How racism shapes teens' substance use, mental health, and contact with the legal system into young adulthood

The Impact of Racism on Trajectories of Substance Use, Mental Health and Legal System Contact from Adolescence to Young Adulthood

NIH-funded research University of California, San Francisco · NIH-11381703

Researchers will re-contact teens who had juvenile legal involvement and their caregivers to track how experiences of racism relate to substance use, mental health, and later legal contact.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of California, San Francisco NIH-funded
Lab location1 site (San Francisco, United States)
Project IDNIH-11381703 on NIH RePORTER

What this research studies

This project follows up with 300 youth-caregiver pairs from Project EPICC and builds on existing longitudinal data from 401 youth to extend tracking into young adulthood. Participants will complete one annual follow-up assessment and life-course interviews about experiences of racism, substance use, mental health, and interactions with the legal system. New data will be linked to earlier measures of individual, family, and community risk and protective factors to map developmental trajectories. Analyses focus on structural, cultural, and individual racism and how these forces contribute to health and legal inequities for ethnoracially minoritized youth.

Who could benefit from this research

Good fit: Ideal participants are adolescents and young adults who had first contact with the juvenile legal system as teens and their involved caregivers, especially ethnoracially minoritized families previously enrolled in Project EPICC.

Not a fit: People without prior juvenile legal system involvement or those not part of the original Project EPICC cohort are not the focus and are unlikely to be directly included or benefit immediately from participation.

Why it matters

Potential benefit: If successful, findings could inform policies and programs to reduce racial disparities and improve supports for justice-involved youth and their families.

How similar studies have performed: Previous longitudinal work links discrimination to worse mental health and substance use, but extended follow-up of justice-involved, ethnoracial minoritized youth is relatively novel.

Where this research is happening

San Francisco, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.