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Published in: Administration and Policy in Mental Health and Mental Health Services Research 6/2009

01-11-2009 | Original Paper

Evaluating Project Connect: Improving Juvenile Probationers’ Mental Health and Substance Use Service Access

Authors: Gail A. Wasserman, Larkin S. McReynolds, Hana Musabegovic, Andria L. Whited, Joseph M. Keating, Yanling Huo

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 6/2009

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Abstract

Project Connect is a multilayered county-specific program aimed at linking juvenile probationers to needed mental health and substance use services. In four NY counties, the intervention included cooperative agreements between probation and mental health authorities, program materials to facilitate referral, in-service training for probation officers, and systematic screening for mental health needs. Charts for 583 Baseline youths were reviewed and compared with 594 youths undergoing intake under Project Connect. Compared to Baseline, under Project Connect, referred youths were 2.7 times as likely to access services, regardless of youth or county characteristics, service availability, or when the intervention took place.
Footnotes
1
Because probation activities (and re-offending) were ongoing throughout our evaluation, some youths came through intake during Baseline and continued their probation contact after training (n = 324). The portion of these youths’ service records that was reviewed through the week after training is considered in the Baseline dataset; because they would likely have been influenced by training, continuing probation contact and services occurring more than a week after training were excluded from analysis.
 
2
Service records for some youths (n = 32 of 594) who went through intake at the very end of the Baseline condition (less than a week before training) were fully considered in the post-training dataset, because almost all of their probation contact occurred in that period. The portion of service records for other youths who had been considered in the Baseline sample, but whose contact continued after initiation of Project Connect procedures, was not included in the post-training dataset, since most mental health linkage activities for those youths would either have already occurred, or would have begun during Baseline. Six youths reappeared on a new offense during one or other condition and 12 youths reappeared on a new offense before and after instituting Project Connect. Twenty-eight youths were seen by more than one PO for probation activities related to the same offense; we matched these youths’ data to whichever PO attended the training, or (if both or neither attended) the PO with the longest case responsibility.
 
