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(PDF) Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral
<!DOCTYPE html> <html > <head> <meta charset="utf-8"> <meta rel="search" type="application/opensearchdescription+xml" href="/open_search.xml" title="Academia.edu"> <meta content="width=device-width, initial-scale=1" name="viewport"> <meta name="google-site-verification" content="bKJMBZA7E43xhDOopFZkssMMkBRjvYERV-NaN4R6mrs"> <meta name="csrf-param" content="authenticity_token" /> <meta name="csrf-token" content="EpD9G2uddtD0E8qPbjnbM9Yc9b8TV_FNw0Btkjqbzg_N-PKf9ww45zKm1em5oarS3bRdv-OIdapDUU9C20g1MA" /> <meta name="citation_title" content="Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral" /> <meta name="citation_publication_date" content="2018/01/01" /> <meta name="citation_journal_title" content="Journal of applied juvenile justice services" /> <meta name="citation_author" content="Angela Robertson" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:url" content="https://www.academia.edu/76623247/Comparison_of_the_Overlap_between_Juvenile_Justice_Processing_and_Behavioral_Health_Screening_Assessment_and_Referral" /> <meta name="twitter:title" content="Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral" /> <meta name="twitter:description" content="Given the large proportion of youth involved in the juvenile justice system who meet criteria for behavioral health disorders, the system is charged with delivering not only criminal justice programing, but also behavioral health services. Behavioral" /> <meta name="twitter:image" content="http://a.academia-assets.com/images/twitter-card.jpeg" /> <meta property="fb:app_id" content="2369844204" /> <meta property="og:type" content="article" /> <meta property="og:url" content="https://www.academia.edu/76623247/Comparison_of_the_Overlap_between_Juvenile_Justice_Processing_and_Behavioral_Health_Screening_Assessment_and_Referral" /> <meta property="og:title" content="Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral" /> <meta property="og:image" content="http://a.academia-assets.com/images/open-graph-icons/fb-paper.gif" /> <meta property="og:description" content="Given the large proportion of youth involved in the juvenile justice system who meet criteria for behavioral health disorders, the system is charged with delivering not only criminal justice programing, but also behavioral health services. Behavioral" /> <meta property="article:author" content="https://msstate.academia.edu/AngelaRobertson" /> <meta name="description" content="Given the large proportion of youth involved in the juvenile justice system who meet criteria for behavioral health disorders, the system is charged with delivering not only criminal justice programing, but also behavioral health services. Behavioral" /> <title>(PDF) Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral</title> <link rel="canonical" href="https://www.academia.edu/76623247/Comparison_of_the_Overlap_between_Juvenile_Justice_Processing_and_Behavioral_Health_Screening_Assessment_and_Referral" /> <script async src="https://www.googletagmanager.com/gtag/js?id=G-5VKX33P2DS"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-5VKX33P2DS', { cookie_domain: 'academia.edu', send_page_view: false, }); gtag('event', 'page_view', { 'controller': "single_work", 'action': "show", 'controller_action': 'single_work#show', 'logged_in': 'false', 'edge': 'unknown', // Send nil if there is no A/B test bucket, in case some records get logged // with missing data - that way we can distinguish between the two cases. // ab_test_bucket should be of the form <ab_test_name>:<bucket> 'ab_test_bucket': null, }) </script> <script> var $controller_name = 'single_work'; var $action_name = "show"; var $rails_env = 'production'; var $app_rev = 'b092bf3a3df71cf13feee7c143e83a57eb6b94fb'; var $domain = 'academia.edu'; var $app_host = "academia.edu"; var $asset_host = "academia-assets.com"; var $start_time = new Date().getTime(); var $recaptcha_key = "6LdxlRMTAAAAADnu_zyLhLg0YF9uACwz78shpjJB"; var $recaptcha_invisible_key = "6Lf3KHUUAAAAACggoMpmGJdQDtiyrjVlvGJ6BbAj"; var $disableClientRecordHit = false; </script> <script> window.require = { config: function() { return function() {} } } </script> <script> window.Aedu = window.Aedu || {}; window.Aedu.hit_data = null; window.Aedu.serverRenderTime = new Date(1739826649000); window.Aedu.timeDifference = new Date().getTime() - 1739826649000; </script> <script type="application/ld+json">{"@context":"https://schema.org","@type":"ScholarlyArticle","abstract":"Given the large proportion of youth involved in the juvenile justice system who meet criteria for behavioral health disorders, the system is charged with delivering not only criminal justice programing, but also behavioral health services. Behavioral health service delivery is typically done through collaborative partnerships with behavioral health agencies. This study created process maps which describe the flows and boundaries of these partnerships with respect to screening, assessment and referral to treatment. Process maps of juvenile justice and behavioral health systems from six juvenile departments in different states (Mississippi, Kentucky, New York, Georgia, Texas, and Pennsylvania) are presented. Both the methodology of creating process maps and results from the analysis of the maps are presented. Results indicate that behavioral health screening, assessment, and referral to treatment were occurring at all sites, typically with standardized tools. Overall trends were that ...","author":[{"@context":"https://schema.org","@type":"Person","name":"Angela