Alcohol, Suicide & HIV Prevention of Teens in Mental Health Treatment

酒精、自杀

• 批准号: 8137942
• 负责人: CHRISTIANNE L. ESPOSITO-SMYTHERS
• 金额: $ 15.7万
• 依托单位: GEORGE MASON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8137942
• 关键词: AIDS prevention; Address; Adolescent; Adolescent Risk Behavior; Alcohols; Behavioral; Clinical Trials; Cognition; Cognitive; Cognitive deficits; Communities; Community Mental Health Centers; Community Mental Health Services; Coping Skills; DSM-IV; Data; Dependence; Development; Diagnosis; Drug Use Disorder; Drug abuse; Drug usage; Educational workshop; Elements; Expectancy; Family; Feeling suicidal; Funding; Future; HIV; HIV Infections; Health; Healthcare; Incidence; Individual; Intervention; Knowledge; Manuals; Measures; Mental Health; National Institute on Alcohol Abuse and Alcoholism; Outcome; Outpatients; Parenting behavior; Parents; Pilot Projects; Prevention; Prevention Protocols; Prevention program; Protocols documentation; Public Health; Randomized; Relative (related person); Research; Risk; Risk Behaviors; Sample Size; Sampling; Self Destructive Behavior; Self Efficacy; Sexual Partners; Staging; Structure; Suicide; Suicide prevention; Teenagers; Testing; Training; Treatment Protocols; Youth; adolescent alcohol; adolescent alcohol abuse; alcohol abuse therapy; alcohol and other drug; alcohol prevention; base; binge drinking; contextual factors; design; high risk sexual behavior; improved; interest; intervention effect; parent-child communication; parental monitoring; peer; pilot trial; post intervention; prevent; public health relevance; response; sex; sexually active; skills; suicidal behavior; suicidal risk; therapy development; trial comparing; willingness

DESCRIPTION (provided by applicant): This application was submitted in response to NIAAA PA-06-097 "Parenting Capacities and Health Outcomes in Youths and Adolescents". Alcohol and other drug (AOD) abuse/dependence, suicidal behavior, and HIV infection constitute three significant public health problems. Adolescents seeking treatment for mental health problems are at significantly greater risk for the development of AOD abuse/dependence, suicidal behavior, and risky sexual behavior compared to non-psychiatric adolescent samples. Prevention programs that target these three often inter-related self-destructive behaviors among youth seeking community mental health treatment have not been tested. The primary purpose of this proposal is to develop a family-based cognitive behavioral protocol designed to prevent AOD use disorder, suicidal behavior, and HIV risk behaviors among sexually active teens receiving community mental health services and then evaluate it in a randomized Stage I trial. This protocol will be developed by integrating key elements from two federally funded intervention protocols, Dr. Esposito-Smythers' (PI) cognitive behavioral individual and family based protocol for the treatment of adolescent alcohol abuse and suicidality and Dr. Brown's (PI) HIV prevention program for teens in mental health treatment. There are three primary aims in this project: 1) develop a manualized AOD, suicide, and HIV prevention protocol for adolescents receiving community mental health treatment; 2) pilot and refine the prevention protocol with 12 families; and 3) test this prevention protocol in a small randomized pilot trial. To accomplish these aims, a two step sequence of treatment development is proposed. Stage 1a activities include manual development, therapist training, and an open pilot trial. Stage 1b activities include a randomized pilot trial. One hundred twenty-five adolescents and their parents receiving community mental health treatment will be randomly assigned to the integrated prevention protocol or an assessment-only control condition as an adjunct to their outpatient mental health care. The prevention protocol will include attendance at two workshops and an individualized booster session. Outcome will be assessed at post-intervention, 6 month, and 12 month follow-ups. The long term objective of this research is to yield a comprehensive prevention program that can be used as an adjunct to mental health treatment in an effort to offset the developmental trajectory toward AOD abuse/dependence, suicidal behavior, and HIV risk behavior among youth with mental health problems. PUBLIC HEALTH RELEVANCE Adolescent alcohol and other drug (AOD) abuse/dependence, suicide, and HIV infection constitute three significant public health problems. Adolescents with mental health problems are at significantly greater risk for each of these self-destructive behaviors when compared to non-psychiatric adolescent samples. An integrated AOD, suicide, and HIV prevention program, delivered within community mental health centers, could offset the development of each of these outcomes among youth with mental health problems.

