{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T08:00:56Z","timestamp":1789891256969,"version":"4.0.1"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100005002","name":"california department of public health","doi-asserted-by":"publisher","award":["#22-10616"],"award-info":[{"award-number":["#22-10616"]}],"id":[{"id":"10.13039\/100005002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"abstract":"<jats:p>Youth suicide prevention and crisis response require coordinated action across public health, behavioral health, education, health care, law enforcement, and community systems. However, local jurisdictions often lack practical tools to assess system readiness and prioritize system improvements across fragmented service systems. This article introduces the Youth Crisis Reporting and Response Maturity Model, a practice-based framework developed through a multicounty pilot initiative in California. The model was informed by participatory system mapping, county reporting data, and iterative input from technical assistance providers, state partners, and community stakeholders. It defines five core domains of system infrastructure: planning and collaboration, prevention and outreach, reporting, response, and data and continuous quality improvement. Together, these components describe a staged progression from fragmented processes to coordinated and standardized practices. During the final year of the pilot, the model was applied as a structured dialogue and technical assistance tool to support counties in assessing infrastructure, identifying gaps, and prioritizing improvements. Application of the framework facilitated cross-sector alignment, clarified roles and processes, and supported incremental system strengthening across domains. Rather than serving as a benchmarking instrument, the maturity model functions as a practical tool for operationalizing system readiness and guiding policy, systems, and environmental change. It provides a shared framework for practitioners and policymakers to sequence system improvements, strengthen coordination, and advance more integrated and equitable youth crisis response systems.<\/jats:p>","DOI":"10.1177\/15248399261485283","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:55:21Z","timestamp":1789718121000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Strengthening Youth Crisis Reporting and Response: Development of a Practice-Based Systems Maturity Model"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9054-9352","authenticated-orcid":false,"given":"Ashley","family":"Long","sequence":"first","affiliation":[{"name":"University of California, Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol A.","family":"Leung","sequence":"additional","affiliation":[{"name":"California State University, Long Beach, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana","family":"Sczersputowski","sequence":"additional","affiliation":[{"name":"Your Social Marketer, Inc., San Diego, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Centers for Disease Control and Prevention. (2022). Suicide prevention resource for action: A compilation of the best available evidence. National Center for Injury Prevention and Control Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/suicide\/pdf\/preventionresource.pdf"},{"key":"e_1_3_3_3_1","unstructured":"Centers for Disease Control and Prevention. (2023). Web-based Injury Statistics Query and Reporting System (WISQARS). https:\/\/wisqars.cdc.gov\/"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","unstructured":"Iskander J. K. Crosby A. E. (2021). Implementing the national suicide prevention strategy: Time for action to flatten the curve. Preventative Medicine 152(Pt. 1) 106734. https:\/\/doi.org\/10.1016\/j.ypmed.2021.106734","DOI":"10.1016\/j.ypmed.2021.106734"},{"key":"e_1_3_3_5_1","doi-asserted-by":"crossref","unstructured":"Long A. Blagg R. D. (2026). System mapping to strengthen youth crisis response: Findings from a multi-county California pilot. Frontiers in Public Health 13 Article 1704401. https:\/\/doi.org\/10.3389\/fpubh.2025.1704401","DOI":"10.3389\/fpubh.2025.1704401"},{"key":"e_1_3_3_6_1","unstructured":"Office of the Surgeon General. (2021). The Surgeon General\u2019s call to action to implement the national strategy for suicide prevention. US Department of Health and Human Services. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK592704\/"},{"key":"e_1_3_3_7_1","doi-asserted-by":"crossref","unstructured":"Pisani A. R. Boudreaux E. D. (2023). Systems approach to suicide prevention: Strengthening culture practice and education. Focus (American Psychiatric Publishing) 21(2) 152\u2013159. https:\/\/doi.org\/10.1176\/appi.focus.20220081","DOI":"10.1176\/appi.focus.20220081"},{"key":"e_1_3_3_8_1","doi-asserted-by":"crossref","unstructured":"Sinn C. L. J. Pasat Z. Klea L. Hogeveen S. Holditch C. Beltzner C. Costa A. (2022). A maturity model framework for integrated virtual care. Journal of Integrated Care 30(4) 351\u2013362. https:\/\/doi.org\/10.1108\/JICA-02-2022-0015","DOI":"10.1108\/JICA-02-2022-0015"},{"key":"e_1_3_3_9_1","doi-asserted-by":"crossref","unstructured":"Trochim W. Milstein B. Wood B. Jackson S. Pressler V. (2004). Setting objectives for community and systems change: An application of concept mapping for planning a statewide health improvement initiative. Health Promotion Practice 5(1) 8\u201319. https:\/\/doi.org\/10.1177\/1524839903258020","DOI":"10.1177\/1524839903258020"},{"key":"e_1_3_3_10_1","unstructured":"UCLA Agile Visual Analytics Lab Youth Crisis Reporting & Response System Maturity Model. (2025 June). Funded under contract # 22-10616 by the California Department of Public Health \u00a9 (2025). https:\/\/aval-ucla.my.canva.site\/youthcrisis-maturity-model"},{"key":"e_1_3_3_11_1","doi-asserted-by":"crossref","unstructured":"Wyman P. A. (2014). Developmental approach to prevent adolescent suicides: Research pathways to effective upstream preventive interventions. American Journal of Preventive Medicine 47(3) S251\u2013S256. https:\/\/doi.org\/10.1016\/j.amepre.2014.05.039","DOI":"10.1016\/j.amepre.2014.05.039"}],"container-title":["Health Promotion Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15248399261485283","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15248399261485283","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15248399261485283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T07:19:46Z","timestamp":1789888786000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15248399261485283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":10,"alternative-id":["10.1177\/15248399261485283"],"URL":"https:\/\/doi.org\/10.1177\/15248399261485283","relation":{},"ISSN":["1524-8399","1552-6372"],"issn-type":[{"value":"1524-8399","type":"print"},{"value":"1552-6372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,18]]},"article-number":"15248399261485283"}}