People with opioid dependence and HIV are concentrated within criminal justice settings (CJS).
Medication-assisted treatment (MAT) is effective for alcohol and opioid use disorders but it is stigmatized and underutilized in criminal justice settings.
The Justice Steps (JSTEPS) study uses a longitudinal, mixed-method design to examine the implementation of a CM-based protocol in five justice settings.
These findings have implications for advancing the dissemination, adoption, and implementation of evidence-based treatments (and CM in particular) in criminal justice settings.
This article presents qualitative data collected during Phase 1 of the JSTEPS project regarding the acceptability and feasibility of CM in these justice settings.
However, this figure excludes children in private foster care arrangements and some of those in secure youth justice settings, detention and boarding schools.
In this regard, Dr. McReynolds is a national expert regarding the use and analysis of the Voice Diagnostic Interview Schedule for Children (V-DISC) in juvenile justice settings.
Research has documented that rates of mental health disorders are as high as 65% among youth in juvenile justice settings, compared to 21% in the general youth population.
After retrieving over 250 reports, 15 reports met inclusion criteria and provided 134 effect sizes (92 unadjusted and 42 adjusted) based on 20 separate samples in a variety of settings, including school, community, and juvenile justice settings.
The goal is to promote uptake of evidence-based treatments in criminal justice settings by conducting a randomized effectiveness study that collects implementation data, including a full cost-effectiveness analysis.
There are a large number of structured instruments that assist in the assessment of antisocial, violent and sexual risk, and their use appears to be increasing in mental health and criminal justice settings.
