Piper Kaitlin N, Jahn Alexandra, Escoffery Cam, Woods-Jaeger Briana, Nunn Amy, Schwartz David P, Smith-Curry Cathy, Sales Jessica
Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA, USA.
Department of Social and Behavioral Sciences, Brown University School of Public Health, Providence, RI, USA.
Health Justice. 2024 Feb 26;12(1):8. doi: 10.1186/s40352-024-00261-0.
Improving family engagement in juvenile justice (JJ) system behavioral health services is a high priority for JJ systems, reform organizations, and family advocacy groups across the United States. Family-driven care (FDC) is a family engagement framework used by youth-serving systems to elevate family voice and decision-making power at all levels of the organization. Key domains of a family-driven system of care include: 1) identifying and involving families in all processes, 2) informing families with accurate, understandable, and transparent information, 3) collaborating with families to make decisions and plan treatments, 4) responding to family diversity and inclusion, 5) partnering with families to make organizational decisions and policy changes, 6) providing opportunities for family peer support, 7) providing logistical support to help families overcome barriers to participation, and 8) addressing family health and functioning. FDC enhances family participation, empowerment, and decision-making power in youth services; ultimately, improving youth and family behavioral health outcomes, enhancing family-child connectedness, and reducing youth recidivism in the JJ setting.
We evaluated staff-perceived adoption of the eight domains of FDC across detention and community services agencies in the state of Georgia. We collected mixed methods data involving surveys and in-depth qualitative interviews with JJ system administrators, staff, and practitioners between November 2021- July 2022. In total, 140 individuals from 61 unique JJ agencies participated in surveys; and 16 JJ key informants participated in qualitative interviews.
FDC domains with the highest perceived adoption across agencies included identifying and involving families, informing families, collaborative decision-making and treatment planning, and family diversity and inclusion. Other domains that had mixed or lower perceived adoption included involving families in organizational feedback and policy making, family peer support, logistical support, and family health and functioning. Adoption of FDC domains differed across staff and organizational characteristics.
Findings from this mixed methods assessment will inform strategic planning for the scale-up of FDC strategies across JJ agencies in the state, and serve as a template for assessing strengths and weaknesses in the application of family engagement practices in systems nationally.
提高家庭对青少年司法（JJ）系统行为健康服务的参与度，是美国各地青少年司法系统、改革组织和家庭倡导团体的首要任务。家庭驱动式照护（FDC）是一种家庭参与框架，供青少年服务系统使用，以提升家庭在组织各级的话语权和决策权。家庭驱动式照护系统的关键领域包括：1）在所有流程中识别并让家庭参与；2）向家庭提供准确、易懂且透明的信息；3）与家庭合作进行决策和制定治疗计划；4）应对家庭多样性和包容性；5）与家庭合作进行组织决策和政策变革；6）为家庭提供同伴支持的机会；7）提供后勤支持以帮助家庭克服参与障碍；8）关注家庭健康和功能。家庭驱动式照护增强了家庭在青少年服务中的参与度、权能和决策权；最终改善青少年和家庭的行为健康结果，增强家庭与孩子的联系，并减少青少年司法环境中的青少年再犯率。
我们评估了佐治亚州拘留和社区服务机构工作人员对家庭驱动式照护八个领域的采纳情况。我们收集了混合方法数据，包括在2021年11月至2022年7月期间对青少年司法系统管理人员、工作人员和从业者进行的调查以及深入的定性访谈。共有来自61个不同青少年司法机构的140人参与了调查；16名青少年司法关键信息提供者参与了定性访谈。
各机构中被认为采纳程度最高的家庭驱动式照护领域包括识别并让家庭参与、向家庭提供信息、协作决策和治疗计划以及家庭多样性和包容性。其他被认为采纳程度不一或较低的领域包括让家庭参与组织反馈和政策制定、家庭同伴支持、后勤支持以及家庭健康和功能。家庭驱动式照护领域的采纳情况因工作人员和组织特征而异。
这项混合方法评估的结果将为该州青少年司法机构扩大家庭驱动式照护策略的战略规划提供信息，并作为评估全国系统中家庭参与实践应用优缺点的模板。
