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

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).

项目概要 生活在社区的热衷于正义的青少年 (JIY) 有自杀念头的比例极高 与一般人群中的青少年相比，行为（STB）和非自杀性自伤（NSSI）。 JIY 缺乏针对 NNSI 和 STB 的循证筛查和治疗，从而增加了总体风险 最近的努力重点是增加 STB 和 NSSI 筛查的机会。 JIY 在安全拘留设施中或初次接触转移节目后，情况类似。 尚未采取措施确保 JIY 继续获得常规的基于证据的自杀信息 由教区居民在其社区中提供的筛查 当前的补充旨在扩大我们当前的家长范围 该项目还 1) 评估在社区实施常规自杀筛查的可接受性和可行性 服务于 JIY 的心理机构和 2) 评估促进 JIY 的提供者和组织层面的因素 为 JIY 提供服务的社区精神机构中常规自杀筛查的可持续性。 除了培训提供者之外，补充目标将作为父项目阶梯式楔形试验的一部分出现。 在父项目中提出的自杀行为循证治疗中，我们还将培训提供者 利用哥伦比亚自杀严重程度筛查仪或 问 自杀筛查问题并通过精选问题进行补充 自残的想法和行为 与治疗培训方案一样，我们将跟踪提供者对筛查方案的初始使用情况和情况。 在父项目的阶梯式楔形试验期间筛选的可持续性。 补充目标属于当前项目的范围，并且与原始 RFA 一致 父项目获得资助（RFA-MH-21-187：系统级风险检测和干预措施，以减少 服务不足人群中青少年的自杀、意念和行为）与原始 RFA 一致， 拟议的补充目标侧重于改善边缘化人群中 SIB 的检测 服务不足的青年（即参与正义的青年）。

项目成果

From court to the community: improving access to evidence-based treatment for underserved youth involved in the juvenile legal system at-risk for suicide.

从法庭到社区：改善青少年法律体系中服务不足、有自杀风险的青少年获得循证治疗的机会。

• 发表时间: 2023-05-05
• 影响因子: 4.4
• 作者: Wolff, Jennifer;Modrowski, Crosby A;Janssen, Tim;Frank, Hannah E;Velotta, Sydney;Sheerin, Kaitlin;Becker, Sara;Weinstock, Lauren M;Spirito, Anthony;Kemp, Kathleen A
• 通讯作者: Kemp, Kathleen A