Juvenile Offender HIV Prevention and Drug Abuse Services
Day Treatment
2 other identifiers
interventional
121
1 country
1
Brief Summary
This study will determine the clinical effectiveness, moderators and mechanisms of change, and economic impact of an integrative, family-based intervention that concurrently targets change in HIV/Sexually Transmitted Disease (STD)-associated risk behaviors, drug abuse, delinquency, arrest and mental health outcomes for juvenile offenders committed to a juvenile justice day treatment program.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2010
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2010
CompletedFirst Submitted
Initial submission to the registry
August 10, 2013
CompletedFirst Posted
Study publicly available on registry
August 14, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2015
CompletedAugust 25, 2015
August 1, 2015
5.2 years
August 10, 2013
August 21, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Substance Use
The Timeline Follow-Back Method, Personal Experiences Inventory and Urinalyses will be used to measure substance use
Changes in substance use from intake through the 24-month follow-up
Secondary Outcomes (2)
HIV Associated Sexual Risk Behaviors
Changes in HIV Associated Sexual Risk Behaviors from intake to the 24-month follow-up
Delinquency
Changes in delinquency from intake through the 24-month follow-up
Study Arms (2)
Day Treatment MDFT-HIV
EXPERIMENTALMultidimensional Family Therapy (MDFT)is an integrative treatment approach that has blended family therapy, individual therapy, drug counseling, and multiple systems oriented intervention approaches (Liddle 1999). DT-MDFT-HIV includes a state-of-the-art family-based HIV prevention component into the core MDFT intervention specifically targeting high-risk sexual behavior in clinical sample teens.
Day Treatment SAU
OTHERThe DT-Services as Usual (SAU) condition is primarily a peer group-based and individual approach that uses cognitive-behavioral principles and interventions. It is an adolescent substance abuse treatment and services consistent with those recommended for juvenile justice-involved drug abusing youth (Cooper \& Bartlett 1998; National Institute of Justice, 2001).
Interventions
MDFT-HIV is a specialized intervention aimed at reducing risk factors for HIV-associated sexual behaviors. It builds protective behaviors in the adolescent's intrapersonal and interpersonal functioning, as well as those aspects of family functioning to reduce youths' high-risk sexual behavior. For instance, interventions target inadequate monitoring, parent-adolescent conflict, and parental disengagement - behaviors consistently associated with elevated HIV/STD risk. It facilitates positive and supportive family relationships, processes that can significantly reduce HIV/STD risk. Additionally, it aims to promote effective family communication about sexuality and safer sexual behaviors, among the most important protective factors against sexual risk taking behavior.
Substance abuse treatment and HIV prevention services are routinely provided to youth in the day treatment programs. The day treatment programs contract to local substance abuse and mental health providers for these services that are provided both within and outside of the day treatment setting. The intervention's specific features are similar to those found in the literature on outpatient peer-based group treatment for adolescent alcohol abusers (CSAT 1998). Specifically, it is based on a cognitive-behavioral group treatment model (Kaminer et al 1998; Marshall \& Marshall 1993), with a comprehensive treatment package including individual counseling and treatment planning.
Eligibility Criteria
You may qualify if:
- Between the ages of 13 and 18
- Committed to a juvenile justice day treatment program
- Meet criteria for substance use disorder on the DISC Predictive Scales
- Any self-reported sexual activity within the past 6 months
- At least one parent figure willing to participate in intervention and assessments
You may not qualify if:
- Mental retardation or pervasive developmental disorders
- Psychotic features
- Current suicidality defined as Ideation + Plan + High intention to carry out plan
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Miamilead
- National Institute on Drug Abuse (NIDA)collaborator
Study Sites (1)
University of Miami Miller School of Medicine
Miami, Florida, 33136, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Howard A Liddle, EdD
University of Miami
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 10, 2013
First Posted
August 14, 2013
Study Start
January 1, 2010
Primary Completion
April 1, 2015
Study Completion
April 1, 2015
Last Updated
August 25, 2015
Record last verified: 2015-08