Sleep among adolescents involved in the justice system

参与司法系统的青少年的睡眠情况

基本信息

批准号：
10665920
负责人：
Jessica C Levenson
金额：
$ 19.88万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-06-01 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10665920
关键词：
Adolescence Adolescent Adult Age Aggressive behavior Behavior Behavioral Black race Caregivers Caring Charge Cognitive Communities Complex Coupled Cross-Sectional Studies Data Development Diagnosis Disease Drops Emotional Equity Event Family Future Health Health Personnel Human Resources Imprisonment Improve Access Impulsivity Individual Inequity Intervention Interview Justice Learning Literature Mental Health Mental Health Services Mental disorders Methods Moods National Institute of Mental Health Nature Outcome Parents Play Population Professional counselor Protocols documentation Provider Psychopathology Race Regulation Reporting Research Resources Sampling Services Sleep Sleep Disorders Sleeplessness Social Identification Social Interaction Strategic Planning Supervision Surveys System Testing Time Training Translating Translations Trauma Underserved Population United States Vulnerable Populations Work Youth actigraphy adverse childhood events adverse outcome data cleaning diaries emotion regulation evidence base experience high risk high school implementation intervention improved improvement on sleep inattention juvenile justice system low socioeconomic status marginalization marginalized population member minority children novel poor sleep probation programs racial disparity racial minority racial minority population racism skills sleep pattern sleep quality sleep-focused interventions social suicidal

项目摘要

Abstract Juvenile justice-involved youth (JJIY), primarily adolescents ages 13-17, are a complex and highly vulnerable population who have high rates of psychiatric disorders, suicidality, trauma, and lower socioeconomic status. Minoritized youth (by race) are disproportionately represented among JJIY. Though the need for mental health services is pervasive among this population, only 20-25% of JJIY receive mental health treatment while involved in the juvenile justice system, with even lower rates among racial minorities. All of these factors are associated with poor sleep; further, poor sleep quality and insomnia are widespread among incarcerated adults. Yet, there has not been a systematic study of the sleep of JJIY, the correlates of sleep in this population, nor the options for implementing evidence-based sleep-focused treatments in various juvenile justice system settings. This is a critical gap in the literature, especially because sleep promotion is associated with reduced psychopathology. We propose a descriptive, mixed-methods study to 1) examine the nature and correlates of sleep among JJIY; 2) identify points of intervention in the juvenile justice system where sleep treatment can be delivered, personnel who can deliver it, and the resources needed to do so; and 3) identify strategies for effective translation and implementation of evidence-based sleep-focused interventions in system settings. We will conduct a cross- sectional survey of JJIY (13-17y; n=25 in residential placement, n=75 under community supervision, reflecting national rates). Youth will complete a daily sleep diary and a subset (n=40) wear actigraphy for 10 days. Parents and adult caregivers will be invited to complete a complementary survey (n=100). To obtain further information, we will invite 20 of the full sample of 100 youth to participate in one-on-one qualitative interviews. We focus on ages 13-17 given the rapid and interacting changes in sleep, emotion regulation, and behavioral regulation during this period. We will also conduct qualitative interviews with 20 individuals working in the juvenile justice system (residential counselors, probation officers, healthcare providers). Survey data will be preliminarily analyzed to inform the interviews. Then, in Year 2 we will conduct and analyze the interviews using Rapid Qualitative Inquiry, and we will conduct quantitative data cleaning and full analysis. We will rely on stakeholder-engaged research, which values community members as equitable research partners and may result in more sustainable and effective programs by tailoring the program to the community context. This work aligns with the NIMH Strategic Plan Objective 4.3: to conduct research that optimizes and improves access to existing programs that improve mental health services for underserved populations. This R21 will constitute the essential first step in a program of research that will include further developing and adapting existing sleep interventions to target the sleep patterns, problems, and determinants of sleep relevant to JJIY, translating these interventions for implementation in juvenile justice settings, and testing these programs among JJIY in various system settings.

抽象的少年司法青年（JJIY），主要是13-17岁的青少年，是一个复杂而又脆弱的人口具有高精神疾病，自杀，创伤和较低社会经济地位的人群。少数年轻人（按种族）在Jjiy中的代表不成比例。虽然需要心理健康在这个人群中，服务普遍存在，只有20-25％的人在参与时接受心理健康治疗在少年司法系统中，种族少数群体的比率甚至更低。所有这些因素都是相关的睡眠不好；此外，在被监禁的成年人中，睡眠质量差和失眠是普遍存在的。但是，那里不是对Jjiy睡眠的系统研究，该人群的睡眠相关性，也不是选择用于在各种少年司法系统环境中实施基于证据的注重睡眠治疗。这是一个文献中的关键差距，尤其是因为促进睡眠与精神病理学的减少有关。我们提出了一项描述性的混合方法研究，以1）检查jjiy之间睡眠的性质和相关性； 2）确定可以提供睡眠治疗的少年司法系统中的干预点谁可以交付它，以及这样做所需的资源； 3）确定有效翻译的策略和在系统设置中实施基于证据的注重睡眠干预措施。我们将进行交叉 Jjiy的分区调查（13-17y; n = 25在住宅位置，n = 75，在社区监督下，反映国家利率）。年轻人将完成每日睡眠日记，并将一个子集（n = 40）佩戴动作法10天。父母将邀请成人照顾者完成互补调查（n = 100）。为了获得更多信息，我们将邀请100名青年的全部样本中有20个参加一对一的定性访谈。我们专注于鉴于睡眠，情绪调节和行为调节的快速变化，年龄在13-17岁之间这个时期。我们还将与20个人在少年司法系统中工作（住宅顾问，缓刑官，医疗保健提供者）。调查数据将初步分析通知采访。然后，在第二年，我们将使用快速定性询问进行和分析访谈，我们将进行定量数据清洁和完整分析。我们将依靠利益相关者参与的研究，哪些社区成员是公平的研究伙伴，可能会导致更具可持续性，并且通过为社区环境量身定制计划来有效计划。这项工作与NIMH战略相吻合计划目标4.3：进行优化并改善对改进现有计划的访问的研究服务不足的人群的心理健康服务。该R21将构成程序的重要第一步研究将包括进一步发展和调整现有的睡眠干预措施以针对睡眠与Jjiy相关的睡眠的模式，问题和决定因素，将这些干预措施转化为实施在少年司法环境中，并在各种系统设置中测试Jjiy中的这些程序。