Analyzing the Impact of Household Substance Misuse on Opioid Misuse in Runaway and Kicked out of Home Justice-Involved Adolescents

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Shiraz Sher

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Dr. Micah E. Johnson

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Runaway and kicked out of home history is a known risk factor for opioid misuse in adolescents. Household substance misuse is also a known risk factor. Justice-involved adolescents (JIA) are a particularly at-risk group and have high instances of opioid misuse. The aim of this study was to analyze the impact household substance misuse has on opioid misuse in runaway and kicked out of home JIA. This was done by comparing the runaway and kicked out of home JIA from substance misusing households to those who do not come from a substance misusing household. The study employed stratification to conduct logistic regression, revealing the odds ratio for runaway and kicked out of home history and opioid misuse for both JIA from substance misusing households and those that do not. The data for this study was collected from 79,960 JIA from the Florida Department of Juvenile Justice (FLDJJ). The FLDJJ sample consisted of both male and female JIA who were arrested and administered the Positive Achievement Change Tool (PACT) intake assessment over three successive occasions, each approximately 90 days apart. The results suggest that runaway and kicked out of home JIA were less likely to use opioids when coming from a home of substance misuse than those who do not. This evidence indicates potential instances where these two risk factors yielded advantageous outcomes for JIA. Further research needs to dive deeper into this phenomenon and discover what factors influence runaway and kicked out of home JIA decisions to misuse opioids.

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Analyzing the Impact of Household Substance Misuse on Opioid Misuse in Runaway and Kicked out of Home Justice-Involved Adolescents

Runaway and kicked out of home history is a known risk factor for opioid misuse in adolescents. Household substance misuse is also a known risk factor. Justice-involved adolescents (JIA) are a particularly at-risk group and have high instances of opioid misuse. The aim of this study was to analyze the impact household substance misuse has on opioid misuse in runaway and kicked out of home JIA. This was done by comparing the runaway and kicked out of home JIA from substance misusing households to those who do not come from a substance misusing household. The study employed stratification to conduct logistic regression, revealing the odds ratio for runaway and kicked out of home history and opioid misuse for both JIA from substance misusing households and those that do not. The data for this study was collected from 79,960 JIA from the Florida Department of Juvenile Justice (FLDJJ). The FLDJJ sample consisted of both male and female JIA who were arrested and administered the Positive Achievement Change Tool (PACT) intake assessment over three successive occasions, each approximately 90 days apart. The results suggest that runaway and kicked out of home JIA were less likely to use opioids when coming from a home of substance misuse than those who do not. This evidence indicates potential instances where these two risk factors yielded advantageous outcomes for JIA. Further research needs to dive deeper into this phenomenon and discover what factors influence runaway and kicked out of home JIA decisions to misuse opioids.