ArticlePsychiatric services (Washington, D.C.)2021
The Missing Link(age): Multilevel Contributors to Service Uptake Failure Among Youths on Community Justice Supervision.
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.
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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.
The trial behind it
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Who cites it
28 citing papers in PubMed.
- Learning Health Systems and Substance Use Care Cascade Achievement Among Justice-Involved Youth: A Cluster-Randomized Stepped-Wedge Clinical Trial.JAMA network open · 2026Trial
- Addressing unmet need for substance use disorder treatment among youth in the legal system (YLS): Costs of structured implementation interventions with juvenile justice agencies in seven states.Journal of substance use and addiction treatment · 2025Trial
- The comparative effectiveness of Core versus Core+Enhanced implementation strategies in a randomized controlled trial to improve substance use treatment receipt among justice-involved youth.BMC health services research · 2022Trial
- Using structured implementation interventions to improve referral to substance use treatment among justice-involved youth: Findings from a multisite cluster randomized trial.Journal of substance abuse treatment · 2022Trial
- Profiles of behavioral health service utilization among youth involved in the juvenile legal system.Health & justice · 2026Article
- Predictive Validity of the e-Connect Suicide Risk Classification Algorithm in Youth on Probation.JAACAP open · 2025Article
- User-centered Design of an Adjunct Smartphone App to Reduce Cannabis Use among Youth Diverted from the Juvenile Legal System.Research on child and adolescent psychopathology · 2025Article
- 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 · 2025Article
- Advancing antiracist research: addressing health inequities among juvenile legal system-impacted youth using Public Health Critical Race Praxis.Health & justice · 2025Article
- Site engagement in implementation research: Introducing SEAMLIS as a conceptual and measurement framework.Health & justice · 2025Article
- Breaking the cycle: connecting youth under community supervision to effective behavioral health services.Health & justice · 2025Review
- A Non-coercive Prevention Cascade Using a Cash-Plus Model for Legally Involved Youth: a Multi-method Study of Feasibility, Acceptability, and Engagement Outcomes.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Cascade of care for substance use and mental health disorders for justice-involved populations.Journal of substance use and addiction treatment · 2024Article
- The nexus between gender, parental supervision, and opioid misuse among justice-involved adolescents.Journal of community psychology · 2024Article
- Tailoring opioid use prevention content for juvenile diversion programs with adolescents and their caregivers.Journal of substance use and addiction treatment · 2024Article
- Contextual determinants of family-driven care implementation in juvenile justice settings.Health & justice · 2024Article
- Juvenile probation staff perceptions of engaging families in substance use services.Family relations · 2024Article
- Who gets screened and who tests positive? Drug screening among justice-involved youth in a midwestern urban county.Health & justice · 2024Article
- A mixed methods evaluation of family-driven care implementation in juvenile justice agencies in Georgia.Health & justice · 2024Article
- Evaluating e-Connect: Mitigating Race by Gender Disparities in Behavioral Health Referral Among Youths on Probation, Northeast United States, 2019.American journal of public health · 2023Article
Corrections and comments
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Authors and funding
12 authors.
Funding
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.
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