Impact of implementation interventions to improve substance use service delivery on recidivism among justice-involved youth.
Impact of implementation interventions to improve substance use service delivery on recidivism among justice-involved youth.
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DOI：
10.1186/s40352-023-00210-3
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发表时间：
2023-02-28
期刊：
影响因子：
3.5
通讯作者：
中科院分区：
文献类型：
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作者：
物质使用障碍（SUD）在涉及司法的青年（JIY）中普遍存在，并且是重新犯罪的有力预测因素。只有一小部分有药物使用问题的JIY接受治疗。本文介绍了系统层面的努力，以改善识别和转诊治疗的JIY的累犯的影响。一项涉及5个州20个县少年司法机构站点的群集随机试验用于对少年司法工作人员和社区治疗提供者实施组织干预（核心与增强），从2014年3月到2017年8月与18，698 JIY合作。在四个研究时间段的累犯率进行了检查。Logistic回归被用来预测累犯作为网站的功能，需要SUD服务，监督水平，时间，组织干预，时间x干预的相互作用。结果表明，增强型网站显示累犯水平下降相比，核心只有网站，它随着时间的推移而增加。此外，需要SU服务，监督水平，和网站的显着预测再犯。调查结果表明，促进少年司法机构的努力，以增加识别和转介到SUD服务的JIY需要这种服务，以减少与法律的系统的进一步接触的潜在价值。
Substance use disorders (SUD) are prevalent among justice-involved youth (JIY) and are a robust predictor of re-offending. Only a fraction of JIY with substance use problems receive treatment. This paper describes the impacts of system-level efforts to improve identification and referral to treatment on recidivism of JIY. A cluster randomized trial involving 20 county juvenile justice agency sites across 5 states was used to implement an organizational intervention (Core vs Enhanced) to juvenile justice staff and community-based treatment providers, working with 18,698 JIY from March 2014 to August 2017. Recidivism rates over four study time periods were examined. Logistic regression was used to predict recidivism as a function of site, need for SUD services, level of supervision, time, organizational intervention, and time x intervention interaction terms. Results indicated that Enhanced sites showed decreased levels of recidivism compared to Core-only sites, where it increased over time. Additionally, need for SU services, level of supervision, and site were significant predictors of reoffending. Findings suggest the potential value of facilitation of juvenile justice agency efforts to increasing identification of and referral to SUD services of JIY in need of such services for reducing further contact with the legal system.
DOI：
10.1007/s11121-020-01161-z
发表时间：
2020-11
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
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作者：
Tanner-Smith EE;Nichols LM;Loan CM;Finch AJ;Moberg DP
通讯作者：
Moberg DP