描述（由申请人提供）：此申请是针对NIAAA PA-06-097提交的“青年和青少年的育儿能力和健康成果”。酒精和其他药物（AOD）滥用/依赖，自杀行为和HIV感染构成了三个重大的公共卫生问题。与非精神病青少年样本相比，寻求治疗精神健康问题治疗的青少年对滥用AOD/依赖性，自杀行为和风险性行为的风险显着更大。针对这三种经常相互关联的自我毁灭行为的预防计划尚未测试。该提案的主要目的是开发一种基于家庭的认知行为方案，旨在防止接受社区心理健康服务的性活跃青少年之间的AOD使用障碍，自杀行为和HIV风险行为，然后在随机的I阶段试验中对其进行评估。该协议将通过整合来自两个联邦资助的干预方案的关键要素，即Esposito-Smythers博士（PI）认知行为的个人和基于家庭的个人和家庭方案，用于治疗青少年酒精滥用和自杀性，以及Brown's（PI）HIV HIV HIV预防艾滋病毒预防计划。该项目有三个主要目的：1）为接受社区心理健康治疗的青少年开发手动的AOD，自杀和艾滋病毒预防方案； 2）与12个家庭的试点和完善预防方案； 3）在一项小型随机试验试验中测试此预防方案。为了实现这些目标，提出了两步的治疗开发顺序。第1A阶段的活动包括手动开发，治疗师培训和开放试点试验。阶段1B活动包括一项随机试验试验。一百二十五名青少年及其父母接受社区心理健康治疗将被随机分配到综合预防方案或仅评估控制条件中，作为其门诊精神卫生保健的辅助手段。预防协议将包括参加两个研讨会和个性化助推器会议。结果将在干预后，6个月和12个月的随访中进行评估。这项研究的长期目标是产生一项全面的预防计划，该计划可以用作心理健康治疗的辅助手段，以抵消患有心理健康问题的青年的滥用/依赖性，自杀行为和HIV风险行为的发展轨迹。 公共卫生相关性青少年酒精和其他药物（AOD）滥用/依赖，自杀和艾滋病毒感染构成了三个重大的公共卫生问题。与非精神病青少年样本相比，患有精神健康问题的青少年对这些自我毁灭行为的风险显着更大。在社区心理健康中心内提供的综合AOD，自杀和艾滋病毒预防计划可以抵消心理健康问题的年轻人中每种结果的发展。

项目成果

The effects of parental mental health and social-emotional coping on adolescent eating disorder attitudes and behaviors.

• DOI: 10.1016/j.adolescence.2016.08.007
• 发表时间: 2016-10
• 期刊: Journal of adolescence
• 影响因子: 3.8
• 作者: Martinson LE;Esposito-Smythers C;Blalock DV
• 通讯作者: Blalock DV

The relation between child maltreatment and adolescent suicidal behavior: a systematic review and critical examination of the literature.

• DOI: 10.1007/s10567-013-0131-5
• 发表时间: 2013-06
• 期刊: CLINICAL CHILD AND FAMILY PSYCHOLOGY REVIEW
• 影响因子: 6.9
• 作者: Miller, Adam B.;Esposito-Smythers, Christianne;Weismoore, Julie T.;Renshaw, Keith D.
• 通讯作者: Renshaw, Keith D.

The effect of parental monitoring on trajectories of disordered eating attitudes and behaviors among adolescents: An individual growth curve analysis.

• DOI: 10.1016/j.appet.2016.07.035
• 发表时间: 2016-12-01
• 期刊: APPETITE
• 影响因子: 5.4
• 作者: Martinson, Laura E.;Esposito-Smythers, Christianne;Blalock, Dan V.
• 通讯作者: Blalock, Dan V.

Is the focus of community-based mental health treatment consistent with adolescent psychiatric diagnoses?

社区心理健康治疗的重点是否与青少年精神病学诊断一致？

• DOI: 10.1016/j.childyouth.2019.06.010
• 发表时间: 2019
• 期刊: Children and youth services review
• 影响因子: 3.3
• 作者: Whitmyre,EmmaD;Adams,LeahM;Defayette,AnnamarieB;Williams,CaitlinA;Esposito-Smythers,Christianne
• 通讯作者: Esposito-Smythers,Christianne