Over 20,000 mostly ethnic/racial minority delinquent youth are incarcerated annually through the Los Angeles (LA) County juvenile probation system. Formerly incarcerated delinquent youth face major challenges to achieving successful, healthy developmental trajectories when transitioning back to the community. Many have repeat contact with the juvenile or adult justice system within a few years of release. This application examines the efficacy of a family-based intervention to improve the reentry of formeriy incarcerated delinquent youth by reducing substance abuse, other HIV risk behaviors and psychiatric disorders, and improving family functioning. Family involvement and support are often attenuated for many incarcerated youth. Family support, including providing a structured family environment and attending to their children's educational, physical health and mental health needs is vital to keeping reentry delinquent youth on track. Efforts to enhance family support and functioning for reentry delinquent youth through the juvenile justice system are limited. Family interventions have been shown to decrease severity of mental health symptoms and prevent delinquent behaviors of adolescents. This research team has successfully developed and implemented a brief five session family intervention for homeless youth and their parents/guardians called STRIVE (Support To Reunite, Involve and Value Each Other). STRIVE has been efficacious in a RCT in reducing substance abuse, sexual risk and delinquency. It will be adapted and implemented to reduce psychiatric morbidity and improve family functioning for delinquent youth newly released from incarceration in two phases: 1) Adaption of STRIVE for reentry delinquent youth and their parents/guardians;2) An RCT of STRIVE with 400 youth and their parents/guardians upon reentry from incarceration. Participants will complete the baseline and then be randomized to the STRIVE intervention condition or treatment as usual and assessed at 3, 6 &12 months.
Aims are to: 1. Examine the efficacy of STRIVE to reduce psychiatric symptoms and behavior disorders (delinquency, disruptive and conduct problems), reduce key HIV risk behaviors (substance use, sexual risk acts), and reduce recidivism. 2. Examine the effect of STRIVE on youth's and parent's conflict resolution, positive interactions, problem solving and coping;and clarifying the role of families as delinquent youth reenter. 3. Examine whether improvements in the mediating family functioning factors will improve primary outcomes described in Aim 1. 4. Explore whether STRIVE improves utilization of health &mental health services.

Public Health Relevance

This project will intervene with juvenile delinquents who are reentering the community and will attempt to improve behavioral and health outcomes. This is a problem of enormous importance in minority populations. An intervention of a scale that could be widely applied has the potential to have an important impact on health.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
5P20MD000182-13
Application #
8724242
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
Project End
Budget Start
2014-06-01
Budget End
2015-05-31
Support Year
13
Fiscal Year
2014
Total Cost
$242,953
Indirect Cost
$55,571
Name
Charles R. Drew University of Medicine & Science
Department
Type
DUNS #
785877408
City
Los Angeles
State
CA
Country
United States
Zip Code
90059
Hays, Ron D; Calderón, José Luis; Spritzer, Karen L et al. (2018) Differential item functioning by language on the PROMIS® physical functioning items for children and adolescents. Qual Life Res 27:235-247
Reise, Steven P; Rodriguez, Anthony; Spritzer, Karen L et al. (2018) Alternative Approaches to Addressing Non-Normal Distributions in the Application of IRT Models to Personality Measures. J Pers Assess 100:363-374
Norris, Keith C; Edwina Barnett, M; Meng, Yuan-Xiang et al. (2018) Rationale and design of a placebo controlled randomized trial to assess short term, high-dose oral cholecalciferol on select laboratory and genomic responses in African Americans with hypovitaminosis D. Contemp Clin Trials 72:20-25
Norris, Keith C; Olabisi, Opeyemi; Barnett, M Edwina et al. (2018) The Role of Vitamin D and Oxidative Stress in Chronic Kidney Disease. Int J Environ Res Public Health 15:
Dangerfield 2nd, Derek T; Harawa, Nina T; Smith, Laramie R et al. (2018) Latent Classes of Sexual Risk Among Black Men Who Have Sex with Men and Women. Arch Sex Behav 47:2071-2080
Ijadi-Maghsoodi, Roya; Bath, Eraka; Cook, Mekeila et al. (2018) Commercially sexually exploited youths' health care experiences, barriers, and recommendations: A qualitative analysis. Child Abuse Negl 76:334-341
Cook, Mekeila C; Barnert, Elizabeth; Ijadi-Maghsoodi, Roya et al. (2018) Exploring Mental Health and Substance use Treatment Needs of Commercially Sexually Exploited Youth Participating in a Specialty Juvenile Court. Behav Med 44:242-249
Amani, Bita; Milburn, Norweeta G; Lopez, Susana et al. (2018) Families and the Juvenile Justice System: Considerations for Family-Based Interventions. Fam Community Health 41:55-63
Del Pino, Homero E; Harawa, Nina T; Liao, Diana et al. (2018) Age and Age Discordance Associations with Condomless Sex Among Men Who Have Sex with Men. AIDS Behav 22:649-657
Hoffman, Geoffrey J; Hays, Ron D; Wallace, Steven P et al. (2017) Depressive symptomatology and fall risk among community-dwelling older adults. Soc Sci Med 178:206-213

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