軽度の犯罪を犯した若者の健康と生活の改善を目的としたゲートウェイプログラムからの教訓:質的評価
Inna Walker1, Sara Morgan1, Lana Weir1
1School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
Lancet (London, England)
|November 24, 2023
まとめ
ゲートウェイプログラムは,若い成人のための法廷の転用イニシアチブであり,再犯を減らす可能性と福祉の改善を示しました. 実施の成功は,複数の機関とのパートナーシップ,調整された支援,若者のニーズへの対応に依存した.
科学分野:
- 公衆衛生
- 犯罪学
- 心理学
背景:
- 精神的健康問題や薬物乱用に悩まされ 標的を絞った介入が必要になります
- "ゲートウェイ"プログラムは 軽度の犯罪を犯している 18歳から24歳の若者向けに 画期的な方法を提供しました
- この研究は,ランダム化制御試験 (RCT) と定性分析を通じてゲートウェイプログラムの有効性と実施を評価した.
研究 の 目的:
- ゲートウェイプログラムの実施のための障壁と有効な要素を決定する.
- 関連するランダム化対照試験 (RCT) の採用に影響を与える要因を評価する.
- 脆弱な若者のために 潜在的に人生を変える介入の証拠を集めること
主な方法:
- プラグマティックな,並列グループ,優位性ランダム化対照試験 (RCT) が実施された.
- イギリスの4つのサイトで28人のクライアント,17人のスタッフと13人の採用担当者との質的インタビューが行われました (2018年-2022年).
- 誘導的および反射的アプローチを用いたテーマ分析がインタビューデータに適用されました.
主要な成果:
- 参加に影響を与えた主なテーマは,プログラム設定 (パートナーシップ,トレーニング),若者のニーズと態度,組織的優先順位でした.
- 実施を成功させるには 複数の機関が協力し合い 個々のクライアントの状況に配慮することが必要でした
- 労働負荷,仕事の満足度,関係者間の関係などの要因は,提供と採用に影響を与えました.
結論:
- ゲートウェイ研究からの洞察は,同様の環境における脆弱な集団のための介入の設計に情報を与えることができます.
- 公衆衛生研究者や医療従事者にとって 障壁やファシリテーターを理解することは 低レベルの関与を緩和するために 極めて重要です
- この研究では,若者と警察が 恵まれないグループを対象とした研究に関与する際の課題と潜在的利益が強調されています.
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