Organizational and Environmental Factors Influencing the Implementation of Evidence Based Practices in Juvenile Justice Settings

影响青少年司法环境中循证实践实施的组织和环境因素

• 批准号: 9373685
• 负责人: Diana Bowser
• 金额: $ 20.48万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-01 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9373685
• 关键词: Address; Adolescent; Adolescent and Young Adult; Adoption; Alcohol or Other Drugs use; Automobile Driving; Caring; Characteristics; Clinical; Data; Drug usage; Ensure; Environmental Risk Factor; Equilibrium; Evidence based practice; Funding; HIV risk; Health Services; Health system; High Prevalence; Imprisonment; Intervention; Justice; Knowledge; Legal system; Link; Mental Health; Monitor; National Institute of Drug Abuse; Outcome; Penetration; Population; Process; Protocols documentation; Randomized; Regulation; Rehabilitation therapy; Reporting; Research; Resources; Risk Behaviors; Role; Services; Sexually Transmitted Diseases; Structure; Substance Use Disorder; System; Systems Analysis; Testing; Time; Translational Research; Variant; Work; Youth; adolescent substance use; base; behavioral health; collaborative approach; evidence base; health care delivery; health service use; improved; insight; juvenile delinquent; juvenile justice system; payment; probation; public health relevance; recidivism; screening; systems research; uptake

PROJECT SUMMARY/ABSTRACT Substance use, HIV risk behaviors, and criminal activity have created numerous challenges for juvenile justice systems. Addressing unmet substance use disorder (SUD) and mental health needs among the high priority population of justice-involved youth requires a coordinated effort between juvenile justice and behavioral health agencies to support evidence based screening, assessment, referral, and linkage to care. This coordinated approach is unfamiliar to most juvenile justice and behavioral health agencies that traditionally operate as separate silos of probation/monitoring and substance use/health services delivery. Part of this disconnect may be the result of financial concerns regarding the additional resources required by juvenile justice and behavioral health agencies to ensure youth receive the recommended continuum of evidence based services. A second part of this disconnect may relate to the broader context of how effectively and efficiently the juvenile justice system is able to integrate with the behavioral health system. Few studies have examined organizational, environmental, and other system barriers to improved behavioral health services delivery in juvenile justice settings. To address this knowledge gap, this proposal takes advantage of a unique opportunity to work with Juvenile Justice -Translational Research on Interventions for Adolescents in the Legal System (JJ- TRIALS), a multisite cooperative research initiative funded by the National Institute on Drug Abuse. The JJ- TRIALS research protocol features two randomly assigned implementation interventions, Core and Enhanced, which are focused on improving screening, assessment, referral, and linkage to behavioral health services among juvenile justice youth with SUD. To broaden the research impact of JJ-TRIALS, the current proposal seeks funding to examine how the variation in environmental and organizational characteristics – in addition to factors associated with implementing the Core and Enhanced interventions – impact behavioral health services utilization and outcomes (e.g. recidivism, substance use) across different juvenile justice and behavioral health settings. Aim 1 is to develop an overlapping systems analysis framework to identify organizational and environmental factors associated with uptake and penetration of evidence based practices for SUD among diverse juvenile justice settings. Aim 2 is to analyze the marginal impact of system factors, in addition to randomization to Core or Enhanced implementation interventions, on behavioral health services utilization and youth outcomes. The results of the proposed research will provide the first multisystem and multiagency perspective on the role of funding, implementation resources, agency characteristics, and other key factors in facilitating the adoption of evidence based practices targeting SUD and other risky behaviors among justice involved youth.

项目总结/摘要 物质使用、艾滋病毒风险行为和犯罪活动给青少年司法带来了许多挑战 系统.高度优先解决未得到满足的药物使用障碍和精神卫生需求 青少年参与司法需要青少年司法和行为健康之间的协调努力 机构支持基于证据的筛查、评估、转诊和与护理的联系。这种协调 方法是不熟悉的大多数少年司法和行为健康机构，传统上运作， 缓刑/监测和药物使用/保健服务提供的单独筒仓。这种脱节的一部分可能 由于对少年司法所需额外资源的财政关切， 行为健康机构确保青少年获得推荐的连续循证服务。 这种脱节的第二部分可能与青少年如何有效和高效地 司法系统能够与行为健康系统相结合。很少有研究探讨 组织，环境和其他系统障碍，以改善行为健康服务的提供， 少年司法机构。为了弥补这一知识差距，本提案利用了一个独特的机会， 与少年司法-法律的系统中对青少年干预的转化研究合作（JJ- TRIALS），这是一个由国家药物滥用研究所资助的多地点合作研究倡议。JJ- TRIALS研究方案具有两个随机分配的实施干预措施，核心和增强， 该计划的重点是改善筛查、评估、转诊以及与行为健康服务的联系 青少年司法系统的青少年为了扩大JJ试验的研究影响，目前的建议 寻求资金，以研究如何在环境和组织特征的变化-除了 与实施核心和强化干预措施相关的因素-影响行为健康服务 不同少年司法和行为健康的利用和结果（如累犯、药物使用） 设置.目标1是开发一个重叠系统分析框架， 与SUD循证实践的吸收和渗透相关的环境因素 在不同的少年司法环境中。目标2是分析系统因素的边际影响， 除了随机分配到核心或增强实施干预措施外，行为健康 服务利用和青年成果。这项研究的结果将首次提供 从多系统和多机构的角度看待供资、执行资源、机构 特征，以及促进采用针对SUD的循证实践的其他关键因素， 司法界的其他危险行为涉及青年。