Prevalence and Predictors of Service Utilization Among Racially and Ethnically Diverse Adolescents in Foster Care Diagnosed With Mental Health and Substance Abuse Disorders

This study examined the prevalence of mental health and substance abuse disorders and service utilization among a racially and ethnically diverse group of foster youth. Self-report data on symptoms and service receipt were used to identify whether groups of adolescents defined by their race and ethnicity were equally likely to receive services given the presence of a mental health or substance use disorder. Study findings showed that Caucasians are more likely to receive mental health services than African Americans. Race was not a significant predictor of accessing substance abuse services. Hispanic ethnicity was not a predictor of receipt of mental health or substance abuse treatment services. Implications for future research, practice, and policy are discussed.     

The Positive Role of School Climate on School Victimization,Depression, and Suicidal Ideation Among School-Attending Homeless Youth

Although homeless youth face a higher risk of victimization and mental health problems, little is known about school victimization and mental health outcomes for school-attending homeless youth. This study examined the relationship between school climate and school-related victimization and mental health problems among homeless youth. Multivariate analyses were conducted to examine the relationship between school climate factors and school victimization, suicidal ideation, and depression tendency in a representative sample of 1,169 school-attending homeless youth in 9th and 11th grades in California. Findings show that school-attending homeless youth are at high risk of being victimized at school and have high rates of depression tendency and suicidal ideation. Positive school climate, especially perceived high expectations from teachers and safety in school, was associated with lower rates of school victimization and mental health problems. The role of supportive school climate in the lives of school-attending homeless youth is discussed and future implications are suggested.     

Burgeoning directions for the prevention of youth violence. Introduction

Despite focused efforts toward the prevention of youth violence within the United States, it continues to adversely affect the lives of children and families within our communities and society at large. The articles in this issue address risk and protective factors that affect violence among urban youth to inform prevention and treatment. Pathways to youth violence are complex and may begin early. Prevention efforts in school, family, and community settings that address risk and protective factors within a socially, culturally, and ecologically valid context early in human development are crucial. While challenges remain for the prevention of youth violence, research suggests opportunities to improve our efforts. Federal agency initiatives in partnership with communities are currently underway to increase the knowledge base and advance prevention of youth violence among diverse populations.     

The Implications of Female Risk Factors for Substance Abuse Prevention in Adolescent Girls

SUMMARY

Trends in substance abuse prevention have not adequately addressed the needs of girls and female adolescents. The precursors to substance use and abuse in adolescence are analyzed specifically from a gender-specific perspective. Female drug use as both a maladaptive and adaptive pattern of coping behavior is examined within a socio-cultural context. This new understanding points to the need for alternative models of prevention with particular attention to risk, resiliency and protective factors. The expanded role of the family therapist as “Family Life Cycle Specialist” within a prevention model will be highlighted.     

青少年吸毒行为的特点、成因与预防——以陕西省为例

国内有关青少年吸毒问题的研究较少,且多从原因分析着手,强调宏观教育预防工作。就陕西省而言,基于相关问卷调查与统计分析,可以发现吸毒青少年呈现出受社会环境影响较大、经济状况较差、初始吸毒低龄化以及强制隔离戒毒青少年中农村户籍的比例较高、使用新型毒品的比例相对较高、复吸率高、戒治难度较大等特点。青少年吸毒的主要原因是对毒品缺乏判断力、自控力以及交友不慎。预防青少年吸毒,做好毒品预防教育工作至关重要。要提高毒品预防教育的针对性,需要完善四级毒品预防体系。     

Triple jeopardy for HIV: substance using Severely Mentally Ill Adults

Severely Mentally Ill (SMI) adults have disproportionately high HIV seroprevalence rates. Abuse of alcohol and other substances (AOD) and lifetime exposure to trauma by others are particularly potent risk factors, which, in combination with psychiatric disabilities, create triple jeopardy for HIV infection. This study examined the predictive utility of demographic characteristics; history of physical, emotional, or sexual abuse; extent of drug and alcohol abuse; knowledge about HIV/AIDS; sexual self-efficacy; and condom attitudes toward explaining the variance in a composite of HIV high-risk behavior among 188 SMI women and 158 SMI men. History of sexual abuse, engaging in sexual activities while high on substances, and lower cannabis use were the most significant predictors of HIV sexual risk behaviors. Given the triple jeopardy for HIV risk in this population, a triple barreled approach that simultaneously addresses multiple health risks within an integrated treatment setting is warranted.     

Long-Term Behavioral Outcomes in Sexually Abused Boys: The Influence of Family and Peer Context

Sexual abuse of males is common. While a wide body of literature examines the behavioral, emotional, and social consequences associated with being sexually abused, comparatively few studies have focused on males. This study addresses this gap by examining the influence of family and peer context on long-term behavioral outcomes in a nationally representative, longitudinal, multi-informant sample of sexually abused boys 5 years after initial involvement in the child welfare system (N = 171). Cumulative family risk conferred greater risk for internalizing and externalizing problems over time while social skills had a buffering effect. Peer rejection had a more prominent role in influencing internalizing outcomes; however, this influence did not extend to externalizing problems. These findings lend support to the growing body of research underscoring the dynamic and complex relationship between behavioral problems across development. As prevention and intervention efforts for males are developed, it is critical to consider sexual abuse victimization and the multi-systemic risk and resilience processes.     

