Purpose and method
The association between illegal activity and substance use (SU) is prominent in juvenile populations, underscoring the importance of gaining a better understanding about SU treatment as a strategy to reduce recidivism. Youth records (N = 9165) from 12 juvenile justice programs in JJ-TRIALS examined the impact of treatment on the relationship between treatment need and time to recidivism.
Results
The 4-step mediation analysis demonstrated: (1) treatment need significantly relates to time to recidivism (p < .0002); (2) treatment need positively predicts treatment length (p ≤ .0001); (3) treatment length positively predicts time to recidivism (p < .0001); and (4), full mediation. Specifically, more treatment significantly predicted a longer time to recidivism such that youth with an identified need receiving treatment (Group A) had a longer time to recidivism than youth with a treatment need who did not receive services (Group B). A survival distribution curve illustrates that 14 % of youth in Group A had a recidivism event during the study, compared to 98 % of youth in Group B.
Conclusions
Outcomes point to the benefit of expanded treatment services for youth in juvenile justice. Services include early identification of treatment needs, treatment referrals, and treatment receipt to reduce recidivism risk.