Adoption of Family-Driven Substance Use Services in the Juvenile Justice System: A Pre-Implementation Assessment

在少年司法系统中采用家庭驱动的药物使用服务：实施前评估

• 批准号: 10401248
• 负责人: Kaitlin Piper
• 金额: $ 4.68万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10401248
• 关键词: Address; Adolescent; Adoption; Advocacy; Appointment; Area; Caring; Case Study; Child; Child Behavior; Child Mental Health; Collaborations; Communities; Consolidated Framework for Implementation Research; Emotional; Ensure; Environment; Evaluation; Face; Family; Family Leave; Family member; Feeling; Focus Groups; Funding; Goals; Guidelines; Health; Healthcare; Implementation readiness; Imprisonment; Intervention; Justice; Knowledge; Legal system; Link; Medical; Mentors; Mentorship; Methodology; Outcome; Parents; Participant; Perception; Persons; Piper; Policies; Population; Positioning Attribute; Prevalence; Prevention; Process; Qualitative Methods; Readiness; Recommendation; Research; Research Personnel; Research Training; Resources; Role; Sales; Science; Services; Substance Use Disorder; Supervision; System; Techniques; Training; Training Support; Treatment Protocols; Treatment outcome; United States; United States National Institutes of Health; United States Substance Abuse and Mental Health Services Administration; Universities; Voice; Woman; Work; Youth; adolescent substance use; base; behavioral health intervention; care systems; career; comparative; evidence base; future implementation; implementation evaluation; implementation science; improved; innovation; juvenile justice system; programs; scale up; service delivery; skills; substance use; substance use treatment; treatment services; virtual

PROJECT SUMMARY/ABSTRACT Less than one-third of justice-involved youth (JIY) with an identified substance use (SU) need initiate treatment services. One of the most prominently cited barriers to JIY initiation and engagement in SU treatment is the lack of family involvement in the service delivery process. Improving family engagement in service delivery is currently a national priority area for juvenile justice (JJ) systems, but there is very little guidance for implementation in this setting. To begin filling this gap, the trainee will conduct a comprehensive, theoretically informed pre-implementation assessment with families and JJ staff, to understand family- and organizational- level barriers and facilitators to adoption of a family-driven care framework for SU service delivery. Family- driven care involves: (1) partnering with families to make SU service decisions, (2) implementing formal ways for families to inform organizational SU practices/policy, (3) providing SU support services for family members, and (4) enhancing cultural responsiveness and family inclusion in SU services. The specific aims are to (1) conduct five focus groups (including a total of 30-40 participants) with family members of JIY to understand their perceptions of the family-driven framework as well as their needs and recommendations for engaging families in SU services in the JJ system; and (2) guided by the Consolidated Framework for Implementation Research (CFIR), conduct a multiple-case study of 20 community supervision offices in Georgia, to understand the cross-case variability in organizational factors that may influence readiness to implement family-driven SU services. Achieving the aims of this study will provide targeted recommendations and contextualized implementation planning for integrating a feasible and acceptable family-driven SU intervention in JJ systems. In addition, this work will support the training of Ms. Piper, who is devoted to a research career in the implementation of evidence-based behavioral health interventions for JIY. Ms. Piper's 3-year training plan includes: (1) refining methodological skills in implementation science, 2) enhancing understanding of JJ research, including SU programs for youth involved in the legal system, and 3) strengthening skills in advanced and innovative qualitative methodology. The team of mentors, Drs. Sales (Primary Sponsor), Escoffery (Co- Sponsor), Brody (Co-Sponsor), and Cragun (Consultant), will lend their expertise to train and mentor Ms. Piper in implementation science, juvenile justice research, adolescent substance use, family-based approaches, and qualitative methods. Moreover, Ms. Piper will not only leverage her connection to the Georgia Department of Juvenile Justice but also to resources at Emory University, including the Center for the Health of Incarcerated Persons, the Network for Evaluation and Implementation Science, the Women and Children's Center, and the Center for Translational and Prevention Sciences. The candidate, the mentorship team, and the environment are uniquely suited to effectively achieve the proposed research and training aims.

项目总结/摘要 不到三分之一的涉及司法的青年（JIY）与确定的物质使用（SU）需要开始治疗 服务JIY启动和参与SU治疗的最突出障碍之一是 在提供服务过程中缺乏家庭参与。改善家庭参与提供服务是 目前，这是少年司法系统的一个国家优先领域，但很少有指导意见， 在这种情况下实施。为了开始填补这一空白，受训者将进行全面的，理论上的 对家属和强生员工进行知情的实施前评估，以了解家属和组织情况， 一级的障碍和促进因素，以通过一个家庭驱动的保健框架，为SU服务交付。家庭- 驱动式护理包括：（1）与家庭合作，做出SU服务决策，（2）实施正式的方式， 让家庭了解组织的SU做法/政策，（3）为家庭成员提供SU支持服务， 以及（4）加强SU服务中的文化响应和家庭包容。具体目标是：（1） 与JIY的家属进行五个焦点小组（共30-40人）， 他们对家庭驱动框架的看法，以及他们参与的需求和建议， （2）在《综合实施框架》的指导下， 研究（CFIR），对格鲁吉亚的20个社区监督办公室进行多案例研究，以了解 可能影响实施家庭驱动型SU的准备程度的组织因素的跨案例变异性 服务实现这项研究的目标将提供有针对性的建议和背景 实施计划，以便在JJ系统中整合可行且可接受的家庭驱动SU干预。 此外，这项工作还将支持派珀女士的培训，她致力于研究工作， 对JIY实施循证行为健康干预。派珀女士的三年训练计划 包括：（1）完善实施科学的方法技能，2）提高对JJ的理解 研究，包括SU计划的青年参与法律的系统，和3）加强技能，在先进的 创新的定性方法。导师团队，销售博士（主要赞助商），Escoffery（合作伙伴）， 赞助商）、Brody（联合赞助商）和Cragun（顾问）将提供他们的专业知识来培训和指导Piper女士 在执行科学、少年司法研究、青少年药物使用、以家庭为基础的方法， 定性方法。此外，派珀女士不仅将利用她与格鲁吉亚部的关系， 少年司法，但也在埃默里大学的资源，包括中心的健康监禁 评估和实施科学网络、妇女和儿童中心以及 转化和预防科学中心。候选人、指导团队和环境 是唯一适合有效地实现拟议的研究和培训目标。