Juvenile Justice Agencies Research Articles

National Survey of Juvenile Community Supervision Agency Practices and Caregiver Involvement in Behavioral Health Treatment.

This study sought to expand the sparse literature examining the extent to which family engagement interventions and the structural characteristics of juvenile community supervision agencies influence caregiver participation in youths' behavioral health (i.e., mental health and substance use) treatment. We analyzed data from a national survey of juvenile community supervision agencies, conducted as a part of a Juvenile Justice Translational Research on Interventions for Adolescents in the Legal System (JJTRIALS) Cooperative Agreement funded by NIH/NIDA. Findings indicated agencies employ a variety of family engagement strategies, with passive strategies like services referrals and flexible schedules being more common than active strategies like provision of family therapy. Multivariate prediction of caregiver involvement in behavioral health care showed the most consistent effects for rural-urban location of the agency; rural agencies more successfully engaged families in their youth's behavioral healthcare. Relatedly, the more family engagement services, the greater the involvement of families in behavioral health treatment. Agencies with a juvenile drug treatment court also showed greater involvement. Our findings that juvenile justice agencies are using multiple techniques to engage families, and that there is a relationship between use of these techniques and actual family engagement, would benefit from replication over time and in other jurisdictions. Analysis of data from a second wave of the national survey, recently completed, is expected to test the reliability of our findings over time, as well as identify whether and what kind of changes occurred in the two years following the first survey.

Juvenile Justice in Oregon: Balanced and Restorative Justice in Action

AbstractThe goals of Balanced and Restorative Justice (BARJ) are to hold juvenile offenders meaningfully accountable, hear and empower crime victims and engage communities both as stakeholders who have been negatively impacted and as advocates to make things right for the crime victim, offender, and community. This article examines how several Oregon juvenile justice agencies have put BARJ into action over the last 25 years, highlighting specific examples of how several agencies have made this the philosophical underpinning of their work. An overview of the philosophical principles, values, and goals that drive this approach is also discussed.

An Overlapping Systems Conceptual Framework to Evaluate Implementation of a Behavioral Health Intervention for Justice-Involved Youth.

Background:Nearly 65% of justice–involved youth have a substance use and/or mental health disorder. Although evidence–based practices have been established for adolescents with co–occurring mental health and substance use disorders, these practices are not widely used in juvenile justice agencies due to environmental and organizational complexities.Methods:Our study builds on Juvenile Justice—Translational Research on Interventions for Adolescents in the Legal System (JJ–TRIALS), a multi–site cooperative research initiative of juvenile justice and partnering behavioral health agencies. We also integrate state and county–level data to support broader assessment of key drivers of implementation success.Results:We present an economics/systems conceptual model describing how the environmental context, systems organization, and economic costs of implementation can affect implementation outcomes. Comparison of intervention condition (Core vs Enhanced) and pre–implementation costs (High vs Low) found differences in insurance reimbursements and types, as well as agency staffing characteristics.Discussion:Implementing new procedures or policies at a systems level must consider implementation outcomes in a broad context. Factors such as population demographics, primary care and behavioral health treatment capacity, unemployment rates, and public funding for treatment and other services are important in determining intervention success and sustainability.

Attitudes Toward Punishment, Organizational Commitment, and Cynicism: A Multilevel Analysis of Staff Responses in a Juvenile Justice Agency

Staff commitment to agency goals is important in juvenile justice settings, where the mission oscillates between the often-competing goals of rehabilitating youth and punishing them. Although prior research considers how staff characteristics relate to commitment to, and/or cynicism about, criminal justice organizations, less work examines these relationships in juvenile justice settings, and even less examines the effects of staff attitudes toward punishment. The current study assesses the influence of rehabilitative and punitive attitudes on organizational commitment and cynicism in a juvenile justice agency ( n = 204). Multilevel analyses evaluating staff members within organizational units reveal that staff holding more traditional (punitive) attitudes are significantly and positively associated with cynicism, whereas staff holding rehabilitative values demonstrate greater commitment to the agency. Findings suggest attitudes toward punishment play an important role in staff commitment to, and cynicism about, justice organizations, which may affect workers’ adherence to organizational policies and goals.

