Pharmaceutical Preparations; Phase; Population; Preparation; Problem Solving; Psychiatric Diagnosis; Randomized; Randomized Controlled Trials; Recommendation; Recruitment Activity; Reporting; Research; Risk; Risk Behaviors; Risk-Taking; Role; Schedule; Severities; Sex Behavior; Site; Substance abuse problem; Symptoms; System; Transportation; Visit; Youth; adjudicate; adolescent delinquent behavior; base; behavioral health; conflict resolution; coping; court; family structure; improved; juvenile delinquent; juvenile justice system; physical conditioning; prevent; primary outcome; probation; recidivism; social; tool; treatment as usual

Over 20,000 mostly ethnic/racial minority delinquent youth are incarcerated annually through the Los Angeles (LA) County juvenile probation system. Formerly incarcerated delinquent youth face major challenges to achieving successful, healthy developmental trajectories when transitioning back to the community. Many have repeat contact with the juvenile or adult justice system within a few years of release. This application examines the efficacy of a family-based intervention to improve the reentry of formeriy incarcerated delinquent youth by reducing substance abuse, other HIV risk behaviors and psychiatric disorders, and improving family functioning. Family involvement and support are often attenuated for many incarcerated youth. Family support, including providing a structured family environment and attending to their children's educational, physical health and mental health needs is vital to keeping reentry delinquent youth on track. Efforts to enhance family support and functioning for reentry delinquent youth through the juvenile justice system are limited. Family interventions have been shown to decrease severity of mental health symptoms and prevent delinquent behaviors of adolescents. This research team has successfully developed and implemented a brief five session family intervention for homeless youth and their parents/guardians called STRIVE (Support To Reunite, Involve and Value Each Other). STRIVE has been efficacious in a RCT in reducing substance abuse, sexual risk and delinquency. It will be adapted and implemented to reduce psychiatric morbidity and improve family functioning for delinquent youth newly released from incarceration in two phases: 1) Adaption of STRIVE for reentry delinquent youth and their parents/guardians; 2) An RCT of STRIVE with 400 youth and their parents/guardians upon reentry from incarceration. Participants will complete the baseline and then be randomized to the STRIVE intervention condition or treatment as usual and assessed at 3, 6 &12 months. Aims are to: 1. Examine the efficacy of STRIVE to reduce psychiatric symptoms and behavior disorders (delinquency, disruptive and conduct problems), reduce key HIV risk behaviors (substance use, sexual risk acts), and reduce recidivism. 2. Examine the effect of STRIVE on youth's and parent's conflict resolution, positive interactions, problem solving and coping; and clarifying the role of families as delinquent youth reenter. 3. Examine whether improvements in the mediating family functioning factors will improve primary outcomes described in Aim 1. 4. Explore whether STRIVE improves utilization of health & mental health services.

超过20,000多名种族/种族少数民族犯罪青年每年通过LOS监禁 安吉利斯（洛杉矶）县少年缓刑系统。以前被监禁的犯罪青年面对专业 过渡到成功时，要实现成功，健康的发展轨迹的挑战 社区。许多人在发布后的几年内与少年或成人司法系统重复接触。 该申请研究了基于家庭的干预措施的功效，以改善以前的重新进入 通过减少药物滥用，其他艾滋病毒风险行为和精神病，被监禁的犯罪青年 疾病，改善家庭功能。家庭的参与和支持通常会减弱许多 被监禁的青年。家庭支持，包括提供结构化的家庭环境并参与其 儿童的教育，身体健康和心理健康需求对于保持重新进入青年至关重要 步入正轨。通过少年来增强家庭的支持和功能的努力 司法系统有限。家庭干预措施已被证明减轻了心理健康的严重程度 症状并防止青少年的违法行为。该研究团队已成功发展 并为无家可归的青年及其父母/监护人实施了短暂的五届会议家庭干预 称为努力（支持团聚，涉及和互相价值）。努力在RCT中有效 在减少药物滥用，性风险和犯罪方面。它将被调整和实施以减少 精神病发病率并改善了新释放的犯罪青年的家庭功能 在两个阶段：1）改编为重新进入的犯罪青年及其父母/监护人的改编； 2）RCT 与400名青年及其父母/监护人一起奋斗，从监禁中重新进入。参与者会 完成基线，然后像往常 并在3、6和12个月进行评估。目的是：1。检查努力减少精神病的功效 症状和行为障碍（犯罪，破坏性和行为问题），降低关键的HIV风险 行为（吸毒，性风险行为）并减少累犯。 2。检查努力对 青年和父母的冲突解决，积极的互动，解决问题和应对；并澄清 家庭作为犯罪青年的角色。 3。检查中介家庭的改善是否 功能因素将改善目标1。4中描述的主要结果。探索努力是否有所改善 利用健康与精神卫生服务。