Using Goal Achievement Training in juvenile justice settings to improve substance use services for youth on community supervision.
Using Goal Achievement Training in juvenile justice settings to improve substance use services for youth on community supervision.
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DOI：
10.1186/s40352-018-0067-4
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发表时间：
2018-04-30
期刊：
影响因子：
3.5
通讯作者：
JJ-TRIALS Cooperative
中科院分区：
文献类型：
--
作者：
Fisher JH;Becan JE;Harris PW;Nager A;Baird-Thomas C;Hogue A;Bartkowski JP;Wiley T;JJ-TRIALS Cooperative
药物使用与青少年司法系统的参与之间的联系已经确立。参与正义的年轻人往往比没有犯罪的同龄人有更高的吸毒率。同时，继续使用毒品会增加再次犯罪的风险，从而导致青少年司法系统的进一步，而且往往是更严重的卷入。由于这些高使用率，少年司法系统处于有利地位，可以帮助识别有药物使用问题的青少年，并将他们与治疗联系起来。然而，研究发现，只有大约60%的青少年缓刑机构对所有青少年进行药物参与筛查，更少的机构提供全面评估或帮助青少年参加药物使用治疗。本文描述了一个综合培训课程，它是为了帮助少年司法机构改善对有药物使用问题的青年缓刑人员的持续照顾而开发的。目标实现培训(GAT)通过现场向青少年司法和行为健康机构的工作人员小组提供两个课程，为持续质量改进提供了一个平台。在第一次会议上，教授学员确定目标和目标步骤，以解决已确定的未得到满足的需求领域(即筛查、评估和与治疗服务的联系)。在第二次会议上，学员将学习实现这些目标的数据驱动决策的原则和战略。本文件着重指出，GAT是有效实施成本效益高的培训战略的典范，旨在增加可应用于少年司法环境中任何业绩领域的自我指导的质量改进活动。强调了在少年司法环境的具体背景下监测服务贸易总协定执行忠诚度的努力。讨论了为一般程序改进奠定基础的挑战，以及少年司法环境中的具体障碍，以及在这一独特背景下传播关于服务贸易总协定忠诚度和有效性的调查结果的下一步步骤。临床试验注册号-NCT02672150。
The link between substance use and involvement in the juvenile justice system has been well established. Justice-involved youth tend to have higher rates of drug use than their non-offending peers. At the same time, continued use can contribute to an elevated risk of recidivism, which leads to further, and oftentimes more serious, involvement with the juvenile justice system. Because of these high rates of use, the juvenile justice system is well positioned to help identify youth with substance use problems and connect them to treatment. However, research has found that only about 60% of juvenile probation agencies screen all youth for substance involvement, and even fewer provide comprehensive assessment or help youth enroll in substance use treatment. This paper describes an integrated training curriculum that was developed to help juvenile justice agencies improve their continuum of care for youth probationers with substance use problems. Goal Achievement Training (GAT) provides a platform for continuous quality improvement via two sessions delivered onsite to small groups of staff from juvenile justice and behavioral health agencies. In the first session, participants are taught to identify goals and goal steps for addressing identified areas of unmet need (i.e., screening, assessment, and linkage to treatment services). In the second session, participants learn principles and strategies of data-driven decision-making for achieving these goals. This paper highlights GAT as a model for the effective implementation of cost-efficient training strategies designed to increase self-directed quality improvement activities that can be applied to any performance domain within juvenile justice settings. Efforts to monitor implementation fidelity of GAT within the specific context of the juvenile justice settings are highlighted. Challenges to setting the stage for process improvement generally, as well as specific hurdles within juvenile justice settings are discussed, as are next steps in disseminating findings regarding the fidelity to and effectiveness of GAT in this unique context. Clinical Trials Registration number – NCT02672150.