COVID-19 has had disproportionate contagion and fatality in Black, Latino, Native American communities among the poor United States.Toxic stress resulting from racial social inequities have been magnified during pandemic, with implications for physical mental health socioeconomic outcomes.It is imperative that our country focus invest addressing work across sectors to build self-efficacy long-term capacity within systems of care serving most disenfranchised, now aftermath epidemic.

Most studies of the impact alcohol dependence on brain have examined individuals in treatment. Such samples represent a small proportion alcoholics general population. may embody bias (Berkson's fallacy) if association between variables (for example, alcoholism and cortical gray matter loss) differs population treatment Our objective was to determine treatment-naïve show structural changes versus controls compare our findings with reports evaluating alcoholic drawn from populations.

Co-design of digital mental health technology with youth and families is a relatively new but growing approach to intervention development. In this perspective article, researchers used collaborative reflexivity through duoethnography methodology reflect report on experiences lessons learned conducting co-designed projects marginalized families. Researchers engaged in written reflective dialogue regarding designed co-develop technology-based apps computer programs support their Reflections...

Background Current research on digital applications to support the mental health and well-being of foster youth is limited theoretical for transition-aged platforms developed without intentional input from themselves. Centering lived expertise in solutions crucial dismantling barriers care, leading an increase service access improving outcomes. Co-design centers intended end users during design process, creating a direct relationship between potential developers. This methodology holds...

ABSTRACT Child welfare‐involved (CWI) youth have high rates of unaddressed mental health needs, and system‐level barriers (e.g., inadequate coordination between child welfare agencies other systems designed to serve CWI youth) are one major reason why disparities in services' access continue persist for youth. This Research Note aims inform the services field about challenges conducting real‐world, research with their families. We present experienced our NIMH‐funded Foster Care Family...

<sec> <title>BACKGROUND</title> Minoritized youth face greater odds of unmet mental health needs compared to their white peers and are disproportionately affected by the social determinants (SDoH). These inequities worsened in wake COVID-19 pandemic. Digital interventions offer a promising solution deliver quality information, support, resources, address stigma, help link families SDoH-related services for improved wellness. </sec> <title>OBJECTIVE</title> This paper outlines an innovative...

Adolescents in the juvenile legal system have unaddressed sexual health needs. Factors at multiple ecological levels-including caregivers or neighborhoods-may promote hinder for this group. We aimed to identify targets future intervention by determining associations between behaviors and multilevel risk protective factors among adolescents involved system. To do this, we examined data from adolescent-caregiver dyads newly with used an ecodevelopmental resilience framework multinomial models...

This study examines substance use, emotional/behavioral symptoms, and sexual risk among first-time offending, court-involved, non-incarcerated (FTO-CINI) youth. Youth caregivers (n = 423) completed tablet-based assessments. By the time of first justice contact (average 14.5-years-old), 49% used substances, 40% were sexually active 33% reported both. with co-occurring use had more symptoms; youth delinquent offenses females greater risk. Time offense is a critical period to intervene upon...

Justice-involved youth report high rates of adverse childhood experiences (ACEs; abuse, neglect, household dysfunction) and are at risk for elevated behavioral health needs (i.e., substance use, psychiatric symptoms). Research with broad samples adolescents shows ACEs predict outcomes, yet most research on the impact among justice-involved focuses recidivism. The present study addresses this gap by examining prospective association between symptoms, substance-related problems consequences...

Primary care may be an effective venue for delivering behavioral interventions sexual safety among HIV-positive men who have sex with (MSM); however, few studies show efficacy such approach. We tested the of Treatment Advocacy Program (TAP), a 4-session, primary-care-based, individual counseling intervention led by MSM "peer advocates" in reducing unprotected HIV-negative or unknown partners (HIV transmission risk).We randomized 313 to TAP standard care. HIV risk was assessed at baseline, 6...

Mental health and substance use disorders are highly prevalent in justice-involved youth, yet only 8% of court-involved, nonincarcerated (CINI) youth need treatment receive it. Dual diagnosis (co-occurring psychiatric disorders) is predictive recidivism. Identifying novel approaches, such as the mobile (mHealth) technologies, to close this gap between receipt behavioral for CINI population could potentially offset rates reoffending into adulthood. Text-messaging (short message service, SMS)...

Nonincarcerated (community-supervised) youths who are first-time offenders have high rates of mental and substance use disorders. However, little is known about their psychiatric services (mental health use) or factors associated with service use. This study examined the prevalence, determinants, barriers to among community-supervised youths.Data were from a longitudinal outcomes adolescents ages 12-18 northeastern family court in which caregivers completed assessments (N=423 dyads). The...

Objective To use cluster analysis to determine profiles of adolescents at risk for HIV. Methods Adolescents 15–21 years old (N = 1153) with a history unprotected sex were assessed in five domains (unprotected sex, alcohol/marijuana use, other drug mental health crises, and arrest/school dropout) as well demographic, contextual, behavioral variables. Results Cluster revealed separate three-cluster solutions males females. Among males, clusters characterized by (a) crises (b) (c) lower risk....

Men who have sex with men (MSM) may be more likely to smoke than general population men. Such comparisons typically do not control for demographic differences and tested reasons MSMs' greater tobacco use. We compared MSM in data that allowed us differences, hypothesized would report use, due elevated levels of three psychosocial variables generally predict use: depression symptoms, alcohol limited health access. Data were from a 2001 survey Chicago (n = 817) the National Health Interview...