Psychometric Properties of the MAYSI-2 Among Latino Adolescent Offenders

The Massachusetts Youth Screening Inventory-Second Version (MAYSI-2) has been widely adopted by juvenile justice agencies to identify adolescents in the juvenile justice system who have a mental disorder. Despite this, evidence of the ability of the MAYSI-2 to generalize across different ethnic groups is limited. Because Latinos are overrepresented in the juvenile justice system, we examined the psychometric properties of each subscale in a sample of 472 Latino juvenile offenders using confirmatory factor analyses (CFA), Pearson’s correlation coefficients, and simple linear regressions. The CFA models suggest adequate fit for Latino youth, and the correlations and regressions show strong convergent validity with the K-SADS-PL for a number of MAYSI-2 subscales, lending support to the generalizability of the MAYSI-2 to Latino adolescents. These results may be particularly beneficial for juvenile justice system administrators who render mental health treatment recommendations for youth offenders of different ethnicities.

Organizational Context and Individual Adaptability in Promoting Perceived Importance and Use of Best Practices for Substance Use.

This study examines associations among organizational context, staff attributes, perceived importance, and use of best practices among staff in community-based, juvenile justice (JJ) agencies. As part of the National Institute on Drug Abuse's Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) study, 492 staff from 36 JJ agencies were surveyed about the perceived importance and use of best practices within their organization in five substance use practice domains: screening, assessment, standard referral, active referral, and treatment support. Structural equation models indicated that supervisory encouragement and organizational innovation/flexibility were associated with greater individual adaptability. Adaptability (willingness to try new ideas, use new procedures, adjust quickly to change), was positively correlated with importance ratings. Importance ratings were positively associated with reported use of best practices. Organizational climates that support innovation likely affect use of practices through staff attributes and perceptions of the importance of such services.

Perceived importance of substance use prevention in juvenile justice: a multi-level analysis

BackgroundYouth under juvenile justice (JJ) supervision are at high-risk of adverse outcomes from substance use, making prevention important. Few studies have examined prevention-related attitudes of JJ employees, yet such attitudes may be important for implementing prevention programs. Attitudes toward prevention may reflect individual characteristics and organizational contexts.MethodsMixed effects regression was used to analyze data from 492 employees in 36 sites participating in the Juvenile Justice—Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) cooperative agreement. JJ employees’ perceived importance of substance use prevention was measured. Staff-level variables included attitudes, job type, and demographic characteristics. Site-level variables focused on use of evidence-based screening tools, prevention programs, and drug testing.ResultsOn average, JJ employees rated substance use prevention as highly important (mean = 45.9, out of 50). JJ employees generally agreed that preventing substance use was part of their agency’s responsibility (mean = 3.8 on scale ranging from 1 to 5). At the site level, 72.2% used an evidence-based screening tool, 22.2% used one or more evidence-based prevention program, and 47.2% used drug testing. Reported importance of prevention was positively associated with site-level use of screening tools and drug testing as well as staff-level attitudes regarding prevention being consistent with the agency’s mission.ConclusionsThe associations between screening and prevention attitudes suggest that commitment to identifying youth needs may result in greater openness to preventing substance use. Future efforts to implement substance use prevention within JJ agencies charged with supervising youth in the community may benefit from highlighting the fit between prevention and the agency’s mission.

Using Goal Achievement Training in juvenile justice settings to improve substance use services for youth on community supervision