Robertson","url":"https://msstate.academia.edu/AngelaRobertson"}],"contributor":[],"dateCreated":"2022-04-16","datePublished":"2018-01-01","headline":"Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral","image":"https://attachments.academia-assets.com/84271057/thumbnails/1.jpg","inLanguage":"en","keywords":[],"publication":"Journal of applied juvenile justice services","publisher":{"@context":"https://schema.org","@type":"Organization","name":"Journal of applied juvenile justice services"},"sourceOrganization":[{"@context":"https://schema.org","@type":"EducationalOrganization","name":"msstate"}],"thumbnailUrl":"https://attachments.academia-assets.com/84271057/thumbnails/1.jpg","url":"https://www.academia.edu/76623247/Comparison_of_the_Overlap_between_Juvenile_Justice_Processing_and_Behavioral_Health_Screening_Assessment_and_Referral"}</script><style type="text/css">@media(max-width: 567px){:root{--token-mode: Rebrand;--dropshadow: 0 2px 4px 0 #22223340;--primary-brand: #0645b1;--error-dark: #b60000;--success-dark: #05b01c;--inactive-fill: #ebebee;--hover: #0c3b8d;--pressed: #082f75;--button-primary-fill-inactive: #ebebee;--button-primary-fill: #0645b1;--button-primary-text: #ffffff;--button-primary-fill-hover: #0c3b8d;--button-primary-fill-press: #082f75;--button-primary-icon: #ffffff;--button-primary-fill-inverse: #ffffff;--button-primary-text-inverse: #082f75;--button-primary-icon-inverse: #0645b1;--button-primary-fill-inverse-hover: 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window.loswp.showSignupCaptcha = false window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":76623247,"created_at":"2022-04-16T08:40:10.791-07:00","from_world_paper_id":202015766,"updated_at":"2024-09-15T16:52:01.586-07:00","_data":{"abstract":"Given the large proportion of youth involved in the juvenile justice system who meet criteria for behavioral health disorders, the system is charged with delivering not only criminal justice programing, but also behavioral health services. Behavioral health service delivery is typically done through collaborative partnerships with behavioral health agencies. This study created process maps which describe the flows and boundaries of these partnerships with respect to screening, assessment and referral to treatment. Process maps of juvenile justice and behavioral health systems from six juvenile departments in different states (Mississippi, Kentucky, New York, Georgia, Texas, and Pennsylvania) are presented. Both the methodology of creating process maps and results from the analysis of the maps are presented. Results indicate that behavioral health screening, assessment, and referral to treatment were occurring at all sites, typically with standardized tools. Overall trends were that ...","publisher":"Journal of applied juvenile justice services","publication_date":"2018,,","publication_name":"Journal of applied juvenile justice services"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [32931711]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loginModal = {}; window.loginModal.appleClientId = 'edu.academia.applesignon'; window.userInChina = "false";</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":84271057,"attachmentType":"pdf"}"><img alt="First page of “Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/84271057/mini_magick20220416-4942-b749s7.png?1650123645" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/images/single_work_splash/adobe_icon.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Comparison of the Overlap between Juvenile Justice Processing and Behavioral Health Screening, Assessment and Referral</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="32931711" href="https://msstate.academia.edu/AngelaRobertson"><img alt="Profile image of Angela Robertson" class="ds-work-card--author-avatar" src="//a.academia-assets.com/images/s65_no_pic.png" />Angela Robertson</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2018, Journal of applied juvenile justice services</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">29 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 76623247; 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Behavioral health service delivery is typically done through collaborative partnerships with behavioral health agencies. This study created process maps which describe the flows and boundaries of these partnerships with respect to screening, assessment and referral to treatment. Process maps of juvenile justice and behavioral health systems from six juvenile departments in different states (Mississippi, Kentucky, New York, Georgia, Texas, and Pennsylvania) are presented. Both the methodology of creating process maps and results from the analysis of the maps are presented. Results indicate that behavioral health screening, assessment, and referral to treatment were occurring at all sites, typically with standardized tools. Overall trends were that ...