Faulkner Rosheka N, Arnold Alexandra, Sarapas Casey, Ryan Margaret E, Sichel Corianna E, Wasserman Gail A, Taxman Faye S, Dennis Michael L, Elkington Katherine S
Department of Psychiatry, Columbia University, New York, New York, USA.
New York State Psychiatric Institute, New York, New York, USA.
J Correct Health Care. 2025 Aug;31(4):241-251. doi: 10.1089/jchc.24.10.0085. Epub 2025 Jun 25.
Youths on probation have difficulties accessing care. e-Connect, a clinical decision support system service linkage intervention, reduces these treatment disparities, but it is unclear whether juvenile probation officers' (JPOs') individual and organizational characteristics affect the success of e-Connect. Among JPOs using e-Connect, we explore whether attitudes, behaviors, and organizational characteristics related to youths' behavioral health (BH) treatment are associated with JPO referral practices and treatment initiation among youths. We used weighted, between-group correlations using data from 19 JPOs implementing e-Connect to evaluate self-reported attitudes related to referral and linkage behaviors gathered via survey and administrative data on the service referral and initiation of 78 youths. Female officers were more likely to engage in placement activities (i.e., behaviors aimed at helping youths initiate care), and youths on their caseload were more likely to access BH care. Conversely, officers with more authoritarian attitudes toward supervision were significantly less likely to engage in placement activities. Even within a program found to increase referral 11-fold and linkage to treatment nearly 17-fold, some JPOs fail to make referrals and connect youths to care. To enhance e-Connect's performance, agencies should target specific attitudes and behaviors around BH services referral and BH initiation.
缓刑期的青少年在获得医疗服务方面存在困难。电子连接是一种临床决策支持系统服务链接干预措施，它减少了这些治疗差异，但尚不清楚少年缓刑监督官（JPO）的个人和组织特征是否会影响电子连接的成效。在使用电子连接的JPO中，我们探讨与青少年行为健康（BH）治疗相关的态度、行为和组织特征是否与JPO的转介做法以及青少年的治疗启动有关。我们使用加权组间相关性，利用来自19个实施电子连接的JPO的数据，来评估通过调查收集的与转介和链接行为相关的自我报告态度，以及关于78名青少年的服务转介和启动的行政数据。女性缓刑监督官更有可能参与安置活动（即旨在帮助青少年开始接受治疗的行为），而其负责案件的青少年更有可能获得行为健康护理。相反，对监督持更专制态度的缓刑监督官参与安置活动的可能性显著降低。即使在一个被发现能将转介增加11倍、将与治疗的联系增加近17倍的项目中，一些JPO仍未能进行转介并让青少年获得护理。为了提高电子连接的性能，各机构应针对行为健康服务转介和行为健康启动方面的特定态度和行为。
