Rhode Island Hospital Bradley Hasbro Children's Research Center, Providence, Rhode Island, USA.
Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Behav Sci Law. 2021 Feb;39(1):26-43. doi: 10.1002/bsl.2498. Epub 2021 Feb 10.
As efforts to develop models for suicide prevention and intervention in the juvenile justice (JJ) system continue to grow, research to understand the feasibility and acceptability of implementing these models is critical. Examining organizational readiness for implementation, ensuring leadership and staff buy-in for delivering the intervention, and planning for sustainability of staff participation in implementation efforts is essential. The current study involved semi-structured formative evaluation interviews with key JJ stakeholders (n = 10) to determine perspectives on the acceptability (perceived need and fit of the intervention) and feasibility (organizational readiness for change) of a proposed brief safety planning intervention for youth with suicidal ideation delivered by nonclinical staff and integrated into the existing system. Qualitative data revealed stakeholders' perceived need for the intervention in the family court context and their agreement that the aims of the intervention were congruent with the goals of the family court. Some barriers to successful implementation were noted, which, addressed through selection of appropriate implementation strategies, can be overcome in a future test of the safety intervention.
随着在少年司法(JJ)系统中开发预防和干预自杀模型的努力不断增加,研究了解实施这些模型的可行性和可接受性至关重要。检查实施的组织准备情况,确保领导层和员工对提供干预措施的认可,并为员工参与实施工作的可持续性做好规划,这些都是必不可少的。本研究通过与 JJ 利益相关者(n=10)进行半结构化形成性评估访谈,确定了对拟议的简短安全计划干预措施的可接受性(干预措施的感知需求和适用性)和可行性(组织变革准备)的看法,该干预措施由非临床人员提供并整合到现有的系统中。定性数据显示,利益相关者认为在家庭法院环境中需要这种干预措施,并且他们同意干预措施的目标与家庭法院的目标一致。注意到一些成功实施的障碍,通过选择适当的实施策略可以克服这些障碍,从而在未来对安全干预措施的测试中取得成功。