{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:38:00Z","timestamp":1777664280020,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100001143","name":"William T. Grant Foundation","doi-asserted-by":"publisher","award":["Reducing Ethnoracial Inequality: A Prosecutor-Led"],"award-info":[{"award-number":["Reducing Ethnoracial Inequality: A Prosecutor-Led"]}],"id":[{"id":"10.13039\/100001143","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54 MD004811-10"],"award-info":[{"award-number":["U54 MD004811-10"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Educ Behav"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>The criminal legal system and youth delinquent systems (CL\/DS) are increasingly recognized as a primary sources of racial\/ethnic inequity (REI) in health. Research funding institutions are beginning to focus on the CL\/DS as a social determinant of health, some CL\/DS officials are centering equity as a core concern, and some problematic CL\/DS practices are being rolled back. However, the impact of such efforts may be limited because they typically focus on the most visible manifestations of inequity but often fail to address root causes and complex system dynamics. More meaningfully reducing CL\/DS-linked health inequities requires a better understanding of their complexity and barriers to change. Preparatory work is needed to develop appropriate information, communication strategies, and collaborative partnerships. To support these arguments, we offer an evaluation of our ongoing qualitative and quantitative research in New Mexico, which focuses on practices that redirect individuals from typical CL\/DS practices in ways that minimize CL\/DS involvement and its consequences. We review the sources of REI in CL\/DS redirection practices, discuss how increased collaboration between public health and public safety agencies may impact REI, describe how differences in values, priorities, and strategies toward issues of equity pose barriers to REI reduction efforts, and discuss important building blocks for reducing siloing and working toward greater health equity through redirection from the CL\/DS.<\/jats:p>","DOI":"10.1177\/10901981251345407","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T10:00:21Z","timestamp":1753264821000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Addressing Criminal Legal System Health Inequities Through Redirection"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2149-0681","authenticated-orcid":false,"given":"Noah","family":"Painter-Davis","sequence":"first","affiliation":[{"name":"The University of New Mexico, Albuquerque, NM, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9401-3248","authenticated-orcid":false,"given":"Janet","family":"Page-Reeves","sequence":"additional","affiliation":[{"name":"The University of New Mexico, Albuquerque, NM, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew E.","family":"Borrego","sequence":"additional","affiliation":[{"name":"The University of New Mexico, Albuquerque, NM, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Cruz","sequence":"additional","affiliation":[{"name":"The University of New Mexico, Albuquerque, NM, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Leiter","sequence":"additional","affiliation":[{"name":"The University of New Mexico, Albuquerque, NM, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Huyser","sequence":"additional","affiliation":[{"name":"The University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Freeman","sequence":"additional","affiliation":[{"name":"Independent Researcher"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,23]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"American Medical Association. (2021). The AMA\u2019s strategic plan to embed racial justice and advance health equity. https:\/\/www.ama-assn.org\/system\/files\/ama-equity-strategic-plan-2024-2025.pdf"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0963721411434980"},{"key":"e_1_3_2_4_1","first-page":"1","article-title":"Promoting equity with youth diversion","volume":"178","author":"Bala N.","year":"2019","unstructured":"Bala N., Mooney E. (2019). Promoting equity with youth diversion. R Street Policy Study, 178, 1\u20138.","journal-title":"R Street Policy Study"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/15487768.2013.789709"},{"key":"e_1_3_2_6_1","volume-title":"Understanding the upstream social determinants of health","author":"Bharmal N.","year":"2015","unstructured":"Bharmal N., Derose K. P., Felician M., Weden M. M. (2015). Understanding the upstream social determinants of health. RAND Corporation."},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/07418825.2012.682604"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839920907554"},{"issue":"1","key":"e_1_3_2_9_1","article-title":"Reimagining prosecution: A growing progressive movement","volume":"3","author":"Davis A. J.","year":"2019","unstructured":"Davis A. J. (2019). Reimagining prosecution: A growing progressive movement. UCLA Criminal Justice Law Review, 3(1).","journal-title":"UCLA Criminal Justice Law Review"},{"key":"e_1_3_2_10_1","article-title":"Emerging Disparities in the Placement of Law Enforcement-Based Treatment Referral and Recovery Programs","author":"Donnelly E. A.","year":"2022","unstructured":"Donnelly E. A., Brown C. L., McBride A., Beletsky L., Anderson T. L. (2022). Emerging Disparities in the Placement of Law Enforcement-Based Treatment Referral and Recovery Programs. Criminal Justice Review, 07340168221117109.","journal-title":"Criminal Justice Review"},{"key":"e_1_3_2_11_1","volume-title":"Assessing research-practice partnerships: Five dimensions of effectiveness","author":"Henrick E. C.","year":"2017","unstructured":"Henrick E. C., Cobb P., Penuel W. R., Jackson K., Clark T. (2017). Assessing research-practice partnerships: Five dimensions of effectiveness. William T. Grant Foundation."