Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial
Abstract Background Youth involved in the juvenile justice system (YIJJ) have high rates of substance use problems; however, rates of YIJJ engagement in substance use services is low. Barriers to service engagement include lack of appropriate screening and connection to services by the juvenile just...
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| Format: | Article |
| Language: | English |
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BMC
2019-09-01
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| Series: | Addiction Science & Clinical Practice |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13722-019-0161-5 |
| _version_ | 1828785345659928576 |
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| author | Matthew C. Aalsma Allyson L. Dir Tamika C. B. Zapolski Leslie A. Hulvershorn Patrick O. Monahan Lisa Saldana Zachary W. Adams |
| author_facet | Matthew C. Aalsma Allyson L. Dir Tamika C. B. Zapolski Leslie A. Hulvershorn Patrick O. Monahan Lisa Saldana Zachary W. Adams |
| author_sort | Matthew C. Aalsma |
| collection | DOAJ |
| description | Abstract Background Youth involved in the juvenile justice system (YIJJ) have high rates of substance use problems; however, rates of YIJJ engagement in substance use services is low. Barriers to service engagement include lack of appropriate screening and connection to services by the juvenile justice system, as well as lack of resources for delivering evidence-based treatment in community-based settings. To address these barriers, this paper describes a protocol for a type 1 hybrid design to (1) implement universal substance use screening for YIJJ; (2) implement and evaluate the feasibility and effectiveness of a brief, three-session substance use interventions based in motivational interviewing for youth with mild/moderate substance use: Teen Intervene (an individual-based intervention); (3) implement ENCOMPASS, an evidence-based substance use intervention based in motivational enhancement and cognitive behavioral therapy for youth with severe substance use; and (4) evaluate facilitators and barriers to implementing these interventions for mild to severe substance use among YIJJ in community mental health centers (CMHC). Methods/design Using a hybrid type 1 clinical effectiveness-implementation design, we will collaborate with CMHCs and juvenile justice in two rural Indiana counties. Guided by the EPIS (exploration, preparation, implementation, sustainability) framework, we will measure factors that affect implementation of substance use screening in juvenile justice and implementation of substance use interventions in CMHCs utilizing self-reports and qualitative interviews with juvenile justice and CMHC staff pre- and post-implementation. YIJJ with mild/moderate substance use will receive a brief interventions and YIJJ with severe substance use will receive ENCOMPASS. We will measure the effectiveness of a brief and comprehensive intervention by assessing changes in substance use across treatment. We anticipate recruiting 160 YIJJ and their caregivers into the study. We will assess intervention outcomes utilizing baseline, 3-, and 6-month assessments. Discussion Findings have the potential to improve screening and intervention services for YIJJ. |
| first_indexed | 2024-12-11T23:49:29Z |
| format | Article |
| id | doaj.art-afbef277d4a84ce185b8a4c98ce9f71e |
| institution | Directory Open Access Journal |
| issn | 1940-0640 |
| language | English |
| last_indexed | 2024-12-11T23:49:29Z |
| publishDate | 2019-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Addiction Science & Clinical Practice |
| spelling | doaj.art-afbef277d4a84ce185b8a4c98ce9f71e2022-12-22T00:45:32ZengBMCAddiction Science & Clinical Practice1940-06402019-09-0114111110.1186/s13722-019-0161-5Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trialMatthew C. Aalsma0Allyson L. Dir1Tamika C. B. Zapolski2Leslie A. Hulvershorn3Patrick O. Monahan4Lisa Saldana5Zachary W. Adams6Department of Pediatrics, Section of Adolescent Medicine, Indiana University School of MedicineAdolescent Behavioral Health Research Program, Indiana University School of MedicineAdolescent Behavioral Health Research Program, Indiana University School of MedicineAdolescent Behavioral Health Research Program, Indiana University School of MedicineDepartment of Biostatistics, Indiana University School of MedicineOregon Social Learning CenterAdolescent Behavioral Health Research Program, Indiana University School of MedicineAbstract Background Youth involved in the juvenile justice system (YIJJ) have high rates of substance use problems; however, rates of YIJJ engagement in substance use services is low. Barriers to service engagement include lack of appropriate screening and connection to services by the juvenile justice system, as well as lack of resources for delivering evidence-based treatment in community-based settings. To address these barriers, this paper describes a protocol for a type 1 hybrid design to (1) implement universal substance use screening for YIJJ; (2) implement and evaluate the feasibility and effectiveness of a brief, three-session substance use interventions based in motivational interviewing for youth with mild/moderate substance use: Teen Intervene (an individual-based intervention); (3) implement ENCOMPASS, an evidence-based substance use intervention based in motivational enhancement and cognitive behavioral therapy for youth with severe substance use; and (4) evaluate facilitators and barriers to implementing these interventions for mild to severe substance use among YIJJ in community mental health centers (CMHC). Methods/design Using a hybrid type 1 clinical effectiveness-implementation design, we will collaborate with CMHCs and juvenile justice in two rural Indiana counties. Guided by the EPIS (exploration, preparation, implementation, sustainability) framework, we will measure factors that affect implementation of substance use screening in juvenile justice and implementation of substance use interventions in CMHCs utilizing self-reports and qualitative interviews with juvenile justice and CMHC staff pre- and post-implementation. YIJJ with mild/moderate substance use will receive a brief interventions and YIJJ with severe substance use will receive ENCOMPASS. We will measure the effectiveness of a brief and comprehensive intervention by assessing changes in substance use across treatment. We anticipate recruiting 160 YIJJ and their caregivers into the study. We will assess intervention outcomes utilizing baseline, 3-, and 6-month assessments. Discussion Findings have the potential to improve screening and intervention services for YIJJ.http://link.springer.com/article/10.1186/s13722-019-0161-5EPISImplementationAdolescent substance useBrief interventionJustice-involved youthScreening |
| spellingShingle | Matthew C. Aalsma Allyson L. Dir Tamika C. B. Zapolski Leslie A. Hulvershorn Patrick O. Monahan Lisa Saldana Zachary W. Adams Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial Addiction Science & Clinical Practice EPIS Implementation Adolescent substance use Brief intervention Justice-involved youth Screening |
| title | Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial |
| title_full | Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial |
| title_fullStr | Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial |
| title_full_unstemmed | Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial |
| title_short | Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial |
| title_sort | implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system protocol of a hybrid type i trial |
| topic | EPIS Implementation Adolescent substance use Brief intervention Justice-involved youth Screening |
| url | http://link.springer.com/article/10.1186/s13722-019-0161-5 |
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