%0 Journal Article %J J Subst Abuse Treat %D 2014 %T Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program. %A Hartzler, Bryan %A Jackson, T Ron %A Jones, Brinn E %A Beadnell, Blair %A Calsyn, Donald A %K Aged %K Clinical Competence %K Cooperative Behavior %K Diffusion of Innovation %K Feasibility Studies %K Female %K Follow-Up Studies %K Humans %K Male %K Middle Aged %K Opioid-Related Disorders %K Program Development %K Program Evaluation %K Substance Abuse Treatment Centers %X

Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (intervention cost, feasibility, and sustainability) were assessed at study conclusion in a qualitative interview with OTP management. Intervention effectiveness was also assessed via independent chart review of trial CM implementation vs. a historical control period. Results included: 1) robust, durable increases in delivery skill, knowledge, and adoption readiness among trained staff; 2) positive managerial perspectives of intervention cost, feasibility, and sustainability; and 3) significant clinical impacts on targeted patient indices. Collective results offer support for the study's collaborative intervention design and the applied, skills-based focus of staff training processes. Implications for CM dissemination are discussed.

%B J Subst Abuse Treat %V 46 %P 429-38 %8 2014 Apr %G eng %N 4 %R 10.1016/j.jsat.2013.12.007 %0 Journal Article %J Youth Soc %D 2014 %T Negative and Positive Factors Associated With the Well-Being of Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning (LGBTQ) Youth. %A Higa, Darrel %A Hoppe, Marilyn J %A Lindhorst, Taryn %A Mincer, Shawn %A Beadnell, Blair %A Morrison, Diane M %A Wells, Elizabeth A %A Todd, Avry %A Mountz, Sarah %X

Factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth were qualitatively examined to better understand how these factors are experienced from the youths' perspectives. Largely recruited from LGBTQ youth groups, 68 youth participated in focus groups (n = 63) or individual interviews (n = 5). The sample included 50% male, 47% female, and 3% transgender participants. Researchers used a consensual methods approach to identify negative and positive factors across 8 domains. Negative factors were associated with families, schools, religious institutions, and community or neighborhood; positive factors were associated with the youth's own identity development, peer networks, and involvement in the LGBTQ community. These findings suggest a pervasiveness of negative experiences in multiple contexts, and the importance of fostering a positive LGBTQ identity and supportive peer/community networks. Efforts should work towards reducing and eliminating the prejudicial sentiments often present in the institutions and situations that LGBTQ youth encounter.

%B Youth Soc %V 46 %P 663-687 %8 2014 Sep %G eng %N 5 %R 10.1177/0044118X12449630 %0 Journal Article %J J Adolesc %D 2013 %T Multidimensional characterization of sexual minority adolescents' sexual safety strategies. %A Masters, N Tatiana %A Beadnell, Blair %A Morrison, Diane M %A Hoppe, Marilyn J %A Wells, Elizabeth A %K Adolescent %K Bisexuality %K Female %K Homosexuality, Female %K Homosexuality, Male %K Humans %K Male %K Minority Groups %K Safe Sex %K Sexual Behavior %K Sexually Transmitted Diseases %K Surveys and Questionnaires %K Transgender Persons %X

Young adults have high rates of sexually transmitted infections (STIs). Sexual minority youths' risk for STIs, including HIV, is as high as or higher than sexual majority peers'. Sexual safety, while often treated as a single behavior such as condom use, can be best conceptualized as the result of multiple factors. We used latent class analysis to identify profiles based on ever-used sexual safety strategies and lifetime number of partners among 425 self-identified LGBTQ youth aged 14-19. Data collection took place anonymously online. We identified four specific subgroup profiles for males and three for females, with each subgroup representing a different level and type of sexual safety. Profiles differed from each other in terms of age and outness for males, and in outness, personal homonegativity, and amount of education received about sexual/romantic relationships for females. Youths' sexual safety profiles have practice implications for sexuality educators, health care professionals, and parents.