},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-9125.2012.00279.x"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.56.9.647"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/sf\/soab018"},{"key":"e_1_3_2_15_1","author":"Mitchell M","year":"2022","unstructured":"Mitchell M. (2022). Building resilient organizations: Toward joy and durable power in a time of crisis. Convergence.","journal-title":"Building resilient organizations: Toward joy and durable power in a time of crisis"},{"key":"e_1_3_2_16_1","doi-asserted-by":"crossref","unstructured":"National Academies of Sciences Engineering and Medicine. (2017). Communities in action: Pathways to health equity. The National Academies Press. https:\/\/doi.org\/10.17226\/24624","DOI":"10.17226\/24624"},{"key":"e_1_3_2_17_1","unstructured":"National Institute on Drug Abuse. (n.d.). Overview of Justice System Research Initiatives [Online post]. https:\/\/nida.nih.gov\/research\/nida-research-programs-activities\/justice-system-research"},{"key":"e_1_3_2_18_1","unstructured":"National Institute on Minority Health and Health Disparities. (n.d.). NIMHD research framework. https:\/\/nimhd.nih.gov\/researchFramework"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022427819874862"},{"key":"e_1_3_2_20_1","article-title":"Cross-sector collaborations and communication to reduce racial\/ethnic inequities in the criminal legal and delinquent systems","author":"Painter-Davis N.","unstructured":"Painter-Davis N., Lyons C., Greene N., Ginossar T., Padgett Macias J., Freeman L., Romero A., Setter D., Joseph V., Lopez F. (in press). \u201cCross-sector collaborations and communication to reduce racial\/ethnic inequities in the criminal legal and delinquent systems.\u201d In: Rukhsana A., Jain P., Mao Y. (Eds.), Palgrave handbook of communication and health disparities.","journal-title":"Palgrave handbook of communication and health disparities"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2008.59.7.738"},{"key":"e_1_3_2_22_1","doi-asserted-by":"crossref","unstructured":"Petrosino A. Petrosino C. Guckenburg S. Terrell J. Fronius T. A. Choo K. (2018). The effects of juvenile system processing on subsequent delinquency outcomes. https:\/\/doi.org\/10.1093\/oxfordhb\/9780190201371.013.27","DOI":"10.1093\/oxfordhb\/9780190201371.013.27"},{"key":"e_1_3_2_23_1","volume-title":"The constitution of knowledge: A defense of truth","author":"Rauch J.","year":"2021","unstructured":"Rauch J. (2021). The constitution of knowledge: A defense of truth. Brookings Institution Press."},{"issue":"1","key":"e_1_3_2_24_1","article-title":"Designed to do good: Key findings on the development and operation of first responder deflection programs","volume":"28","author":"Ross J.","year":"2022","unstructured":"Ross J., Taylor B. (2022). Designed to do good: Key findings on the development and operation of first responder deflection programs. Journal of Public Health Management and Practice, 28(1), S295\u2013S301.","journal-title":"Journal of Public Health Management and Practice"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000741"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0983"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1353\/foc.2018.0003"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2012.73.413"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.06.006"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.2307\/j.ctv2g591sq"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/07418825.2014.958186"},{"key":"e_1_3_2_32_1","volume-title":"Community-based participatory research for health: Advancing social and health equity","author":"Wallerstein N.","year":"2017","unstructured":"Wallerstein N., Duran B., Oetzel J. G., Minkler M. (2017). Community-based participatory research for health: Advancing social and health equity. John Wiley & Sons."},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30259-3"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/07418820300095631"}],"container-title":["Health Education &amp; Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10901981251345407","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10901981251345407","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10901981251345407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:35:31Z","timestamp":1777448131000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10901981251345407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,23]]},"references-count":33,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/10901981251345407"],"URL":"https:\/\/doi.org\/10.1177\/10901981251345407","relation":{},"ISSN":["1090-1981","1552-6127"],"issn-type":[{"value":"1090-1981","type":"print"},{"value":"1552-6127","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,23]]}}}