The Juvenile Justice Behavioral Health Services Cascade: A new framework for measuring unmet substance use treatment services needs among adolescent offenders.
The Juvenile Justice Behavioral Health Services Cascade: A new framework for measuring unmet substance use treatment services needs among adolescent offenders.
复制标题
DOI：
10.1016/j.jsat.2016.12.012
复制
发表时间：
2017-03
影响因子：
3.9
通讯作者：
Sales J
中科院分区：
文献类型：
--
作者：
Belenko S;Knight D;Wasserman GA;Dennis ML;Wiley T;Taxman FS;Oser C;Dembo R;Robertson AA;Sales J
物质使用和物质使用障碍在少年司法（JJ）监督下的青年中非常普遍，与犯罪，精神病理学，社会问题，危险性行为和性传播感染以及健康问题有关。然而，许多差距存在于行为健康（BH）问题的识别，并在随后的转介，启动和保留在社区司法环境中的青年治疗。这反映了组织和制度因素，包括司法和波黑机构之间的协调。本文提出了一个新的框架，少年司法行为健康服务级联（“级联”），用于衡量未满足的物质使用治疗需求，以说明级联的方法可以是有用的，在了解服务提供问题，并确定战略，以改善治疗参与和社区JJ监督下的青年的结果。我们讨论的组织和系统的障碍，联系违法青年BH服务，并解释如何级联可以帮助理解和解决这些障碍。我们提供了一个详细的描述的顺序步骤和措施的级联，然后提供一个例子，它的应用程序从少年司法-转化研究干预青少年的法律的系统项目（JJ-TRIALS），一个多站点的研究合作资助的国家药物滥用研究所。如药物滥用治疗所示，Cascade有可能为改善青少年罪犯行为健康服务联系的努力提供信息和指导，制定和测试干预措施和政策以改善机构间和跨系统协调，并为制定措施和干预措施提供信息，以改善复杂的多系统服务环境中的治疗实施。
Substance use and substance use disorders are highly prevalent among youth under juvenile justice (JJ) supervision, and related to delinquency, psychopathology, social problems, risky sex and sexually transmitted infections, and health problems. However, numerous gaps exist in the identification of behavioral health (BH) problems and in the subsequent referral, initiation and retention in treatment for youth in community justice settings. This reflects both organizational and systems factors, including coordination between justice and BH agencies. This paper presents a new framework, the Juvenile Justice Behavioral Health Services Cascade (“Cascade”), for measuring unmet substance use treatment needs to illustrate how the cascade approach can be useful in understanding service delivery issues and identifying strategies to improve treatment engagement and outcomes for youth under community JJ supervision. We discuss the organizational and systems barriers for linking delinquent youth to BH services, and explain how the Cascade can help understand and address these barriers. We provide a detailed description of the sequential steps and measures of the Cascade, and then offer an example of its application from the Juvenile Justice – Translational Research on Interventions for Adolescents in the Legal System project (JJ-TRIALS), a multi-site research cooperative funded by the National Institute on Drug Abuse. As illustrated with substance abuse treatment, the Cascade has potential for informing and guiding efforts to improve behavioral health service linkages for adolescent offenders, developing and testing interventions and policies to improve interagency and cross-systems coordination, and informing the development of measures and interventions for improving the implementation of treatment in complex multisystem service settings.