This session will overview of an effort that seeks to pilot use of the SBIRT framework in juvenile justice settings to facilitate early identification and treatment of youth with or at risk for developing a substance use disorder. Research has shown that the majority of youth in contact with the juvenile justice system have substance use, mental or trauma-related needs While much progress has been made in identifying and responding to the needs of these youth, juvenile justice systems continue to seek better solutions to meet the challenges of addressing those needs as early, as efficiently and as effectively as possible. This effort is coordinated by the National Center for Mental Health and Juvenile Justice, with support from the Conrad N. Hilton Foundation.


Karli Keator, MPH is the Division Director for Juvenile Justice at Policy Research Associates (PRA). In this capacity, Ms. Keator is responsible for projects related to juvenile justice and behavioral health, including operation of the National Center for Mental Health and Juvenile Justice (NCMHJJ). The NCMHJJ provides a national focal point aimed at improving policies and programs for justice-involved youth with behavioral disorders based on the best available research and practice. Ms. Keator has worked for PRA since 2006, participating in research, evaluation projects, training and technical assistance activities. Since 2011, Ms. Keator has been the project director for a SAMHSA and MacArthur Foundation collaborative that aims to increase the number of youth with co-occurring mental and substance use disorders diverted out of the juvenile justice system to appropriate community-based behavioral health services. Ms. Keator was recently involved in a multi-site evaluation of juvenile mental health courts as an alternative to traditional case processing for youth, and an evaluation of a juvenile justice training and workforce development initiative. Ms. Keator received her Master of Public Health from the University at Albany’s School of Public Health.

Additional Resources

SBIRT in Juvenile Justice Settings: Project Overview