Literature
go back to reference Brent, D. A., Perper, J. A., Kolko, D. J., & Zelenak, J. P. (1988). Risk factors for adolescent suicide: A comparison of adolescent suicide victims with suicidal inpatients. Archives of General Psychiatry, 45, 581–588.PubMed Brent, D. A., Perper, J. A., Kolko, D. J., & Zelenak, J. P. (1988). Risk factors for adolescent suicide: A comparison of adolescent suicide victims with suicidal inpatients. Archives of General Psychiatry, 45, 581–588.PubMed
go back to reference Brent, D. A., Perper, J. A., Moritz, G., Allman, C., Friend, A., Roth, C., et al. (1993). Psychiatric risk factors for adolescent suicide: A case-control study. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 521–529.PubMedCrossRef Brent, D. A., Perper, J. A., Moritz, G., Allman, C., Friend, A., Roth, C., et al. (1993). Psychiatric risk factors for adolescent suicide: A case-control study. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 521–529.PubMedCrossRef
go back to reference Cuellar, A. E., McReynolds, L. S., & Wasserman, G. A. (2006). A cure for crime: Can mental health treatment diversion reduce crime among youth? Journal of Policy Analysis and Management, 25, 197–214.CrossRefPubMed Cuellar, A. E., McReynolds, L. S., & Wasserman, G. A. (2006). A cure for crime: Can mental health treatment diversion reduce crime among youth? Journal of Policy Analysis and Management, 25, 197–214.CrossRefPubMed
go back to reference Esposito, C. L., & Clum, G. A. (2002). Psychiatric symptoms and their relationship to suicidal ideation in a high-risk adolescent community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 44–51.CrossRefPubMed Esposito, C. L., & Clum, G. A. (2002). Psychiatric symptoms and their relationship to suicidal ideation in a high-risk adolescent community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 44–51.CrossRefPubMed
go back to reference Farmer, E. M. Z., Stangl, D. K., Burns, B. J., Costello, E. J., & Angold, A. (1999). Use, patterns, and intensity: Patterns of care for children’s mental health across one year. Community Mental Health Journal, 35, 31–46.CrossRefPubMed Farmer, E. M. Z., Stangl, D. K., Burns, B. J., Costello, E. J., & Angold, A. (1999). Use, patterns, and intensity: Patterns of care for children’s mental health across one year. Community Mental Health Journal, 35, 31–46.CrossRefPubMed
go back to reference Friman, P. C., Handwerk, M. L., Smith, G. L., Larzelere, R. E., Lucas, C. P., & Shaffer, D. M. (2000). External validity of conduct and oppositional defiant disorders determined by the NIMH Diagnostic Interview Schedule for Children. Journal of Abnormal Child Psychology, 28, 277–286.CrossRefPubMed Friman, P. C., Handwerk, M. L., Smith, G. L., Larzelere, R. E., Lucas, C. P., & Shaffer, D. M. (2000). External validity of conduct and oppositional defiant disorders determined by the NIMH Diagnostic Interview Schedule for Children. Journal of Abnormal Child Psychology, 28, 277–286.CrossRefPubMed
go back to reference Gray, D., Achilles, J., Keller, T., Tate, D., Haggard, L., Rolfs, R., et al. (2002). Utah youth suicide study, phase I: Government agency contact before death. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 427–434.CrossRefPubMed Gray, D., Achilles, J., Keller, T., Tate, D., Haggard, L., Rolfs, R., et al. (2002). Utah youth suicide study, phase I: Government agency contact before death. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 427–434.CrossRefPubMed
go back to reference Griffin, P., & Torbet, P. (2002). Desktop guide to good juvenile probation practice. Pittsburgh, PA: National Center for Juvenile Justice. Griffin, P., & Torbet, P. (2002). Desktop guide to good juvenile probation practice. Pittsburgh, PA: National Center for Juvenile Justice.
go back to reference Grisso, T., Vincent, G. M., & Seagrave, D. (2005). Mental health screening and assessment in juvenile justice. New York, NY: The Guilford Press. Grisso, T., Vincent, G. M., & Seagrave, D. (2005). Mental health screening and assessment in juvenile justice. New York, NY: The Guilford Press.
go back to reference Kempf-Leonard, K. (2007). Minority youths and juvenile justice: Disproportinate minority contact after nearly 20 years of reform efforts. Youth Violence and Juvenile Justice, 5, 71–87.CrossRef Kempf-Leonard, K. (2007). Minority youths and juvenile justice: Disproportinate minority contact after nearly 20 years of reform efforts. Youth Violence and Juvenile Justice, 5, 71–87.CrossRef
go back to reference Lau, A. S., Garland, A. F., Yeh, M., McCabe, M. M., Wood, P. A., & Hough, R. L. (2006). Race/ethnicity and inter-informant agreement in assessing adolescent psychopathology. Journal of Emotional and Behavioral Disorders, 12, 145–156.CrossRef Lau, A. S., Garland, A. F., Yeh, M., McCabe, M. M., Wood, P. A., & Hough, R. L. (2006). Race/ethnicity and inter-informant agreement in assessing adolescent psychopathology. Journal of Emotional and Behavioral Disorders, 12, 145–156.CrossRef
go back to reference Lucas, C. P. (2003). The use of structured diagnostic interviews in clinical child psychiatric practice. In M. B. First (Ed.), Review of psychiatry (Vol. 22, pp. 75–102). Washington, DC: American Psychiatric Publishing, Inc. Lucas, C. P. (2003). The use of structured diagnostic interviews in clinical child psychiatric practice. In M. B. First (Ed.), Review of psychiatry (Vol. 22, pp. 75–102). Washington, DC: American Psychiatric Publishing, Inc.
