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风险-需求-反应性:评估服务需求与可达性、有效性、采用率、实施、维持之间的匹配。

Risk-need-responsivity: Evaluating need-to-service matching with reach, effectiveness, adoption, implementation, maintenance.

机构信息

Behavioral Sciences Department, Fitchburg State University, Fitchburg, Massachusetts, USA.

Office of Community Corrections, Boston, Massachusetts, USA.

出版信息

Behav Sci Law. 2021 Feb;39(1):106-122. doi: 10.1002/bsl.2502. Epub 2021 Feb 3.

DOI:10.1002/bsl.2502
PMID:33534929
Abstract

With a sample of 125 adults under community supervision (71.20% male, 76.00% White, mean age = 33.17 years), this study evaluated need-to-service matching using an evaluation framework from implementation science. Need-to-service matching is a case management strategy intended to align service referrals in case plans with justice-involved persons' criminogenic needs. The results indicated that need-to-service matching reached a high percentage of its target population at 81.70%. Within criminogenic need areas, good match frequencies ranged from 80.00% in family/marital problems to 98.29% in alcohol/drug problems. Clinical staff also met the adherence benchmark applied by the current study, which required a 75.00% match between individuals' criminogenic needs and the services they received. Justice-involved persons had, on average, 90.46% of their criminogenic needs matched with at least one service referral. Over-prescription of services (i.e., recommendation of services that were not needed) was high, with frequencies in need areas ranging from 60.98% in education/employment to 82.21% in antisocial patterns. Methods from implementation science are useful for structuring evaluations of need-to-service matching, understanding implementation success and failure, and generating recommendations for improving implementation practice. The field would benefit greatly from benchmarks for need-to-service matching evaluation elements.

摘要

本研究以 125 名社区监管下的成年人(71.20%为男性,76.00%为白人,平均年龄为 33.17 岁)为样本,采用实施科学的评估框架评估了供需匹配情况。供需匹配是一种旨在将案件计划中的服务转介与有犯罪倾向的人的犯罪倾向需求相匹配的案件管理策略。结果表明,供需匹配达到了其目标人群的 81.70%的高比例。在犯罪倾向需求领域,良好的匹配频率从家庭/婚姻问题的 80.00%到酒精/药物问题的 98.29%不等。临床工作人员也达到了当前研究应用的依从性基准,该基准要求个人的犯罪倾向需求与他们所接受的服务之间有 75.00%的匹配。有犯罪倾向的人平均有 90.46%的犯罪倾向需求与至少一项服务转介相匹配。服务过度开具(即开具不需要的服务建议)的频率很高,在需要的领域从教育/就业的 60.98%到反社会模式的 82.21%不等。实施科学的方法可用于构建对供需匹配的评估,了解实施的成功和失败,并为改进实施实践提供建议。该领域将从供需匹配评估要素的基准中受益匪浅。

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