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This study tests a brief intervention designed to reduce adolescent dating abuse (ADA) perpetration in a healthcare setting used primarily by low income, Black, and Hispanic youth. The Project READY (Reducing Aggression in Dating Relationships for Youth) is a theory-driven, empirically supported, brief intervention. READY intercepts youth who utilize an urban emergency department for non-urgent health care (e.g., sprains), provides them with tailored feedback about their relationship behavior, and uses motivational interviewing to move them towards non-violence and respect. READY was designed to avoid victim-blaming and is responsive to the gendered dynamic of ADA. A small feasibility pilot test of READY was completed in 2013 (N=27).

Participants were 173 youth ages 15-19 years old who were patients of an urban pediatric emergency department. Youth who perpetrated at least 1 act of physical or sexual ADA 3 months prior to baseline were eligible. The proposed experimental evaluation of READY used a randomized controlled trial (RCT) design, with 3- and 6-month follow-ups to assess changes in knowledge, attitude and perpetration behavior.

The hypotheses are: (1) Youth who participate in the brief intervention session and telephone booster call will report improved knowledge and attitudes, and less self-reported ADA perpetration up to 6 months post-intervention as compared to youth in the control group; and (2) the cost of providing the intervention will be less than the cost of the violence that occurs in its absence. Mixed effects linear and logistic models were used to analyze longitudinal data.

This study collection was formed from two distinct data collection periods and respondent samples to test and validate a newly formed measure regarding adolescent dating abuse (ADA). The new measure named MARSHA (Measure of Adolescent Relationship Harassment and Abuse) reflects ADA from the both the perspectives of victim and perpetrator through the use of 39 pairs of questions on the topics of physical, sexual, emotional, and cyber abuse. The hope for this study was to allow researchers, clinicians, and practitioners, in a wide variety of settings and for multiple purposes, ability to assess the prevalence of ADA in a nation, state or neighborhood; conducting etiological research on ADA; evaluating ADA prevention programs; or screening youth for ADA in clinical or criminal justice settings.

Commercial sexual exploitation (CSE) is an increasingly urgent problem for criminal justice systems in the United States. Despite the staggering individual and societal consequences of CSE, evidence-based prevention and intervention programs are profoundly lacking. This study used a quasi-experimental, mixed methods, longitudinal follow-up design to evaluate a service provision program for CSE survivors or those identified as high-risk for CSE, My Life My Choice (MLMC). Researchers followed youth who received MLMC services from baseline to multiple follow-up points to see how they progressed over time in terms of building up resistance to being sexually exploited.

Youth received one of two different type of MLMC services. One group (Source 1) received one-on-one survivor mentoring, otherwise known as "tertiary prevention." Participants in this program are paired with mentors who have been trained and free from CSE for at least five years. Mentors provide long-term and consistent emotional support to exploited youth or those MLMC believes are at high-risk for exploitation. The Source 1 youth were recruited only from Massachusetts. They participated in quantitative and qualitative data collection at baseline, six months post-baseline, and 12 months post-baseline.

A second group (Source 2) received 3-10 sessions of a psychoeducational prevention group following the MLMC curriculum, otherwise known as "secondary prevention." These groups are led by trained facilitators and are intended for youth at high-risk for exploitation. Participants are taught about sexual exploitation, healthy relationships, sexual health, and how to find help. Source 2 youth received MLMC services in Massachusetts, Florida, New Jersey, or Connecticut. They participated in quantitative data collection at baseline, time of the last group session, and six months post-baseline.

Measured outcomes included instances of sexual exploitation in the past six months, frequency and type of substance use, partner abuse victimization, and housing stability. Researchers hypothesized that, among the secondary prevention group, youth who chose to interact with MLMC staff more often (in terms of attending educational sessions) would score higher on desired outcomes than those frequently absent or who do not interact with staff as often. Among the tertiary prevention group, researchers hypothesized that those who participated would demonstrate improved outcomes from baseline to six months and baseline to 12 months.