Perceived importance of substance use prevention in juvenile justice: a multi-level analysis.
Perceived importance of substance use prevention in juvenile justice: a multi-level analysis.
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DOI：
10.1186/s40352-018-0070-9
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发表时间：
2018-05-15
期刊：
影响因子：
3.5
通讯作者：
Knudsen H
中科院分区：
文献类型：
--
作者：
Sales JM;Wasserman G;Elkington KS;Lehman W;Gardner S;McReynolds L;Wiley T;Knudsen H
在少年司法（JJ）监督下的青少年有很高的风险因使用药物而产生不良后果，因此预防非常重要。很少有研究探讨强生员工的预防相关的态度，但这种态度可能是实施预防计划的重要。对预防的态度可能反映个人特征和组织背景。混合效应回归分析数据，从492名员工在36个地点参加少年司法转化研究干预青少年在法律的系统（JJ-TRIALS）合作协议。JJ员工的物质使用预防的重要性进行了测量。员工层面的变量包括态度，工作类型和人口特征。研究中心层面的变量主要集中在循证筛查工具的使用、预防计划和药物检测。平均而言，强生员工将预防药物使用评为高度重要（平均值= 45.9，50）。强生员工普遍认为，防止物质使用是其机构责任的一部分（平均值= 3.8，范围从1到5）。在研究中心层面，72.2%使用循证筛查工具，22.2%使用一种或多种循证预防计划，47.2%使用药物检测。报告的预防的重要性是正相关的网站一级使用的筛选工具和药物测试，以及工作人员一级的态度，预防是符合该机构的使命。筛查和预防态度之间的关联表明，致力于确定青年的需求可能会导致更大的开放性，以防止药物使用。未来在负责监督社区青年的JJ机构内实施物质使用预防的努力可能会受益于强调预防与该机构使命之间的契合。
Youth under juvenile justice (JJ) supervision are at high-risk of adverse outcomes from substance use, making prevention important. Few studies have examined prevention-related attitudes of JJ employees, yet such attitudes may be important for implementing prevention programs. Attitudes toward prevention may reflect individual characteristics and organizational contexts. Mixed effects regression was used to analyze data from 492 employees in 36 sites participating in the Juvenile Justice—Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) cooperative agreement. JJ employees’ perceived importance of substance use prevention was measured. Staff-level variables included attitudes, job type, and demographic characteristics. Site-level variables focused on use of evidence-based screening tools, prevention programs, and drug testing. On average, JJ employees rated substance use prevention as highly important (mean = 45.9, out of 50). JJ employees generally agreed that preventing substance use was part of their agency’s responsibility (mean = 3.8 on scale ranging from 1 to 5). At the site level, 72.2% used an evidence-based screening tool, 22.2% used one or more evidence-based prevention program, and 47.2% used drug testing. Reported importance of prevention was positively associated with site-level use of screening tools and drug testing as well as staff-level attitudes regarding prevention being consistent with the agency’s mission. The associations between screening and prevention attitudes suggest that commitment to identifying youth needs may result in greater openness to preventing substance use. Future efforts to implement substance use prevention within JJ agencies charged with supervising youth in the community may benefit from highlighting the fit between prevention and the agency’s mission.