This research project intends to determine the feasibility and effectiveness of a system of early intervention directed at inner-city Black youth at high risk for drug abuse. Conducted within an existing neighborhood program and implemented primarily by Black staff, the approach involves the mobilization and enhancement of community resources already in place (a Youth Service Bureau) and provides individual, group, and family services, including case advocacy and case management and the use of indigenous youth leaders, over a six-month period focused on the prevention of substance abuse of youth at risk. Both male and female youth, aged 12 through 14, residing in high at-risk neighborhoods in Baltimore City and referred to a neighborhood Youth Services Bureau for assessment and/or treatment, will be targeted for this study. In addition to living in a high-risk area, youth considered to be at risk must have exhibited one of the following problems: experimental use of alcohol and/or drugs, delinquent or other deviant behaviors, or school maladjustment. After a training period involving 12 cases, 250 such youth and their families will be provided the proposed intervention. Both process and one-year outcome evaluations of the intervention will be performed. For outcome evaluation purposes, outcomes for 50 youth exposed to standard treatment prior to the intervention will be compared to outcomes associated with the new treatment and with outcomes for 50 youth administered standard treatment in an equivalent neighborhood bureau. Outcomes for an additional sample of 250 youth from the equivalent neighborhood bureau will also be compared to outcomes for the 250 youth administered the new treatment. Outcome measures will include both self-report and objective measures of substance abuse; crime, delinquency, aberrant behavior; school performance, and personal attitudes and adjustment.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Method to Extend Research in Time (MERIT) Award (R37)
Project #
5R37DA007960-03
Application #
2120399
Study Section
Drug Abuse Epidemiology and Prevention Research Review Committee (DAPA)
Project Start
1993-05-01
Project End
1998-04-30
Budget Start
1995-05-01
Budget End
1996-04-30
Support Year
3
Fiscal Year
1995
Total Cost
Indirect Cost
Name
Friends Research Institute, Inc.
Department
Type
DUNS #
City
Baltimore
State
MD
Country
United States
Zip Code
21201
Hanlon, Thomas E; Simon, Betsy D; O'Grady, Kevin E et al. (2009) The Effectiveness of an After-school Program Targeting Urban African American Youth. Educ Urban Soc 42:96-118