Cultural Adaptation of Drug Treatment for DJJ Youth

Substance Use Clinical Trial

Official title:

The Cultural Adaptation of an Alcohol and Other Drug Use Treatment for Black Justice Involved Youth

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06003725
• Other study ID #: Pro00122199
• Status: Recruiting
• Phase: N/A
• Start date: September 30, 2022
• Est. completion date: May 30, 2027

Study information

• Verified date: August 2023
• Source: Medical University of South Carolina
• Contact: Brittany E Bryant, DSW
• Phone: 843-973-0867
• Email: goldsmib[@]musc.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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 information / eligibility

• Status: Recruiting
• Enrollment: 55
• Est. completion date: May 30, 2027
• Est. primary completion date: April 30, 2027
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 12 Years to 17 Years

Eligibility

For Focus Groups and Interviews:

Black JIY Participants:

Inclusion Criteria:

• Between the ages of 12-17, 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.

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

Related Conditions & MeSH terms

• Substance Use
• Substance-Related Disorders

Intervention

Behavioral:
• Culturally Adapted Adolescent Substance Use Treatment
The Cannabis Youth Treatment Series (CYT) (MET/CBT12 model) aims to reduce alcohol and cannabis use.

Locations

Country	Name	City	State
United States	Medical University of South Carolina	Charleston	South Carolina

Sponsors (1)

Lead Sponsor	Collaborator
Medical University of South Carolina

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Feasibility and Acceptability	Participants will complete feasibility and acceptability questionnaires and provide qualitative data on likes and dislikes about the intervention, delivery, session structure, and content.	After study completion, an average of 3 months
Secondary	Change in substance use	Participants will complete urinalysis	Baseline, after each study visit, at study completion, up to 3 months post-intervention, an average of 6 months.
Secondary	Change in substance use	Participants will complete timeline followback	Baseline, after each study visit, at study completion, up to 3 months post-intervention, an average of 6 months.
Secondary	Change in discrimination distress	Participants will complete a discrimination distress assessment measure	baseline, after study completion, and up to 3 months post-intervention, an average of 6 months.