Terry Y M, VanderWaal C J, McBride D C, Van Buren H
University of Illinois at Chicago, Health Research and Policy Centers 60607-3025, USA.
J Behav Health Serv Res. 2000 May;27(2):194-214. doi: 10.1007/BF02287313.
This article proposes a systemic reform of the organizational structure and delivery of substance abuse services for adolescents within the juvenile justice system. It first discusses the impact of substance use on the juvenile justice system and then reviews which drug treatment programs and services are currently available. Following an evaluation of the most effective drug treatment programs and modalities, recommendations for system reform are given. The recommendations are based on a graduated sanctions framework, supported by systems collaboration and comprehensive case management. Systems collaboration between service providers must exist for juveniles to receive appropriate and comprehensive services. Case managers (CMs) both assess juveniles and help them move through and between judicial, drug treatment, and social service systems. In this way, juveniles receive the most suitable and complete services a community can offer while remaining firmly under juvenile justice system supervision.
本文提出了对少年司法系统内青少年药物滥用服务的组织结构和提供方式进行系统性改革。文章首先讨论了药物使用对少年司法系统的影响，然后回顾了当前可用的哪些药物治疗项目和服务。在评估了最有效的药物治疗项目和模式之后，给出了系统改革的建议。这些建议基于一个分级制裁框架，并得到系统协作和综合个案管理的支持。服务提供者之间必须存在系统协作，以便青少年能够获得适当和全面的服务。个案经理既要评估青少年，又要帮助他们在司法、药物治疗和社会服务系统之间穿梭。通过这种方式，青少年在仍处于少年司法系统严格监管之下的同时，能够获得社区所能提供的最合适和最全面的服务。
