Transforming systems mistrust and poor communication to improve behavioural health care uptake among youth on probation.
Transforming systems mistrust and poor communication to improve behavioural health care uptake among youth on probation.
复制标题
改变不信任和沟通不畅的系统，以提高缓刑青少年对行为保健的接受程度。
DOI：
10.1080/17538068.2023.2253620
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发表时间：
2023
影响因子：
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通讯作者：
Elkington,KatherineS
中科院分区：
文献类型：
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作者：
Sichel,CoriannaE;Elkington,KatherineS
今天，参与法律的系统的青年代表了美国年轻人中最高风险和高需求的人群之一，来自少数群体的青年比例过高，治疗参与率非常低[6，14]。我们自己的大部分工作都集中在理解和解决行为健康（BH）治疗需求和缓刑青年中的护理障碍，他们占法律的系统中青年的最大比例[6]。对于这些青年，治疗需要在一个系统（法律的系统）中确定，但必须通过一个单独的系统（以社区为基础的波黑）来解决。虽然青少年的BH问题往往在他们参与缓刑之前，他们的治疗需求往往得不到确认和/或未得到满足，使缓刑成为将青少年与护理联系起来的关键背景。然而，最近的一项研究发现，只有不到10%的缓刑青年有记录的需要，开始治疗[13]。在这里，我们认为，虽然沟通的挑战和不信任之间的青年/照顾者，缓刑工作人员，和当地BH供应商的贡献至关重要的治疗差距，多层次的解决方案可以帮助。
Today, youth involved in the legal system represent one of the most high-risk and high-needs populations of young people in the United States, with an overrepresentation of youth from minoritized groups, and very low rates of treatment engagement [6, 14]. Much of our own work focuses on understanding and addressing behavioural health (BH) treatment needs and barriers to care among youth on probation, who account for the greatest percentage of youth involved in the legal system [6]. For these youth, treatment need is identified in one system (the legal system) but must be addressed through a separate system (communitybased BH). Although youthsL BH problems often precede their involvement with probation, their treatment needs frequently go unidentified and/or unmet, making probation a critical context for linking youth to care. However, a recent study found that fewer than 10% of youth on probation with documented need, initiated treatment [13]. Here, we argue that although communication challenges and mistrust-between youth/caregivers, probation staff, and local BH providers-contribute critically to this treatment gap, multi-level solutions can help.