Boston University School of Public Health, Boston.
Roca Inc, Chelsea, Massachusetts.
J Nerv Ment Dis. 2020 Dec;208(12):925-932. doi: 10.1097/NMD.0000000000001232.
The aim of this study was to evaluate the effectiveness of a flexible modular cognitive-behavioral theory (CBT) skills curriculum delivered by paraprofessionals in a community organization targeting high-risk justice-involved youth. Programmatic data were collected from 980 high-risk young men (Mage, 21.12; SD, 2.30), and Cox proportional hazards regression was used. The results showed that compared with young men with no CBT encounters, those with one or more CBT encounters had a 66% (hazard ratio [HR], 0.34; 95% confidence interval [CI], 0.28-0.42; p < 0.001) lower risk of unenrolling from programming, 65% (HR, 1.65; 95% CI, 1.29-2.12; p < 0.001) higher risk of obtaining a job, and no difference in risk of engaging in new criminal activity while enrolled in programming (HR, 0.99; 95% CI, 0.78-1.25; p = 0.918), despite higher risk factors. Training paraprofessionals to deliver CBT skills to high-risk populations is effective and has scalability potential.
本研究旨在评估由社区组织中的非专业人员为高风险涉案青年提供的灵活模块化认知行为理论（CBT）技能课程的有效性。该项目从 980 名高风险年轻男性（平均年龄 21.12 岁，标准差 2.30）中收集了程序数据，并使用 Cox 比例风险回归进行分析。结果表明，与没有接受 CBT 干预的年轻人相比，接受过一次或多次 CBT 干预的年轻人退出项目的风险降低了 66%（风险比 [HR]，0.34；95%置信区间 [CI]，0.28-0.42；p<0.001），获得工作的风险增加了 65%（HR，1.65；95% CI，1.29-2.12；p<0.001），而在项目参与期间从事新的犯罪活动的风险没有差异（HR，0.99；95% CI，0.78-1.25；p=0.918），尽管存在更高的风险因素。培训非专业人员向高风险人群提供 CBT 技能是有效的，具有可扩展性潜力。
