Abstract

BackgroundThe youth criminal-legal system is under heavy political scrutiny with multiple calls for significant transformation. Leaders within the system are faced with rethinking traditional models and are likely to benefit from behavioral health research evidence as they redesign systems. Little is known about how juvenile court systems access and use behavioral health research evidence; further, the field lacks a validated survey measure of behavioral health research use that can be used to evaluate the effectiveness of evidence dissemination interventions for policy and system leaders. Conceptual research use is a particularly salient construct for system reform as it describes the process of shifting awareness and the consideration of new frameworks for action. A tool designed to measure the conceptual use of behavioral health research would advance the field’s ability to develop effective models of research evidence dissemination, including collaborative planning models to support the use of behavioral health research in reforms of the criminal-legal system.MethodsThe ARC Study is a longitudinal, cohort and measurement validation study. It will proceed in two phases. The first phase will focus on measure development using established methods of construct validity (theoretical review, Delphi methods for expert review, cognitive interviewing). The second phase will involve gathering responses from the developed survey to examine scale psychometrics using Rasch analyses, change sensitivity analyses, and associations between research use exposure and conceptual research use among juvenile court leaders. We will recruit juvenile court leaders (judges, administrators, managers, supervisors) from 80 juvenile court jurisdictions with an anticipated sample size of n = 520 respondents.DiscussionThe study will introduce a new measurement tool for the field that will advance implementation science methods for the study of behavioral health research evidence use in complex policy and decision-making interventions. To date, there are few validated survey measures of conceptual research use and no measures that are validated for measuring change in conceptual frameworks over time among agency leaders. While the study is most directly related to leaders in the youth criminal-legal system, the findings are expected to be informative for research focused on leadership and decision-making in diverse fields.

Highlights

  • The youth criminal-legal system is under heavy political scrutiny with multiple calls for significant transformation

  • The study fits within the implementation science literature on behavioral health research use and advances the measurement of conceptual research use among organizational leaders

  • The study focuses on an understudied health service sector in implementation science, the youth criminal-legal system

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Summary

Introduction

The youth criminal-legal system is under heavy political scrutiny with multiple calls for significant transformation. The intersections of race and poverty and the fragmentation of social services at the community level currently make the justice system the de facto service provider for the most health-vulnerable population of youth in our society [2,3,4]. Increased recognition of this issue is driving calls for system reform to shrink the criminal-legal response [5, 6] and integrate more behavioral health-focused reforms as alternatives to current processes [7,8,9]. Juvenile courts retain considerable discretion in when and how to apply these conditions which can have considerable impact on the exposure of youth to legal consequences [11], potential harms from incarceration [12], and access to psychosocial and social determinant-supportive services [13, 14]

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