Back to Search
Start Over
Organizational structure, climate, and collaboration between juvenile justice and community mental health centers: implications for evidence-based practice implementation for adolescent substance use disorder treatment
- Source :
- BMC Health Services Research, BMC Health Services Research, Vol 20, Iss 1, Pp 1-13 (2020)
- Publication Year :
- 2019
-
Abstract
- Background Substance use disorders are prevalent among youth involved with the criminal justice system, however, evidence-based substance use disorder treatment is often unavailable to this population. The goal of this study was to identify barriers to effective implementation of evidence-based practices among juvenile justice and community mental health organizations through the lens of an adopter-based innovation model. Methods In this mixed-methods study, qualitative interviews were conducted with n = 15 juvenile justice staff and n = 14 community mental health staff from two counties implementing substance use services for justice involved youth. In addition, n = 28 juvenile justice staff and n = 85 community mental health center staff also completed quantitative measures of organizational effectiveness including the implementation leadership scale (ILS), organizational readiness for change (ORIC), and the implementation climate scale (ICS). Results Organizationally, staff from community mental health centers reported more “red tape” and formalized procedures around daily processes, while many juvenile justice staff reported a high degree of autonomy. Community mental health respondents also reported broad concern about their capacity for providing new interventions. Staff across the two different organizations expressed support for evidence-based practices, agreed with the importance of treating substance use disorders in this population, and were enthusiastic about implementing the interventions. Conclusions While both community mental health and juvenile justice staff express commitment to implementing evidence-based practices, systems-level changes are needed to increase capacity for providing evidence-based services.
- Subjects :
- Adult
Male
medicine.medical_specialty
Evidence-based practice
Adolescent
Community Mental Health Centers
Substance-Related Disorders
Population
Psychological intervention
03 medical and health sciences
0302 clinical medicine
Nursing
Criminal Law
Medicine
Humans
0501 psychology and cognitive sciences
030212 general & internal medicine
Justice (ethics)
Implementation barriers
Cooperative Behavior
education
Qualitative Research
Substance use disorders
education.field_of_study
business.industry
Health Policy
Nursing research
Public health
lcsh:Public aspects of medicine
05 social sciences
Juvenile justice
Community mental health
lcsh:RA1-1270
Mental health
Organizational Culture
Evidence-Based Practice
Juvenile Delinquency
Female
business
Organizational effectiveness
050104 developmental & child psychology
Research Article
Subjects
Details
- ISSN :
- 14726963
- Volume :
- 20
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC health services research
- Accession number :
- edsair.doi.dedup.....e43bb2973f56d83ad1861ff5e7b6db3c