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Date: November 22, 2024 Fri
Time: 11:31 am
Time: 11:31 am
Results for community-based treatment
4 results foundAuthor: Cunningham, Alison Title: One Step Forward: Lessons Learned from a Randomized Study of Multisystemic Therapy in Canada Summary: Five years ago, a committed and energetic group of people in four southern Ontario communities embarked upon a process that brought a promising intervention for serious young offenders to Canada. Multisystemic Therapy (MST) had attracted attention in the United States where two randomized studies showed dramatic success in reducing arrests and incarceration. Ontario’s Ministry of Community and Social Services supported the MST project because it promised to be a cost-efficient way of reducing youth crime. Reductions in offending would, in turn, reduce both losses to crime victims and costs associated with criminal justice processing. The National Crime Prevention Centre (NCPC) supported the evaluation to learn if MST could work in Canada as well as it had in the United States. The follow-up will end in 2004, and few research questions will be left unanswered. There are two parts to this document. The first is a background of the MST project including interim research results on 407 youth. The second is a discussion of “lessons learned” and the related recommendations for policy makers, funding bodies, and researchers. This discussion begins with a description of 10 different ways the wrong conclusion could have been made about the effectiveness of MST in Canada, had a less rigorous methodology been used. Various observations and recommendations flow from the lessons learned. The biggest lesson is clear: the time and effort spent on rigorous research pays off in information that informs the search for effective interventions. Conversely, research that falls short of accepted standards of scientific rigour – unfortunately the norm in Canada – could be justifying the status quo when better interventions should be sought. It might even be pushing practice in the wrong direction. We can look to the United States for examples of how randomized field studies are contributing to the crime prevention knowledge base. While “evidence-based practice” has become a common buzz word, there is little Canadian evidence that can reliably inform our choices of program models. This study suggests caution in assuming American results will replicate in Canada. Even in the United States, crime prevention is driven more by rhetoric than reality because current research results should really be viewed with no more than cautious optimism.[1] Some may be tempted to label this study a failure because we are not able to recommend the adoption of MST in Canada. Quite the opposite. We learn a great deal from finding out what does not work. MST is probably not the answer for this client group, but the current interventions did not fare well either. It would be a mistake to take these results as proof that existing practice is effective. This study puts us one step forward in the journey to find effective interventions for serious young offenders. It is a worth-while trip because the goal is community safety. Details: London, ONT: Centre for Chidlren and Families in the Justice System, London Family Court Clinic, 2002. 32p. Source: Internet Resource: Accessed August 23, 2011 at: http://www.lfcc.on.ca/One_Step_Forward.pdf Year: 2002 Country: Canada URL: http://www.lfcc.on.ca/One_Step_Forward.pdf Shelf Number: 122467 Keywords: Alternatives to IncarcerationCommunity-Based TreatmentCosts of Criminal JusticeJuvenile Offenders (Canada)Multisystemic Therapy |
Author: Skorek, Rebecca Title: Influence of court-ordered forensic evaluations on juvenile justice system-involved youth Summary: This evaluation measured implementation and impact of the Detention to Probation Continuum of Care (DPCC) program administered through a collaboration of River Valley Detention Center (RVDC) mental health staff, and Will and Kankakee county juvenile court judges and probation officers. In 2011, RVDC had 667 youth admissions between the ages of 10 and 17, with an estimated 50 percent released into the community under court supervision monitored by a probation officer. The DPCC program has three phases: 1. Institutional phase, in which youth receive mental health screening while in detention. The mental health screening is administered by RVDC mental health staff to identify factors among detained youth that may be leading to delinquency, ascertain if there are any mental health disorders present, and establish appropriate in-detention care, including prescription of psychotropic medications. A mental health screening can only be completed if RVDC mental health staff were able to meet with the detained youth prior to their release. 2. Structured phase, which is the completion of a court-ordered forensic evaluation by RVDC mental health staff. This evaluation is ordered by the juvenile court judge during a youth's detention hearing occurring within 40 hours of detention admission. The forensic evaluation is conducted for the purpose of developing a rehabilitative plan to guide sentencing conditions and supervision in the least restrictive manner. The mental health screen provides a foundation for the court-ordered forensic evaluation. 