Juvenile Justice Translational Research on Interventions for Adolescents in the Legal System



Status:Active, not recruiting
Conditions:Psychiatric
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:Any
Updated:7/20/2018
Start Date:July 1, 2013
End Date:June 30, 2019

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Juvenile Justice Translational Research on Interventions for Adolescents in the Legal System: Multi-site Implementation Study

This is a multi site experiment to evaluate the impact of various strategies for increasing
the use of evidence based screening, assessment and linkage to substance use treatment. All
sites collect baseline data and receive a core intervention. Half are then randomly assigned
to get an additional year of coaching to facilitate implementation.

Background: The Juvenile Justice—Translational Research on Interventions for Adolescents in
the Legal System (JJ-TRIALS) study is a cooperative implementation science initiative
involving the National Institute on Drug Abuse, six Research Centers, a Coordinating Center,
and Juvenile Justice Partners representing seven U.S. states. The pooling of resources across
Centers enables a robust implementation study design involving 36 juvenile justice agencies
and their behavioral health partner agencies, coproducing a study protocol that has potential
to advance implementation science, meets the needs of all constituencies (funding agency,
researchers, partners, study sites), and can be implemented with fidelity across the
cooperative can be challenging.

Methods/design: The JJ-TRIALS primary study uses a head-to-head cluster randomized trial with
a phased rollout to evaluate the differential effectiveness of two conditions (Core and
Enhanced) in 36 sites located in 7 states. Core strategies for promoting change are compared
to an Enhanced strategy that incorporate all core strategies plus active facilitation. Target
outcomes include improvements in evidence-based screening, assessment, and linkage to
substance use treatment.

Primary Research Questions:

1. Does the Core and/or Enhanced Intervention reduce unmet need by increasing Cascade
retention related to screening, assessment, treatment initiation, engagement and
continuing care?

2. Does the addition of the Enhanced Intervention components further increase the
percentage of youth retained in the Cascade relative to the Core components?

3. Does the addition of the Enhanced Intervention components improve service quality
relative to Core sites?

4. Do staff perceptions of the value of best practices increase over time, and are
increases more pronounced in Enhanced sites?

Specific site inclusion criteria include: (a) ability to provide youth service records, (b)
service to youth under community supervision, (c) access to treatment provider(s) if
treatment is not provided directly by the JJ agency, (d) participation in requisite
intervention training/activities,(e) minimum average case flow of 10 youth per month, (f)
minimum of 10 staff per site, and (g) a senior JJ staff member who agrees to serve as site
leader/liaison during the study. Study sites are geographically dispersed and were
identified by state JJ agencies (and not selected for particular substance use or related
BH service needs).

Youth inclusion criteria include: all youth entering the juvenile justice system during the
period within the exception of those who are already in treatment at the time that they are
referred to the juvenile justice agency.

Staff inclusion criteria include: all staff actively working with the youth under community
supervision in the site with exclusion only of higher level administrative or regional
staff over multiple units..
We found this trial at
8
sites
201 Dowman Dr
Atlanta, Georgia 30303
(404) 727-6123
Emory University Emory University, recognized internationally for its outstanding liberal artscolleges, graduate and professional schools,...
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116th St and Broadway
New York, New York 10027
(212) 854-1754
Columbia University In 1897, the university moved from Forty-ninth Street and Madison Avenue, where it...
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New York, NY
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Bloomington, Illinois 61701
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Bloomington, IL
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Fort Worth, Texas 76129
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Fort Worth, TX
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Lexington, Kentucky
859) 257-9000
University of Kentucky The University of Kentucky is a public, land grant university dedicated to...
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Lexington, KY
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1801 N Broad St
Philadelphia, Pennsylvania 19122
(215) 204-7000
Temple University Temple University is many things to many people. A place to pursue life's...
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Philadelphia, PA
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Rockville, Maryland 20892
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Rockville, MD
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Starkville, Mississippi 39759
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Starkville, MS
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