Bridging Systems to Implement HIV/STI Programming Within the Juvenile Justice System: Strengths and Challenges of a Local Change Team Approach

2020 ◽  
Vol 32 (5) ◽  
pp. 432-453
Author(s):  
Sofia Huang ◽  
Sheena Gardner ◽  
Kaitlin N. Piper ◽  
Ashley S. Coleman ◽  
Jennifer E. Becan ◽  
...  

Justice-involved youth are at risk for HIV/STIs but do not access services. The complex challenges of improving the delivery of health-related services within juvenile justice (JJ) settings warrant exploration of strategies to close this service gap. This study describes the successes and challenges of utilizing a local change team (LCT) strategy comprising JJ and health agency staff to implement HIV/STI programming in JJ settings, across six counties in six states in the U.S. Five focus groups comprising n = 28 JJ and health agency staff who served as LCT members were conducted. Results demonstrated the structured nature of the collaborative process and strength of commitment among LCT members were necessary for successful implementation of HIV/STI programming. The use of LCTs comprising membership of JJ and (behavioral) health systems has broader applicability to other health and behavioral health issues faced by youth on probation that JJ staff may feel ill equipped to address.

2019 ◽  
pp. 163-182
Author(s):  
Richard Dembo ◽  
Jessica Faber ◽  
Jennifer Cristiano ◽  
Ralph J. DiClemente ◽  
Asha Terminello

2021 ◽  
Author(s):  
Sarah Ashley Helseth ◽  
John Guigayoma ◽  
Dayna Price ◽  
Anthony Spirito ◽  
Melissa A Clark ◽  
...  

BACKGROUND Adolescents involved in the juvenile justice system who use cannabis are at an increased risk for future substance use disorders and rearrest. Many court-involved, non-incarcerated (CINI) youth are referred for services in the community and often encounter multiple barriers to care, highlighting a need for minimally burdensome services that can be delivered in justice settings. Digital health interventions are accessible, easy to implement, and can provide ongoing support, but have not been developed to address the unique needs of CINI youth who use cannabis. OBJECTIVE This multiphase study will develop, implement, and pilot test a novel smartphone app, Teen Empowerment through Computerized Health (TECH), to reduce cannabis and other substance use among CINI youth. TECH is conceptualized as a digital adjunct to a brief computerized intervention delivered by our family court partner. METHODS Following the principles of user-centered design, Phase I interviews with CINI youth ages 14-18 (n = 14-18), their caregivers (n = 6-8), and behavioral health app developers (n = 6-8) will guide TECH design decisions. Next, in Phase II CINI youth (n = 10) will beta test the TECH app prototype for 1 month; their feedback regarding feasibility and acceptability will directly inform the app refinement process. Finally, in Phase III CINI youth (n = 60) will participate in a pilot randomized control trial for 6 months comparing the preliminary effectiveness of the adjunctive TECH app on cannabis use outcomes. RESULTS Phase I data collection began in September 2020 and was completed in December 2021; 14 CINI youth, 8 caregivers, and 11 behavioral health app developers participated. Phases II and III will take place in 2022-2023 and 2023-2025, respectively. CONCLUSIONS This body of work will provide insight into the feasibility and acceptability of a smartphone-based adjunctive intervention designed for CINI youth. Phase III results will offer preliminary indication of the effectiveness of the TECH app in reducing cannabis use among CINI youth. CLINICALTRIAL We completed Phase I of this 3-phase research study in December 2021. The pilot RCT (Phase III of the research) is scheduled to launch in Summer 2023 and will be submitted for registration the clinicaltrials.gov website within 21 days of enrolling the first Phase III participant.


2016 ◽  
Vol 17 (1) ◽  
pp. 119-147 ◽  
Author(s):  
Sharyn Graham Davies ◽  
Jazz Robson

Two significant events occurred in Indonesia in 2014 in relation to children in conflict with the law. First, Indonesia’s Law No. 11/2012 on the Juvenile Criminal Justice System came into effect on 30 July, with the first minors being tried on 12 August 2014. Second, the United Nations Committee on the Rights of the Child (uncrc) presented its concluding observations to Indonesia’s periodic report. It is timely to reflect on the progress Indonesia is making in respect to children in conflict with the law. In providing the first systematic analysis of Indonesia’s juvenile justice system, we trace the history of juvenile justice in Indonesia, outlining both international and national conventions and laws applicable to Indonesia. We assess judicial and pragmatic progress and highlight areas of continuing concern regarding children in conflict with the law in Indonesia. We conclude that despite Indonesia becoming an early signatory to the un Convention on the Rights of the Child (uncrc) and the nation’s subsequent ratification of child-friendly judicial policies, Indonesia has failed to follow through on its various commitments. This failure demonstrates not only the difficulties of effecting change in a super-diverse country with systemic corruption and poverty, but suggests a concern in Indonesia for presenting a positive public image above substantively improving the lives of children in conflict with the law. We argue that while Indonesia’s law changes are positive, adequate resources must be allocated to ensure successful implementation. We conclude by suggesting that indigenous restorative justice practices can be utilised to strengthen Indonesia’s juvenile justice system.


Sign in / Sign up

Export Citation Format

Share Document