Juvenile Justice Girls: Pathways to Adjustment and System Use in Young Adulthood

少年司法女孩：青年时期的调整和系统使用途径

• 批准号: 7765568
• 负责人: Leslie Diane Leve
• 金额: $ 54.89万
• 依托单位: OREGON SOCIAL LEARNING CENTER, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-02-15 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7765568
• 关键词: 21 year old; AIDS prevention; AIDS/HIV problem; Address; Adolescence; Adolescent; Adolescent Behavior; Adolescent Risk Behavior; Adult; Age; Alcohol or Other Drugs use; American; Behavior; Behavioral Model; Caring; Categories; Characteristics; Child Welfare; Chronic; Cost Analysis; Cost Savings; Data; Data Collection; Development; Disease; Drug abuse; Drug usage; Failure; Female; Female Adolescents; Foundations; Future; Goals; Grant; Growth; HIV/STD; Home environment; Illicit Drugs; Imprisonment; Independent Living; Information Systems; Intervention; Intervention Trial; Interview; Justice; Life; Long-Term Effects; Longitudinal Studies; Measures; Mediating; Mediator of activation protein; Mental Health; Modeling; Oregon; Outcome; Parenting behavior; Parents; Participant; Pathway interactions; Patient Self-Report; Pattern; Persons; Population; Populations at Risk; Prevention; Preventive Intervention; Problem behavior; Process; Public Health; Randomized; Records; Relative (related person); Research; Risk; Risk Behaviors; Role; Sampling; Schools; Services; Social Work; Societies; Specific qualifier value; Substance Use Disorder; Surveys; Symptoms; System; Techniques; Telephone; Telephone Interviews; To specify; Translating; Woman; Work; analog; anti social; cost; cost effectiveness; criminal behavior; deviant; foster care; girls; high risk; information gathering; innovation; intergenerational; intervention effect; male; meetings; multilevel analysis; pediatric trauma; peer; prevent; public health relevance; service utilization; skills; social skills; success; theories; therapy development; transmission process; young adult

DESCRIPTION (provided by applicant): Females under age 18 are the fastest-growing segment of the juvenile justice population and are at risk for negative co-occurring outcomes including drug abuse, HIV/STI risk, criminal behavior, and educational failure. As they enter young adulthood, this constellation of behaviors puts them at heightened risk for early parenthood and subsequent involvement in the child welfare system (for their parenting behaviors) and the adult corrections system (for criminal behaviors). Such system involvement is costly, and its prevention would be of great significance to public health; however, very little is known about factors leading to females' success/failure in young adulthood and factors that might prevent involvement in these two public systems. The proposed study would further our understanding of the pathways to and the prevention of HIV/STI risk, drug use, and child welfare and adult corrections involvement by following-up 166 women who participated in two randomized intervention trials aimed at reducing delinquency during adolescence. In the original studies, juvenile justice girls who had been referred for out-of-home placement due to chronic delinquency were randomly assigned to services as usual or to Multidimensional Treatment Foster Care (MTFC). Efficacy of the MTFC intervention with this sample has been shown at 12- and 24-month follow-ups on criminal referral rates, days spent in locked settings, deviant peer associations, and educational engagement. We propose to examine the developmental pathways for these juvenile justice girls into young adulthood (ages 21-28) using innovative data collection and data analytic techniques, with foci on the long-term effects of MTFC, the mediators of young adult adjustment and child welfare/corrections involvement, and the cost effectiveness and cost avoidance of MTFC on these outcomes. The overarching aim is to identify potential targets for subsequent intervention. One in-person assessment is proposed with each female and her current romantic partner (if she has one); in addition, telephone interviews will be conducted every 6 months for the duration of the study, and system data from child welfare and adult corrections will be collected. PUBLIC HEALTH RELEVANCE: Studies have shown that juvenile justice girls have high rates of co-occurring risk behaviors. In young adulthood, these behaviors increase the likelihood of involvement in public social service systems. We will examine the pathways to young adult adjustment among juvenile justice females, focusing on processes that reduce the likelihood of child welfare and adult corrections involvement and, ultimately, costs to society.

描述（由申请人提供）：18 岁以下的女性是少年司法人口中增长最快的群体，面临着同时发生负面后果的风险，包括吸毒、艾滋病毒/性传播感染风险、犯罪行为和教育失败。当他们进入青年期时，这一系列行为使他们面临早期为人父母以及随后参与儿童福利系统（针对他们的养育行为）和成人惩教系统（针对犯罪行为）的更高风险。这种系统介入成本高昂，预防对公众健康具有重要意义；然而，对于导致女性在成年早期成功/失败的因素以及可能阻止参与这两个公共系统的因素知之甚少。这项拟议的研究将通过对参加两项旨在减少青春期犯罪的随机干预试验的 166 名妇女进行随访，进一步了解艾滋病毒/性传播感染风险、吸毒、儿童福利和成人惩教参与的途径和预防。在最初的研究中，因长期犯罪而被转介到家庭外安置的少年司法女孩被随机分配到照常服务或多维治疗寄养（MTFC）。 MTFC 对该样本进行干预的有效性已在 12 个月和 24 个月的刑事转介率、在锁定环境中度过的天数、异常同伴交往和教育参与度的随访中得到了证明。我们建议使用创新的数据收集和数据分析技术来研究这些少年司法女孩进入青年期（21-28 岁）的发展路径，重点关注 MTFC（青年适应和儿童福利的中介因素）的长期影响/纠正参与，以及 MTFC 对这些结果的成本效益和成本避免。总体目标是确定后续干预的潜在目标。建议对每位女性及其当前的浪漫伴侣（如果有的话）进行一次现场评估；此外，研究期间每6个月进行一次电话访谈，收集儿童福利和成人矫正的系统数据。公共卫生相关性：研究表明，少年司法女孩同时发生危险行为的比例很高。在成年初期，这些行为增加了参与公共社会服务系统的可能性。我们将研究少年司法女性的青少年适应途径，重点关注减少儿童福利和成人惩戒参与可能性以及最终社会成本的过程。