%B J Adolesc %V 36 %P 953-61 %8 2013 Oct %G eng %N 5 %R 10.1016/j.adolescence.2013.07.008 %0 Journal Article %J Child Youth Serv Rev %D 2012 %T Social Services for Sexual Minority Youth: Preferences for What, Where, and How Services are Delivered. %A Wells, Elizabeth A %A Asakura, Kenta %A Hoppe, Marilyn J %A Balsam, Kimberly F %A Morrison, Diane M %A Beadnell, Blair %B Child Youth Serv Rev %V 36 %P 312-320 %8 2012 Feb 1 %G eng %N 2 %R 10.1016/j.childyouth.2012.11.011 %0 Journal Article %J Violence Against Women %D 2011 %T The long arc of recovery: characterizing intimate partner violence and its psychosocial effects across 17 years. %A Lindhorst, Taryn %A Beadnell, Blair %K Adaptation, Psychological %K Adolescent %K Adult %K Alcohol Drinking %K Anxiety %K Battered Women %K Child %K Depression %K Female %K Follow-Up Studies %K Humans %K Interpersonal Relations %K Male %K Mental Health %K Poverty %K Pregnancy %K Sexual Partners %K Spouse Abuse %K Time %K Young Adult %X

Little is known about how intimate partner violence (IPV) affects women's long-term mental health. Using 17 years of data from adolescent mothers, this study (a) empirically identified three subgroups based on patterns of IPV exposure during 4 years of their adolescence; (b) found that subgroup membership was a predictor of psychosocial outcomes in the subsequent 13 years, and (c) showed that the long-term effects of IPV exposure persisted even while controlling for the role of early poverty. By their 30s, women had recovered from IPV such that there were no significant differences between groups at the final time point.

%B Violence Against Women %V 17 %P 480-99 %8 2011 Apr %G eng %N 4 %R 10.1177/1077801211404548 %0 Journal Article %J Cultur Divers Ethnic Minor Psychol %D 2011 %T Measuring multiple minority stress: the LGBT People of Color Microaggressions Scale. %A Balsam, Kimberly F %A Molina, Yamile %A Beadnell, Blair %A Simoni, Jane %A Walters, Karina %K Adaptation, Psychological %K Adolescent %K Adult %K Aged %K Aggression %K Bisexuality %K Ethnic Groups %K Female %K Focus Groups %K Homosexuality %K Humans %K Male %K Middle Aged %K Prejudice %K Self Report %K Sex Factors %K Social Desirability %K Stereotyping %K Stress, Psychological %K Surveys and Questionnaires %K Washington %K Young Adult %X

Lesbian, gay, and bisexual individuals who are also racial/ethnic minorities (LGBT-POC) are a multiply marginalized population subject to microaggressions associated with both racism and heterosexism. To date, research on this population has been hampered by the lack of a measurement tool to assess the unique experiences associated with the intersection of these oppressions. To address this gap in the literature, we conducted a three-phase, mixed method empirical study to assess microaggressions among LGBT-POC. The LGBT People of Color Microaggressions Scale is an 18-item self-report scale assessing the unique types of microaggressions experienced by ethnic minority LGBT adults. The measure includes three subscales: (a) Racism in LGBT communities, (b) Heterosexism in Racial/Ethnic Minority Communities, and (c) Racism in Dating and Close Relationships, that are theoretically consistent with prior literature on racial/ethnic minority LGBTs and have strong psychometric properties including internal consistency and construct validity in terms of correlations with measures of psychological distress and LGBT-identity variables. Men scored higher on the LGBT-PCMS than women, lesbians and gay men scored higher than bisexual women and men, and Asian Americans scored higher than African Americans and Latina/os.

%B Cultur Divers Ethnic Minor Psychol %V 17 %P 163-74 %8 2011 Apr %G eng %N 2 %R 10.1037/a0023244