Addressing a Mental Health Intervention Gap in Juvenile Detention: A Pilot Study.
Addressing a Mental Health Intervention Gap in Juvenile Detention: A Pilot Study.
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解决青少年拘留中的心理健康干预差距：一项试点研究。
DOI：
10.1080/23794925.2022.2042873
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Lawrence,Erika
中科院分区：
文献类型：
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作者：
Duchschere,JenniferE;Reznik,SamanthaJ;Shanholtz,CarolineE;O'Hara,KareyL;Gerson,Nadav;Beck,ConnieJ;Lawrence,Erika
研究表明，在少年司法系统中被拘留的青少年中，60-70%符合精神健康障碍的标准，而一般青少年人口中这一比例为20%；然而，绝大多数人没有得到服务。不幸的是，精神健康症状往往在拘留期间恶化，拘留与受教育程度较低和成人再犯风险增加有关。因此，这些青少年不仅不可能得到所需的精神保健，而且在拘留期间缺乏干预也可能加剧成年后与刑事司法系统接触的不平等。除了这些青少年普遍缺乏服务外，与白人相比，有色人种的青少年被监禁的比例也不成比例。本文描述了一项基于接受和承诺疗法（ACT）的行为技能干预的试点研究的结果，旨在为有长期不良心理健康结果风险的青少年群体提供基于证据的心理健康治疗。这项研究包括了128名14-17岁的男性，他们住在少年拘留所。结果表明，干预措施可被参与者接受，在拘留中提供是可行的，并且可以忠实和胜任地实施。干预参与者表现出心理健康症状的下降，以及act特有的经验回避、认知融合和向其价值观迈进的感知障碍的结构的下降。这些结果对有效干预的可能性具有重要意义，可以破坏青少年心理健康方面的系统性不平等，因此支持在随机对照试验中进一步测试这种干预。
Research suggests that 60–70% of adolescents detained in the juvenile justice system meet criteria for a mental health disorder compared to 20% of the general adolescent population; however, the vast majority do not receive services. Unfortunately, mental health symptoms often worsen during detainment, and detainment is linked to lower levels of educational attainment and increased risk of adult recidivism. Thus, not only are these adolescents unlikely to receive needed mental health care but also the lack of interventions in detention may exacerbate inequities of contact with the criminal justice system in adulthood. In addition to these youth being an underserved population broadly, youth of color are also disproportionately incarcerated compared to their white counterparts. The current paper describes results of a pilot study of an Acceptance and Commitment Therapy (ACT)-based behavioral skills intervention, aimed at providing evidence-based mental health treatment for anadolescent population at risk of long-term adverse mental health outcomes. The study included 128 males aged 14–17 who resided in juvenile detention. Results demonstrated that the intervention was acceptable to participants, feasible to provide in detention, and could be implemented with fidelity and competency. Intervention participants demonstrated declines in symptoms of mental health, and ACT-specific constructs of experiential avoidance, cognitive fusion, and perceived barriers to moving toward their values. These results have important implications for the possibility of an effective intervention that could disrupt systemic inequity in youth mental health, and thus support further testing of this intervention in a randomized controlled trial.