Community Determinants of Substance Abuse Treatment Referrals from Juvenile Courts: Do Rural Youth Have Equal Access?
Community Determinants of Substance Abuse Treatment Referrals from Juvenile Courts: Do Rural Youth Have Equal Access?
复制标题
青少年法庭转介药物滥用治疗的社区决定因素：农村青年是否有平等机会？
DOI：
10.1080/10678280903185518
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发表时间：
2009
影响因子：
0.6
通讯作者：
Heflinger,CraigAnne
中科院分区：
文献类型：
--
作者：
Pullmann,MichaelD;Heflinger,CraigAnne
少年司法中的许多青少年需要药物使用服务，但转介服务往往不足。本研究探讨了通过田纳西州的少年法庭的物质使用服务转介相关的生态因素。一系列的分层二项逻辑模型表明，个人层面的因素占31%的法院之间的转介率的方差。社区和法院因素占方差的16%。如果年轻人有更高的需求，是白色，是男性，在服务密度较高的社区接受裁决，在与心理健康提供者关系良好并经常接触的法院出庭，他们更有可能被转介。控制个人需要，农村地区的青年往往有较低的转诊率，但是，这种关系是介导的接触频率和法院之间的关系质量和心理健康提供者和县平均社会经济地位。
Many youths in juvenile justice are in need of substance use services, yet referral to services is often inadequate. This study examines the ecological factors related to substance use service referrals made through Tennessee's juvenile courts. A series of hierarchical binomial logistic models indicated that individual-level factors accounted for 31% of the variance among courts in referral rates. Community and court factors accounted for an additional 16% of the variance. Youths were more likely to be referred if they had a higher need, were white, were male, were adjudicated in communities that had a higher service density, and appeared in courts that had good relationships and frequent contact with mental health providers. Controlling for individual need, youths in rural areas tended to have lower referral rates; however, this relationship was mediated by the frequency of contact and the quality of relations between the court and mental health providers and county average socioeconomic status.