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Risk–need–responsivity and its application in behavioral health settings: A feasibility study of a treatment planning support tool
Behavioral Sciences & the Law ( IF 2.568 ) Pub Date : 2021-02-10 , DOI: 10.1002/bsl.2499
Debra A. Pinals 1, 2 , Ayorkor Gaba 3 , Paige M. Shaffer 3 , Michael A. Andre 3 , David A. Smelson 3
Affiliation  

The risk–need–responsivity (RNR) model suggests several key practices for justice‐involved populations under correctional supervision. Behavioral health treatment planning aligned with RNR principles for offender populations with co‐occurring mental health and substance use disorders (CODs) could be one method for integrating RNR into clinical care. To explore a unique approach to working with behavioral health and RNR principles, the authors implemented a mixed‐methods feasibility study of the acceptability, usability, and utility of a newly developed RNR treatment planning support tool (RNR TST). The tool was implemented in a re‐entry program serving adults with co‐occurring mental health and opioid use disorders. Chart reviews of RNR TSTs (N = 55) and a focus group (N = 14 re‐entry clinical staff) were conducted. Ninety‐six percent of the RNR TSTs incorporated the use of a validated risk–need assessment and 70% of the RNR TSTs were semi‐complete to complete. Focus group interviews highlighted behavioral health staff perspectives on the acceptability, usability, and utility of the RNR TST. This novel RNR TST has the potential to assist behavioral health providers in integrating RNR principles into treatment planning. Further development and testing are needed to determine its impact on client care and outcomes.

中文翻译:

风险需求响应及其在行为健康环境中的应用:治疗计划支持工具的可行性研究

风险-需求-响应(RNR)模型为在矫正监督下涉及司法的人群提出了几种关键实践。针对同时发生的精神健康和药物滥用障碍(COD)的犯罪人群,符合RNR原则的行为健康治疗计划可能是将RNR纳入临床护理的一种方法。为了探索一种行为健康和RNR原则的独特方法,作者对新开发的RNR治疗计划支持工具(RNR TST)的可接受性,可用性和实用性进行了混合方法可行性研究。该工具是在一项重入计划中实施的,该计划为患有共同精神健康和阿片类药物使用障碍的成年人提供服务。RNR TST(N  = 55)和一个焦点小组(N =进行了14次再入临床工作人员)。百分之九十六的RNR TST纳入了经过验证的风险需求评估,而百分之七十的RNR TST都是半完成的。焦点小组访谈强调了行为卫生人员对RNR TST的可接受性,可用性和实用性的观点。这种新颖的RNR TST有潜力协助行为健康提供者将RNR原则整合到治疗计划中。需要进一步的开发和测试以确定其对客户护理和结果的影响。
更新日期:2021-03-05
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