Michele Peterson-Badali

Closing the Research-Practice Gap: Factors Affecting Adoption and Implementation of a Children's Mental Health Program

Despite the availability of effective interventions, they are not widely used in community mental health centers. This study examined the adoption and implementation of The Arson Prevention Program for Children (TAPP-C), a program for juvenile firesetters developed at a teaching hospital and disseminated to community settings. Questionnaire data from mental health professionals were used to evaluate the roles of adopter, innovation, and dissemination characteristics in TAPP-C adoption and implementation. Results indicate that different factors are important at different diffusion stages. Moreover, they suggest that innovation characteristics may be particularly important to adoption, whereas adopter and dissemination characteristics may be more influential in implementation.

The Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults: Further Validity Evidence

This study aimed to provide further validity evidence for the dimensional measurement of gender identity and gender dysphoria in both adolescents and adults. Adolescents and adults with gender identity disorder (GID) were compared to clinical control (CC) adolescents and adults on the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ–AA), a 27-item scale originally developed by Deogracias et al. (2007). In Study 1, adolescents with GID (n = 44) were compared to CC adolescents (n = 98); and in Study 2, adults with GID (n = 41) were compared to CC adults (n = 94). In both studies, clients with GID self-reported significantly more gender dysphoria than did the CCs, with excellent sensitivity and specificity rates. In both studies, degree of self-reported gender dysphoria was significantly correlated with recall of cross-gender behavior in childhood—a test of convergent validity. The research and clinical utility of the GIDYQ–AA is discussed, including directions for further research in distinct clinical populations.

The Relationship Between Matching Service to Criminogenic Need and Recidivism in Male and Female Youth Examining the RNR Principles in Practice

Research supports rehabilitative programming that recognizes youth’s level of risk to reoffend and addresses their criminogenic needs and responsivity factors. The risk–need–responsivity (RNR) framework takes a gender-neutral approach that critics assert overlooks the unique needs of female offenders. While matching treatments to RNR principles has been shown to reduce recidivism for male youth, it is unclear whether the same is true for female youth. Comparative analyses of 39 male and 37 female justice system–involved youth indicated that across RNR categories, females and males were similar in the quality and quantity of criminogenic needs and had these needs met through probation services at a similar rate. However, while the RNR assessment tool predicted recidivism equally well for male and female youth, the matching of services to RNR factors was significantly associated with reduced reoffending for boys but not for girls. Implications of the findings for theory and practice are discussed.

Young Offenders in Custody: Risk and Adjustment:

This article explored results from a study of 113 incarcerated male youths, who were age 12 to 15 at the time of their indexed offense. Using a widely used, normed measure of psychosocial functioning, the study examined the relationship between preexisting risk factors and/or institutional risk factors and adjustment in custody. Preexisting risk or vulnerability significantly predicted adjustment to custody, as did several risk factors within facilities (worry about victimization, perceiving victimization as likely, and experiencing conflicts with inmates as difficult). Risk factors associated with institutional life appeared to contribute to a young person’s adjustment beyond the risk factors a young person may walk into an institution with. One commonly used measure of institutional functioning, number of custodial rule infractions, did not appear to be a valid indicator of how a youth felt or adjusted to a facility. Limitations and implications of the findings are discussed.

Predictors of Maternal and Early Adolescent Attitudes Toward Children’s Nurturance and Self-Determination Rights

Children’s rights to nurturance and self-determination have been included in social policy agendas for many years. Children’s and parents’ attitudes concerning children’s rights are likely an important determinant of whether rights on paper actually serve to protect the well-being of children, yet there is little research on factors associated with support for children’s rights. This study examined maternal (parenting style, sociopolitical attitudes) and child (emotional autonomy, role in family decision making) characteristics associated with attitudes toward children’s nurturance and self-determination rights. Maternal responsiveness was related to child support for both nurturance and self-determination rights and maternal endorsement of self-determination, whereas demandingness was negatively related to support for self-determination and children’s involvement in family decision making. Maternal conservatism was negatively related to mothers’ support for nurturance and self-determination rights. Support for self-determination rights, child participation in family decision making, and children’s emotional autonomy were positively related. Implications and limitations of findings are discussed.

