Examine the Preliminary Effect of an Evidence-Based Practice (EBP) Consultation Model on Staff Fidelity to EBP



Status:Not yet recruiting
Conditions:Psychiatric
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:13 - 17
Updated:12/20/2018
Start Date:February 2019
End Date:May 2019
Contact:Iriane Narcisse
Email:iriane.narcisse@nyulangone.com
Phone:646 754 5115

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Youth involved in the juvenile justice system report high rates of exposure to traumatic
events (>90%) and posttraumatic stress disorder (PTSD; 20-50%). Although youth offenders are
routinely assessed and referred for mental health services, few receive evidence-based
interventions for PTSD. The current study evaluates an innovative approach to overcoming this
problem: train front-line juvenile justice staff to deliver PTSD treatment groups. To
determine the preliminary effectiveness and safety of PTSD groups delivered by juvenile
justice staff, investigators will compare outcomes for youth offenders randomly assigned to
receive evidence-based PTSD group treatment or treatment as usual (i.e., referral to
community mental health clinic). Investigators hypothesize that PTSD groups led by justice
staff will lead to significantly better youth outcomes (mental health symptoms, re-arrest)
compared to treatment as usual.


Inclusion Criteria:

Juvenile offender participants must

- be able to assent

- be between the ages of 13 and 17,

- currently involved with the local juvenile justice system (i.e., have an active court
case),

- currently receiving services from one of the four participating agencies, and - meet
DSM5 criteria for a full or partial diagnosis of Posttraumatic Stress Disorder
(assessed during baseline eligibility screening with the eMINI-KID) or report moderate
or greater PTSD symptoms on the UCLA PTSD-Reaction Index (score > 25).

Exclusion Criteria:

- unable to provide consent/assent

- Currently meet DSM5 criteria for Alcohol Use Disorder-Severe or any substance use
disorders other than Cannabis or Nicotine (assessed with the eMINI-KID). This
criterion is intended to exclude youth whose substance use is severe enough to require
a higher level of care such as inpatient treatment;

- Currently meet DSM5 criteria for a psychotic disorder, pervasive developmental
disorder, or other serious cognitive impairment (assessed with the eMINI-KID) that
would prevent them from fully participating in the TARGET treatment groups;

- Report recent suicidal or homicidal ideation (i.e., past 6 months) or a past year
suicide attempt unless the youth is currently receiving treatment from a licensed
mental health professional (i.e., we will accept youth with recent SI/HI or past year
suicide attempts if they are currently in treatment).
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550 1st Ave
New York, New York 10016
(212) 263-7300
Phone: 646-754-5115
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