BackgroundThe link between substance use and involvement in the juvenile justice system has been well established. Justice-involved youth tend to have higher rates of drug use than their non-offending peers. At the same time, continued use can contribute to an elevated risk of recidivism, which leads to further, and oftentimes more serious, involvement with the juvenile justice system. Because of these high rates of use, the juvenile justice system is well positioned to help identify youth with substance use problems and connect them to treatment. However, research has found that only about 60% of juvenile probation agencies screen all youth for substance involvement, and even fewer provide comprehensive assessment or help youth enroll in substance use treatment.MethodThis paper describes an integrated training curriculum that was developed to help juvenile justice agencies improve their continuum of care for youth probationers with substance use problems. Goal Achievement Training (GAT) provides a platform for continuous quality improvement via two sessions delivered onsite to small groups of staff from juvenile justice and behavioral health agencies. In the first session, participants are taught to identify goals and goal steps for addressing identified areas of unmet need (i.e., screening, assessment, and linkage to treatment services). In the second session, participants learn principles and strategies of data-driven decision-making for achieving these goals. This paper highlights GAT as a model for the effective implementation of cost-efficient training strategies designed to increase self-directed quality improvement activities that can be applied to any performance domain within juvenile justice settings. Efforts to monitor implementation fidelity of GAT within the specific context of the juvenile justice settings are highlighted.DiscussionChallenges to setting the stage for process improvement generally, as well as specific hurdles within juvenile justice settings are discussed, as are next steps in disseminating findings regarding the fidelity to and effectiveness of GAT in this unique context.Trial registrationClinical Trials Registration number – NCT02672150.

A model for rigorously applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework in the design and measurement of a large scale collaborative multi-site study

BackgroundThis paper describes the means by which a United States National Institute on Drug Abuse (NIDA)-funded cooperative, Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS), utilized an established implementation science framework in conducting a multi-site, multi-research center implementation intervention initiative. The initiative aimed to bolster the ability of juvenile justice agencies to address unmet client needs related to substance use while enhancing inter-organizational relationships between juvenile justice and local behavioral health partners.MethodsThe EPIS (Exploration, Preparation, Implementation, Sustainment) framework was selected and utilized as the guiding model from inception through project completion; including the mapping of implementation strategies to EPIS stages, articulation of research questions, and selection, content, and timing of measurement protocols. Among other key developments, the project led to a reconceptualization of its governing implementation science framework into cyclical form as the EPIS Wheel. The EPIS Wheel is more consistent with rapid-cycle testing principles and permits researchers to track both progressive and recursive movement through EPIS. Moreover, because this randomized controlled trial was predicated on a bundled strategy method, JJ-TRIALS was designed to rigorously test progress through the EPIS stages as promoted by facilitation of data-driven decision making principles. The project extended EPIS by (1) elucidating the role and nature of recursive activity in promoting change (yielding the circular EPIS Wheel), (2) by expanding the applicability of the EPIS framework beyond a single evidence-based practice (EBP) to address varying process improvement efforts (representing varying EBPs), and (3) by disentangling outcome measures of progression through EPIS stages from the a priori established study timeline.DiscussionThe utilization of EPIS in JJ-TRIALS provides a model for practical and applied use of implementation frameworks in real-world settings that span outer service system and inner organizational contexts in improving care for vulnerable populations.Trial registrationNCT02672150. Retrospectively registered on 22 January 2016.

Does Treatment Quality Matter?

Research SummaryThe Florida Department of Juvenile Justice has implemented a process to evaluate the treatment quality of interventions provided statewide in all long‐term residential programs. In the current study, we examine the predictive validity of this treatment quality component in the prediction of recidivism of youth (N = 2,397) who completed juvenile justice residential programs from July 1, 2013 to June 30, 2014. We use hierarchical linear modeling to assess the effects of treatment quality (as youth are nested within programs), controlling for demographic and criminal history factors. The results indicate that higher average treatment quality scores of interventions received within a residential program decreased the likelihood of subsequent arrest, conviction, and reincarceration, whereas the highest treatment quality score of any specific intervention provided within the program decreased the odds of reincarceration only.Policy ImplicationsIn this study, we confirm the importance of fidelity and implementation quality in the provision of crime prevention treatment interventions to serious, deep‐end juvenile offenders. Additionally, our results shed light on the ability of a juvenile justice agency to measure treatment quality in a substantively meaningful way with the use of limited additional resources. The services provided to keep communities safe, prevent future offending, and rehabilitate juvenile offenders must be held accountable for producing such outcomes, and one method of measuring such compliance is to evaluate the quality of the interventions with respect to staff training, fidelity adherence, evaluation, and corrective action processes.

Using the MAYSI-2 to identify mental disorder among Latino juvenile offenders.

