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| ID | Type | Description | Link |
|---|---|---|---|
| K23DA057412 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Drug Abuse (NIDA) | NIH |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ADAP-ITT Phase 8 | Experimental | Phase 8 consists of piloting the culturally adapted CYT intervention with 30 Black JIY to examine feasibility and acceptability. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Culturally Adapted Adolescent Substance Use Treatment | Behavioral | The Cannabis Youth Treatment Series (CYT) (MET/CBT12 model) aims to reduce alcohol and cannabis use. |
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| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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. |
| Change in mental health symptoms |
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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:
Exclusion Criteria:
• Will be excluded if they do not provide consent to participate.
For pilot feasibility study:
Black JIY Participants:
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Brittany E Bryant, DSW | Contact | 843-973-0867 | brittany.bryant@ucsf.edu |
| Name | Affiliation | Role |
|---|---|---|
| Brittany Bryant, DSW | University of California, San Francisco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, San Francisco | Recruiting | San Francisco | California | 94110 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41771593 | Derived | Bryant BE, Tolou-Shams M, Ezimora I, Zapolski TC, DiClemente R, Jordan A, Becker SJ, Squeglia LM. Adapting substance use treatment for black adolescents in the US legal system: protocol for a mixed-method, exploratory, feasibility and acceptability study using the eight-step ADAPT-ITT framework. BMJ Open. 2026 Mar 2;16(3):e115193. doi: 10.1136/bmjopen-2025-115193. |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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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.
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No masking
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Participants will complete measures and questionnaires to monitor anxiety, depression, and trauma symptoms
| Baseline, after each study visit, at study completion, up to 3 months post-intervention, an average of 6 months. |
| 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. |
| Medical University of South Carolina | Completed | Charleston | South Carolina | 29425 | United States |