3. Reintegration phase, which begins when the judge receives the forensic evaluation report at the youth's adjudication hearing and ends at completion of the probation supervision. The forensic evaluation report includes a rehabilitative plan that describes appropriate community-based treatment services, such as counseling or psychiatric treatment, to be judicially imposed through conditions of probation. Completion of community-based care is monitored by a Will or Kankakee county probation officer. ICJIA researchers used two methods to conduct this evaluation. One method was interviews with stakeholders to gain a better understanding of DPCC program activities and the utility of court-ordered forensic evaluations. The second method was analysis of detention and probation data on a sample of 211 youth who were detained at RVDC between 2003 and 2009 and discharged from Will and Kankakee probation between 2007 and 2009. These data allowed ICJIA researchers to assess the extent to which these youth progressed through the DPCC program phases and to track their compliance with sentencing conditions, and subsequent detention admissions and arrests. Research questions to measure program implementation included: - Institutional phaseXTo what extent did those juvenile detainees who were ultimately eligible for probation-based mental health treatment receive a mental health screen? - Structured phaseXTo what extent did those juvenile detainees who were ultimately eligible for probation-based mental health treatment receive a court-ordered forensic evaluation (were DPCC program enrolled/participants)? - Reintegration phaseXTo what extent did conditions of probation regarding community-based treatment services reflect the rehabilitative plan developed through the court-ordered forensic evaluation? Research questions to measure program impact included: - To what extent did receiving a court-ordered forensic evaluation influence conditions of probation regarding community-based treatment services? - To what extent did those receiving a court-ordered forensic evaluation receive indicated treatment services and subsequently have higher rates of compliance with judicially imposed conditions of probation, and fewer detention admissions and arrests? - To what extent did moderate/high risk juvenile probationers with mental health needs receive a mental health screen and/or court-ordered forensic evaluation - To what extent did moderate/high risk juvenile probationers with mental health needs complete appropriate community-based treatment services? Details: Chicago: Criminal Justice Information Authority, 2014. 119p. Source: Internet Resource: Accessed March 26, 2015 at: http://www.icjia.state.il.us/public/pdf/ResearchReports/RVDCMHP_122014.pdf Year: 2014 Country: United States URL: http://www.icjia.state.il.us/public/pdf/ResearchReports/RVDCMHP_122014.pdf Shelf Number: 135073 Keywords: Alternatives to IncarcerationCommunity SupervisionCommunity-Based TreatmentJuvenile DetentionJuvenile Offenders (Illinois)Juvenile ProbationersMental Health Services |
Author: National Center for Mental Health and Juvenile Justice Title: Strengthening Our Future: Key Elements to Developing a Trauma-Informed Juvenile Justice Diversion Program for Youth with Behavioral Health Conditions Summary: Developed by the National Center for Mental Health and Juvenile Justice (NCMHJJ) and the Technical Assistance Collaborative, Inc. (TAC) as part of the 2014-15 Policy Academy-Action Network Initiative, this report: - presents the current understanding of child trauma in the context of juvenile justice - identifies 9 implementation domains essential to achieving a trauma-informed juvenile justice diversion approach, and - highlights case examples from each state involved in the initiative (Georgia, Indiana, Massachusetts, and Tennessee). Details: Delmar, NY: Policy Research Associates, Inc., National Center for Mental Health and Juvenile Justice, 2016. 61p. Source: Internet Resource: Accessed March 12, 2016 at: http://www.ncmhjj.com/wp-content/uploads/2016/01/traumadoc012216-reduced-003.pdf Year: 2016 Country: United States URL: http://www.ncmhjj.com/wp-content/uploads/2016/01/traumadoc012216-reduced-003.pdf Shelf Number: 138209 Keywords: Alternatives to IncarcerationCommunity-Based TreatmentJuvenile DiversionJuvenile OffendersMental Health Services |
Author: Davis, Robert C. Title: A synthesis of literature on the effectiveness of community orders Summary: This report presents the findings of a review of the literature on the effectiveness of community orders in reducing re-offending. The National Audit Office (NAO) has begun research on a range of measures used by the government to divert offenders from prison and into community-based treatment and interventions. The NAO commissioned RAND Europe to conduct this review to identify and synthesize international research about the effectiveness of community orders in reducing re-offending. In this report, we review research on ten of the common requirements contained in community orders. Through examining reviews, systematic reviews and meta-analyses we draw conclusions about the state of research in the areas of unpaid work, mental health treatment, education/skills training, drug treatment, anger management, alcohol treatment, programmes for perpetrators of domestic abuse, regular probation, intensive probation and cognitive/behavioural programming. We also assess the strength of the evidence on whether each of these requirements affects the likelihood of re-offending. We find that the quality of research on the effectiveness of community-based interventions for offenders is extremely variable. However, in two areas - cognitive/behavioural programming and drug treatment - rigorous research exists that points to a reduction in the odds of re-offending. In four other areas - programmes for domestic abuse perpetrators, unpaid work, education and basic skills training and intensive probation - existing studies have not suggested that the programmes have a positive effect on recidivism. Finally, in four areas - anger management, probation, and alcohol and mental health treatment - the question of impact on re-offending remains unsettled. This review highlights the need for more rigorous research - especially randomized trials - into the requirements that constitute community orders. This report will be of particular interest to the NAO and relevant government departments, such as the Ministry of Justice and National Probation Service. It is also relevant for policy makers as well as a wider audience concerned with the challenge of designing and implementing effective and efficient interventions to divert offenders from prison and into the community. Details: Santa Monica, CA: RAND Europe, 2008. 65p. Source: Internet Resource: Accessed June 14, 2019 at: https://www.rand.org/content/dam/rand/pubs/technical_reports/2008/RAND_TR518.pdf Year: 2008 Country: International URL: https://www.rand.org/content/dam/rand/pubs/technical_reports/2008/RAND_TR518.pdf Shelf Number: 113270 Keywords: Alternatives to IncarcerationCommunity OrdersCommunity-Based CorrectionsCommunity-Based TreatmentDiversion Programs |