School Violence Prevention

Abstract

School violence has many faces and many casualties. In varying degrees it touches students, parents, educators and communities of every school world wide. At the local level, communities are seen as playing a significant role in violence prevention. Generally, community-based violence prevention approaches involve the assessment of local problems, identification of target issues, selection of a range of interventions, and the encouragement of collaboration among civic groups, the juvenile justice system, local leaders, and young people themselves. These programs are generally judged as successful if they are able to address risk factors effectively for individual youths, strengthen those factors that provide protection and enhance resiliency, provide sufficient support and effective supervision, and increase pro-social attitudes by providing youth with a sense of having an increased stake in their local communities. Although too few educators are aware of its impact, the women's community has been involved in this work for decades. In this paper I discuss the results of interviews with members of the women's community in Atlantic Canada who have developed proactive violence prevention initiatives. I will concentrate on their efforts to bring those programs into the schools and their experiences of the successes and challenges they encounter.     

Stopping the Cycle of Child Abuse and Neglect: A Call to Action to Focus on Pregnant and Parenting Youth in and Aging Out of the Foster Care System

Each year, a significant number of adolescents become pregnant in the United States, with more than half of these pregnancies resulting in live births. Adolescent parenting is associated with poor outcomes, including increased risk of child maltreatment. Youth “aging out” of the foster care system may be at greater risk of maltreating their children due to their experiences of child maltreatment, a lack of social support, and little preparation for parenthood. This article examines current programs and policies targeting pregnant and parenting youth aging out and presents a research agenda that focuses on pregnancy prevention and positive parenting.     

Introduction: the challenge of integrating research into practice

The Introduction to this volume on the ways Healthy Families America (HFA) integrates research, theory, and practice describes nine articles that offer a contemporary snapshot of HFA research and practice, including four empirical articles presenting research and practice at the state, multi-state, or national level and the most comprehensive summary of HFA outcomes. It contrasts the history of child abuse prevention with progress in the fields of substance abuse and violence prevention. It presents arguments underscoring the critical importance of the researcher-practitioner relationship and the need for an iterative model of action research. It examines implementation and action research challenges, illustrates lessons learned, and recommends ways to strengthen HFA and guide the next phase of child abuse prevention.     

Developing a Tripartite Prevention Program for Impoverished Young Women Transitioning to Young Adulthood: Addressing Substance Use,HIV Risk,and Victimization by Intimate Partners

Little is known about the transition to adulthood for adolescent females and young women who are impoverished and homeless. Co-occurrence of drug use and abuse, HIV risk, and victimization is notable among homeless women, highlighting the need for comprehensive interventions. Unfortunately, evidence-based prevention approaches addressing these inter-related problems among impoverished women transitioning into adulthood are lacking. To address this gap, we designed an innovative prevention program by utilizing open- and closed-ended interview data from impoverished women (n = 20), focus groups with community experts and providers (2 groups; n = 9), and a theoretical framework to direct the research. Information provided by our focus groups and interviews with women supported our theoretical framework and highlighted the importance of addressing normative information, providing skills training, and utilizing a non-confrontational approach when discussing these sensitive issues.     

试析青少年犯罪的社区预防

近年来,青少年犯罪成为一个严重的社会问题。为了从根本上遏制青少年犯罪,我们必须利用社会的力量,形成职责明确、协同配合、齐抓共管的工作网络,切实做好青少年违法犯罪的预防工作。社区是城市管理体制的基础,是青少年学习、生活、娱乐和就业的重要场所。社区对青少年的成长,有着深刻的影响。立足社区,可以把闲散青少年、流动青少年和问题家庭青少年等群体有针对性的管理起来,强化预防青少年违法犯罪工作的力度,同时把学校教育、家庭教育和社会预防工作整合起来,形成预防青少年违法犯罪工作的社会联运机制。     

The Power of Aspirations and Expectations: The Connection Between Educational Goals and Risk Behaviors Among African American Adolescents

Numerous studies and interventions have been designed to either reduce the prevalence of risky behaviors (substance use, sexual activity, etc.) or increase the level of educational activity for adolescents. Research suggests that these two constructs may be related yet little is known about this relationship among African American youth. Archival data from the Risk Reduction Project was used to explore the connection between the protective factors of educational aspirations/expectations and recent participation in risky behavior. Results suggest that recent use of marijuana, alcohol to the point of intoxication, and sexual activity predicted lower aspirations and expectations among African American youth. From a positive youth development perspective, this study suggests the development of holistic interventions that build educational assets in youth, in addition to working to minimize risk behaviors. Limitations and suggestions for future research are also discussed.     

