Texas Research Initiative for Adolescents in the Legal System (TRIALS)

德克萨斯州法律系统青少年研究计划（试验）

• 批准号: 8587802
• 负责人: DANICA K KNIGHT
• 金额: $ 64.7万
• 依托单位: TEXAS CHRISTIAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8587802
• 关键词: AIDS/HIV problem; Address; Adolescent; Adoption; Alcohol or Other Drugs use; Area; Caring; Client; Clinic; Clinical; Clinical Services; Collaborations; Communities; Continuity of Patient Care; County; Data; Development; Effectiveness; Elements; Evaluation; Evidence based practice; Feedback; Focus Groups; Funding; Goals; Health; Health Personnel; Health Services Accessibility; Healthcare; Home environment; Individual; Institutes; Intervention; Interview; Justice; Lead; Legal system; Mental Health; Methods; Modeling; National Institute of Drug Abuse; Outcome; Outcome Measure; Penetration; Pharmaceutical Preparations; Phase; Population; Problem behavior; Process; Provider; Psyche structure; Public Health; Quality of Care; Randomized; Readiness; Research; Risk; Sampling; Secure; Services; Specific qualifier value; Strategic Planning; Structure; Substance abuse problem; Supervision; Surveys; System; Techniques; Testing; Texas; Training; Work; Youth; adolescent substance use; base; compare effectiveness; design; evidence base; experience; implementation research; improved; in vivo; juvenile delinquent; juvenile justice system; meetings; member; parole; probation; prototype; satisfaction; screening; substance abuse treatment; systems research; treatment planning; uptake

Implementation of evidence-based practices (EBPs) within juvenile justice (JJ) settings has been limited. Service delivery occurs within disconnected practice settings (e.g., parole/probation, drug treatment, public health), with limited continuity of care. Effective strategies are needed for implementing EBPs to improve service delivery to adolescents under juvenile justice supervision and promote sustainable changes across large, multifaceted systems. The goal of the TRIALS initiative is to support implementation research that improves the continuum of substance abuse and HIV/AIDS services for adolescents in the legal system. Our research concept focuses on improving HIV/AIDS testing and referral within the JJ continuum. Using a randomized cluster design, the effectiveness of Community-wide (CW) and Horizontal Cascading (HC) implementation strategies will be compared. Both involve a Plan-Do-Study-Act approach that promotes change at the community level through training, the use of Community Change Teams (CCT), and guidance from external coaches. In the CW condition, JJ and other professionals (actively involved in overseeing and/or providing services for juveniles) will be asked to collaborate with multiple substance use treatment provider agencies within a specified community in the development of strategic plans to address gaps in the service delivery continuum. These individuals will be invited to participate in CCT training and planning efforts. Implementation of strategic plans will be allowed to proceed without additional coaching or implementation intervention strategies. In the HC condition, along with JJ and other professionals actively involved in providing services to juveniles, CCT membership will include a single treatment provider agency. The CCT will be tasked with developing a ¿prototype¿ for carrying out the strategic plan within the participating treatment provider agency. Once implemented successfully, the prototype will serve as a model for systematic roll out to the other providers in the community, with CCT members functioning as ¿in-vivo¿ coaches. The research concept involves random assignment of 40 clusters of providers (e.g., Community/county) to either the CW or HC study condition. Using mixed-methods, data will be collected at the community, provider, staff, and client levels. The degree to which implementation strategies, organizational readiness for change, and interagency collaboration promote implementation, service, and client outcomes will be examined using multilevel analytic techniques. In collaboration with the Texas Juvenile Justice Department, we have established an interdisciplinary team to design meaningful studies that will identify implementation strategies that are viewed as valuable, acceptable, feasible, and sustainable by the field.

在少年司法(JJ)环境中实施循证做法一直受到限制。 服务的提供是在互不相连的实践环境中进行的(例如，假释/缓刑、药物治疗、公众 健康)，但护理的连续性有限。需要有效的战略来实施EBPS以改进 在少年司法监督下向青少年提供服务，促进整个社会的可持续变化 大型、多方面的系统。试验倡议的目标是支持执行研究 改善法律系统中对青少年的药物滥用和艾滋病毒/艾滋病服务的连续性。我们的 研究概念侧重于改进JJ连续体内的艾滋病毒/艾滋病检测和转诊。使用 随机群设计，社区范围(CW)和水平级联(HC)的有效性 将对实施策略进行比较。两者都涉及促进变革的计划-行动-研究-行动的方法 在社区一级，通过培训、使用社区变革团队(CCT)和从 外部教练。在CW条件下，JJ和其他专业人员(积极参与监督和/或 为青少年提供服务)将被要求与多种物质使用治疗提供者合作 特定社区内的机构参与制定战略计划，以解决服务中的差距 交付连续体。这些人将被邀请参加有条件现金转移培训和规划工作。 将允许在没有额外指导或实施的情况下继续实施战略计划 干预策略。在HC条件下，与JJ和其他专业人士一起积极参与提供 在为青少年提供服务方面，CCT成员将包括单一治疗提供者机构。CCT的任务是 开发一个原型，以便在参与的治疗提供者内部执行战略计划 经纪公司。一旦成功实施，原型将作为系统推广到另一个的模型 社区中的提供者，CCT成员充当活体教练。研究理念 涉及随机分配40个提供商集群(例如，社区/县)到CW或HC研究 条件。使用混合方法，将在社区、提供商、员工和客户级别收集数据。这个 实施战略、组织为变革做好准备和机构间协作的程度 将使用多层次分析技术检查促进实施、服务和客户结果。在……里面 与德克萨斯州少年司法部合作，我们建立了一个跨学科团队来 设计有意义的研究，以确定被视为有价值、可接受、 这是可行的，也是可持续的。