Understanding the Adjustment of Incarcerated Young Offenders: A Canadian Example:

This article describes a short-term longitudinal study of the adjustment to custody of Canadian youth. It explores whether pre-existing and institutional vulnerabilities are independent predictors of custodial adjustment. Findings suggest that youth with many pre-existing vulnerabilities and high prison stress at entry into custody are more likely to experience initial adjustment difficulties. As youth spend more time in custody, their levels of pre-existing vulnerabilities remain important but perceived level of support and level of fear also emerge as important predictors of adjustment. Implications of the findings for research and practice are discussed.

Young people's experience of the Canadian youth justice system: interacting with police and legal counsel

Young peoples knowledge and experience of the youth justice system was examined to explore self-reported factors that influenced their decisions regarding assertion versus waiver of rights to silence and legal counsel. Participants were 50 adolescents from Toronto, Canada ranging in age from 12 to 18 (mean age=15.6 years). Results of semi-structured interviews indicated that while over 60% of participants recalled being told of their rights to silence and counsel, three-quarters did not contact a lawyer at the police station and half of those asked by police answered their questions. Findings suggest that the awareness of due process rights is not sufficient to mitigate the atmosphere of coercion that characterizes the police station. Implications and limitations of the study are discussed.

Examining Implementation of Risk Assessment in Case Management for Youth in the Justice System

Research on implementation of a case management plan informed by valid risk assessment in justice services is important in contributing to evidence-based practice but has been neglected in youth justice. We examined the connections between risk assessment, treatment, and recidivism by focusing on the individual criminogenic needs domain level. Controlling for static risk, dynamic criminogenic needs significantly predicted reoffense. Meeting individual needs in treatment was associated with decreased offending. However, there is “slippage” in the system that reduces practitioners’ ability to effectively address needs. Even in domains where interventions are available, many youth are not receiving services matched to their needs. Implications and limitations of findings are discussed.

Making “What Works” Work: Examining Probation Officers’ Experiences Addressing the Criminogenic Needs of Juvenile Offenders

This study qualitatively explored frontline perspectives on the challenges of addressing youths’ criminogenic needs within a risk–need–responsivity (RNR)-based case management framework. Twenty-nine probation officers from Toronto, Canada participated in semistructured interviews. Emergent themes included the importance of targeting “high impact” criminogenic needs (needs that—when effectively addressed—also have an impact on other need domains in addition to a direct impact on criminogenic risk), the salience of specific responsivity factors in case management, the lack of evidence-based programming available to youth, and respondents’ uncertainty regarding their role in addressing criminogenic needs. Results highlight the need for research examining the interrelationship of criminogenic needs, specific responsivity factors, and educational outcomes of youth on probation. Findings also support recent initiatives that provide concrete training to probation officers around implementation of the need and responsivity principles in effective case management of justice-involved youth.

Interdisciplinary Knowledge Translation: Lessons Learned from a Mental Health: Fire Service Collaboration

Collaborative approaches are being increasingly advocated for addressing a variety of health, mental health and social needs for children, youth and families. Factors important for effective knowledge translation of collaborative approaches of service delivery across disciplines, however, have not been rigorously examined. TAPP-C: The Arson Prevention Program for Children is an intervention program for child and adolescent firesetters provided collaboratively by fire service and mental health professionals. The present study examined the adopter, innovation, and dissemination characteristics associated with TAPP-C implementation, protocol adherence and extent of collaboration by 241 community-based fire service professionals from communities across Ontario. Results revealed that dissemination factors are particularly important for understanding program implementation, adherence and cross-discipline collaboration. Moreover, the findings of this study show significant benefits to both within discipline (intra-disciplinary) and across discipline (interdisciplinary) knowledge translation strategies.