Alcohol abuse prevention among high-risk youth: computer-based intervention

SUMMARYThis study examined the feasibility of a CD-ROM intervention to prevent alcohol abuse among high-risk youths. Youths from 41 community-based agencies in greater New York City participated in a randomized trial of a skills-based interactive CD-ROM. Outcome data were collected on 489 early adolescents in these agencies before and after a randomized subset of youths interacted with a 10-session alcohol abuse prevention program on CD-ROM. Compared to control participants, youths in the intervention arm had a positive increase in perceived harm of alcohol use and increased assertiveness skills. At posttest, drinking rates for control and intervention participants were equal and unchanged from pretest. These findings suggest that CD-ROM technology offers a new and promising medium for engaging high-risk youth in an alcohol abuse prevention program. Study implications and future applications of the present approach are discussed.     

The power of aspirations and expectations: the connection between educational goals and risk behaviors among African American adolescents

Numerous studies and interventions have been designed to either reduce the prevalence of risky behaviors (substance use, sexual activity, etc.) or increase the level of educational activity for adolescents. Research suggests that these two constructs may be related yet little is known about this relationship among African American youth. Archival data from the Risk Reduction Project was used to explore the connection between the protective factors of educational aspirations/expectations and recent participation in risky behavior. Results suggest that recent use of marijuana, alcohol to the point of intoxication, and sexual activity predicted lower aspirations and expectations among African American youth. From a positive youth development perspective, this study suggests the development of holistic interventions that build educational assets in youth, in addition to working to minimize risk behaviors. Limitations and suggestions for future research are also discussed.     

Alcohol Abuse Prevention Among High-Risk Youth

Abstract

This study examined the feasibility of a CD-ROM intervention to prevent alcohol abuse among high-risk youths. Youths from 41 community-based agencies in greater New York City participated in a randomized trial of a skills-based interactive CD-ROM. Outcome data were collected on 489 early adolescents in these agencies before and after a randomized subset of youths interacted with a 10-session alcohol abuse prevention program on CD-ROM. Compared to control participants, youths in the intervention arm had a positive increase in perceived harm of alcohol use and increased assertiveness skills. At posttest, drinking rates for control and intervention participants were equal and unchanged from pretest. These findings suggest that CD-ROM technology offers a new and promising medium for engaging high-risk youth in an alcohol abuse prevention program. Study implications and future applications of the present approach are discussed.     

Opportunities for Prevention of Domestic Neglect and Abuse of the Elderly

Abstract

Recent research has demonstrated that domestic neglect and abuse of the elderly is not uncommon in the United States. It is a social problem that has not been extensively researched, however. One of the few studies, conducted in Michigan, found that the oldest and most frail elderly were a target group of elevated risk. Victims of neglect or abuse tend to be living with adult children or other informal caretakers who become neglectful or abusive when the burdens of providing care for a frail, elderly person interact with stress, little or no preparation for providing personal care over a long time span, medical problems of the caretaker, alcohol abuse, financial difficulties, and other situational factors. Family histories of neglect or abuse and other causal hypotheses have also been investigated. Recent studies are reviewed and found to be in general agreement regarding the nature and apparent dynamics of this emerging problem among the elderly. Opportunities for prevention are discussed in terms of current models of service to the aging and redirection of other public health and social services.     

Examining the developmental process of risk for exposure to community violence among urban youth

Considerable research has documented the effects of community violence exposure on adolescents' behavior and mental health functioning, yet there has been less research on the process by which early risks increase the likelihood that youth will be exposed to community violence. The current study used data from a community epidemiologically defined sample of 623 urban youth followed from 1st grade through adolescence to examine the process by which early-onset aggressive behavior and poor academic readiness influenced risk for community violence exposure. Consistent with transactional developmental theories, early-onset aggressive and disruptive behavior was associated with poor academic readiness; these early risks contributed to later peer rejection, and subsequent conduct problems and greater affiliation with deviant peers, which in turn increased youths' exposure to community violence. Having an enhanced understanding of the risk process directs attention to potential targets for preventive interventions for youth at risk for subsequent exposure to violence.     

Understanding Adverse Childhood Experiences (ACE) and Their Relationship to Adult Stress Among Male Survivors of Childhood Sexual Abuse

Men who were sexually abused during childhood represent a highly stigmatized, marginalized, and under-researched population at risk for a variety of problems across the lifespan. The purpose of the current study was to (a) describe characteristics of child sexual abuse (CSA) and adverse child experiences (ACE), and (b) examine the relationships among CSA characteristics, ACE, and stressors in adulthood. Using a cross-sectional design, the researcher collected data on 487 adult men through an anonymous, online survey. Bivariate analyses revealed that five CSA characteristics-age at first abuse (r?=?-.164), number of abusers (r?=?.231), use of physical force, penetration, and physical injury-were related to the number of ACE. Three CSA characteristics (use of physical force, penetration, and physical injury) and the number of ACE (r?=?.162) were positively related to the number of stressors in adulthood. Preliminary recommendations for prevention, intervention, and future research are provided.