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: 9098667
• 负责人: DANICA K KNIGHT
• 金额: $ 60.8万
• 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/9098667
• 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; Pharmacotherapy; Phase; Population; Problem behavior; 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; Team Process; 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.

在少年司法环境中实施循证做法的情况有限。 服务交付发生在断开连接的实践环境中（例如，假释/缓刑，戒毒，公共 健康），护理的连续性有限。需要有效的战略来实施EBP， 在少年司法监督下向青少年提供服务，并促进 多方面的大型系统。TRIALS倡议的目标是支持实施研究， 在法律的系统中改善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 研究概念的重点是改善艾滋病毒/艾滋病检测和JJ连续体内的转诊。使用 随机分组设计，社区范围（CW）和水平级联（HC）的有效性 将对实施战略进行比较。两者都涉及促进变革的计划-实践-学习-行动方法 在社区层面，通过培训，社区变革团队（CCT）的使用，以及来自 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 传递连续体。这些人将被邀请参加CCT培训和规划工作。 战略计划的实施将在没有额外辅导或实施的情况下进行 干预策略。在HC条件下，沿着JJ和其他专业人员积极参与提供 为青少年提供服务，CCT成员将包括一个单一的治疗提供机构。CCT将负责 开发一个“原型”，用于在参与的治疗提供者中执行战略计划 社一旦成功实施，该原型将作为一个模型，系统地推广到其他 社区中的提供者，CCT成员作为“体内”教练。研究概念 涉及随机分配40个提供者集群（例如，社区/县）到CW或HC研究 条件使用混合方法，将在社区、提供者、工作人员和客户层面收集数据。的 实施战略、组织变革准备和机构间协作的程度 促进实施，服务和客户成果将使用多层次的分析技术进行审查。在 与得克萨斯州少年司法部合作，我们建立了一个跨学科的团队， 设计有意义的研究，以确定被视为有价值的，可接受的， 可行的，可持续的领域。