Evidence map›Paper›PMID 33765861›Full record

ArticlePsychiatric services (Washington, D.C.)2021

The Missing Link(age): Multilevel Contributors to Service Uptake Failure Among Youths on Community Justice Supervision.

Gail A Wasserman, Larkin S McReynolds, Faye S Taxman, Steven Belenko, Katherine S Elkington, Angela A Robertson, Michael L Dennis, Danica K Knight, Hannah K Knudsen, Richard Dembo and 2 more

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Trial
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  8. Exploring the Impact of Juvenile Probation Officer's Individual and Organizational Characteristics on e-Connect Performance.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Gail A WassermanDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Larkin S McReynoldsDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Faye S TaxmanDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Steven BelenkoDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Katherine S ElkingtonDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Angela A RobertsonDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Michael L DennisDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Danica K KnightDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Hannah K KnudsenDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Richard DemboDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Adam CiarleglioDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).
Tisha R A WileyDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York City (Wasserman, McReynolds, Elkington); Schar School of Policy and Government, George Mason University, Fairfax, Virginia (Taxman); Department of Criminal Justice, Temple University, Philadelphia, (Belenko); Social Science Research Center, Mississippi State University, Starkville (Robertson); Lighthouse Institute, Chestnut Health Systems, Normal, Illinois (Dennis); Department of Psychology, Texas Christian University, Fort Worth (Knight); Department of Behavioral Science, University of Kentucky, Lexington (Knudsen); Department of Criminology, University of South Florida, Tampa (Dembo); Department of Biostatistics and Bioinformatics, George Washington University, Washington, D.C. (Ciarleglio); National Institute on Drug Abuse, Bethesda, Maryland (Wiley).

Funding

TRIALS Coordinating Center to Reduce Substance Use, HIV Risk Behaviors, & CrimeU01DA036221 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI DENNIS, MICHAEL L., SCOTT, CHRISTY K · 2013 to 2019
$5.6M
Translational research to increase service access for NYS juvenile probationersU01DA036226 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WASSERMAN, GAIL A · 2013 to 2017
$3.8M
Temple University Center for Adolescent Implementation ResearchU01DA036225 · NIDA · TEMPLE UNIV OF THE COMMONWEALTH · PI BELENKO, STEVEN R · 2013 to 2017
$3.6M
KIIDS: Knowing about intervention implementation in Detention SitesU01DA036233 · NIDA · EMORY UNIVERSITY · PI DICLEMENTE, RALPH J, SALES, JESSICA A · 2013 to 2017
$3.5M
Kentucky TRIALS Research CenterU01DA036158 · NIDA · UNIVERSITY OF KENTUCKY · PI LEUKEFELD, CARL G · 2013 to 2017
$3.4M
Texas Research Initiative for Adolescents in the Legal System (TRIALS)U01DA036224 · NIDA · TEXAS CHRISTIAN UNIVERSITY · PI KNIGHT, DANICA K · 2013 to 2017
$3.2M
Recidivism of Justice-Involved Youth in Mississippi County Juvenile Courts Participating in JJ-TRIALSU01DA036176 · NIDA · MISSISSIPPI STATE UNIVERSITY · PI ROBERTSON, ANGELA A · 2013 to 2017
$2.5M
NIDA NIH HHS U01 DA036158NIDA NIH HHS U01 DA036176NIDA NIH HHS U01 DA036221NIDA NIH HHS U01 DA036224NIDA NIH HHS U01 DA036225NIDA NIH HHS U01 DA036226NIDA NIH HHS U01 DA036233
6 · The paper itself

Abstract

objectivesYouths in the juvenile justice system often do not access needed behavioral health services. The behavioral health services cascade model was used to examine rates of substance use screening, identification of substance use treatment needs, and referral to and initiation of treatment among youths undergoing juvenile justice system intake and to identify when treatment access is most challenged. Characteristics associated with identification of behavioral health needs and linkage to community services were also examined.

methodsData were drawn from administrative records of 33 community justice agencies in seven states participating in Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System, funded by the National Institute on Drug Abuse (N=8,307 youths). Contributions of youth, staff, agency, and county characteristics to identification of behavioral health needs and linkage to community services were examined.

resultsMore than 70% (5,942 of 8,307) of youths were screened for substance use problems, and more than half needed treatment. Among those in need, only about one-fifth were referred to treatment, and among those referred, 67.5% initiated treatment. Overall, <10% of youths with identified needs initiated services. Multivariable multilevel regression analyses revealed several contributors to service-related outcomes, with youths' level of supervision being among the strongest predictors of treatment referral.

conclusionsCommunity justice agencies appear to follow an approach that focuses identification and linkage practices on concerns other than youths' behavioral health needs, although such needs contribute to reoffending. Local agencies should coordinate efforts to support interagency communication in the referral and cross-system linkage process.

Indexed as

Juvenile DelinquencySubstance-Related DisordersAdolescentDelivery of Health CareHumansMass ScreeningReferral and ConsultationAdolescentsBehavioral healthJuvenile justiceScreeningSubstance useTreatment referral

Identifiers

PMID33765861
PMCPMC8288447

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.