The purpose of this randomized controlled study is to evaluate the impact of an intensive 30-hour post-release intervention versus a single jail-based discharge planning session in reducing drug use and drug selling, HIV and STI risk behavior, and rearrest among a population of jailed male adolescents. We are currently completing a randomized trial of a one-year post-release case management intervention for male adolescents. Our experience suggests that a shorter, more intensive intervention may achieve higher retention rates and effectively protect adolescents from returning to drug use, crime or HIV risk behavior in the hours, days, and weeks after they are released from jail. Whether a brief intervention in the two weeks after release from jail is more effective than a single jail-based discharge planning session is an open question. We propose to recruit in the New York City jail over four years 600 male adolescents from Manhattan and the Bronx with a history of substance abuse problems or drug selling, conduct an intake assessment, and then randomize individuals to receive either jail services only or jail and intensive community services.
The specific aim of this study is to test the hypothesis that incarcerated male adolescents aged 16 to 18 who receive a jail and community intervention that includes at least 12 hours of jail services and 30 hours of community services in the two weeks after release will be more likely than a randomly assigned comparable group that receives only a discharge planning session in jail to demonstrate at 12 months post-release an increase in involvement in drug treatment, education and employment; and, reductions in the frequency and amount of alcohol and illicit drug use; lower rates of HIV risk behavior; lower rates of involvement in drug sales; and of rearrest. A secondary aim of this study is to compare patterns of drug use and HIV risk behavior among male and female incarcerated adolescents. To achieve this aim we will recruit 240 adolescent females who will complete an intake assessment and receive a jail-based discharge planning session. This sub-study will also be used to tailor the intervention tested in this proposal for adolescent females.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA014725-04
Application #
6894277
Study Section
Special Emphasis Panel (ZDA1-MXV-P (04))
Program Officer
Borek, Nicolette T
Project Start
2002-04-05
Project End
2007-03-31
Budget Start
2005-04-01
Budget End
2007-03-31
Support Year
4
Fiscal Year
2005
Total Cost
$597,731
Indirect Cost
Name
Hunter College
Department
Public Health & Prev Medicine
Type
Schools of Allied Health Profes
DUNS #
620127915
City
New York
State
NY
Country
United States
Zip Code
10065
Upadhyayula, Satyasree; Ramaswamy, Megha; Chalise, Prabhakar et al. (2017) The Association of Ethnic Pride With Health and Social Outcomes Among Young Black and Latino Men After Release From Jail. Youth Soc 49:1057-1076
Ramaswamy, Megha; Faseru, Babalola; Cropsey, Karen L et al. (2013) Factors associated with smoking among adolescent males prior to incarceration and after release from jail: a longitudinal study. Subst Abuse Treat Prev Policy 8:37
Ramaswamy, Megha; Freudenberg, Nicholas (2012) The Cycle of Social Exclusion for Urban, Young Men of Color in the United States: What is the Role of Incarceration? J Poverty 16:119-146
Daniels, Jessie; Crum, Martha; Ramaswamy, Megha et al. (2011) Creating REAL MEN: description of an intervention to reduce drug use, HIV risk, and rearrest among young men returning to urban communities from jail. Health Promot Pract 12:44-54
Ramaswamy, Megha; Freudenberg, Nicholas (2010) Sex partnerships, health, and social risks of young men leaving jail: analyzing data from a randomized controlled trial. BMC Public Health 10:689
Freudenberg, Nicholas; Ramaswamy, Megha; Daniels, Jessie et al. (2010) Reducing drug use, human immunodeficiency virus risk, and recidivism among young men leaving jail: evaluation of the REAL MEN re-entry program. J Adolesc Health 47:448-55
Valera, Pamela; Epperson, Matthew; Daniels, Jessie et al. (2009) Substance use and HIV-risk behaviors among young men involved in the criminal justice system. Am J Drug Alcohol Abuse 35:43-7
Edwards, David A; Kim, Jimok; Alger, Bradley E (2006) Multiple mechanisms of endocannabinoid response initiation in hippocampus. J Neurophysiol 95:67-75
Gosnell, Blake A (2005) Sucrose intake enhances behavioral sensitization produced by cocaine. Brain Res 1031:194-201
Kim, Jimok; Alger, Bradley E (2004) Inhibition of cyclooxygenase-2 potentiates retrograde endocannabinoid effects in hippocampus. Nat Neurosci 7:697-8

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