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基于社区的集体家庭治疗项目对男性少年犯毒品和酒精使用及滥用的影响。

Effects of community-based group-home treatment programs on male juvenile offenders' use and abuse of drugs and alcohol.

作者信息

Braukmann C J, Bedlington M M, Belden B D, Braukmann P D, Husted J J, Ramp K K, Wolf M M

出版信息

Am J Drug Alcohol Abuse. 1985;11(3-4):249-78. doi: 10.3109/00952998509016865.

Abstract

The research literature suggests that adolescents placed in residential programs due to their delinquent behavior are at high risk for drug and alcohol use and abuse. Research is rare, however, on the effects of residential delinquency-treatment programs on drug- and alcohol-related behaviors. This study examined the comparative effects of community-based, group-home, delinquency-treatment programs in Kansas on participants' self-report measures of drug and alcohol use and abuse, and of some prosocial behaviors. The results indicated that youths (n = 82) participating in group homes using the broadly disseminated Teaching-Family approach had better during-treatment outcomes than youths (n = 103) participating in a set of comparison group homes. Corroboratively, a sample of Teaching-Family youths (n = 28) also had better during-treatment outcomes than a matched no-treatment comparison group of their friends (n = 28), while, in contrast, a sample of youths (n = 33) in the comparison group homes did not differ on during-treatment measures from a matched no-treatment comparison group of their friends (n = 33). In the post-treatment year, however, no outcome difference was evident for any of the comparisons. Regression analyses were conducted to attempt to account for variation in the during treatment drug use and prosocial behavior measures. Significant regression coefficients were found for some measures of treatment process and for measures of youths' pretreatment behavior. In a second set of regression equations, the process and pretreatment measures were less effective in accounting for variance in posttreatment outcomes. The limitations of the research and its implications for the treatment and prevention of drug and alcohol use and abuse in group-home delinquency-treatment programs are discussed.

摘要

研究文献表明,因行为不端而被安置在寄宿项目中的青少年面临药物和酒精使用及滥用的高风险。然而,关于寄宿制青少年犯罪治疗项目对与药物和酒精相关行为的影响的研究却很少。本研究考察了堪萨斯州基于社区的集体家庭式青少年犯罪治疗项目对参与者药物和酒精使用及滥用的自我报告测量以及一些亲社会行为的比较效果。结果表明,采用广泛传播的教学家庭模式的集体家庭中的青少年(n = 82)在治疗期间的结果比参与一组对照集体家庭的青少年(n = 103)更好。同样,教学家庭模式的青少年样本(n = 28)在治疗期间的结果也比与之匹配的未接受治疗的朋友对照组(n = 28)更好,而相比之下,对照集体家庭中的青少年样本(n = 33)在治疗期间的测量结果与与之匹配的未接受治疗的朋友对照组(n = 33)没有差异。然而,在治疗后的一年里,任何比较都没有明显的结果差异。进行了回归分析,试图解释治疗期间药物使用和亲社会行为测量的差异。发现一些治疗过程测量和青少年治疗前行为测量有显著的回归系数。在第二组回归方程中,治疗过程和治疗前测量在解释治疗后结果的差异方面效果较差。讨论了该研究的局限性及其对集体家庭青少年犯罪治疗项目中药物和酒精使用及滥用的治疗和预防的意义。

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