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Risk-Need-Responsivity Meets Mental Health: Implementation Challenges in Probation Case Planning
Criminal Justice and Behavior ( IF 2.562 ) Pub Date : 2021-04-22 , DOI: 10.1177/00938548211008491
Gina M. Vincent , Rachael T. Perrault 1 , Dara C. Drawbridge 2 , Gretchen O. Landry 3 , Thomas Grisso 1
Affiliation  

This study examined the feasibility of and fidelity to risk/needs assessment, mental health screening, and risk-need-responsivity (RNR)-based case planning within juvenile probation in two states. The researcher-guided implementation effort included the Massachusetts Youth Screening Instrument-2 (MAYSI-2), Structured Assessment of Violence Risk in Youth (SAVRY), and policies to prioritize criminogenic needs while using mental health services only when warranted. Data from 53 probation officers (POs) and 553 youths indicated three of five offices had high fidelity to administration and case planning policies. The interrater reliability (n = 85; intraclass correlation coefficient [ICC][A, 1] = .92 [Northern state] and .80 [Southern state]) and predictive validity (n = 455; Exp[B] = 1.83) of SAVRY risk ratings were significant. There was an overreliance on mental health services; 48% of youth received these referrals when only 20% screened as having mental health needs. Barriers to fidelity to RNR practices in some offices included assessments not being conducted before disposition, lack of service availability, and limited buy-in from a few stakeholders.



中文翻译:

风险需求响应能力与心理健康相结合:缓刑案件规划中的实施挑战

这项研究检查了两个州青少年缓刑中基于风险/需求评估,心理健康筛查和基于风险-需求-反应(RNR)的案例规划的可行性和忠诚度。由研究人员指导的实施工作包括马萨诸塞州青年筛查工具2(MAYSI-2),青少年暴力风险的结构化评估(SAVRY),以及仅在必要时使用精神卫生服务时优先考虑犯罪需求的政策。来自53名试用官员和553名青年的数据表明,五个办公室中的三个办公室对行政管理和案件规划政策具有很高的忠诚度。区间信度(n = 85;组内相关系数[ICC] [A,1] = .92 [北部州]和.80 [南部州])和预测效度(n= 455; Exp [B] = 1.83)的SAVRY风险等级显着。过度依赖精神卫生服务;当只有20%的年轻人被筛查有精神健康需求时,有48%的年轻人接受了这些转诊。在某些办公室,对RNR做法保持忠诚的障碍包括:处置前未进行评估,服务可用性不足以及少数利益相关者的有限购买。

更新日期:2021-04-22
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