Piper Kaitlin N, Jahn Alexandra, Escoffery Cam, Woods-Jaeger Briana, 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 Juvenile Justice, Atlanta, GA, USA.
Health Justice. 2024 Aug 8;12(1):35. doi: 10.1186/s40352-024-00290-9.
Engaging families in behavioral health services is a high priority for juvenile justice (JJ) systems and family advocacy groups. Family-driven care (FDC) enhances family engagement and decision-making power in youth behavioral health services, ultimately, improving youth and family mental health and substance abuse outcomes. Despite the benefits, there is limited guidance on how to integrate FDC into behavioral health care within the JJ system. Therefore, the goal of this study is to understand factors that promoted adoption of FDC the JJ context.
JJ staff and leadership across the state of Georgia participated in surveys and interviews to understand contextual implementation determinants related to the adoption of FDC. Between November 2021- July 2022, 140 JJ staff participated in the survey from 61 unique JJ organizations. In addition, 16 staff participated in follow-up key informant interviews to explain quantitative findings.
Based on a mixed methods analysis, JJ agencies were more likely to implement FDC if they had the following characteristics: (1) presence of site leaders that were strongly committed to family engagement, (2) a shared understanding that family engagement was a top priority, (3) staff training related to family engagement, (4) external partnerships with organizations that serve families, (5) a workplace culture that was supportive of innovation, and (6) presence of family engagement programs that were easier (or more feasible) for staff to implement.
This mixed methods study underscores the importance of strengthening these 6 inner and outer setting implementation determinants when preparing to integrate FDC into JJ systems. Findings are used to promote the adoption and delivery of this high priority intervention in a state-level JJ system.
让家庭参与行为健康服务是青少年司法（JJ）系统和家庭倡导团体的高度优先事项。家庭驱动式照护（FDC）增强了家庭在青少年行为健康服务中的参与度和决策权，最终改善了青少年和家庭的心理健康及药物滥用状况。尽管有这些益处，但关于如何将FDC融入JJ系统内的行为健康照护方面的指导却很有限。因此，本研究的目标是了解在JJ环境中促进采用FDC的因素。
佐治亚州各地的JJ工作人员和领导层参与了调查和访谈，以了解与采用FDC相关的背景实施决定因素。在2021年11月至2022年7月期间，140名JJ工作人员从61个不同的JJ组织参与了调查。此外，16名工作人员参与了后续的关键 informant 访谈，以解释定量研究结果。
基于混合方法分析，如果JJ机构具有以下特征，则更有可能实施FDC：（1）有坚定致力于家庭参与的现场领导；（2）对家庭参与是首要优先事项有共同理解；（3）与家庭参与相关的工作人员培训；（4）与为家庭服务的组织建立外部伙伴关系；（5）支持创新的工作场所文化；（6）有工作人员更容易（或更可行）实施的家庭参与计划。
这项混合方法研究强调了在准备将FDC融入JJ系统时加强这6个内部和外部环境实施决定因素的重要性。研究结果用于在州级JJ系统中促进采用和提供这一高度优先的干预措施。
