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. 2024 Jan 29;24(1):2.
doi: 10.5334/ijic.7044. eCollection 2024 Jan-Mar.

Integrated Youth Service Preferences of Caregivers of Justice-Involved Youth: A Discrete Choice Conjoint Experiment

Deanna F Klymkiw  1 , David M Day  1 , J L Henderson  2   3 , Lisa D Hawke  2   3
Affiliations

Integrated Youth Service Preferences of Caregivers of Justice-Involved Youth: A Discrete Choice Conjoint Experiment

Deanna F Klymkiw et al. Int J Integr Care. .

Abstract

Introduction: Mental health and/or substance use (MHS) challenges affect approximately 95% of youth in the criminal justice system, with only three in ten justice-involved youth receiving treatment. Caregivers of justice-involved youth have identified fragmented care as a barrier to youth accessing MHS services. One suggested solution to this problem is the implementation of integrated youth services (IYS). However, it is unknown which IYS components caregivers of justice-involved youth prioritize.

Methods: Using a discrete choice conjoint experiment (DCE), n = 46 caregivers of justice-involved youth, and n = 204 caregivers of non-justice-involved, completed thirteen choice tasks representing different combinations of IYS.

Results: Both caregiver groups exhibited preferences for involvement and access to information regarding their youth's treatment, and fast access to broad range of core health and additional services, in a community setting, with the incorporation of e-health services. Caregivers of justice-involved youth showed a unique preference for involvement in family counseling with their youth. The incorporation of this service feature may help to engage caregivers of justice-involved youth in their youths' MHS treatment 3-fold.

Conclusion: Data gleaned from this analysis provides an understanding of what components of IYS models may help to engage caregivers of justice-involved youth.

Keywords: caregiver; integrated care; justice-involved youth; mental health; parent preferences; substance use.

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Conflict of interest statement

Dr. J.L. Henderson is the Executive Director of Youth Wellness Hubs Ontario. The authors have no financial relationships or other ties to disclose.

Figures

A sample DCE choice task
Figure 1
A sample DCE choice task.
See this image and copyright information in PMC

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