Juvenile Justice and Substance Use

Juvenile Justice and Substance Use
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少年司法和药物使用

DOI:
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发表时间:
2008
期刊:
The Future of children
影响因子:
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通讯作者:
L. Chassin
L. Chassin
中科院分区:
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文献类型:
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作者:
L. Chassin

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劳里查辛侧重于青少年司法系统中青少年罪犯中药物使用障碍的流行率上升,以及司法系统为这些障碍提供治疗的努力。她强调了诊断和治疗这些疾病的重要性,这些疾病与持续的犯罪和广泛的负面影响有关,如吸烟,危险的性行为,暴力,以及不良的教育,职业和心理后果。Chassin说,青少年罪犯中高比例的物质使用问题表明需要大量的治疗。虽然青少年罪犯通常会接受药物使用障碍的筛查,但Chassin指出,需要改进筛查方法,并确保筛查尽早进行,以便在适当的时候将青少年从司法系统转移到社区计划中。Chassin警告说,没有一种单一的治疗方法被证明是最有效的,他描述了治疗药物使用障碍的“最佳做法”的现行标准,审查在多大程度上,他们是在少年司法系统中实施,并介绍了一些有前途的照顾模式。她强调了治疗方面的若干挑战,包括需要有更好的方法让青少年及其家人参与治疗,需要更好地处理环境风险因素,如家庭药物使用和越轨的同龄人网络,以及同时发生的疾病,如学习障碍和其他精神健康障碍。Chassin主张政策,鼓励更广泛地使用经验验证的疗法和记录在案的最佳实践,治疗物质使用障碍。成功治疗药物使用障碍的年轻人的高复发率也表明更需要善后服务,并将这些障碍作为以复发和缓解为特征的慢性疾病进行管理。Chassin说,善后服务的短缺和青少年司法系统中缺乏服务协调,表明需要开发整合和协调青少年罪犯多种服务的治疗模式,特别是在参与司法系统期间和之后采取基于社区的办法。
Laurie Chassin focuses on the elevated prevalence of substance use disorders among young offenders in the juvenile justice system and on efforts by the justice system to provide treatment for these disorders. She emphasizes the importance of diagnosing and treating these disorders, which are linked both with continued offending and with a broad range of negative effects, such as smoking, risky sexual behavior, violence, and poor educational, occupational, and psychological outcomes.The high rates of substance use problems among young offenders, says Chassin, suggest a large need for treatment. Although young offenders are usually screened for substance use disorders, Chassin notes the need to improve screening methods and to ensure that screening takes place early enough to allow youths to be diverted out of the justice system into community-based programs when appropriate.Cautioning that no single treatment approach has been proven most effective, Chassin describes current standards of "best practices" in treating substance use disorders, examines the extent to which they are implemented in the juvenile justice system, and describes some promising models of care. She highlights several treatment challenges, including the need for better methods of engaging adolescents and their families in treatment and the need to better address environmental risk factors, such as family substance use and deviant peer networks, and co-occurring conditions, such as learning disabilities and other mental health disorders.Chassin advocates policies that encourage wider use of empirically validated therapies and of documented best practices for treating substance use disorders. High relapse rates among youths successfully treated for substance use disorders also point to a greater need for aftercare services and for managing these disorders as chronic illnesses characterized by relapse and remission.A shortage of aftercare services and a lack of service coordination in the juvenile justice system, says Chassin, suggest the need to develop treatment models that integrate and coordinate multiple services for adolescent offenders, particularly community-based approaches, both during and after their justice system involvement.
青少年物质使用与犯罪之间的相互关系:纵向潜变量分析。
DOI: 10.1037//0021-843x.111.1.63
发表时间: 2002
影响因子: 4.6
作者:
Mason,WAlex;Windle,Michael
通讯作者: Windle,Michael
让有抵抗力的青少年接受药物滥用治疗。
DOI: 10.1016/j.jsat.2006.07.007
发表时间: 2007
影响因子: 3.9
作者:
Waldron,HollyBarrett;Kern-Jones,Sheryl;Turner,CharlesW;Peterson,ThomasR;Ozechowski,TimothyJ
通讯作者: Ozechowski,TimothyJ