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Outcomes of a family-based HIV prevention intervention for substance using juvenile offenders

机译：使用少年罪犯的物质的基于家庭的艾滋病毒预防干预的结果

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Abstract Approximately 80% of all arrested youth are diverted from detention and supervised in the community through probation, specialty courts and other community-based diversion efforts. Justice-involved youth have greater psychiatric impairment, substance use and sexual risk behaviors than their non-justice-involved peers. Family-based interventions to address mental health, substance use and recidivism have been successful in improving these youth outcomes; but the lack of integration of HIV/STI prevention is notable given the co-occurrence of substance use, delinquency and sexual risk-taking behaviors among justice-involved youth. Moreover, emotion dysregulation may be an important and understudied underlying construct of these co-occurring risk behaviors for justice-involved youth. Study participants were 47 caregiver-youth dyads enrolled in a juvenile drug court program. As part of a pilot efficacy trial, dyads were randomized to a 5-session family-based integrated substance use and HIV/STI prevention intervention that relied on affect management strategies for risk reduction or an adolescent-only psychoeducation condition matched for time and attention. Data collected at baseline and 3 months post-intervention suggest that a family-based integrated affect management substance use and HIV prevention pilot intervention may lead to justice-involved youths' enhanced motivation to change their marijuana use, decreased marijuana use and decreased risky sexual behavior over time. Future research is required to replicate these pilot trial findings and should also examine family-level mediators and moderators of treatment response, particularly with respect to HIV prevention efforts for these youth. Highlights ? HIV and substance use intervention increases youths' motivation to reduce marijuana use. ? Family-based intervention is linked to youths' increased readiness to change. ? Greater understanding of ways to increase youths' safer sex behaviors is needed.
机译：摘要通过缓刑，专业法院和其他基于社区的转移努力，大约80％的逮捕青年被转移到社区中的拘留和监督。司法职业青年有更大的精神病障碍，物质使用和性风险行为，而不是非司法的同行。以满足心理健康，物质和累犯的基于家庭的干预措施在改善这些青年结果方面取得了成功;但是，考虑到司法使用的物质使用，违法行为和性风险的行为，缺乏艾滋病毒/ STI预防的整合是值得注意的。此外，情感失调可能是符合司法义务的这些共同发生的风险行为的重要且深入的基础构建。学习参与者是47名参加少年药物法庭计划的护理人员青年二元。作为试验效率试验的一部分，Dyads随机分为5次基于家庭的综合物质使用，依赖于影响风险减少的管理策略或依赖于时间和注意的青少年的心理教育条件的艾滋病毒/ STI预防干预。在基线和3个月内收集的数据表明，基于家庭的综合影响管理物质使用和艾滋病毒预防试点干预可能会导致司法介绍青少年的增强动机，以改变大麻使用，减少大麻使用和风险性行为减少随着时间的推移。未来的研究需要复制这些试验结果，并应检查家庭级调解员和治疗反应的主持人，特别是对于这些青年的艾滋病毒预防努力。强调 ？艾滋病毒和物质使用干预增加了减少大麻使用的青年的动力。还基于家庭的干预与青少年的愿望纳入变革。还需要更加了解增加青年更安全的性行为的方法。

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  • 来源
    《Journal of substance abuse treatment》 |2017年第2017期|共11页
  • 作者

    Marina Tolou-Shams; Emily Dauria; Selby M. Conrad; Kathleen Kemp; Sarah Johnson; Larry K. Brown;

  • 作者单位

    University of California San Francisco Department of Psychiatry Weill Institute for Neurosciences;

    University of California San Francisco Department of Psychiatry Weill Institute for Neurosciences;

    Rhode Island Hospital Department of Psychiatry;

    Rhode Island Hospital Department of Psychiatry;

    Northeastern University Department of Counseling and Applied Educational Psychology;

    Alpert Medical School of Brown University Department of Psychiatry and Human Behavior;

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  • 正文语种 eng
  • 中图分类 药学;
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