Cultural Adaptation of Drug Treatment for DJJ Youth
- Conditions
- Substance Use
- Interventions
- Behavioral: Culturally Adapted Adolescent Substance Use Treatment
- Registration Number
- NCT06003725
- Lead Sponsor
- University of California, San Francisco
- Brief Summary
This project aims to improve the understanding of the impact of Ethnic and Racial Discrimination (ERD) on adolescent alcohol and other drug use (AOD) within the Black Justice-Involved Youth (JIY) population. Individual interviews with Black JIY and focus groups with parents and guardians of Black JIY and community members who support change and reform in the justice community for Black JIY will be conducted.
- Detailed Description
Black JIY are overrepresented in the criminal justice system due to institutional racism and discrimination. The General Strain Theory posits that high levels of ethnic and racial discrimination (ERD), paired with elevated levels of witnessing or experiencing police brutality, places Black JIY at unique risk of increased alcohol and other drug use (AOD) as a means of coping with stressful events. Black JIY report engaging in comorbid alcohol and cannabis use to achieve temporary respite from discrimination-induced stress. While JIY engage in higher rates of comorbid alcohol and cannabis use compared to non-justice-involved youth, overall, Black JIY are less likely to be diverted to substance use treatment programs, less likely to engage in care after being released on probation, less likely to benefit from substance use treatment in terms of reduced risk of recidivism, and are more adversely affected by early onset of AOD activity than White JIY. To date, no known adolescent substance use treatment directly addresses ERD, the increased risk of AOD due to ERD, or explicitly presents tools on how to appropriately respond to AOD and discrimination distress among Black JIY. To address this problem, the investigator's research program aspires to improve the understanding of the impact of ERD on adolescent AOD within the Black JIY population. Individual interviews with Black JIY and focus groups with guardians of Black JIY and community members will be conducted. Data will be used to culturally adapt an adolescent substance use intervention. The culturally adapted intervention will then be piloted with 30 Black JIY.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 55
• Between the ages of 12-17, 2) identify as Black or African American, and 3) on community probation.
• Will be excluded if they do not have parental consent to participate.
For Focus Groups and Interviews:
Adult Participants
Inclusion Criteria:
- A guardian of JIY
- An advocate (someone who supports change and reform in the justice community) for Black JIY.
Exclusion Criteria:
• Will be excluded if they do not provide consent to participate.
For pilot feasibility study:
Black JIY Participants:
Inclusion Criteria:
- Between the ages of 12 and 17
- Identify as Black or African American
- Be on community probation
- Meet criteria for alcohol, cannabis, or other drug misuse as defined by the DSM 5
- Be experiencing at least 1 problem related to AOD;
- The frequency of AOD must be weekly use over a 3-month period
Exclusion Criteria:
- Will be excluded if they do not have parental consent to participate
- Parole violation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description ADAP-ITT Phase 8 Culturally Adapted Adolescent Substance Use Treatment Phase 8 consists of piloting the culturally adapted CYT intervention with 30 Black JIY to examine feasibility and acceptability.
- Primary Outcome Measures
Name Time Method Feasibility and Acceptability After study completion, an average of 3 months Participants will complete feasibility and acceptability questionnaires and provide qualitative data on likes and dislikes about the intervention, delivery, session structure, and content.
- Secondary Outcome Measures
Name Time Method Change in mental health symptoms Baseline, after each study visit, at study completion, up to 3 months post-intervention, an average of 6 months. Participants will complete measures and questionnaires to monitor anxiety, depression, and trauma symptoms
Change in discrimination distress baseline, after study completion, and up to 3 months post-intervention, an average of 6 months. Participants will complete a discrimination distress assessment measure
Change in substance use Baseline, after each study visit, at study completion, up to 3 months post-intervention, an average of 6 months. Participants will complete urinalysis
Trial Locations
- Locations (2)
Medical University of South Carolina
🇺🇸Charleston, South Carolina, United States
University of California, San Francisco
🇺🇸San Francisco, California, United States