</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":84271057,"attachmentType":"pdf","workUrl":"https://www.academia.edu/76623247/Comparison_of_the_Overlap_between_Juvenile_Justice_Processing_and_Behavioral_Health_Screening_Assessment_and_Referral"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":84271057,"attachmentType":"pdf","workUrl":"https://www.academia.edu/76623247/Comparison_of_the_Overlap_between_Juvenile_Justice_Processing_and_Behavioral_Health_Screening_Assessment_and_Referral"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div><div class="ds-signup-banner-trigger-container"><div class="ds-signup-banner-trigger ds-signup-banner-trigger-control"></div></div><div class="ds-signup-banner ds-signup-banner-control"><div id="ds-signup-banner-close-button"><button class="ds2-5-button ds2-5-button--secondary ds2-5-button--inverse"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">close</span></button></div><div class="ds-signup-banner-ctas"><img src="//a.academia-assets.com/images/academia-logo-capital-white.svg" /><h4 class="ds2-5-heading-serif-sm">Sign up for access to the world's latest research</h4><button class="ds2-5-button ds2-5-button--inverse ds2-5-button--full-width js-swp-download-button" data-signup-modal="{"location":"signup-banner"}">Sign up for free<span class="material-symbols-outlined" style="font-size: 20px" translate="no">arrow_forward</span></button></div><div class="ds-signup-banner-divider"></div><div class="ds-signup-banner-reasons"><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Get notified about relevant papers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Save papers to use in your research</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Join the discussion with peers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Track your impact</span></div></div></div><script>(() => { // Set up signup banner show/hide behavior: // 1. 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However, numerous gaps exist in the identification of behavioral health (BH) problems and in the subsequent referral, initiation and retention in treatment for youth in community justice settings. This reflects both organizational and systems factors, including coordination between justice and BH agencies. This paper presents a new framework, the Juvenile Justice Behavioral Health Services Cascade (&quot;Cascade&quot;), for measuring unmet substance use treatment needs to illustrate how the cascade approach can be useful in understanding service delivery issues and identifying strategies to improve treatment engagement and outcomes for youth under community JJ supervision. We discuss the organizational and systems barriers for linking delinq...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The Juvenile Justice Behavioral Health Services Cascade: A new framework for measuring unmet substance use treatment services needs among adolescent offenders","attachmentId":79586360,"attachmentType":"pdf","work_url":"https://www.academia.edu/69522437/The_Juvenile_Justice_Behavioral_Health_Services_Cascade_A_new_framework_for_measuring_unmet_substance_use_treatment_services_needs_among_adolescent_offenders","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/69522437/The_Juvenile_Justice_Behavioral_Health_Services_Cascade_A_new_framework_for_measuring_unmet_substance_use_treatment_services_needs_among_adolescent_offenders"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="113696745" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/113696745/Juvenile_justice_systems_of_care_results_of_a_national_survey_of_community_supervision_agencies_and_behavioral_health_providers_on_services_provision_and_cross_system_interactions">Juvenile justice systems of care: results of a national survey of community supervision agencies and behavioral health providers on services provision and cross-system interactions</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="32702006" href="https://independent.academia.edu/ChristineGrella">Christine Grella</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Health &amp; Justice, 2019</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Youth involved in the juvenile justice (JJ) system have high needs for behavioral health services, especially related to substance use and mental disorders. This study aimed to understand the extent to which elements in the cascade model of behavioral health services for JJ-involved youth are provided to youth by Community Supervision (CS) and/or Behavioral Health (BH) providers. In order to understand interactions across CS and BH systems, this study used a multistage probabilistic survey design to sample CS agencies and their primary BH service providers of substance use and mental health treatment in the United States. Parallel surveys were administered to both CS and BH providers regarding: characteristics of youth served, BH services available, whether services were provided directly and/or by referral, use of evidence-based practices (EBPs), and methods of collaboration, referral, and information exchange across CS and BH providers. Results: The findings from weighted national estimates demonstrate that youth referred from CS to the BH programs represent a more severe subgroup of youth under CS supervision. There are established cross-system relationships for assessment and referral for substance use and mental health treatment, but less so for prevention services. Most CS programs refer youth to BH providers for these services, which typically utilize more highly trained staff to provide EBPs to a majority of the youth served. More intensive substance use and mental health treatment, aftercare, and recovery support services were limited in availability. Conclusions: The findings suggest that although many elements in a cascade model of BH services for JJ-involved youth have been implemented within local systems of care through collaboration between CS and BH providers, there are several underdeveloped areas and potential for attrition across the service cascade. Greater attention to providing services to youth with higher levels of severity, aftercare services, and recovery support is warranted within a multi-systemic framework.