"Just as expensive as sending him to college:" barriers and perceptions of treatment in justice-involved youth.

IF 3 Q1 CRIMINOLOGY & PENOLOGY Health and Justice Pub Date : 2024-07-23 DOI:10.1186/s40352-024-00289-2
Corey McBrayer, Annie Turner, Mackenzie Whitener, Zachary W Adams, Leslie Hulvershorn, Tamika C B Zapolski, Matthew C Aalsma
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Abstract

Background: Justice-involved youth have higher rates of substance use disorders (SUDs) than the general population. Many do not connect with or complete treatment, leading to recidivism. This qualitative study explores perceptions and barriers to treatment in this population.

Results: Justice-involved youth participating in a larger study focused on access to SUD treatment were interviewed about available treatment and justice system involvement. Twenty-one dyads (youth and a guardian) and 3 individual guardians (total N = 45) were interviewed by phone. Inclusion criteria were youth aged 14-17 involved in the justice system that screened positive for SUD. Youth sample was 43% male. Thematic analysis guided the process. The study was Indiana University Institutional Review Board approved (#1802346939). Data was interpreted within the ecological system theory. Youth barriers included willingness to engage in treatment, time constraints/scheduling conflicts, and low perceived usefulness of treatment. Major guardian themes included high cost of treatment, lack of communication by the justice system about treatment, youth unwillingness or disinterest to engage in treatment, and limited program availability.

Conclusions: The barriers to treatment for justice-involved youth are multifaceted and occur across the spectrum of levels of the ecological system, which include parents, peers, social systems, and cultural elements. Many youth and guardians suggested improvements for their interactions with the juvenile justice system. Further examination is needed of current policy implementation to address these concerns.

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"送他上大学一样贵:"涉法青少年对治疗的障碍和看法。
背景:与普通人相比,涉法青少年的药物使用失调(SUDs)率较高。许多人没有接受或完成治疗,导致累犯。这项定性研究探讨了这一人群对治疗的看法和障碍:参与一项以获得 SUD 治疗为重点的大型研究的涉法青少年接受了关于现有治疗和司法系统参与情况的访谈。通过电话采访了 21 个二人组(青少年和一名监护人)和 3 名监护人(总人数 = 45)。纳入标准为 14-17 岁涉及司法系统并筛查出 SUD 阳性的青少年。青少年样本中男性占 43%。研究过程采用主题分析法。该研究获得了印第安纳大学机构审查委员会的批准(#1802346939)。数据根据生态系统论进行解释。青少年面临的障碍包括参与治疗的意愿、时间限制/日程安排冲突以及对治疗有用性的认识不足。主要的监护人主题包括治疗费用高昂、司法系统对治疗缺乏沟通、青少年不愿意或不感兴趣参与治疗以及项目可用性有限:涉法青少年的治疗障碍是多方面的,发生在生态系统的各个层面,包括父母、同伴、社会系统和文化因素。许多青少年和监护人建议改善他们与青少年司法系统的互动。需要进一步研究当前政策的实施情况,以解决这些问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health and Justice
Health and Justice Social Sciences-Law
CiteScore
4.10
自引率
8.60%
发文量
34
审稿时长
13 weeks
期刊介绍: Health & Justice is open to submissions from public health, criminology and criminal justice, medical science, psychology and clinical sciences, sociology, neuroscience, biology, anthropology and the social sciences, and covers a broad array of research types. It publishes original research, research notes (promising issues that are smaller in scope), commentaries, and translational notes (possible ways of introducing innovations in the justice system). Health & Justice aims to: Present original experimental research on the area of health and well-being of people involved in the adult or juvenile justice system, including people who work in the system; Present meta-analysis or systematic reviews in the area of health and justice for those involved in the justice system; Provide an arena to present new and upcoming scientific issues; Present translational science—the movement of scientific findings into practice including programs, procedures, or strategies; Present implementation science findings to advance the uptake and use of evidence-based practices; and, Present protocols and clinical practice guidelines. As an open access journal, Health & Justice aims for a broad reach, including researchers across many disciplines as well as justice practitioners (e.g. judges, prosecutors, defenders, probation officers, treatment providers, mental health and medical personnel working with justice-involved individuals, etc.). The sections of the journal devoted to translational and implementation sciences are primarily geared to practitioners and justice actors with special attention to the techniques used.
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