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Diversion as a pathway to improving service utilization among at-risk youth

Bibliographic Data

ID12434136
AuthorsJames G Barrett (0000-0002-3316-5894, Cambridge Health Alliance, corresponding author), Michael William Flores (0000-0002-8019-2836, Cambridge Health Alliance), Michael Flores, Esther Lee (0000-0001-8472-2091, Cambridge Health Alliance), Brian Mullin (0000-0002-0339-1022, Cambridge Health Alliance), Chloe Greenbaum (Cambridge Health Alliance), Erika A Pruett (0000-0003-0555-8030, Cambridge Health Alliance), Benjamin Lê Cook (0000-0003-0135-0806, Cambridge Health Alliance)
Year2021
Volume28
Issue2
Pages179-187
Publication date2021-09-13
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychology Public Policy and Law (JOURNAL)
Journal identifiersISSN: 1076-8971 • E-ISSN: 1939-1528
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/law0000325
PMID39669502
OpenAlexW3199833865
LanguageEN
Citations received2

Despite the high rates of mental illness among youth in the juvenile justice system, many justice-involved youth do not receive adequate behavioral health services. We examined differences in health service utilization outcomes between youth who were diverted through a community-based, precomplaint program (Safety Net; n = 41), and youth with juvenile justice involvement in neighboring cities ( n = 154). Individual arrest and health care records were combined to evaluate the rate of health care service utilization before and after initial police contact. A difference-in-differences approach with propensity score weighting was used to evaluate the impact of Safety Net on health service use, including inpatient, outpatient, emergency department (ED), and primary care visits. Compared to their nondiverted counterparts, Safety Net youth had a significant increase in psychiatric outpatient visits (average treatment effect [ATE] of 26%; p p < .05). There were no significant differences in ED or hospitalization outcomes. Results suggest that precomplaint diversion through Safety Net fosters access to outpatient behavioral health and primary care services that address the underlying issues that put youth in contact with police

Business · Criminology · Service (business · Applied Psychology · Community Development and Social Impact · Community Health and Development · Psychology · Marketing

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Unique citing works2
Citations per year1
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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