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Juvenile justice systems of care: results of a national survey of community supervision agencies and behavioral health providers on services provision and cross-system interactions","attachmentId":110592065,"attachmentType":"pdf","work_url":"https://www.academia.edu/113696745/Juvenile_justice_systems_of_care_results_of_a_national_survey_of_community_supervision_agencies_and_behavioral_health_providers_on_services_provision_and_cross_system_interactions","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/113696745/Juvenile_justice_systems_of_care_results_of_a_national_survey_of_community_supervision_agencies_and_behavioral_health_providers_on_services_provision_and_cross_system_interactions"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="120696463" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/120696463/The_role_of_inter_agency_collaboration_in_facilitating_receipt_of_behavioral_health_services_for_youth_involved_with_child_welfare_and_juvenile_justice">The role of inter-agency collaboration in facilitating receipt of behavioral health services for youth involved with child welfare and juvenile justice</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="258678109" href="https://independent.academia.edu/RebeccaWells28">Rebecca Wells</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Children and Youth Services Review, 2010</p><p class="ds-related-work--abstract ds2-5-body-sm">Unmet need for behavioral health care is a serious problem for crossover youth, or those simultaneously involved with the child welfare and juvenile justice systems. Although a large percentage of crossover youth are serious emotionally disturbed, relatively few receive necessary behavioral health services. Few studies have examined the role of interagency collaboration in facilitating behavioral health service access for crossover youth. This study examined associations for three dimensions of collaboration between local child welfare and juvenile justice agenciesjurisdiction, shared information systems, and overall connectivity-and youths' odds of receiving behavioral health services. Data were drawn from the National Survey of Child and Adolescent Well-Being, a national survey of families engaged with the child welfare system. Having a single agency accountable for youth care increased youth odds of receiving outpatient and inpatient behavioral health services. Inter-agency sharing of administrative data increased youth odds of inpatient behavioral health service receipt. Clarifying agency accountability and linking databases across sectors may improve service access for youth involved with both the child welfare and juvenile justice systems.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The role of inter-agency collaboration in facilitating receipt of behavioral health services for youth involved with child welfare and juvenile justice","attachmentId":115764663,"attachmentType":"pdf","work_url":"https://www.academia.edu/120696463/The_role_of_inter_agency_collaboration_in_facilitating_receipt_of_behavioral_health_services_for_youth_involved_with_child_welfare_and_juvenile_justice","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/120696463/The_role_of_inter_agency_collaboration_in_facilitating_receipt_of_behavioral_health_services_for_youth_involved_with_child_welfare_and_juvenile_justice"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="60167484" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/60167484/Justice_Involved_Juveniles_and_Behavioral_Health_Annotated_Bibliography_10_21">Justice Involved Juveniles and Behavioral Health Annotated Bibliography 10 21</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="113327" href="https://washington.academia.edu/BonnieDuran">Bonnie M Duran</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Justice-Involved Juveniles and Behavioral Health Annotated Bibliography 1 10/27/21 Yurasek, A. M., et al. (2021). "Substance use screening and rates of treatment referral among justiceinvolved youth." Addictive behaviors 122: 107036. Background: Justice-involved youth report high rates of substance use and related problems that are associated with treatment needs; however, data on screening and linkage to treatment within the justice system is lacking. To further inform the juvenile justice behavioral health cascade of care, this study examined factors associated with identified problematic substance use and treatment referral using two screening tools.; Method: As part of a family court intake process, 348 justice-involved youth received two screening measures, the MAYSI-2 alcohol/drug use subscale and the CRAFFT. Both tools are designed to indicate early warning signs of substance use problems and signal referral for further clinical evaluation or treatment. Chart review analysis examined whether demographic variables (sex & race), severity of use, and type of substance used were associated with positive screens on either or both measures and subsequent treatment referral.; Results: Half (51.2%) of youth were identified as having problematic substance use (a positive screen) on at least one of the screeners. Overall, 38.5% positively screened on the CRAFFT with only 0.3% positively screening on just the MAYSI-2 alcohol/drug scale. Cannabis only users were less likely to positively screen on the MAYSI-2 compared to youth who reported use of both alcohol and cannabis. Positively screening on one versus both screeners was not associated with referral, yet many (28%) who positively screened were not referred for services.; Conclusions: The CRAFFT may be more accurate at identifying youth specifically at risk for problematic cannabis use compared to the MAYSI-2 alcohol/drug subscale. Regardless of tool used, treatment referral was low, highlighting the need for accurate identification of treatment needs of substance-using, justice-involved youth. Interventions to facilitate referrals for youth with problematic substance use are needed.