Substance Use
Conditions
Keywords
Substance use, substance misuse, adolescent, cultural adaptation
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.
Interventions
BEHAVIORALCulturally Adapted Adolescent Substance Use Treatment
The Cannabis Youth Treatment Series (CYT) (MET/CBT12 model) aims to reduce alcohol and cannabis use.
Sponsors
University of California, San Francisco
National Institute on Drug Abuse (NIDA)
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE
Masking description
No masking
Intervention model description
Individual interviews with Black justice-involved youth (JIY) and focus groups with guardians of Black JIY and community members will be conducted. Data from focus groups and interviews will be used to inform the cultural adaptation of an evidence-based adolescent substance use treatment. The cultural adapted treatment will then be piloted with 30 Black JIY for feasibility and acceptability.
Eligibility
Sex/Gender
ALL
Age
13 Years to 17 Years
Healthy volunteers
Yes
Inclusion criteria
For Focus Groups and Interviews: Black JIY Participants: Inclusion Criteria: • 1) Between the ages of 13-17; 2) identify as Black or African American; and 3) on community probation.
Exclusion criteria
• 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 |
| 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 |
Countries
United States
Contacts
CONTACTBrittany E Bryant, DSW
PRINCIPAL_INVESTIGATORBrittany Bryant, DSW
University of California, San Francisco
Outcome results
None listed