From court to the community: improving access to evidence-based treatment for underserved youth involved in the juvenile legal system at-risk for suicide.
From court to the community: improving access to evidence-based treatment for underserved youth involved in the juvenile legal system at-risk for suicide.
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DOI：
10.1186/s12888-023-04824-7
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发表时间：
2023-05-05
期刊：
影响因子：
4.4
通讯作者：
Kemp, Kathleen A.
中科院分区：
文献类型：
--
作者：
Wolff, Jennifer;Modrowski, Crosby A.;Janssen, Tim;Frank, Hannah E.;Velotta, Sydney;Sheerin, Kaitlin;Becker, Sara;Weinstock, Lauren M.;Spirito, Anthony;Kemp, Kathleen A.
关键词：
青少年法律的参与青年（JLIY）的自杀和自我伤害的想法和行为（SSITB）的比例不成比例地高。许多JLIY无法获得专门用于治疗SSITB的循证治疗，从而增加了自杀的总体风险。绝大多数JLIY没有被安置在安全设施中，几乎所有被监禁的青年最终都被释放到社区。因此，SSTB是居住在社区的JLIY的主要关注点，这一人群获得SSTB的循证治疗至关重要。不幸的是，大多数治疗JLIY的社区精神卫生服务提供者没有接受过专门针对SSTB的循证干预措施的培训，这往往导致青少年经历长时间的SSTB。培训为JLIY提供服务的社区精神卫生服务提供者检测和治疗SSTB，有望降低JLIY的整体自杀风险。目前的提案旨在减少JLIY中的SSTB，从而减少这一脆弱和服务不足的青年人口的心理健康差异，通过增加获得专门用于治疗SSTB行为的循证治疗策略。我们将在至少9个不同的社区精神卫生机构中实施一项机构范围的培训，这些机构为JLIY提供服务，并由东北部的全州法院系统进行治疗。各机构将接受COPES+干预措施的改编版培训。培训将通过一项分组随机化的阶梯式楔形试验实施，该试验将通过多个阶段进行。这项研究涉及多个系统（即，青少年法律的和精神卫生系统）服务于JLIY，并有可能直接告知青少年法律的和精神卫生系统的治疗做法。目前的议定书具有重大的公共卫生影响，因为主要目标是减少青少年法律的系统中的青少年中的SSTB。通过与社区提供者实施培训协议，帮助他们学习基于证据的干预措施，该提案旨在减少边缘化和服务不足人群的心理健康差距。osf.io/sq9zt
Juvenile legal involved youth (JLIY) experience disproportionately high rates of suicidal and self-injurious thoughts and behaviors (SSITB). Many JLIY lack access to evidence-based treatment specifically designed to treat SSITB, thereby increasing the overall risk of suicide. The overwhelming majority of JLIY are not placed in secure facilities and almost all incarcerated youth are eventually released to the community. Consequently, SSITB are a major concern of JLIY residing in the community and it is critical that this population has access to evidence-based treatment for SSITB. Unfortunately, most community mental health providers who treat JLIY have not been trained in evidence-based interventions that are specifically designed to SSITB, which often leads to youth experiencing prolonged periods of SSITB. Training community mental health providers who serve JLIY in the detection and treatment of SSITB shows promise for decreasing the overall suicide risk for JLIY. The current proposal aims to reduce SSITB among JLIY, and thus reduce mental health disparities in this vulnerable and underserved youth population, by increasing access to evidence-based treatment strategies specifically designed to treat SSITB behaviors. We will implement an agency-wide training among at least 9 distinct community mental health agencies that serve JLIY referred to treatment by a statewide court system in the Northeast. Agencies will be trained in an adapted version of the COping, Problem Solving, Enhancing life, Safety, and Parenting (COPES+) intervention. Training will be implemented via a cluster-randomized stepped wedge trial that proceeds through multiple phases. This research engages multiple systems (i.e., juvenile legal and mental health systems) serving JLIY and has the potential to directly inform treatment practices in juvenile legal and mental health systems. The current protocol has significant public health implications as the primary goals are to reduce SSITB among adolescents involved in the juvenile legal system. By implementing a training protocol with community-based providers to help them learn an evidence-based intervention, this proposal aims to reduce mental health disparities in a marginalized and underserved population. osf.io/sq9zt
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DOI：
10.1097/00004583-200502000-00003
发表时间：
2005-02-01
影响因子：
13.3
作者：
Donaldson, D;Spirito, A;Esposito-Smythers, C
通讯作者：
Esposito-Smythers, C
DOI：
10.1080/15228932.2016.1172424
发表时间：
2016-01-01
期刊：
JOURNAL OF FORENSIC PSYCHOLOGY PRACTICE
影响因子：
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作者：
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通讯作者：
Brown, Larry
影响因子：
25.8
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通讯作者：
Kessler, Ronald C.
影响因子：
1.4
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Knowles, Sarah;Townsend, Ellen;Anderson, Martin
通讯作者：
Anderson, Martin
影响因子：
2.1
作者：
Onifade, Eyitayo;Petersen, Jodi;Davidson, William S., II
通讯作者：
Davidson, William S., II