What do justice-involved youth want from integrated youth services? A conjoint analysis.

Journal: Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent

Volume: 33

Issue: 1

Year of Publication: 

Affiliated Institutions:  Department of Psychology, Toronto Metropolitan University, Toronto, Ontario. Centre for Addiction and Mental Health (CAMH), Toronto, Ontario.

Abstract summary 

Many youth in the criminal justice system are affected by mental health and/or substance use (MHS) challenges, yet only a minority receive treatment. One way to increase access to MHS care is integrated youth services (IYS), a community-based model of service delivery where youth can access evidence-based treatment for their MHS problems and other wellbeing needs, in one location. However, it is unknown what IYS services justice-involved youth prioritize.This study explored what components of IYS justice-involved youth deem to be the most important in meeting their MHS service needs, in comparison with non-justice-involved youth, by conducting a secondary analysis of data gathered from a larger Ontario-wide study.Using a conjoint analysis, = 55 justice-involved youth, and = 188 non-justice-involved youth, completed thirteen choice tasks representing different combinations of IYS.Both justice-involved and non-justice-involved youth exhibited preferences for a broad range of core health services, including mental health services, substance misuse counseling, medication management, and physical or sexual health services. They also preferred a broad range of additional support services, in addition to fast access to care in a community setting that specializes in mental health services, with the incorporation of e-health services. Justice-involved youth prioritized working with a trained peer support worker to learn life skills and help them with the services they need. The importance of youth playing a leadership role in making decisions within IYS organizations was also a distinguishing preference among justice-involved youth.Tailoring IYS to meet the service preferences of justice-involved youth may enhance service utilization, potentially leading to better outcomes for justice-involved youth and their communities.

Authors & Co-authors:  Klymkiw Day Henderson Hawke

Study Outcome 

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Statistics
Citations :  Georgiades K, Duncan L, Wang L, Comeau J, Boyle MH. Six-month prevalence of mental disorders and service contacts among children and youth in Ontario: evidence from the 2014 Ontario child health study. The Canadian Journal of Psychiatry. 2019;64(4):246–255. doi: 10.1177/0706743719830024.
Authors :  4
Identifiers
Doi : 
SSN : 1719-8429
Study Population
Male,Female
Mesh Terms
Other Terms
caregiver;integrated care;justice-involved youth;mental health and substance use;patient preferences
Study Design
Study Approach
Country of Study
Publication Country
Canada