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Justice Involved Juveniles and Behavioral Health Annotated Bibliography 10 21","attachmentId":73728327,"attachmentType":"pdf","work_url":"https://www.academia.edu/60167484/Justice_Involved_Juveniles_and_Behavioral_Health_Annotated_Bibliography_10_21","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/60167484/Justice_Involved_Juveniles_and_Behavioral_Health_Annotated_Bibliography_10_21"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="95239879" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/95239879/Improving_Substance_Use_Services_for_Juvenile_Justice_Involved_Youth_Complexity_of_Process_Improvement_Plans_in_a_Large_Scale_Multi_site_Study">Improving Substance Use Services for Juvenile Justice-Involved Youth: Complexity of Process Improvement Plans in a Large Scale Multi-site Study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="158018782" href="https://independent.academia.edu/SheenaGardner1">Sheena Gardner</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Administration and Policy in Mental Health and Mental Health Services Research, 2020</p><p class="ds-related-work--abstract ds2-5-body-sm">Despite the high prevalence of substance use disorders among juvenile offenders, most do not receive services. System-level process improvement plans to address unmet service needs can be optimized by combining data-driven decisions and facilitated meetings with behavioral health stakeholders. This paper operationalizes and analyzes the level of specified complexity among process improvement plans evident within 36 juvenile probation and drug courts across 7 states. To inform more effective implementation strategies, this analysis identifies and prioritizes promising courses of agency enhancement toward addressing unmet substance use needs.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Improving Substance Use Services for Juvenile Justice-Involved Youth: Complexity of Process Improvement Plans in a Large Scale Multi-site Study","attachmentId":97476231,"attachmentType":"pdf","work_url":"https://www.academia.edu/95239879/Improving_Substance_Use_Services_for_Juvenile_Justice_Involved_Youth_Complexity_of_Process_Improvement_Plans_in_a_Large_Scale_Multi_site_Study","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/95239879/Improving_Substance_Use_Services_for_Juvenile_Justice_Involved_Youth_Complexity_of_Process_Improvement_Plans_in_a_Large_Scale_Multi_site_Study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="71533697" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/71533697/Screening_and_assessing_mental_health_and_substance_use_disorders_among_youth_in_the_juvenile_justice_system">Screening and assessing mental health and substance use disorders among youth in the juvenile justice system</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="7374968" href="https://independent.academia.edu/LeeUnderwood">Lee Underwood</a></div><p class="ds-related-work--metadata ds2-5-body-xs">… Center for Mental Health and Juvenile Justice, 2003</p><p class="ds-related-work--abstract ds2-5-body-sm">On any given day, over 100,000 youth are held in custody in juvenile justice facilities across the country, either awaiting trial in detention centers or having been placed in residential facilities after being convicted of delinquencies. A growing body of research suggests that most of these youth meet criteria for at least one mental disorder, and that at least one out of every five have what is considered to be a serious mental disorder often coupled with a co-occurring substance use disorder. Essential to responding to a youth's mental, emotional, and substance use problem is the identification of their problem. Detecting potential mental health and substance use disorders among youth requires reliable and valid screening and assessment instruments, and information on how best to implement the available instruments. This Research and Program Brief is designed to provide clinicians and other professionals working with youth in the juvenile justice system with information about the most effective instruments to use to screen and assess for mental health and substance use disorders among youth at various points in the juvenile justice system. (Contains 10 references.) (GCP) Reproductions supplied by EDRS are the best that can be made from the original document.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Screening and assessing mental health and substance use disorders among youth in the juvenile justice system","attachmentId":80835146,"attachmentType":"pdf","work_url":"https://www.academia.edu/71533697/Screening_and_assessing_mental_health_and_substance_use_disorders_among_youth_in_the_juvenile_justice_system","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/71533697/Screening_and_assessing_mental_health_and_substance_use_disorders_among_youth_in_the_juvenile_justice_system"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="9152649" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/9152649/Mental_Health_Assessments_in_Juvenile_Justice_Report_on_the_Consensus_Conference">Mental Health Assessments in Juvenile Justice: Report on the Consensus Conference</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="20877168" href="https://umassmed.academia.edu/ThomasGrisso">Thomas Grisso</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of The American Academy of Child and Adolescent Psychiatry, 