Adapting Alcohol and Drug Treatment for Black Youth on Community Probation
Focusing on Reducing Substance Use and Addressing Racial Discrimination
Led by University of California, San Francisco · Updated on 2026-07-13
55
Participants Needed
2
Research Sites
17 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are investigating how ethnic and racial discrimination ERD affects alcohol and drug use among Black justice-involved youth JIY aged 13 to 17. Black JIY face higher risks of substance use due to discrimination and police brutality, yet they are less likely to receive effective treatment or benefit from existing programs. This study aims to better understand these challenges and culturally adapt a substance use treatment specifically for this population.
The study involves individual interviews with Black JIY and focus groups with their guardians and community advocates to gather insights on ERDs impact. Based on this information, the Cannabis Youth Treatment Series CYT, a behavioral intervention targeting alcohol and cannabis use, will be culturally adapted. This adapted intervention will then be piloted with 30 Black JIY to examine its feasibility and acceptability.
Participants will engage in the adapted treatment while researchers monitor changes in substance use, mental health symptoms, and experiences of discrimination distress. These assessments occur at baseline, after each study visit, at study completion, and up to six months post-intervention. The main outcomes measured are the interventions feasibility and acceptability, with total participation lasting around three months after the study ends.
CONDITIONS
Brief Title
Cultural Adaptation of Drug Treatment for DJJ Youth
Research Team
B
Brittany E Bryant, DSW
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
Adapted MET/CBT treatment
Standard adolescent treatment (contextual)
What it is
An eight‑step culturally adapted substance use treatment for Black adolescents on community probation adapted from the MET/CBT12 model.
Manual‑guided motivational enhancement and cognitive behavioral therapies are standard psychosocial treatments for adolescent substance misuse.
Role in the study
Delivering a pilot feasibility and acceptability trial of a culturally adapted MET/CBT12 treatment.
Represents the type of evidence‑based psychosocial treatment typically offered outside the trial.
Primary use
Reduce alcohol, cannabis, and other drug misuse among justice‑involved Black youth; assess feasibility and acceptability.
Support adolescent substance use reduction via motivational and cognitive behavioral strategies.
How it is delivered
Delivered sequentially following ADAPT‑ITT framework in a manual‑guided behavioral format.
Typically delivered via manual‑guided MET/CBT sessions in outpatient or community settings.
Evidence status
Evidence pending; feasibility and acceptability data will be generated by the trial.
MET/CBT approaches have demonstrated effectiveness and cost‑effectiveness in adolescent cannabis misuse trials.
Important risks
Undetermined; safety data not reported in registry.
Behavioral therapies are generally well‑tolerated with no major safety concerns noted in trials.
Important limitations
Evidence limited to feasibility; effect on substance use and mental health symptoms not yet known.
Evidence drawn from cannabis‑focused interventions in predominantly non‑justice‑involved samples.
Patient impact
Unknown; trial will generate data on feasibility and acceptability, not direct outcomes yet.
MET/CBT interventions led to increased days abstinent and recovery in adolescents with cannabis misuse.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 13Years - 17Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Ages 13 to 17 years
Identify as Black or African American
On community probation
Meet criteria for alcohol, cannabis, or other drug misuse as defined by DSM 5
Experience at least one problem related to alcohol or other drug use
Use alcohol, cannabis, or other drugs weekly over a three-month period
Parental consent to participate (for minors)
Guardians or advocates of Black justice-involved youth (for focus groups)
You will not qualify if you...
Lack of parental consent to participate
Presence of parole violation
Guardians or advocates who do not provide consent to participate
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Treatment
Duration - Approximately 3 months
Participants receive the culturally adapted Cannabis Youth Treatment to address alcohol and cannabis use.
Regular study visits during the treatment period
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
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.
Brittany E Bryant, Marina Tolou-Shams, Ifunanya Ezimora...