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）：本申请是为了响应 NIAAA PA-06-097“青少年和青少年的育儿能力和健康成果”而提交的。酒精和其他药物（AOD）滥用/依赖、自杀行为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，寻求心理健康问题治疗的青少年发生 AOD 滥用/依赖、自杀行为和危险性行为的风险明显更大。针对寻求社区心理健康治疗的青少年中这三种往往相互关联的自我毁灭行为的预防计划尚未经过测试。该提案的主要目的是制定一个基于家庭的认知行为方案，旨在预防接受社区心理健康服务的性活跃青少年的 AOD 使用障碍、自杀行为和艾滋病毒危险行为，然后在随机第一阶段试验中对其进行评估。该方案将通过整合两个联邦资助的干预方案的关键要素来制定，即 Esposito-Smythers 博士 (PI) 的用于治疗青少年酗酒和自杀的认知行为个人和家庭方案以及 Brown 博士 (PI) 的艾滋病毒预防方案青少年心理健康治疗计划。该项目有三个主要目标：1）为接受社区心理健康治疗的青少年制定手动的 AOD、自杀和艾滋病毒预防方案； 2）与12个家庭试点并完善预防方案； 3) 在小型随机试点试验中测试该预防方案。为了实现这些目标，提出了治疗开发的两步顺序。第 1a 阶段的活动包括手册开发、治疗师培训和公开试点试验。 1b 阶段活动包括随机试点试验。接受社区心理健康治疗的 125 名青少年及其父母将被随机分配到综合预防方案或仅评估控制条件，作为门诊心理健康护理的辅助手段。预防方案将包括参加两个研讨会和一次个性化的加强会议。将在干预后、6 个月和 12 个月的随访中评估结果。这项研究的长期目标是制定一个全面的预防计划，可作为心理健康治疗的辅助手段，以抵消患有精神疾病的青少年中 AOD 滥用/依赖、自杀行为和艾滋病毒危险行为的发展轨迹。健康问题。 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，有心理健康问题的青少年发生这些自毁行为的风险明显更大。在社区心理健康中心内实施的综合 AOD、自杀和艾滋病毒预防计划可以抵消有心理健康问题的青少年中每一项结果的发展。

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