Preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)

Abstract Background Juvenile justice (JJ) youth are at high risk of opioid and other substance use (SU), dysfunctional family/social relationships, and complex trauma. The purpose of the Leveraging Safe Adults (LeSA) Project is to examine the effectiveness of Trust-Based Relational Intervention® (TB...

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Autores principales:	Danica Kalling Knight, Yang Yang, Elizabeth D. Joseph, Elaine Tinius, Shatoya Young, Lillyan T. Shelley, David R. Cross, Kevin Knight
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Trust-based relational intervention Prevention intervention for opioid use Hybrid type I design Trauma-informed care Justice-involved youth Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/bd0eb044e1184fb3a8ad357bc1c6d764
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spelling	oai:doaj.org-article:bd0eb044e1184fb3a8ad357bc1c6d7642021-11-21T12:11:46ZPreventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)10.1186/s12889-021-12127-31471-2458https://doaj.org/article/bd0eb044e1184fb3a8ad357bc1c6d7642021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12127-3https://doaj.org/toc/1471-2458Abstract Background Juvenile justice (JJ) youth are at high risk of opioid and other substance use (SU), dysfunctional family/social relationships, and complex trauma. The purpose of the Leveraging Safe Adults (LeSA) Project is to examine the effectiveness of Trust-Based Relational Intervention® (TBRI®; leveraging family systems by providing emotional and instrumental guidance, support, and role modeling) in preventing opioid and other SU among youth after release from secure residential facilities. Methods An effectiveness-implementation Hybrid Type 1 design is used to test the effectiveness of TBRI for preventing non-medical use of opioids among JJ-youth (delayed-start at the site level; a randomized controlled trial at participant level) and to gain insight into facility-level barriers to TBRI implementation as part of JJ re-entry protocols. Recruitment includes two samples (effectiveness: 360 youth/caregiver dyads; implementation: 203 JJ staff) from nine sites in two states over 3 years. Participant eligibility includes 15 to 18-year-olds disposed to community supervision and receiving care in a secure JJ facility, without active suicide risk, and with one caregiver willing to participate. Effectiveness data come from (1) youth and caregiver self-report on background, SU, psychosocial functioning, and youth-caregiver relationships (Months 0, 3, 6, 12, and 18), youth monthly post-release check-ins, and caregiver report on youth psychological/behavioral symptoms, and (2) JJ facility records (e.g., recidivism, treatment utilization). Fidelity assessment includes post-session checklists and measures of TBRI strategy use. Collected four times over four years, implementation data include (1) JJ staff self-report on facility and staff characteristics, use of trauma-informed care and TBRI strategies, and (2) focus groups (line staff, leadership separately) on use of trauma-informed strategies, uptake of new interventions, and penetration, sustainment, and expansion of TBRI practices. Discussion The LeSA study is testing TBRI as a means to empower caregivers to help prevent opioid use and other SU among JJ-youth. TBRI’s multiple components offer an opportunity for caregivers to supplement and extend gains during residential care. If effective and implemented successfully, the LeSA protocol will help expand the application of TBRI with a wider audience and provide guidance for implementing multi-component interventions in complex systems spanning multiple contexts. Trial registration ClinicalTrials.gov NCT04678960 ; registered November 11, 2020; https://clinicaltrials.gov/ct2/show/NCT04678960 .Danica Kalling KnightYang YangElizabeth D. JosephElaine TiniusShatoya YoungLillyan T. ShelleyDavid R. CrossKevin KnightBMCarticleTrust-based relational interventionPrevention intervention for opioid useHybrid type I designTrauma-informed careJustice-involved youthPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Trust-based relational intervention Prevention intervention for opioid use Hybrid type I design Trauma-informed care Justice-involved youth Public aspects of medicine RA1-1270
spellingShingle	Trust-based relational intervention Prevention intervention for opioid use Hybrid type I design Trauma-informed care Justice-involved youth Public aspects of medicine RA1-1270 Danica Kalling Knight Yang Yang Elizabeth D. Joseph Elaine Tinius Shatoya Young Lillyan T. Shelley David R. Cross Kevin Knight Preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)
description	Abstract Background Juvenile justice (JJ) youth are at high risk of opioid and other substance use (SU), dysfunctional family/social relationships, and complex trauma. The purpose of the Leveraging Safe Adults (LeSA) Project is to examine the effectiveness of Trust-Based Relational Intervention® (TBRI®; leveraging family systems by providing emotional and instrumental guidance, support, and role modeling) in preventing opioid and other SU among youth after release from secure residential facilities. Methods An effectiveness-implementation Hybrid Type 1 design is used to test the effectiveness of TBRI for preventing non-medical use of opioids among JJ-youth (delayed-start at the site level; a randomized controlled trial at participant level) and to gain insight into facility-level barriers to TBRI implementation as part of JJ re-entry protocols. Recruitment includes two samples (effectiveness: 360 youth/caregiver dyads; implementation: 203 JJ staff) from nine sites in two states over 3 years. Participant eligibility includes 15 to 18-year-olds disposed to community supervision and receiving care in a secure JJ facility, without active suicide risk, and with one caregiver willing to participate. Effectiveness data come from (1) youth and caregiver self-report on background, SU, psychosocial functioning, and youth-caregiver relationships (Months 0, 3, 6, 12, and 18), youth monthly post-release check-ins, and caregiver report on youth psychological/behavioral symptoms, and (2) JJ facility records (e.g., recidivism, treatment utilization). Fidelity assessment includes post-session checklists and measures of TBRI strategy use. Collected four times over four years, implementation data include (1) JJ staff self-report on facility and staff characteristics, use of trauma-informed care and TBRI strategies, and (2) focus groups (line staff, leadership separately) on use of trauma-informed strategies, uptake of new interventions, and penetration, sustainment, and expansion of TBRI practices. Discussion The LeSA study is testing TBRI as a means to empower caregivers to help prevent opioid use and other SU among JJ-youth. TBRI’s multiple components offer an opportunity for caregivers to supplement and extend gains during residential care. If effective and implemented successfully, the LeSA protocol will help expand the application of TBRI with a wider audience and provide guidance for implementing multi-component interventions in complex systems spanning multiple contexts. Trial registration ClinicalTrials.gov NCT04678960 ; registered November 11, 2020; https://clinicaltrials.gov/ct2/show/NCT04678960 .
format	article
author	Danica Kalling Knight Yang Yang Elizabeth D. Joseph Elaine Tinius Shatoya Young Lillyan T. Shelley David R. Cross Kevin Knight
author_facet	Danica Kalling Knight Yang Yang Elizabeth D. Joseph Elaine Tinius Shatoya Young Lillyan T. Shelley David R. Cross Kevin Knight
author_sort	Danica Kalling Knight
title	Preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)
title_short	Preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)
title_full	Preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)
title_fullStr	Preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)
title_full_unstemmed	Preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)
title_sort	preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (lesa)
publisher	BMC
publishDate	2021
url	https://doaj.org/article/bd0eb044e1184fb3a8ad357bc1c6d764
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Preventing opioid use among justice-involved youth as they transition to adulthood: leveraging safe adults (LeSA)

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