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.

项目概要/摘要 行为问题、药物滥用和艾滋病毒危险行为并存已被广泛接受，并且许多 研究强调，对于参与少年司法系统的青少年来说，这些问题同时存在。 这种同时发生的三重威胁会给青少年带来不利的社会、健康和心理健康结果 问题都有详细记录。这些年轻人面临一系列其他问题的高风险，例如 他们的衰老包括艾滋病、严重且持续的身心健康问题、监禁和早期 死亡。虽然针对三重威胁的青少年制定了具体的预防和干预目标 已经确定，尚未开发出基于证据的模型来全面解决这一问题 与青少年少年司法人口。需要程序模型来处理这个星座 协调青少年司法和心理健康系统的时尚。缺乏发展研究 针对遭受三重威胁的青少年实施综合、多系统治疗干预措施 星座导致研究基础和高风险综合服务的有效差距 年轻人。拟议的研究建立在导师职业发展奖（K23 MH070684），旨在测试针对青春期男孩和青少年的综合的、以家庭为中心的预防干预措施 有品行问题的女孩，长期犯罪、吸毒等问题的风险很高 虐待和感染艾滋病毒/艾滋病及其父母与当地少年司法机构合作，其中 将进行干预。拟议样本 (N=160) 包括 14-18 岁的青少年，他们至少拥有 一名犯罪转介，有吸毒记录，居住在社区（例如，亲生父母/养父母， 亲属或寄养）并已被置于监督缓刑或正式问责合同 俄勒冈州莱恩县的少年司法系统。青少年及其家长将被随机分配到 综合行为问题、吸毒和艾滋病毒/艾滋病风险干预（ICDH；n=80）或照常服务 (SAU；n=80)控制条件。分析将检查近期和长期结果的组间差异 基于小组分配（干预或控制），潜在中介变量对 小组分配与近期和长期结果以及一般发育之间的关联 针对高危青少年的建模和理论构建问题。