Publications by authors named "K S Elkington"
Article Synopsis
- The article discusses the challenges of implementing evidence-based innovations (EBIs) effectively, highlighting the mixed outcomes in previous implementation efforts.
- Researchers have developed the Implementation Strategy Integrity Framework (ISIF) to clarify how the deployment of implementation strategies (IS) affects the success of EBIs.
- The findings reveal four key areas to evaluate IS integrity: the rigor of implementation strategies, user responsiveness, mechanism activation, and the influence of inner and outer contextual factors on EBI outcomes.
Background: Sexually transmitted infections are a significant, and growing, public health problem in this country - particularly among youth. Innovative strategies are needed to reduce the community burden of infection. Preliminary studies indicate that individuals involved in the criminal legal system have high rates of infection.
View Article and Find Full Text PDFUnderstanding Perceptions to Improve Intervention: HIV Risk Behavior, Testing and Prep Uptake Among Male African American and Latinx Justice-Involved Young Adults.
J Health Care Poor Underserved
August 2024
Article Synopsis
- Justice-involved young adult (JIYA) men are at a high risk for HIV infection but often don't seek HIV testing services.
- A study involving interviews with JIYA men and staff from alternative sentencing programs revealed gaps in understanding their HIV risk behaviors and perceptions about testing and PreP (a preventative treatment).
- Identifying and addressing barriers to HIV testing within the justice system could be key to implementing effective interventions to reduce HIV risk among this population.
Objective: The opioid intervention court (OIC) is an innovative, pre-plea treatment court to facilitate rapid linkage to medications for opioid use disorder (MOUD) for people at risk of overdose. This study compares participants in OIC and participants with opioid use problems in a traditional drug treatment court model on (i) initiation for any substance use (SU) treatment, (ii) initiation of MOUD, (iii) number of days to MOUD initiation, and (iv) retention in the OIC program/retention on MOUD.
Methods: We used administrative court records from n = 389 OIC and n = 229 drug court participants in 2 counties in New York State.
Background: People with opioid use disorder (OUD) are frequently in contact with the court system and have markedly higher rates of fatal opioid overdose. Opioid intervention courts (OIC) were developed to address increasing rates of opioid overdose among court defendants by engaging court staff in identification of treatment need and referral for opioid-related services and building collaborations between the court and OUD treatment systems. The study goal was to understand implementation barriers and facilitators in referring and engaging OIC clients in OUD treatment.
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