Many juvenile justice agencies have adopted the Massachusetts Youth Screening Inventory-Version 2 (MAYSI-2; Grisso & Barnum, 2006) to facilitate appropriate programming for young offenders with mental illness. Although Latinos are the fastest-growing ethnic group in the criminal justice system, there is scant research on the utility of the MAYSI-2 among Latino adolescents. The present study examined the utility of the MAYSI-2 in detecting diagnosable mental illness among 398 Latino and 60 European American adolescents in a juvenile justice agency. In addition to testing the scoring configuration used by the agency to identify adolescents in need of further attention, we tested 2 additional scoring configurations of the MAYSI-2. We found that the MAYSI-2 had similar utility at identifying serious mood and anxiety disorders for both ethnic groups, but was less sensitive to behavioral and substance use disorders among Latinos than it was among European Americans. In addition, the MAYSI-2 overall was less sensitive to mental illness among Latino boys compared with Latina girls. We discuss these findings within the context of best practices for identifying adolescents with mental illness in juvenile justice agencies. (PsycINFO Database Record

Risk assessment matters, but only when implemented well: A multisite study in juvenile probation.

There is a strong movement toward juvenile justice agencies' use of risk assessment and risk-need-responsivity approaches to improve case management decisions for young offenders. However, little is known about whether adoption of risk assessment actually effectuates any changes in the way young offenders are handled. This was a multisite study of the impact on case processing of implementation of the Structured Assessment of Violence Risk in Youth (SAVRY) or Youth Level of Service/Case Management Inventory in 6 juvenile probation offices using a prepost design and 1,694 propensity score-matched young offenders. Consistent with the risk principle, there were significant changes to at least some areas of case processing in all but 1 site, most notably with respect to decreases in the amount of supervision youth received and in rates of out-of-home placement. The nature and extent of the impact varied as a function of sites' characteristics and implementation quality, not as a function of the risk assessment used. No increases in recidivism were observed in any site, and there was a significant reduction in recidivism in 1 site. The key benefits of implementation of valid risk assessment and case management procedures were improved resource allocation and fewer instances of inappropriate interference in youths' lives without an apparent increased risk to public safety. (PsycINFO Database Record

Risk Factors for Domestic Child Sex Trafficking in the United States.

Despite increased effort to respond to human trafficking at national and state levels, very little empirical research has been conducted on domestic child sex trafficking. This study retrospectively examines associations between multiple risk factors and domestic child sex trafficking (i.e., entry into the commercial sex industry under the age of 18) in a sample of individuals aged 16 and older currently involved in the commercial sex industry ( N = 273). Two primary research questions are addressed: (1) What set of risk factors, prior to entering the commercial sex industry, are associated with domestic child sex trafficking and (2) what group differences, if any, exist in risk factors between current or former domestic child sex-trafficking victims and non-trafficked adults engaged in the commercial sex industry? A cross-sectional survey was administered using Respondent-Driven Sampling (RDS) in five cities in one Midwestern state. Overall, 115 participants (48.3%) were identified as current or former domestic child sex-trafficking victims. Bivariate results suggest that childhood emotional and sexual abuse, rape, ever running away from home, having family members in sex work, and having friends who purchased sex were significantly associated with domestic child sex trafficking. Multivariate results indicate that domestic child sex trafficking victims were significantly more likely to have ever run away and to be a racial/ethnic minority than non-trafficked adults engaged in the commercial sex industry. Findings can inform state-level policies on human trafficking and assist child protection and juvenile justice agencies in developing prevention and intervention responses to commercial sexual exploitation.

Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS): a cluster randomized trial targeting system-wide improvement in substance use services.

