Scaling up eConnect in Juvenile Probation Settings: a hybrid implementation-effectiveness trial of a digital suicide risk/behavior identification and linkage-to-treatment system

在青少年缓刑环境中扩大 eConnect:数字自杀风险/行为识别和与治疗系统联系的混合实施有效性试验

基本信息

项目摘要

Among US adolescents, suicide is the second leading cause of death1. Suicide risk is not uniform across youth, and those involved in the juvenile justice (JJ) system are at even greater risk for suicidal behavior (SB) given their increased prevalence of mood and substance use disorders, trauma exposure, and access to firearms. While SB screening and service provision for youth in secure JJ settings occurs more systematically, such practices are rarer for youth who are supervised in their community (i.e., probation settings). The proposed study will examine strategies to bolster the successful scale-up of e-Connect, one of the few evidence-based suicide behavior identification and cross-system linkage programs for youth on under community supervision. This proposal is from two PIs with complimentary expertise in the justice system, implementation science, clinical decision support systems, and use of large administrative data sets, and is supported by a strong multi- disciplinary team to achieve study aims. Guided by the Gateway Provider Model (GPM) and the Exploration, Preparation, Implementation Sustainment (EPIS) implementation framework, we now propose to extend ourwork of e-Connect, to develop and test a “purveyor model” of implementation scale-up (i.e., e-Connect-scaleup). In e- Connect-scaleup, researchteamleadershipwill serveas External Facilitatorsto support Local Facilitators to ensure the successful transfer of knowledge, skill and expertise in delivering e-Connect in a new JJ system and geographic context, utilizing implementation strategies to support the more widespread, sustained and rigorous adoption of e-Connect. Working in 9 Indiana counties, randomly assigned to one of three waves in a stepped- wedge, implementation-effectivenesshybrid type-2 design ,the specificaims are to examine the clinical and cost- effectiveness of e-Connect-scaleup on (i) identification of youth service need (SB and BH correlates) in juvenile probationers; (ii) cross-system (probation-BH agency) referral; and (iii) youth BH service use (initial BH contact; primary outcome) by comparing the performance of e-Connect to (a) standard probation officer practice (baseline) and (b) to rates achieved in the prior efficacy trial of e-Connect (Aim 1). We will examine potential mediating or moderating effects of EPIS/GPM inner and outer context factors. We will also determine whether e-Connect-scaleup can reduce race or gender health disparities in SB/BH service need identification, cross- system referral and youth SB/BH service use (e.g. as compared to standard probation practice (baseline), which would replicate the disparity-reducing performance of e-Connect in NYS (Aim 2). Finally, we will examine the implementation of e-Connect-scaleup in terms of fidelity and acceptability and compare advancement through the stages of implementation through to sustainment across the 9 counties in order to demonstrate the feasibility of scaling-up e-Connect in probation settings beyond NYS (Aim 3). We will elucidate the inner- and outer-level EPIS- and GPM- derived factors that promote or hinder delivery of implementation strategies and practice change to inform scale up across a variety of contexts.
在美国青少年中,自杀是第二大死因。青少年的自杀风险并不一致,

项目成果

期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Transforming systems mistrust and poor communication to improve behavioural health care uptake among youth on probation.
改变不信任和沟通不畅的系统,以提高缓刑青少年对行为保健的接受程度。
  • DOI:
    10.1080/17538068.2023.2253620
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Sichel,CoriannaE;Elkington,KatherineS
  • 通讯作者:
    Elkington,KatherineS
{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Matthew Aalsma其他文献

Matthew Aalsma的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Matthew Aalsma', 18)}}的其他基金