go back to reference McCarthy, J. F., Blow, F. C., Valenstein, M., Fischer, E. P., Owen, R. R., Barry, K. L., et al. (2007). Veterans affairs health system and mental health treatment retention among patients with serious mental illness: evaluating accessibility and availability barriers. Health Services Research, 43, 1042–1060.CrossRef McCarthy, J. F., Blow, F. C., Valenstein, M., Fischer, E. P., Owen, R. R., Barry, K. L., et al. (2007). Veterans affairs health system and mental health treatment retention among patients with serious mental illness: evaluating accessibility and availability barriers. Health Services Research, 43, 1042–1060.CrossRef
go back to reference McReynolds, L. S., Wasserman, G. A., DeComo, R. E., John, R., Keating, J. M., & Nolen, S. (2008). Psychiatric disorder in a juvenile assessment center. Crime and Delinquency, 54, 313–334.CrossRef McReynolds, L. S., Wasserman, G. A., DeComo, R. E., John, R., Keating, J. M., & Nolen, S. (2008). Psychiatric disorder in a juvenile assessment center. Crime and Delinquency, 54, 313–334.CrossRef
go back to reference Morrissey, J. P., Cuddeback, G. S., Cuellar, A. E., & Steadman, H. J. (2007). The role of Medicaid enrollment and outpatient service use in jail recidivism among persons with severe mental illness. Psychiatric Services, 58, 794–801.CrossRefPubMed Morrissey, J. P., Cuddeback, G. S., Cuellar, A. E., & Steadman, H. J. (2007). The role of Medicaid enrollment and outpatient service use in jail recidivism among persons with severe mental illness. Psychiatric Services, 58, 794–801.CrossRefPubMed
go back to reference Morrissey, J. P., Dalton, K. M., Steadman, H. J., Cuddeback, G. S., Haynes, D., & Cuellar, A. E. (2006). Assessing gaps between policy and practice in Medicaid disenrollment of jail detainees with severe mental illness. Psychiatric Services, 57, 803–808.CrossRefPubMed Morrissey, J. P., Dalton, K. M., Steadman, H. J., Cuddeback, G. S., Haynes, D., & Cuellar, A. E. (2006). Assessing gaps between policy and practice in Medicaid disenrollment of jail detainees with severe mental illness. Psychiatric Services, 57, 803–808.CrossRefPubMed
go back to reference National Council on Crime and Delinquency. (2007). And justice for some: Differential treatment of youth of color in the justice system. Oakland, CA: National Council on Crime and Delinquency. National Council on Crime and Delinquency. (2007). And justice for some: Differential treatment of youth of color in the justice system. Oakland, CA: National Council on Crime and Delinquency.
go back to reference Pumariega, A. J., Atkins, D. L., Rogers, K., Montgomery, L., Nybro, C., Caesar, R., et al. (1999). Mental health and incarcerated youth. II: Service utilization. Journal of Child and Family Studies, 8, 205–215.CrossRef Pumariega, A. J., Atkins, D. L., Rogers, K., Montgomery, L., Nybro, C., Caesar, R., et al. (1999). Mental health and incarcerated youth. II: Service utilization. Journal of Child and Family Studies, 8, 205–215.CrossRef
go back to reference Roberts, R. E., Alegria, M., Roberts, C. R., & Chen, I. G. (2005). Mental health problems of adolescents as reported by their caregivers: A comparison of European, African, and Latino Americans. Journal of Behavioral Health Services and Research, 32, 1–13.CrossRefPubMed Roberts, R. E., Alegria, M., Roberts, C. R., & Chen, I. G. (2005). Mental health problems of adolescents as reported by their caregivers: A comparison of European, African, and Latino Americans. Journal of Behavioral Health Services and Research, 32, 1–13.CrossRefPubMed
go back to reference Rogers, K. M., Zima, B. T., Powell, E., & Pumariega, A. J. (2001). Who is referred to mental health services in the juvenile justice system? Journal of Child and Family Studies, 10, 485–494.CrossRef Rogers, K. M., Zima, B. T., Powell, E., & Pumariega, A. J. (2001). Who is referred to mental health services in the juvenile justice system? Journal of Child and Family Studies, 10, 485–494.CrossRef
go back to reference Sareen, J., Jagdeo, A., Cox, B. J., Clara, I., ten Have, M., Belik, S., et al. (2007). Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands. Psychiatric Services, 58, 357–364.CrossRefPubMed Sareen, J., Jagdeo, A., Cox, B. J., Clara, I., ten Have, M., Belik, S., et al. (2007). Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands. Psychiatric Services, 58, 357–364.CrossRefPubMed
go back to reference Shaffer, D. M., Fisher, P. W., Dulcan, M. K., Davies, M., Piacentini, J. C., Schwab-Stone, M. E., et al. (1996). The NIMH Diagnostic Interview Schedule for Children (DISC-2.3): Description, acceptability, prevalence and performance in the MECA study. Journal of the American Academy of Child and Adolescent Psychiatry, 35(86), 5–877. Shaffer, D. M., Fisher, P. W., Dulcan, M. K., Davies, M., Piacentini, J. C., Schwab-Stone, M. E., et al. (1996). The NIMH Diagnostic Interview Schedule for Children (DISC-2.3): Description, acceptability, prevalence and performance in the MECA study. Journal of the American Academy of Child and Adolescent Psychiatry, 35(86), 5–877.
go back to reference Shaffer, D. M., Fisher, P. W., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.CrossRefPubMed Shaffer, D. M., Fisher, P. W., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.CrossRefPubMed
