University of North Carolina At Chapel Hill School of Social Work, Chapel Hill, USA.
Evans Center for Implementation and Improvement Sciences, Boston University School of Medicine, Boston, MA, USA.
Adm Policy Ment Health. 2021 May;48(3):408-419. doi: 10.1007/s10488-020-01081-8. Epub 2020 Sep 14.
This paper presents the results of a qualitative study designed to explore and identify the resources that probation officers need to implement specialized mental health probation caseloads, a promising practice that enhances mental health treatment engagement and reduces recidivism among people with mental illnesses. Our research team conducted a directed content analysis guided by the Practical, Robust Implementation and Sustainability Model (PRISM) to analyze qualitative interviews with 16 specialty mental health probation officers and their supervising chiefs. Results indicated five components and resources related to multiple PRISM constructs: (1) meaningfully reduced caseload sizes (intervention design), (2) officers' ability to build rapport and individualize probation (organizational staff characteristics), (3) specialized training that is offered regularly (implementation and sustainability infrastructure), (4) regular case staffing and consultation (implementation and sustainability infrastructure), and (5) communication and collaboration with community-based providers (external environment). Agencies implementing specialized mental health probation approaches should pay particular attention to selecting officers and chiefs and establishing the infrastructure to implement and sustain specialty mental health probation.
本文介绍了一项定性研究的结果,该研究旨在探索和确定缓刑官实施专门心理健康缓刑案件所需的资源,这是一种有前途的做法,可以提高心理健康治疗的参与度,并降低有精神疾病的人的累犯率。我们的研究团队根据实用、稳健实施和可持续性模型(PRISM)进行了定向内容分析,对 16 名专业心理健康缓刑官及其监督主管进行了定性访谈。结果表明,与多个 PRISM 结构相关的有五个组成部分和资源:(1)有意义地减少案件数量(干预设计),(2)官员建立融洽关系和个性化缓刑的能力(组织人员特征),(3)定期提供的专门培训(实施和可持续性基础设施),(4)定期的案件人员配备和咨询(实施和可持续性基础设施),以及(5)与基于社区的提供者的沟通和协作(外部环境)。实施专门心理健康缓刑方法的机构应特别注意选择官员和主管,并建立实施和维持专业心理健康缓刑的基础设施。