Workforce and System Change to Treat Adolescent Opioid Use Disorder within Integrated Pediatric Primary Care
在综合儿科初级保健中治疗青少年阿片类药物使用障碍的劳动力和系统变革
  • 批准号:
    10812631
  • 财政年份:
    2023
  • 资助金额:
    $ 158.5万
  • 项目类别:
Fatal Overdose Review Teams - Research to Enhance Surveillance Systems (FORTRESS)
致命过量用药审查小组 - 加强监测系统的研究 (FORTRESS)
  • 批准号:
    10590303
  • 财政年份:
    2022
  • 资助金额:
    $ 158.5万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10610536
  • 财政年份:
    2019
  • 资助金额:
    $ 158.5万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10747060
  • 财政年份:
    2019
  • 资助金额:
    $ 158.5万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10388161
  • 财政年份:
    2019
  • 资助金额:
    $ 158.5万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10621857
  • 财政年份:
    2019
  • 资助金额:
    $ 158.5万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10403069
  • 财政年份:
    2019
  • 资助金额:
    $ 158.5万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10442044
  • 财政年份:
    2019
  • 资助金额:
    $ 158.5万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10026085
  • 财政年份:
    2019
  • 资助金额:
    $ 158.5万
  • 项目类别:
The Impact of Behavioral Health Treatment Among Adolescent Offenders
行为健康治疗对青少年罪犯的影响
  • 批准号:
    9307704
  • 财政年份:
    2016
  • 资助金额:
    $ 158.5万
  • 项目类别:

相似海外基金

Antecedents of Adult Physical Health and Cognitive Risks for Alzheimer's Disease and Related Dementias (ADRD) in Adolescent Family Experiences: A Prospective, Longitudinal Adoption Study
青少年家庭经历中成人身体健康和阿尔茨海默氏病及相关痴呆症 (ADRD) 认知风险的前因:一项前瞻性、纵向收养研究
  • 批准号:
    10464655
  • 财政年份:
    2022
  • 资助金额:
    $ 158.5万
  • 项目类别:
Antecedents of Adult Physical Health and Cognitive Risks for Alzheimer's Disease and Related Dementias (ADRD) in Adolescent Family Experiences: A Prospective, Longitudinal Adoption Study
青少年家庭经历中成人身体健康和阿尔茨海默氏病及相关痴呆症 (ADRD) 认知风险的前因:一项前瞻性、纵向收养研究
  • 批准号:
    10630366
  • 财政年份:
    2022
  • 资助金额:
    $ 158.5万
  • 项目类别:
Adolescent Primary Care Adoption of Substance Use SBI
青少年初级保健药物使用 SBI
  • 批准号:
    6952450
  • 财政年份:
    2004
  • 资助金额:
    $ 158.5万
  • 项目类别:
Adolescent Primary Care Adoption of Substance Use SBI
青少年初级保健药物使用 SBI
  • 批准号:
    6861561
  • 财政年份:
    2004
  • 资助金额:
    $ 158.5万
  • 项目类别:
Adoption and Implementation of Adolescent EBT State-Wide
全州范围内青少年 EBT 的采用和实施
  • 批准号:
    6741059
  • 财政年份:
    2003
  • 资助金额:
    $ 158.5万
  • 项目类别:
Adoption and Implementation of Adolescent EBT State-Wide
全州范围内青少年 EBT 的采用和实施
  • 批准号:
    6929083
  • 财政年份:
    2003
  • 资助金额:
    $ 158.5万
  • 项目类别:
Adoption and Implementation of Adolescent EBT State-Wide
全州范围内青少年 EBT 的采用和实施
  • 批准号:
    6806541
  • 财政年份:
    2003
  • 资助金额:
    $ 158.5万
  • 项目类别:
LONGITUDINAL ADOPTION STUDY OF ADOLESCENT SUBSTANCE EXPERIMENTATION
青少年物质实验的纵向采用研究
  • 批准号:
    6335012
  • 财政年份:
    2000
  • 资助金额:
    $ 158.5万
  • 项目类别:
LONGITUDINAL ADOPTION STUDY OF ADOLESCENT SUBSTANCE EXPERIMENTATION
青少年物质实验的纵向采用研究
  • 批准号:
    6104174
  • 财政年份:
    1999
  • 资助金额:
    $ 158.5万
  • 项目类别:
LONGITUDINAL ADOPTION STUDY OF ADOLESCENT SUBSTANCE EXPERIMENTATION
青少年物质实验的纵向采用研究
  • 批准号:
    6270052
  • 财政年份:
    1998
  • 资助金额:
    $ 158.5万
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了