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1.
Psychiatr Rehabil J ; 41(4): 266-276, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30507241

RESUMEN

OBJECTIVE: The purpose of this study was to determine whether vocational supports for emerging adults with serious mental health conditions who are at high risk for rearrest are more effectively served within Multisystemic Therapy for Emerging Adults (MST-EA) through vocationally enhanced MST-EA Coaches or through referral to state vocational rehabilitation services. METHOD: A pilot randomized controlled trial examined two MST-EA Coaching approaches. In the Standard Coach + VR condition (n = 16), MST-EA Coaches delivered standard skills curricula to participants and referred them to state vocational rehabilitation (VR) services for vocational supports. In the Vocational Coach (VC) condition (n = 16), MST-EA Coaches delivered the standard skills curricula enhanced with extensive education/employment components. Analyses included pre- to posttreatment comparisons of vocational outcomes, and between groups comparisons of fidelity, satisfaction, and services utilization. RESULTS: Those in the VC condition had a 12-fold increase in the odds of posttreatment vocational activity compared with those in the Standard Coach + VR condition (92.9 vs. 57.1% employed or in school, respectively). Subgroup analyses of those who engaged in Coaching showed that there was specifically an increase in the odds of posttreatment educational engagement among those in the VC condition compared with those in Standard Coach + VR. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Based on the strength of the findings in this small pilot study the VC should be included in future clinical trials of MST-EA to maximize treatment impact for supporting emerging adult vocational functioning and thus reducing antisocial behavior. (PsycINFO Database Record (c) 2018 APA, all rights reserved).


Asunto(s)
Curriculum , Delincuencia Juvenil/rehabilitación , Evaluación de Resultado en la Atención de Salud , Rehabilitación Vocacional/métodos , Educación Vocacional/métodos , Adolescente , Adulto , Femenino , Humanos , Masculino , Proyectos Piloto , Adulto Joven
2.
Psychol Assess ; 29(6): 664-678, 2017 06.
Artículo en Inglés | MEDLINE | ID: mdl-28594210

RESUMEN

Risk assessment instruments are widely used by juvenile probation officers (JPOs) to make case management decisions; however, few studies have investigated whether these instruments maintain their predictive validity when completed by JPOs in the field. Moreover, the validity of these instruments for use with minority groups has been called into question. This field study examined the predictive validity of both the Structured Assessment of Violence Risk in Youth (SAVRY; n = 383) and the Youth Level of Service/Case Management Inventory (YLS/CMI; n = 359) for reoffending when completed by JPOs. The study also compared Black and White youth to examine the presence of test bias. The SAVRY and YLS/CMI significantly predicted reoffending at the test level, with most of the variance in reoffending accounted for by dynamic risk scales not static scales. The instruments did not differentially predict reoffending as a function of race but Black youth scored higher than White youth on the YLS/CMI scale related to official juvenile history. The implications for use of risk assessments in the field are discussed. (PsycINFO Database Record


Asunto(s)
Población Negra/estadística & datos numéricos , Manejo de Caso , Delincuencia Juvenil/estadística & datos numéricos , Psicometría/instrumentación , Racismo/estadística & datos numéricos , Reincidencia/estadística & datos numéricos , Medición de Riesgo/métodos , Población Blanca/estadística & datos numéricos , Adolescente , Manejo de Caso/normas , Femenino , Humanos , Masculino , Medición de Riesgo/normas
3.
Law Hum Behav ; 40(6): 683-696, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-27797547

RESUMEN

There is a strong movement toward juvenile justice agencies' use of risk assessment and risk-need-responsivity approaches to improve case management decisions for young offenders. However, little is known about whether adoption of risk assessment actually effectuates any changes in the way young offenders are handled. This was a multisite study of the impact on case processing of implementation of the Structured Assessment of Violence Risk in Youth (SAVRY) or Youth Level of Service/Case Management Inventory in 6 juvenile probation offices using a prepost design and 1,694 propensity score-matched young offenders. Consistent with the risk principle, there were significant changes to at least some areas of case processing in all but 1 site, most notably with respect to decreases in the amount of supervision youth received and in rates of out-of-home placement. The nature and extent of the impact varied as a function of sites' characteristics and implementation quality, not as a function of the risk assessment used. No increases in recidivism were observed in any site, and there was a significant reduction in recidivism in 1 site. The key benefits of implementation of valid risk assessment and case management procedures were improved resource allocation and fewer instances of inappropriate interference in youths' lives without an apparent increased risk to public safety. (PsycINFO Database Record


Asunto(s)
Delincuencia Juvenil , Medición de Riesgo , Adolescente , Manejo de Caso , Derecho Penal , Humanos
4.
Behav Sci Law ; 30(4): 487-505, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22740174

RESUMEN

Juvenile probation officers (JPOs) are required to make numerous decisions about the case management of young offenders on a daily basis. This multi-site study examined JPOs' (N=64) perceptions of the typical youth's risk of reoffending before implementation of a risk/needs assessment (RNA) tool, and their self-reported, case management decision-making after implementation of an RNA tool. Results indicated that JPOs tended to overestimate the likely base rates of reoffending while RNA tool estimates were more accurate. Further, most JPOs appeared to be making service referral and placement decisions commensurate with youths' risk levels, regardless of whether they claimed to use the RNA tool in their decisions. Variability in application of risk to case management practices was more a function of the probation office than of the specific JPO. Implications for use of risk assessment in juvenile probation are discussed.


Asunto(s)
Manejo de Caso , Conocimientos, Actitudes y Práctica en Salud , Delincuencia Juvenil/prevención & control , Policia , Adolescente , Adulto , Niño , Femenino , Humanos , Aplicación de la Ley , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Medición de Riesgo , Factores de Riesgo , Encuestas y Cuestionarios
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