Example measures of quality | |||
---|---|---|---|
Service cascade measure | Timing | Content indicators | Procedural indicators |
Substance use screening | Days between JJ intake and screening (target: within 30 days of intake) | Use of a psychometrically sound screening instrument | Training and quality assurance provided to staff |
Use of 2 or more sources of corroborating evidence when screening | Screening results used to inform referral to full clinical assessment and/or treatment | ||
Full clinical assessment | Days between JJ intake and assessment (target: within 30 days of intake) | Use of a psychometrically sound clinical instrument | Training and quality assurance provided to staff on administration and interpretation of assessment |
Use of DSM criteria | Assessment results used to inform placement plans | ||
Use of two or more sources of corroborating evidence when assessing | Qualifications of staff doing assessment | ||
Determination of substance use-related need | Days between screen/assessment and determination of need (target: 14 days) | Determined by a psychometrically sound screening or assessment instrument | Documentation of need in record/service plan |
Communication of needs across system (e.g., judge, probation officer) | |||
Treatment referral | Days between determined need and treatment referral (target: 14 days) | Quality of services (e.g., provider is accredited) | Treatment program contact information provided |
Match between client needs and service intensity | Active referral (e.g., phone call made; transportation provided) | ||
Treatment initiation | Days between treatment referral and first session (target: 30 days) | Use of evidenced-based treatment approach | Documentation of first session (confirmed by service agency) |
Treatment engagement | Remaining in treatment for at least 6 weeks (i.e., time from treatment intake to discharge is greater than 42 days) | Minimum education requirement of staff providing treatment services | Documentation of multiple sessions (confirmed by service agency) |
Treatment completion/discharge status | |||
Continued care | Receiving any treatment session after 90 days of treatment | % of youth continuing in any care | Documentation of continued attendance (confirmed by service agency) |
Number of days in continuous treatment | |||
Number of continuous treatment sessions | |||
Retention/dosage within each episode | |||
Service intensity across episodes (increasing, decreasing) |