Columbia University and New York State Psychiatric Institute, New York, New York.
Social Science Research Center, Mississippi State University, Starkville, Mississippi.
AIDS Educ Prev. 2020 Oct;32(5):432-453. doi: 10.1521/aeap.2020.32.5.432.
Justice-involved youth are at risk for HIV/STIs but do not access services. The complex challenges of improving the delivery of health-related services within juvenile justice (JJ) settings warrant exploration of strategies to close this service gap. This study describes the successes and challenges of utilizing a local change team (LCT) strategy comprising JJ and health agency staff to implement HIV/STI programming in JJ settings, across six counties in six states in the U.S. Five focus groups comprising = 28 JJ and health agency staff who served as LCT members were conducted. Results demonstrated the structured nature of the collaborative process and strength of commitment among LCT members were necessary for successful implementation of HIV/STI programming. The use of LCTs comprising membership of JJ and (behavioral) health systems has broader applicability to other health and behavioral health issues faced by youth on probation that JJ staff may feel ill equipped to address.
涉案青少年有感染艾滋病毒/性传播感染的风险，但他们却无法获得相关服务。改善少年司法机构中与健康相关的服务提供工作存在复杂的挑战，这就需要探索策略来弥补这一服务差距。本研究描述了利用一个由少年司法和卫生机构工作人员组成的地方变革团队（LCT）策略，在美国六个州的六个县的少年司法机构中实施艾滋病毒/性传播感染规划的成功和挑战。开展了五次包含 = 28 名担任 LCT 成员的少年司法和卫生机构工作人员的焦点小组。研究结果表明，协作过程的结构性和 LCT 成员之间的坚定承诺是成功实施艾滋病毒/性传播感染规划的必要条件。由少年司法和（行为）卫生系统成员组成的 LCT 的使用更广泛地适用于少年司法机构工作人员可能觉得无力解决的其他处于缓刑期的青年面临的健康和行为健康问题。
