Risk-Need-Responsivity Meets Mental Health: Implementation Challenges in Probation Case Planning

This study examined the feasibility of and fidelity to risk/needs assessment, mental health screening, and risk-need-responsivity (RNR)-based case planning within juvenile probation in two states. The researcher-guided implementation effort included the Massachusetts Youth Screening Instrument-2 (MA...

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Published inCriminal justice and behavior Vol. 48; no. 9; pp. 1187 - 1207
Main Authors Vincent, Gina M., Perrault, Rachael T., Drawbridge, Dara C., Landry, Gretchen O., Grisso, Thomas
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.09.2021
SAGE PUBLICATIONS, INC
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Abstract This study examined the feasibility of and fidelity to risk/needs assessment, mental health screening, and risk-need-responsivity (RNR)-based case planning within juvenile probation in two states. The researcher-guided implementation effort included the Massachusetts Youth Screening Instrument-2 (MAYSI-2), Structured Assessment of Violence Risk in Youth (SAVRY), and policies to prioritize criminogenic needs while using mental health services only when warranted. Data from 53 probation officers (POs) and 553 youths indicated three of five offices had high fidelity to administration and case planning policies. The interrater reliability (n = 85; intraclass correlation coefficient [ICC][A, 1] = .92 [Northern state] and .80 [Southern state]) and predictive validity (n = 455; Exp[B] = 1.83) of SAVRY risk ratings were significant. There was an overreliance on mental health services; 48% of youth received these referrals when only 20% screened as having mental health needs. Barriers to fidelity to RNR practices in some offices included assessments not being conducted before disposition, lack of service availability, and limited buy-in from a few stakeholders.
AbstractList This study examined the feasibility of and fidelity to risk/needs assessment, mental health screening, and risk-need-responsivity (RNR)-based case planning within juvenile probation in two states. The researcher-guided implementation effort included the Massachusetts Youth Screening Instrument-2 (MAYSI-2), Structured Assessment of Violence Risk in Youth (SAVRY), and policies to prioritize criminogenic needs while using mental health services only when warranted. Data from 53 probation officers (POs) and 553 youths indicated three of five offices had high fidelity to administration and case planning policies. The interrater reliability (n = 85; intraclass correlation coefficient [ICC][A, 1] = .92 [Northern state] and .80 [Southern state]) and predictive validity (n = 455; Exp[B] = 1.83) of SAVRY risk ratings were significant. There was an overreliance on mental health services; 48% of youth received these referrals when only 20% screened as having mental health needs. Barriers to fidelity to RNR practices in some offices included assessments not being conducted before disposition, lack of service availability, and limited buy-in from a few stakeholders.
Author Vincent, Gina M.
Perrault, Rachael T.
Drawbridge, Dara C.
Landry, Gretchen O.
Grisso, Thomas
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SubjectTerms Clinical assessment
Evaluation
Feasibility
Fidelity
Health needs
Health services
Interrater reliability
Juvenile justice
Medical referrals
Medical screening
Mental health
Mental health services
Needs assessment
Parole & probation
Planning
Predictive validity
Probation
Probation officers
Probation service
Psychological assessment
Risk assessment
Tests
Youth
Title Risk-Need-Responsivity Meets Mental Health: Implementation Challenges in Probation Case Planning
URI https://journals.sagepub.com/doi/full/10.1177/00938548211008491
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