Preventing HIV/STI Risk Behavior in Girls with Delinquency, Drug Abuse & Trauma

预防青少年犯罪和吸毒的艾滋病毒/性传播感染危险行为

• 批准号: 8785143
• 负责人: DANA K SMITH
• 金额: $ 60.84万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8785143
• 关键词: Preventing; HIV; STI; Risk; Behavior

PROJECT SUMMARY/ABSTRACT The co-existence of conduct problems, drug abuse, and HIV risk behaviors is widely accepted, and numerous studies have highlighted the co-occurrence of these problems for youths involved in the juvenile justice system. Detrimental social, health, and mental health outcomes for youths with this triple threat of co-occurring problems are well-documented. Such youths are at high risk for a cascading host of additional problems as they age including AIDS, severe and persistent physical and mental health problems, incarceration, and early death. Although specific targets for prevention and intervention for youths with the triple-threat constellation have been identified, no evidence-based models have been developed to integrally address this constellation with adolescent juvenile justice populations. Program models are needed that treat this constellation in a coordinated fashion across juvenile justice and mental health systems. A lack of research on the development and implementation of integrated, multi-system treatment interventions targeting youths with the triple-threat constellation has led to a gap in the research base and in effective comprehensive services for high-risk youths. The proposed study builds on preliminary findings from a Mentored Career Development Award (K23 MH070684) and aims to test an integrated, family-centered preventive intervention for adolescent boys and girls with conduct problems who are at high risk for experiencing problems with chronic delinquency, drug abuse, and contracting HIV/AIDS, and their parents in partnership with the local juvenile justice authority where the intervention will be delivered. The proposed sample (N=160) includes youths ages 14-18 who have at least one criminal referral, documented drug use, are living in the community (e.g., biological/adoptive parent, relative or foster care) and have been placed on supervised probation or a formal accountability contract by the juvenile justice system in Lane County, OR. Youths and their parent(s) will be randomly assigned to an integrated conduct problem, drug use, and HIV/AIDS risk intervention (ICDH; n=80) or to a services-as-usual (SAU; n=80) control condition. Analyses will examine group differences in proximal and longer-term outcomes based on group assignment (intervention or control), the effects of potential mediating variables on the association between group assignment and proximal and longer-term outcomes, and general developmental modeling and theory-building questions specific to high-risk adolescents.

项目摘要/摘要 行为问题，药物滥用和艾滋病毒风险行为的共存已被广泛接受，许多 研究强调了这些问题的同时存在于少年司法系统中的年轻人。 对年轻人的有害社会，健康和心理健康成果，这是这种三重威胁的同时发生的威胁 问题有充分记录。这样的年轻人面临许多其他问题的高风险 他们的年龄在内，包括艾滋病，严重和持续的身心健康问题，监禁以及早期 死亡。虽然对三重威胁星座的青年的预防和干预的具体目标 已经确定了，尚未开发出基于证据的模型来整合该星座 与青少年司法人口。需要计划模型来处理该星座 在少年司法和心理卫生系统中协调的时尚。缺乏对发展的研究 并实施针对年轻人三重威胁的综合多系统治疗干预措施 星座导致研究基础的差距和高风险的有效综合服务 年轻人。拟议的研究基于指导职业发展奖的初步发现（K23 MH070684），旨在测试青少年男孩的集成，以家庭为中心的预防性干预措施 有行为问题的女孩，她们遇到慢性犯罪，毒品问题的风险很高 虐待，艾滋病毒/艾滋病及其父母与当地少年司法当局合作 干预将进行。拟议的样本（n = 160）包括至少有14-18岁的年轻人 一个刑事转诊，有记录的毒品使用，居住在社区中（例如，生物/收养父母， 相对或寄养），已被置于监督缓刑或正式责任合同上 俄勒冈州莱恩县的少年司法系统。年轻人及其父母将被随机分配给 综合行为问题，毒品使用和艾滋病毒/艾滋病风险干预（ICDH; n = 80）或对服务态度 （SAU; n = 80）控制条件。分析将检查近端和长期结局的群体差异 基于小组分配（干预或控制），潜在的中介变量对 小组分配与近端和长期结局之间的关联以及一般发展 建模和理论建设问题特定于高危青少年。