An Overlapping Systems Conceptual Framework to Evaluate Implementation of a Behavioral Health Intervention for Justice–Involved Youth
Year: 2019
Type: article
Abstract: 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.
Source: Health Services Insights
Institutions: Brandeis University, University of Miami
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,500
Awards: Organizational and Environmental Factors Influencing the Implementation of Evidence Based Practices in Juvenile Justice Settings, KIIDS: Knowing about intervention implementation in Detention Sites, Temple University Center for Adolescent Implementation Research, G2486752451, Doctoral Training/Alcohol-Related Health Services Research, Mississippi TRIALS Research Center, Texas Research Initiative for Adolescents in the Legal System (TRIALS), Translational research to increase service access for NYS juvenile probationers, TRIALS Coordinating Center to Reduce Substance Use, HIV Risk Behaviors, & Crime, Kentucky TRIALS Research Center, Health Economics of Substance Use Disorder, HCV, and HIV Treatment: Supporting Financial Sustainability, Advanced Methods, and Knowledge Translation
OpenAlex ID: W2950185414