TRIALS Coordinating Center to Reduce Substance Use, HIV Risk Behaviors, & Crime

减少药物使用、艾滋病毒危险行为试验协调中心，

• 批准号: 9308904
• 负责人: MICHAEL L DENNIS
• 金额: $ 62.35万
• 依托单位: CHESTNUT HEALTH SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9308904
• 关键词: AIDS prevention; Address; Administrator; Adolescence; Adolescent; Adoption; Alcohol or Other Drugs use; Clinical; Clinical Trials Data Monitoring Committees; Communication; Communities; Complex; Computer software; Crime; Data; Data Collection; Data Quality; Data Reporting; Databases; Drug Courts; Ensure; Evidence based treatment; Family; Fostering; Goals; HIV; HIV risk; Human; Information Systems; Justice; Lead; Logistics; Measures; Mental Health; Monitor; National Institute of Drug Abuse; Nature; Needs Assessment; Online Systems; Organizational Culture; Outcome; Penetration; Performance; Persons; Policies; Prevention; Preventive Intervention; Procedures; Process; Protocols documentation; Quality Control; Records; Recovery; Rehabilitation therapy; Reporting; Research; Research Activity; Research Infrastructure; Research Personnel; Resources; Risk Behaviors; Secure; Services; Severities; Sexually Transmitted Diseases; Site; Standardization; Structure; Substance Use Disorder; Supervision; Surveys; System; Telecommunications; Testing; Time; Training; Training Activity; Work; Youth; community reentry; disorder risk; effective therapy; evidence base; experience; implementation research; improved; interdisciplinary approach; juvenile justice system; meetings; organizational climate; parole; probation; program dissemination; reduced substance use; service utilization; substance abuse prevention; syntax; web site

While 45 to 65% of youth in the juvenile system meet criteria for substance use disorders (SUDs), less than half have ever received treatment, and less than one third of those received treatment while under community or correctional supervision. Prevention and treatment are critical given that onset of SUD during adolescence can lead to significantly longer periods of substance use, more severe offending, and penetration in the justice system. Complicating things further, SUD severity is associated with HIV and other sexually transmitted infections, and mental health problems. Despite the preponderance of evidence demonstrating these youths� unmet SUD and HIV needs, the short and long-term consequences resulting from their unmet needs, the low implementation rates of evidence-based treatments, and low service utilization rates, a number of agency and system level factors serve to further widen the gap between need and service utilization. Through 3-5 Research Centers (RC), and one Coordinating Center (CC), the NIDA TRIALS cooperative will seek to improve the continuum of evidence-based services including HIV prevention available to youth within the juvenile justice system. The proposed CC combines the collective experiences of Dr. Michael Dennis and Dr. Chris Scott in operating 6 juvenile justice and 7 adolescent treatment coordinating centers across the continuum of juvenile settings (e.g., diversion, drug court, probation, detention, community re-entry, parole), prevention, treatment, and recovery settings. The Coordinating Center�s AIMS are to: 1) conduct a national survey of juvenile justice agencies that provides a context and comparison standard for the TRIALS pre-implementation needs assessment and subsequent implementation studies; 2) coordinate each Research Center�s preimplementation needs assessment; 3) develop and manage a common data base infrastructure for cross-site Research Implementation Studies, and 4) Provide state-of�the-art communications and logistical support for the steering committee, workgroups, training activities and data safety monitoring board. Due to the complex and time-sensitive nature of the Coordinating Center�s responsibilities, Drs. Michael Dennis and Christy Scott will serve as PIs for the proposed TRIALS Coordinating Center. Having two highly experienced researchers with complementary expertise work in tandem will ensure that our Coordinating Center will be able to simultaneously develop and conduct the national survey of juvenile justice facilities, as well as help ensure that the Research Centers meet the overall TRIALS research objectives.

少年系统中有45％至65％的青年符合物质使用障碍标准（SUDS），少于 一半曾经接受过治疗，不到三分之一接受了社区期间接受治疗 或矫正监督。考虑到青少年期间的SUD发作，预防和治疗至关重要 可能导致更长的物质使用，更严重的犯罪和司法渗透 系统。进一步使事情复杂化，肿瘤的严重程度与艾滋病毒和其他性传播有关 感染和心理健康问题。尽管有很多证据证明了这些年轻人。 未满足的SUD和HIV需求，由于未满足的需求而造成的短期和长期后果，低 实施基于证据的治疗率和低服务利用率，许多机构和 系统级别因素有助于进一步宽度需求和服务利用之间的差距。通过3-5 研究中心（RC）和一个协调中心（CC），NIDA试验合作社将寻求改进 基于证据的服务的连续性，包括预防艾滋病毒的预防艾滋病毒 司法系统。提议的CC结合了Michael Dennis博士和Chris博士的集体经验 斯科特（Scott 少年环境（例如，转移，毒品法院，缓刑，拘留，社区重新进入，假释），预防， 治疗和恢复环境。协调中心的目的是：1）对 少年司法机构为试验提供了背景和比较标准 需要评估和随后的实施研究； 2）协调每个研究中心均可评估； 3）开发和管理跨站点的通用数据库基础架构 研究实施研究，以及4）提供最先进的沟通和后勤支持 指导委员会，工作组，培训活动和数据安全监控委员会。由于复杂 和协调中心的时间敏感性，Drs。迈克尔·丹尼斯和克里斯蒂·斯科特 将作为拟议试验协调中心的PI。有两个经验丰富的研究人员 凭借完善的专业知识工作将确保我们的协调中心能够 同样，开发和进行全国对少年司法设施的调查，并有助于确保 研究中心符合整体试验研究目标。