This proposal is a Mentored Patient-Oriented Research Career Development Award (K23) for Dr. Lisa Fortuna, a child and adolescent psychiatrist. Dr. Fortuna's long-term career goal is to be an independent researcher with skills in the translation of empirically supported treatments into community settings, particularly for minority adolescents with co-occurring psychiatric and substance use disorders. This proposal focuses on the treatment of substance abuse in the context of Post Traumatic Stess Disorder (PTSD) in violence exposed minority youth. PTSD is a prevalent co-occurring disorder in persons, including adolescents with substance use disorders. PTSD is associated with initiation and continuation of substance abuse, poor treatment outcomes and poor social functioning for youth. Effective therapies exist, however, the nonimplementation of efficacious therapies in community settings is a well-documented problem in the drug abuse field. Minority youth are at particular risk of not receiving services. This research proposes to 1) assess the efficacy of a cognitive behavioral treatment for Post Traumatic Stress Disorder (PTSD) with multicultural youth with substance abuse;and 2) improve access to this evidence based treatment by integrating it into the services of a community-based organization and to move beyond traditional clinical settings. Using the framework of the Onken et al (1997) Stage Model of Behavioral Therapy development, and community participatory methods, this research proposes a Stage la &1b study of CBT for PTSD with minority adolescents ages 14-18 years with substance abuse disorders and in a community based organization setting. Stage la involves the modification, procedural specification and feasibility testing for addiction, minority youth and community setting. Stage Ib involves a Pilot Trial of the modified intervention compared to waiting list comparison on three outcome measures: 1) substance use;2) PTSD symptoms; and 3) attrition. If supported by data from these studies, an efficacy study of the treatment is the next step.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23DA018715-06
Application #
7867880
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Chambers, Jessica Campbell
Project Start
2006-09-30
Project End
2011-12-30
Budget Start
2010-07-01
Budget End
2011-12-30
Support Year
6
Fiscal Year
2010
Total Cost
$139,162
Indirect Cost
Name
University of Massachusetts Medical School Worcester
Department
Psychiatry
Type
Schools of Medicine
DUNS #
603847393
City
Worcester
State
MA
Country
United States
Zip Code
01655
Hong, Seunghye; Zhang, Wei; Walton, Emily (2014) Neighborhoods and mental health: exploring ethnic density, poverty, and social cohesion among Asian Americans and Latinos. Soc Sci Med 111:117-24
Walton, Emily (2012) Resurgent ethnicity among Asian Americans: ethnic neighborhood context and health. J Health Soc Behav 53:378-94
Tamaki, Emi (2011) Transnational Home Engagement among Latino and Asian Americans: Resources and Motivation. Int Migr Rev 45:148-173
Porche, Michelle V; Fortuna, Lisa R; Lin, Julia et al. (2011) Childhood trauma and psychiatric disorders as correlates of school dropout in a national sample of young adults. Child Dev 82:982-98
Gong, Fang; Xu, Jun; Fujishiro, Kaori et al. (2011) A life course perspective on migration and mental health among Asian immigrants: the role of human agency. Soc Sci Med 73:1618-26
Chatterji, Pinka; Alegria, Margarita; Takeuchi, David (2011) Psychiatric disorders and labor market outcomes: evidence from the National Comorbidity Survey-Replication. J Health Econ 30:858-68
Mulvaney-Day, Norah E; Earl, Tara R; Diaz-Linhart, Yaminette et al. (2011) Preferences for relational style with mental health clinicians: a qualitative comparison of African American, Latino and Non-Latino White patients. J Clin Psychol 67:31-44
Gee, Gilbert C; Walsemann, Katrina M; Takeuchi, David T (2010) English proficiency and language preference: testing the equivalence of two measures. Am J Public Health 100:563-9
Gavin, A R; Walton, E; Chae, D H et al. (2010) The associations between socio-economic status and major depressive disorder among Blacks, Latinos, Asians and non-Hispanic Whites: findings from the Collaborative Psychiatric Epidemiology Studies. Psychol Med 40:51-61
Fortuna, Lisa R; Alegria, Margarita; Gao, Shan (2010) Retention in depression treatment among ethnic and racial minority groups in the United States. Depress Anxiety 27:485-94

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