Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025
The Landscape of Randomized Controlled Trials for Behavioral Health-Focused Psychosocial Interventions for Youth in the Juvenile Legal System: A Systematic Review.
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Sheerin Kaitlin M, Vieira Alyssa, Williamson-Butler Shannon, Grant Miyah, Nichols Lindsey, Creamer Andrew, Kemp Kathleen A
Аннотация
OBJECTIVE: Youth in the juvenile legal system (JLS) exhibit high rates of behavioral health concerns and the development and evaluation of effective interventions is essential. The present study provided a systematic review of randomized controlled trials (RCTs) of community-based psychosocial interventions focused on behavioral health among JLS-involved youth. This review sought to characterize the number of studies conducted, types of interventions tested, and the frequency of different types of primary outcomes (e.g., conduct problems, internalizing concerns).
METHOD: A systematic search of articles published between January 1, 1990 and June 30, 2024 was conducted in PubMed, Ovid MEDLINE, Embase, APA PsycINFO, and Cochrane Library's CENTRAL and Reviews, and Clinicaltrials.gov.
RESULTS: Fifty one studies from 38 unique RCTs were published over a 33.5 year period, with an average of 1.52 studies published annually. Family-focused interventions were most frequently tested and the most commonly studied outcomes were delinquency and conduct problems, followed by alcohol and substance use.
CONCLUSIONS: There was a dearth of RCTs focused on the behavioral health of youth in the JLS published in the past 33.5 years. It seems imperative to scale up the number of RCTs conducted with this population, with a focus on both system diversion and ameliorating behavioral health concerns.
PUBLIC HEALTH RELEVANCE: Randomized controlled trials provide strong scientific evidence for psychosocial interventions and are often the key to funding support for treatment programs for behavioral health concerns among juvenile legal system-involved youth. Even so, our findings indicated that there was a relative dearth of trials focused on this population-and especially trials focused on concerns beyond conduct problems and delinquency.
METHOD: A systematic search of articles published between January 1, 1990 and June 30, 2024 was conducted in PubMed, Ovid MEDLINE, Embase, APA PsycINFO, and Cochrane Library's CENTRAL and Reviews, and Clinicaltrials.gov.
RESULTS: Fifty one studies from 38 unique RCTs were published over a 33.5 year period, with an average of 1.52 studies published annually. Family-focused interventions were most frequently tested and the most commonly studied outcomes were delinquency and conduct problems, followed by alcohol and substance use.
CONCLUSIONS: There was a dearth of RCTs focused on the behavioral health of youth in the JLS published in the past 33.5 years. It seems imperative to scale up the number of RCTs conducted with this population, with a focus on both system diversion and ameliorating behavioral health concerns.
PUBLIC HEALTH RELEVANCE: Randomized controlled trials provide strong scientific evidence for psychosocial interventions and are often the key to funding support for treatment programs for behavioral health concerns among juvenile legal system-involved youth. Even so, our findings indicated that there was a relative dearth of trials focused on this population-and especially trials focused on concerns beyond conduct problems and delinquency.