Knight Alice, Maple Myfanwy, Shakeshaft Anthony, Shakehsaft Bernie, Pearce Tania
National Drug and Alcohol Research Centre (NDARC), Faculty of Medicine, UNSW Australia, Randwick, NSW, 2052, Australia.
Social Work, School of Health, University of New England, Armidale, NSW, Australia.
Health Justice. 2018 Apr 16;6(1):8. doi: 10.1186/s40352-018-0066-5.
Young people who engage in multiple risk behaviour (high-risk young people) such as substance abuse, antisocial behaviour, low engagement in education and employment, self-harm or suicide ideation are more likely to experience serious harms later in life including homelessness, incarceration, violence and premature death. In addition to personal disadvantage, these harms represent an avoidable social and economic cost to society. Despite these harms, there is insufficient evidence about how to improve outcomes for high-risk young people. A key reason for this is a lack of standardisation in the way in which programs provided by services are defined and evaluated.
This paper describes the development of a standardised intervention model for high-risk young people. The model can be used by service providers to achieve greater standardisation across their programs, outcomes and outcome measures. To demonstrate its feasibility, the model is applied to an existing program for high-risk young people.
The development and uptake of a standardised intervention model for these programs will help to more rapidly develop a larger and more rigorous evidence-base to improve outcomes for high-risk young people.
从事多种风险行为的年轻人（高危年轻人），如药物滥用、反社会行为、教育和就业参与度低、自我伤害或有自杀意念，在以后的生活中更有可能经历严重伤害，包括无家可归、监禁、暴力和过早死亡。除了个人劣势外，这些伤害对社会来说是一种可避免的社会和经济成本。尽管存在这些危害，但关于如何改善高危年轻人的结局，证据并不充分。造成这种情况的一个关键原因是，服务机构提供的项目在定义和评估方式上缺乏标准化。
本文描述了一种针对高危年轻人的标准化干预模型的开发。该模型可供服务提供者使用，以在其项目、结果和结果测量方面实现更大程度的标准化。为证明其可行性，该模型应用于一个现有的高危年轻人项目。
为这些项目开发并采用标准化干预模型将有助于更快地建立一个更大、更严谨的证据基础，以改善高危年轻人的结局。
