Table 4 Measures from de-identified records corresponding to the Behavioral Health Service Cascade
Step | Operational definition | Rate |
|---|---|---|
a. JJ referrals | Total number of referrals to juvenile justice in time period with a disposition start date, less any youth already in treatment at that time | – |
b. Screened | Subset of JJ referrals (a) with a screening date | b/a |
c. Clinical assessment | Subset of JJ referrals (a) with a full clinical assessment (includes if follow-up to screening or other clinical assessment) | c/a |
d. Need identified | Subset of JJ referrals (a) with a need for substance use treatment based on screener, urinalysis, clinical assessment, or other sources of information | d/a |
e. JJ Referrals to treatment | Subset of those in need (d), referred by the juvenile justice system to substance use treatment | e/d |
f. Initiated treatment | Subset of those referred to treatment (e) who have treatment start date | f/e |
g. Engaged in treatment | Subset of those who initiate treatment (f) who stay in treatment for at least 6 weeks (based on treatment discharge minus treatment start date) | g/f |
h. Continuing care | Subset of those engaged in treatment (g) that are still getting treatment after 90 days (whether via retention, transfer or booster) | h/g |