From Court to the Community: Improving Access to Evidence-Based Treatment for Underserved Justice-Involved Youth At-Risk for Suicide

从法院到社区：改善有自杀风险、司法服务不足的青少年获得循证治疗的机会

• 批准号: 10804858
• 负责人: Kathleen Kemp
• 金额: $ 13.45万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10804858
• 关键词: Address; Adherence; Adolescent; Ambulatory Care; Assessment tool; Behavior; Characteristics; Collaborations; Communities; Computerized Medical Record; Data; Data Collection; Detection; Dose; Eligibility Determination; Ethnic Origin; Evidence based intervention; Evidence based treatment; Feeling suicidal; Funding; General Population; Goals; Guidelines; Health Personnel; Imprisonment; Improve Access; Intake; Intervention; Interview; Justice; Mental Health; Neighborhoods; Phase; Play; Population; Positioning Attribute; Preparation; Protocols documentation; Provider; Psyche structure; Psychiatric therapeutic procedure; Race; Reporting; Resources; Risk; Role; Secure; Severities; Suicide; Suicide attempt; Suicide prevention; System; Thinking; Time; Training; Treatment outcome; Underserved Population; Work; Youth; acceptability and feasibility; access restrictions; court; demographics; design; ethnic minority; evidence base; experience; follow-up; ideation; implementation intervention; improved; juvenile justice system; marginalized population; minority children; non-suicidal self injury; parent project; psychiatric emergency; racial minority; reducing suicide; routine screening; screening; sex; suicidal; suicidal adolescent; suicidal behavior; suicidal risk; suicide rate; treatment adherence; Address; Adherence; Adolescent; Ambulatory Care; Assessment tool; Behavior; Characteristics; Collaborations; Communities; Computerized Medical Record; Data; Data Collection; Detection; Dose; Eligibility Determination; Ethnic Origin; Evidence based intervention; Evidence based treatment; Feeling suicidal; Funding; General Population; Goals; Guidelines; Health Personnel; Imprisonment; Improve Access; Intake; Intervention; Interview; Justice; Mental Health; Neighborhoods; Phase; Play; Population; Positioning Attribute; Preparation; Protocols documentation; Provider; Psyche structure; Psychiatric therapeutic procedure; Race; Reporting; Resources; Risk; Role; Secure; Severities; Suicide; Suicide attempt; Suicide prevention; System; Thinking; Time; Training; Treatment outcome; Underserved Population; Work; Youth; acceptability and feasibility; access restrictions; court; demographics; design; ethnic minority; evidence base; experience; follow-up; ideation; implementation intervention; improved; juvenile justice system; marginalized population; minority children; non-suicidal self injury; parent project; psychiatric emergency; racial minority; reducing suicide; routine screening; screening; sex; suicidal; suicidal adolescent; suicidal behavior; suicidal risk; suicide rate; treatment adherence

PROJECT SUMMARY Justice-involved youth (JIY) living in the community experience disproportionately high rates of suicidal thoughts and behavior (STB) and non-suicidal self-injury (NSSI) compared to adolescents in the general population. Many JIY lack access to evidence-based screening and treatment for NNSI and STB, thereby increasing the overall risk of suicide in this population. Recent efforts have focused on increasing access to STB and NSSI screening for JIY while in secure detention facilities or upon initial contact with diversion programming. However, similar efforts have not been made to ensure that JIY continue to receive routine access to evidence-based suicide screenings served by clinicians in their communities The current supplement aims to expand our current parent project to also 1) assess the acceptability and feasibility of implementing routine suicide screening in community mental agencies serving JIY and 2) assess provider- and organizational-level factors that promote the sustainability of routine suicide screening in community mental agencies serving JIY. Data collection for the supplemental aims will occur as part of the parent project’s stepped wedge trial. In addition to training providers in evidence-based treatment for suicidal behavior as proposed in the parent project, we will also train providers in evidence-based screening for NSSI and STB utilizing the Columbia Suicide Severity Screener or the Ask Suicide-Screening Questions and augmented by select questions from the Self-Injurious Thoughts and Behavior Interview. As with the treatment training protocol, we will track providers’ initial use of the screening protocol and the sustainability of screening over the duration of the parent project’s stepped wedge trial. The proposed supplemental aims are within the scope of the current project and are in line with the original RFA through which the parent project is funded (RFA-MH-21-187: Systems-Level Risk Detection and Interventions to Reduce Suicide, Ideation, and Behaviors in Youth from Underserved Populations). In line with the original RFA, the proposed supplemental aims focus on improving the detection of SIB in a population of marginalized and underserved youth (i.e., justice-involved youth).

项目摘要 生活在社区中的司法青年（JIY）经历自杀思想的高度高率 与普通人群的青少年相比，行为（STB）和非杀伤性自我伤害（NSSI）。许多 JIY无法获得NNSI和STB的基于证据的筛查和治疗，从而增加了整体 在这一人群中自杀的风险。最近的努力集中在增加获得STB和NSSI筛查的访问 在安全的拘留设施中或初次与转移节目接触时。但是，相似 尚未努力确保JIY继续接受常规访问循证自杀 临床医生在其社区中提供的放映目前的补充旨在扩大我们当前的父母 项目还要1）评估社区中实施常规自杀筛查的可接受性和可行性 为JIY服务的精神机构和2）评估提供者和组织水平的因素，以促进 在为JIY服务的社区精神机构中常规自杀筛查的可持续性。数据收集 补充目的将作为父母项目的阶梯楔审判的一部分。除了培训提供者 在父母项目中提出的基于证据的自杀行为的治疗中，我们还将培训提供者 在使用哥伦比亚自杀严重性筛选器或The的NSSI和STB的循证筛查中 问 自杀的问题，并通过从 自我伤害的思想和行为 面试。与治疗培训方案一样，我们将跟踪提供商对筛查协议的初始使用，并 在父母项目的阶梯楔试验期间，筛选的可持续性。提议 补充目标在当前项目的范围内，与原始RFA一致 父项目资助（RFA-MH-21-187：系统级风险检测和干预措施以减少 来自服务不足的人群的年轻人的自杀，构想和行为）。与原始RFA一致 拟议的补充旨在专注于改善边缘化和边缘化和 服务欠佳的青年（即，与正义的青年）。