2003</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Mental Health Assessments in Juvenile Justice: Report on the Consensus Conference","attachmentId":35439212,"attachmentType":"pdf","work_url":"https://www.academia.edu/9152649/Mental_Health_Assessments_in_Juvenile_Justice_Report_on_the_Consensus_Conference","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/9152649/Mental_Health_Assessments_in_Juvenile_Justice_Report_on_the_Consensus_Conference"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="8670259" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/8670259/Juvenile_justice_and_mental_health">Juvenile justice and mental health</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="18120475" href="https://usf.academia.edu/CAROLMACKINNONLEWIS">CAROL MACKINNON-LEWIS</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Aggression and Violent Behavior, 2002</p><p class="ds-related-work--abstract ds2-5-body-sm">Addressing the mental health needs of youth in the juvenile justice system is a key imperative for all stakeholders interested in preventing and reducing juvenile delinquency. Despite the substantially higher rates of mental health disorders among these youth, services and approaches are fraught with barriers including inadequate assessment, fragmentation, and deficit-based intervention. Comprehensive, system-level reform is necessary to better address the needs of youth with mental health disorders entering the juvenile justice system. Using a public health approach to youth violence as an overarching framework, the need for a community-based, family-centered, strength-based system of care philosophy is outlined. D</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Juvenile justice and mental health","attachmentId":48025045,"attachmentType":"pdf","work_url":"https://www.academia.edu/8670259/Juvenile_justice_and_mental_health","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/8670259/Juvenile_justice_and_mental_health"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="24857003" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/24857003/A_comparison_of_service_use_among_youth_involved_with_juvenile_justice_and_mental_health">A comparison of service use among youth involved with juvenile justice and mental health</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="473595" href="https://dal.academia.edu/LindaLiebenberg">Linda Liebenberg</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Children and Youth Services Review, 2014</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A comparison of service use among youth involved with juvenile justice and mental health","attachmentId":45180366,"attachmentType":"pdf","work_url":"https://www.academia.edu/24857003/A_comparison_of_service_use_among_youth_involved_with_juvenile_justice_and_mental_health","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/24857003/A_comparison_of_service_use_among_youth_involved_with_juvenile_justice_and_mental_health"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="91644810" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/91644810/Moving_the_Needle_Cultivating_Systemic_Change_in_Juvenile_Services">Moving the Needle: Cultivating Systemic Change in Juvenile Services</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="82067768" href="https://augie.academia.edu/LarryBrendtro">Larry Brendtro</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Applied Juvenile Justice Services, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Approximately 1.7 million delinquency cases are disposed in juvenile courts annually (Puzzanchera, Adams, & Sickmund, 2011). Of these youth, tens of thousands experience confinement in the US (Sawyer, 2019), while hundreds of thousands experience probation or are sentenced to community based programs (Harp, Muhlhausen, & Hockenberry, 2019). These youth are placed in the care of programs overseen by directors and clinicians. A survey of facility directors and clinicians from member agencies of the National Partnership for Juvenile Services (NPJS) Behavioral Health Clinical Services (BHCS) committee identified three primary concerns practitioners face in caring for these youth; 1) low resources to recruit and retain quality staff, 2) training that is often not a match for, and does not equip staff to effectively manage the complex needs of acute youth, and 3) the perspective of direct care as an unskilled entry-level position with limited impact on youth’s rehabilitation. This article...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Moving the Needle: Cultivating Systemic Change in Juvenile Services","attachmentId":94874169,"attachmentType":"pdf","work_url":"https://www.academia.edu/91644810/Moving_the_Needle_Cultivating_Systemic_Change_in_Juvenile_Services","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/91644810/Moving_the_Needle_Cultivating_Systemic_Change_in_Juvenile_Services"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":84271057,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":84271057,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_84271057" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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Assessing Interagency Collaboration within a Juvenile Court Diversion Program</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="53087090" href="https://independent.academia.edu/JamesDickerson2">James Dickerson</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Juvenile and Family Court Journal, 2012</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"How Collaborative the Collaboration? 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