Juvenile probation officers' perceptions on youth substance use varies from task-shifting to family-based contingency management.
Juvenile probation officers' perceptions on youth substance use varies from task-shifting to family-based contingency management.
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DOI：
10.1016/j.jsat.2020.108144
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发表时间：
2021-01
影响因子：
3.9
通讯作者：
Taxman FS
中科院分区：
文献类型：
--
作者：
Rudes DS;Viglione J;Sheidow AJ;McCart MR;Chapman JE;Taxman FS
大多数参与司法的青少年都存在药物滥用问题，但少年司法机构在为这些青少年提供循证治疗方面面临着众多障碍。任务转移是增加此类治疗机会的一种策略。也就是说，培训青少年缓刑官员 (JPO) 提供物质使用治疗，例如应急管理 (CM)，可以提高青少年的动机和行为结果。然而，缓刑传统上强调制裁而不是激励，因此初级特许官员必须改变他们的观点，接受诸如物质使用 CM 之类的协议。这项随机研究在基线和一年后使用混合焦点小组和调查方法，检查了迄今为止未经研究的 JPO 在一项任务转移实验中的看法，在该实验中，JPO 被要求开始针对青少年药物使用提供 CM，与没有改变其做法的 JPO 对照组进行比较。在基线时，初级专业人员对他们与吸毒青少年及其父母的工作感到绝望，但他们普遍对使用有形激励措施持积极看法。在随机参加 CM 培训和交付一年后，JPO 对与青少年及其父母合作、药物使用计划和资源以及他们是否认为有形激励计划是否值得的看法发生了积极变化。与此同时，对于像往常一样随机提供缓刑服务的初级专业人员来说，他们感到绝望，而且他们之前对有形激励措施的积极看法也有所下降。该研究提出了关于初级专业人士可用于与青少年和家庭合作的工具以及任务转移在增加获得循证治疗的机会和改善初级专业人士的态度结果方面所发挥的作用的思考。
The majority of justice-involved youth have problems with substance use, but juvenile justice agencies face numerous barriers to providing evidence-based treatments for these youth. Task-shifting is one strategy for increasing access to such treatments. That is, training juvenile probation officers (JPOs) to deliver substance use treatments, such as contingency management (CM) could improve youths’ motivation and behavioral outcomes. However, probation traditionally emphasizes sanctions over incentives, so JPOs must alter their perspectives to accept protocols such as CM for substance use. Using mixed focus group and survey methods at baseline and one year later, this randomized study examined heretofore unstudied JPO perceptions during a task-shifting experiment in which JPOs were asked to start delivering CM for youth substance use, compared to a control group of JPOs who did not change their practices. At baseline, JPOs expressed a perception of hopelessness about their work with substance-using youth and their parents, but they generally held positive views toward use of tangible incentives. One year after randomization to participate in CM training and delivery, JPO perceptions changed positively about working with youth and their parents, substance use programs and resources, and whether they believed tangible incentive programs were worthwhile. Over the same time, there was a perceptual stasis in hopelessness for JPOs randomized to deliver probation services as usual, and there was degradation in their previously positive perception toward tangible incentives. The study advances thinking regarding tools that JPOs can use for working with youth and families and the role that task-shifting can play in both increasing access to evidence-based treatments and improving attitudinal outcomes of JPOs.
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影响因子：
3.6
作者：
Melas, Christos D.;Zampetakis, Leonidas A.;Moustakis, Vassilis
通讯作者：
Moustakis, Vassilis
DOI：
10.1023/b:mhsr.0000024351.12294.65
发表时间：
2004-06-01
期刊：
Mental health services research
影响因子：
--
作者：
Aarons, Gregory A
通讯作者：
Aarons, Gregory A
DOI：
10.1111/j.1530-0277.2010.01154.x
发表时间：
2010-05-01
影响因子：
3.2
作者：
Hicks, Brian M.;Iacono, William G.;McGue, Matt
通讯作者：
McGue, Matt
影响因子：
168.9
作者：
Kakuma, Ritsuko;Minas, Harry;Scheffler, Richard M.
通讯作者：
Scheffler, Richard M.
影响因子：
3.9
作者：
Henggeler, Scott W.;Chapman, Jason E.;Cunningham, Phillippe B.
通讯作者：
Cunningham, Phillippe B.