go back to reference Skowyra, K. R., & Cocozza, J. J. (2006). Blueprint for change: A comprehensive model for the identification and treatment of youth with mental health needs in contact with juvenile justice system. Washington, DC: Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention. Skowyra, K. R., & Cocozza, J. J. (2006). Blueprint for change: A comprehensive model for the identification and treatment of youth with mental health needs in contact with juvenile justice system. Washington, DC: Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention.
go back to reference Snyder, H. N., & Sickmund, M. (2006). Juvenile offenders and victims: 2006 National report. Washington, DC: Office of Justice Programs. Snyder, H. N., & Sickmund, M. (2006). Juvenile offenders and victims: 2006 National report. Washington, DC: Office of Justice Programs.
go back to reference SPSS. (2007). SPSS 15.0 for Windows. Chicago, Illinois: SPSS, Inc. SPSS. (2007). SPSS 15.0 for Windows. Chicago, Illinois: SPSS, Inc.
go back to reference Teplin, L. A., Abram, K. M., McClelland, G. M., & Dulcan, M. K. (2002). Psychiatric disorders in youth in juvenile detention. Archives of General Psychiatry, 59, 1133–1143.CrossRefPubMed Teplin, L. A., Abram, K. M., McClelland, G. M., & Dulcan, M. K. (2002). Psychiatric disorders in youth in juvenile detention. Archives of General Psychiatry, 59, 1133–1143.CrossRefPubMed
go back to reference US Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. US Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.
go back to reference US Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity. Rockville, MD: US Department of Health and Human Services. US Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity. Rockville, MD: US Department of Health and Human Services.
go back to reference US Department of Health and Human Services. (2003). New freedom commission on mental health: Achieving the promise (Rep. No. SMA-03-3832). Rockville, MD: US Department of Health and Human Services. US Department of Health and Human Services. (2003). New freedom commission on mental health: Achieving the promise (Rep. No. SMA-03-3832). Rockville, MD: US Department of Health and Human Services.
go back to reference Vilhauer, J., Wasserman, G. A., McReynolds, L. S., & Wahl, R. (2004). Probation officers’ mental health knowledge and practices. Perspectives, 28, 28–32. Vilhauer, J., Wasserman, G. A., McReynolds, L. S., & Wahl, R. (2004). Probation officers’ mental health knowledge and practices. Perspectives, 28, 28–32.
go back to reference Wasserman, G. A., Jensen, P. J., Ko, S. J., Trupin, E. W., & Cocozza, J. J. (2003). Mental health assessments in juvenile justice settings: Report of the consensus conference. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 752–761.CrossRefPubMed Wasserman, G. A., Jensen, P. J., Ko, S. J., Trupin, E. W., & Cocozza, J. J. (2003). Mental health assessments in juvenile justice settings: Report of the consensus conference. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 752–761.CrossRefPubMed
go back to reference Wasserman, G. A., & McReynolds, L. S. (2006). Suicide risk at juvenile probation intake. Suicide and Life Threatening Behavior, 36, 239–249.CrossRefPubMed Wasserman, G. A., & McReynolds, L. S. (2006). Suicide risk at juvenile probation intake. Suicide and Life Threatening Behavior, 36, 239–249.CrossRefPubMed
go back to reference Wasserman, G. A., McReynolds, L. S., Ko, S. J., Katz, L. M., & Carpenter, J. (2005). Gender differences in psychiatric disorders at juvenile probation intake. American Journal of Public Health, 95, 131–137.CrossRefPubMed Wasserman, G. A., McReynolds, L. S., Ko, S. J., Katz, L. M., & Carpenter, J. (2005). Gender differences in psychiatric disorders at juvenile probation intake. American Journal of Public Health, 95, 131–137.CrossRefPubMed
go back to reference Wasserman, G. A., McReynolds, L. S., Lucas, C. P., Fisher, P. W., & Santos, L. (2002). The Voice DISC-IV with incarcerated male youth: Prevalence of disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 314–321.CrossRefPubMed Wasserman, G. A., McReynolds, L. S., Lucas, C. P., Fisher, P. W., & Santos, L. (2002). The Voice DISC-IV with incarcerated male youth: Prevalence of disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 314–321.CrossRefPubMed
go back to reference Wasserman, G. A., McReynolds, L. S., Whited, A. L., Musabegovic, H., Huo, Y., & Keating, J. M. (2008). Juvenile probation officers’ mental health decision making. Administration and Policy in Mental Health and Mental Health Services Research, 35, 410–422.CrossRefPubMed Wasserman, G. A., McReynolds, L. S., Whited, A. L., Musabegovic, H., Huo, Y., & Keating, J. M. (2008). Juvenile probation officers’ mental health decision making. Administration and Policy in Mental Health and Mental Health Services Research, 35, 410–422.CrossRefPubMed
Metadata
Title
Evaluating Project Connect: Improving Juvenile Probationers’ Mental Health and Substance Use Service Access
Authors
Gail A. Wasserman
Larkin S. McReynolds
Hana Musabegovic
Andria L. Whited
Joseph M. Keating
Yanling Huo
Publication date
01-11-2009
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 6/2009
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-009-0229-8

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