■被监禁的青少年通常表现为情绪失调,侵略,和精神疾病合并症,然而,在禁闭期间往往没有接受必要的心理健康治疗。因此,扩大有关经验支持的心理健康干预措施的证据基础至关重要,这些干预措施可以在安全的环境中实施,以满足被监禁青年的心理健康需求。通过社区-学术伙伴关系,当前的试点研究评估了在青少年矫正中心实施的全面的辩证行为治疗计划。
■青年参与者(N=113)的平均年龄为15.37岁(SD=1.10,范围=13-17),68.1%的男孩,被确定为69.0%的拉丁裔,22.1%黑色,8.0%白色,和0.9%的美洲原住民。青少年接受了全面的青少年辩证行为疗法(DBT-A),包括个体治疗,技能培训小组,家庭治疗,多家庭技能培训小组,以及参加广泛培训和正在进行的咨询小组会议的直接护理人员在环境中进行技能指导。作为设施设计计划评估的一部分,在项目完成之前和之后,青少年完成了一系列经过经验验证的心理健康和情绪调节评估.
■结果表明,在青少年惩教中心实施全面的DBT-A是可行的,青年从治疗前后的心理健康症状和情绪调节得到改善,小到中等效果的大小。
■这些发现建立在越来越多的文献的基础上,表明辩证行为疗法是治疗情绪失调和心理健康状况的有希望的干预措施,可以在青少年法医环境中成功实施。
UNASSIGNED: Incarcerated youth commonly present with emotion dysregulation, aggression, and comorbid psychiatric disorders, yet often do not receive necessary mental health treatment while confined. It is therefore crucial to expand the evidence base regarding empirically supported mental health interventions which are feasible to implement in secure settings to address incarcerated youth\'s mental health needs. Through a community-academic partnership, the current pilot study evaluated a comprehensive Dialectical Behavior Therapy program implemented in a juvenile correctional treatment center.
UNASSIGNED: Youth participants (N=113) were on average 15.37 years old (SD=1.10, range=13-17), 68.1% boys, and identified as 69.0% Latinx, 22.1% Black, 8.0% White, and 0.9% Native American. Youth received comprehensive Dialectical Behavior Therapy for Adolescents (DBT-A), including individual therapy, skills training groups, family therapy, multi-family skills training groups, and skills coaching in the milieu by direct care staff who participated in extensive training and ongoing consultation team meetings. As part of a facility-designed program evaluation, youth completed a battery of empirically validated assessments of mental health and emotion regulation prior to and following completion of the program.
UNASSIGNED: Results show that comprehensive DBT-A is feasible to implement in a juvenile correctional treatment center and overall, youth improved from pre- to post-treatment in mental health symptoms and emotion regulation, with small to medium effect sizes.
UNASSIGNED: These findings build upon a growing literature showing Dialectical Behavior Therapy is a promising intervention for treating emotion dysregulation and mental health conditions and can be successfully implemented in juvenile forensic settings.