在少年司法环境中实施家庭驱动护理的环境决定因素。

IF 3 Q1 CRIMINOLOGY & PENOLOGY Health and Justice Pub Date : 2024-08-08 DOI:10.1186/s40352-024-00290-9
Kaitlin N Piper, Alexandra Jahn, Cam Escoffery, Briana Woods-Jaeger, David P Schwartz, Cathy Smith-Curry, Jessica Sales
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引用次数: 0

摘要

导言:让家庭参与行为健康服务是少年司法(JJ)系统和家庭倡导团体的重中之重。以家庭为导向的护理(FDC)提高了家庭在青少年行为健康服务中的参与度和决策权,最终改善了青少年及其家庭的心理健康和药物滥用状况。尽管好处多多,但如何将 FDC 纳入 JJ 系统内的行为健康护理中,指导却很有限。因此,本研究的目标是了解促进在 JJ 环境中采用 FDC 的因素:佐治亚州各地的 JJ 工作人员和领导参与了调查和访谈,以了解与采用 FDC 相关的背景实施决定因素。2021 年 11 月至 2022 年 7 月期间,来自 61 个不同的 JJ 组织的 140 名 JJ 工作人员参与了调查。此外,16 名工作人员参加了后续关键信息提供者访谈,以解释定量调查结果:根据混合方法分析,如果JJ机构具有以下特征,则更有可能实施家庭发展中心:(1)有坚定致力于家庭参与的现场领导,(2)有将家庭参与作为首要任务的共识,(3)有与家庭参与相关的员工培训,(4)与服务家庭的组织有外部合作关系,(5)有支持创新的工作场所文化,(6)有员工更容易(或更可行)实施的家庭参与计划:这项混合方法研究强调了在准备将家庭发展中心纳入联合司法系统时,加强这 6 个内部和外部环境实施决定因素的重要性。研究结果将用于促进在州一级的 JJ 系统中采用和实施这一高度优先的干预措施。
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Contextual determinants of family-driven care implementation in juvenile justice settings.

Introduction: Engaging families in behavioral health services is a high priority for juvenile justice (JJ) systems and family advocacy groups. Family-driven care (FDC) enhances family engagement and decision-making power in youth behavioral health services, ultimately, improving youth and family mental health and substance abuse outcomes. Despite the benefits, there is limited guidance on how to integrate FDC into behavioral health care within the JJ system. Therefore, the goal of this study is to understand factors that promoted adoption of FDC the JJ context.

Methods: JJ staff and leadership across the state of Georgia participated in surveys and interviews to understand contextual implementation determinants related to the adoption of FDC. Between November 2021- July 2022, 140 JJ staff participated in the survey from 61 unique JJ organizations. In addition, 16 staff participated in follow-up key informant interviews to explain quantitative findings.

Results: Based on a mixed methods analysis, JJ agencies were more likely to implement FDC if they had the following characteristics: (1) presence of site leaders that were strongly committed to family engagement, (2) a shared understanding that family engagement was a top priority, (3) staff training related to family engagement, (4) external partnerships with organizations that serve families, (5) a workplace culture that was supportive of innovation, and (6) presence of family engagement programs that were easier (or more feasible) for staff to implement.

Discussion: This mixed methods study underscores the importance of strengthening these 6 inner and outer setting implementation determinants when preparing to integrate FDC into JJ systems. Findings are used to promote the adoption and delivery of this high priority intervention in a state-level JJ system.

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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.
期刊最新文献
Linkage facilitation for opioid use disorder in criminal legal system contexts: a primer for researchers, clinicians, and legal practitioners. Contextual determinants of family-driven care implementation in juvenile justice settings. A randomized clinical trial testing a health literacy intervention to reduce disparities in access to care among Justice-Impacted Adults (JIA). "Just as expensive as sending him to college:" barriers and perceptions of treatment in justice-involved youth. Qualitative insights into mental health treatment through telemedicine during the COVID-19 crisis: a natural experiment in community mental health centers.
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