Jennifer N Stanley, Sarah C DeLucca, Steven Belenko, Angela Robertson
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引用次数: 0
Abstract
Background: Justice-involved youth have high rates of mental health and substance use disorders which are linked to re-offending. However, research on the impact of behavioral health issues, especially among those on community supervision, is limited.Objectives: This study examines the effects of co-occurring mental health and substance use indicators on recidivism among youth on probation using data from the JJ-TRIALS multi-site cooperative. We compare hazard rates for recidivism by type of behavioral health indicator.Methods: The sample includes 3,023 female and 9,617 male (N = 12,649) youth who were followed for up to 1,415 days after initial probation referral.Results: Cox proportional hazard models revealed that those with mental health issues only (HR = 1.5, p < .001), substance use only (HR = 1.5, p < .001), and co-occurring conditions (HR = 3.5, p < .001) had a greater recidivism hazard than those with no behavioral health issues. Survival analysis indicated that those with co-occurring indicators had a faster time to recidivism compared to other behavioral health groups. There was a significant interaction between behavioral health status and treatment initiation, particularly for those with substance use (HR = 0.34, p < .001) and co-occurring indicators (HR = 0.89, p = .02).Conclusion: Behavioral health affects recidivism among justice-involved youth. Treatment initiation, while shown to reduce recidivism, may differentially impact reoffending depending on specific behavioral health needs. Findings highlight the need for enhanced assessment and expanded co-occurring treatment and emphasize the importance of matching youth to appropriate community-based, integrated services to improve justice-related outcomes.
背景：参与司法的青少年有高比率的精神健康和物质使用障碍，这与再次犯罪有关。然而，对行为健康问题影响的研究，特别是对社区监督的研究，是有限的。目的：本研究利用JJ-TRIALS多站点合作的数据，探讨心理健康和物质使用指标共同出现对缓刑青少年再犯的影响。我们比较了不同类型行为健康指标的再犯危险率。方法：样本包括3,023名女性和9,617名男性（N = 12,649）青少年，他们在初次试用转诊后随访了长达1,415天。结果：Cox比例风险模型显示仅存在心理健康问题的患者（HR = 1.5, p p p p p = 0.02）。结论：行为健康对涉事青少年再犯有影响。治疗开始，虽然显示减少累犯，可能影响不同的再犯罪取决于具体的行为健康需要。调查结果强调需要加强评估和扩大同时发生的治疗，并强调将青年与适当的社区综合服务相匹配的重要性，以改善与司法有关的结果。
期刊介绍：
The American Journal of Drug and Alcohol Abuse (AJDAA) is an international journal published six times per year and provides an important and stimulating venue for the exchange of ideas between the researchers working in diverse areas, including public policy, epidemiology, neurobiology, and the treatment of addictive disorders. AJDAA includes a wide range of translational research, covering preclinical and clinical aspects of the field. AJDAA covers these topics with focused data presentations and authoritative reviews of timely developments in our field. Manuscripts exploring addictions other than substance use disorders are encouraged. Reviews and Perspectives of emerging fields are given priority consideration.
Areas of particular interest include: public health policy; novel research methodologies; human and animal pharmacology; human translational studies, including neuroimaging; pharmacological and behavioral treatments; new modalities of care; molecular and family genetic studies; medicinal use of substances traditionally considered substances of abuse.
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