BackgroundThe purpose of this paper is to describe the Juvenile Justice—Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) study, a cooperative implementation science initiative involving the National Institute on Drug Abuse, six research centers, a coordinating center, and Juvenile Justice Partners representing seven US states. While the pooling of resources across centers enables a robust implementation study design involving 36 juvenile justice agencies and their behavioral health partner agencies, co-producing a study protocol that has potential to advance implementation science, meets the needs of all constituencies (funding agency, researchers, partners, study sites), and can be implemented with fidelity across the cooperative can be challenging. This paper describes (a) the study background and rationale, including the juvenile justice context and best practices for substance use disorders, (b) the selection and use of an implementation science framework to guide study design and inform selection of implementation components, and (c) the specific study design elements, including research questions, implementation interventions, measurement, and analytic plan.Methods/designThe JJ-TRIALS primary study uses a head-to-head cluster randomized trial with a phased rollout to evaluate the differential effectiveness of two conditions (Core and Enhanced) in 36 sites located in seven states. A Core strategy for promoting change is compared to an Enhanced strategy that incorporates all core strategies plus active facilitation. Target outcomes include improvements in evidence-based screening, assessment, and linkage to substance use treatment.DiscussionContributions to implementation science are discussed as well as challenges associated with designing and deploying a complex, collaborative project.Trial registration NCT02672150.

Juvenile Offending and Crime in Early Adulthood: A Large Sample Analysis

Using large sample archival data from the state of South Carolina’s juvenile justice agency and other state agencies, we examined the background, early experiential and delinquency-related variables predicting young adult (ages 17–30 years) offending among juvenile offenders. We also examined characteristics of juvenile offenders who committed only a single misdemeanor offense, compared to non-juvenile offenders. Finally, we examined the variables that accounted for group differences in persistence of juvenile offending. Early adverse experiences including family-related adversities, mental health problems, identification as having school-related disabilities and juvenile recidivism accounted for more than 20 % of the variance in adult offending. Cox proportional hazards analysis revealed several time-dependent covariates including gender, age at first offense and repeat versus one time offending. Contrary to the view that the one time, misdemeanor level juvenile offending represents only minor departure from normative adolescent behavior, we found that this group of offenders differed significantly from non-delinquents on every category of risk for adult offending and also were more likely than non-delinquents to commit felonies as adults. Finally, in comparing adolescence-limited offenders with life-course persistent offenders, we accounted for more than 50 % of the variance in criminal outcomes on the basis of measures of background, early adversity, psychological characteristics and age of first juvenile arrest or referral.

Juvenile Justice-Translating Research Interventions for Adolescents in the Legal System (JJ-TRIALS): a multi-site, cooperative implementation science cooperative

Juvenile Justice-Translating Research Interventions for Adolescents in the Legal System (JJ-TRIALS): a multi-site, cooperative implementation science cooperative

Juvenile Delinquency Recidivism: Are Black and White Youth Vulnerable to the Same Risk Factors?

Using large-sample, archival data from the state of South Carolina's juvenile justice agency, we examine the question of race differences in predictors of repeat offending for a sample of approximately 100,000 youth who had been referred for criminal offenses. Independent variables relating to background, adverse parenting, mental health, school-related disabilities, and features of first offenses contributed to more than 25% of the variance in recidivism for both Black and White youth. Male gender, eligibility for free or reduced school lunch, diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; text rev.; American Psychiatric Association, 2000), placement in Child Protective Services, and school identification as having a classification of emotional or behavioral disorders or learning disabilities were all predictive of juvenile recidivism. In addition, early age of first offense, status offenses, and being prosecuted for a first offense were significant predictors. Magnitudes of prediction were similar across racial groups, suggesting similar vulnerability of both Black and White youth to these early adversities. Interactions between race and other independent variables accounted for only .001 of the variance in recidivism. However, there were several significant interactions. Mental health history and characteristics of the first offense were stronger predictors for White youth than for Black youth. Gender, poverty (free or reduced lunch), and school identification of having a classification of emotional or behavioral disorders were stronger predictors for Blacks than for Whites. Implications for prevention are addressed.

A new behavioral health services cascade framework for measuring unmet addiction health services needs and adolescent offenders: conceptual and measurement challenges

Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) is a cooperative implementation science initiative launched by NIDA in July 2013. The project seeks to reduce unmet substance use disorder needs for delinquent youth under community supervision by assisting juvenile justice (JJ) agencies in their efforts to implement best practices and improve service utilization along a behavioral health services cascade (screening, assessment, referral, initiation into treatment, and retention in treatment). Although many youth under JJ supervision have substance use and associated mental health disorders, there are numerous gaps in the identification of these problems and referral to appropriate services. Linkages between the JJ and behavioral health systems can be problematic because of the lack of shared mission, limited training of JJ staff on behavioral health issues, and limited sharing of information across service systems. Ideally, JJ staff will screen and assess youth for substance use and related disorders, and refer them to appropriate evidence-based treatment when needed; the youth should initiate treatment and be retained for a clinically effective period. The ultimate goal is to maximize the proportion of substance-involved youth identified and retained in treatment. Based on the HIV services cascade, we developed a conceptual framework, the Behavioral Health Services Cascade. This framework provides a useful heuristic for visualizing and measuring movement through the continuum of services. It illustrates the level of unmet needs at different points and provides a measurement framework for tracking improvements in reducing unmet needs. The model helps agency staff and leadership and policymakers understand the sequential and related stages of the services continuum and identify stages/linkage points that may need improvements. In the main JJ-TRIALS protocol, we are using the cascade framework to: 1) monitor and evaluate the primary outcome of reducing unmet service needs; 2) use local data to populate the cascade and provide feedback to agencies for need assessments and site feedback reports; and 3) help site staff select and monitor strategic goals to reduce gaps in one or more component of the cascade. We will also be developing measures related to the quality of the services delivered at each point in the cascade. Some challenges being addressed include: 1) defining and collecting consistent measures across multiple states and counties; 2) inconsistency in data availability across sites, especially on treatment engagement and continuing care; and 3) accounting for multiple and sometimes nonlinear processes at different points in the cascade.

Community involvement in a juvenile partner justice behavioral health

Service organizational implementation trial The U.S. juvenile justice system has a number of possible behavioral health service community linkages for substance abuse and HIV services. However, there have only been a small number of systemic studies that examine and seek to improve these community behavioral health linkages for involved youth. Implementation science, as an emerging area, is a way of identifying, testing, and understanding effective strategies for translating treatment and prevention evidence-based approaches into community behavioral health service delivery. The purpose of this presentation, within the context of the Juvenile Justice-Translating Research Interventions for Adolescents in the Legal System (JJ-TRIALS) implementation behavioral health trial, is to describe the diverse settings in which the study will be initiated and how partners are involved in the study design. State partners include juvenile justice (JJ) and behavioral health services organizations in seven states (Florida, Georgia, Kentucky, Mississippi, New York, Pennsylvania, Texas) and the District of Columbia. Factors associated with selection, participation, and implementing the study in 36 sites will be explored. Each site will include a JJ agency and up to two community behavioral health service organizations for 7–10 implementation team members representing executive, management, supervisory, and line staff. JJ partner involvement is helping to design the study protocol that is both feasible for sites and meets partner needs. Study sites are defined as a county or service area, which can include multiple counties when behavioral health services are sparse. Site clusters will be used, which are defined within each state to assure that each of the six research centers have an equal number of experimental and control sites to take into account broader contextual factors. Options for defining clusters include county size, JJ youth population, urban/rural, or type of community supervision — probation or juvenile drug court. Sites will not be preselected for substance use or related behavioral health service needs, so youth are included with diverse behavioral health needs. Two JJ partners have actively participated on the study design work group, and the protocol has been vetted through partners at steering committee meetings and conference calls.

Aggression, substance use disorder, and presence of a prior suicide attempt among juvenile offenders with subclinical depression.

Juvenile justice agencies often use the presence of a Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnosis as a criterion for offenders' eligibility for mental health treatment. However, relying on diagnoses to sort offenders into discrete categories ignores subclinical disorders-impairment that falls below the threshold of DSM criteria. The current study used structured clinical interviews with 489 juvenile offenders to examine aggression, presence of a prior suicide attempt, and substance use disorders among juvenile offenders with subclinical depression compared with juvenile offenders with major depression or no mood disorder. Analyses demonstrated that juvenile offenders with subclinical depression reported significantly more aggression, abuse of substances, and the presence of a prior suicide attempt compared to juvenile offenders with no mood disorder, but did not differ significantly on aggression and substance abuse compared with juvenile offenders with major depression. These results have implications for correctional agencies' policies through which offenders are offered mental health treatment, and provide a first step in identifying early signs of problematic behavior before it worsens. Specifically, the results support the notion that depressive disorders should be viewed along a continuum when determining how to allocate services.