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Timar J, Buurman E, Westen K, Delespaul P. Different perspectives of prison guards and mental health workers in forensic care. Front Psychol 2024; 15:1420565. [PMID: 39257408 PMCID: PMC11385686 DOI: 10.3389/fpsyg.2024.1420565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Accepted: 08/06/2024] [Indexed: 09/12/2024] Open
Abstract
Objectives This study investigates the differences in treatment perspectives of prison guards and mental health practitioners within a Psychiatric Prison Unit (PPU). Methods This qualitative study uses questionnaires and focus groups to explore the relationships between prison guards (N = 4) and mental health professionals (N = 6) working at the Psychiatric Prison Unit in Zwolle, the Netherlands. Two questionnaires (the Recovery Attitude Questionnaire and the Recovery Knowledge Inventory) were completed by the participants. A selected subsample based on diverging beliefs concerning treatment perspectives was recruited for additional focus groups. The dialogues were transcribed and coded into a comprehensive scheme. Responses were analyzed to describe perceptions and attitudes of respondents towards forensic care. Results This study identified three main themes: policy, communication, and person-dependent factors. Understaffing and high turnover rates in the correctional facility led to prioritization of safety concerns over treatment objectives. Guards and mental health professionals had different communication styles which hindered the alignment of treatment goals. Person-dependent factors, including personality traits and individual attributes, were significant in shaping collaborative interactions. Conclusion This study reveals agreement in the viewpoints between prison guards and mental health professionals but highlights the complex challenges in providing effective treatment within the confines of a correctional facility. These challenges are influenced by policy dynamics, communication limitations, and individual-specific factors.
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Affiliation(s)
| | - Evi Buurman
- Reinier van Arkel, s-Hertogenbosch, Netherlands
- GGZ Breburg, Breda, Netherlands
| | - Koen Westen
- Reinier van Arkel, s-Hertogenbosch, Netherlands
- Avans University of Applied Sciences, Breda, Netherlands
- CCAF, Utrecht, Netherlands
| | - Philippe Delespaul
- CCAF, Utrecht, Netherlands
- Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, Netherlands
- Mondriaan ggz, Heerlen, Netherlands
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McBrayer C, Turner A, Whitener M, Adams ZW, Hulvershorn L, Zapolski TCB, Aalsma MC. "Just as expensive as sending him to college:" barriers and perceptions of treatment in justice-involved youth. HEALTH & JUSTICE 2024; 12:33. [PMID: 39042254 PMCID: PMC11265333 DOI: 10.1186/s40352-024-00289-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 07/09/2024] [Indexed: 07/24/2024]
Abstract
BACKGROUND Justice-involved youth have higher rates of substance use disorders (SUDs) than the general population. Many do not connect with or complete treatment, leading to recidivism. This qualitative study explores perceptions and barriers to treatment in this population. RESULTS Justice-involved youth participating in a larger study focused on access to SUD treatment were interviewed about available treatment and justice system involvement. Twenty-one dyads (youth and a guardian) and 3 individual guardians (total N = 45) were interviewed by phone. Inclusion criteria were youth aged 14-17 involved in the justice system that screened positive for SUD. Youth sample was 43% male. Thematic analysis guided the process. The study was Indiana University Institutional Review Board approved (#1802346939). Data was interpreted within the ecological system theory. Youth barriers included willingness to engage in treatment, time constraints/scheduling conflicts, and low perceived usefulness of treatment. Major guardian themes included high cost of treatment, lack of communication by the justice system about treatment, youth unwillingness or disinterest to engage in treatment, and limited program availability. CONCLUSIONS The barriers to treatment for justice-involved youth are multifaceted and occur across the spectrum of levels of the ecological system, which include parents, peers, social systems, and cultural elements. Many youth and guardians suggested improvements for their interactions with the juvenile justice system. Further examination is needed of current policy implementation to address these concerns.
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Affiliation(s)
- Corey McBrayer
- Adolescent Medicine, PennState Health, 905 Governor Rd Ste 200, Hershey, PA, 17033, USA.
| | - Annie Turner
- Marion University College of Osteopathic Medicine, 3200 Cold Spring Rd, Indianapolis, IN, 46222, USA
| | - Mackenzie Whitener
- Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, 410 W 10th St, Indianapolis, IN, 46202, USA
| | - Zachary W Adams
- Department of Psychiatry, Indiana University School of Medicine, 410 W 10th St, Indianapolis, IN, 46202, USA
| | - Leslie Hulvershorn
- Department of Psychiatry, Indiana University School of Medicine, 410 W 10th St, Indianapolis, IN, 46202, USA
| | - Tamika C B Zapolski
- Department of Psychiatry, Indiana University School of Medicine, 410 W 10th St, Indianapolis, IN, 46202, USA
| | - Matthew C Aalsma
- Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, 410 W 10th St, Indianapolis, IN, 46202, USA
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Welty LJ, Luna MJ, Aaby DA, Harrison AJ, Potthoff LM, Abram KM, Teplin LA. Do Substances Used in Adolescence Predict the Persistence of Substance Use Disorders in Adulthood? A 15-Year Study of Youth After Detention. J Adolesc Health 2024:S1054-139X(24)00228-3. [PMID: 38912979 DOI: 10.1016/j.jadohealth.2024.04.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 03/18/2024] [Accepted: 04/11/2024] [Indexed: 06/25/2024]
Abstract
PURPOSE Investigate if the type of substance use disorder (SUD) in adolescence predicts SUDs in adulthood and examine sex and racial/ethnic differences in the persistence of SUDs. METHODS Data are from the Northwestern Juvenile Project, a 15-year longitudinal study of 1829 youth randomly sampled from detention in Chicago, IL (1995-1998). Interviewers assessed SUDs using structured diagnostic interviews. RESULTS Compared with females without an SUD at detention, females with cannabis alone, comorbid alcohol and cannabis, or SUDs other than alcohol and cannabis at detention had higher odds of having an SUD 5 years later (25%, 32%, and 36% vs. 15%, adjusted odds ratio [AOR] = 1.94, 95% confidence interval [CI] 1.11-3.40; AOR = 2.76, 95% CI 1.58-4.83; AOR = 3.46, 95% CI 1.56-7.66, respectively). Males and females with SUDs other than alcohol and cannabis at detention had greater odds of having an SUD 15 years later, compared with those without an SUD at detention (males: 36% vs. 14%, AOR = 2.98, 95% CI 1.14-7.83; females: 29% vs. 8%, AOR = 4.77, 95% CI 1.85-12.30). Among youth with an SUD at detention, males were more likely than females to have an SUD 15 years later (AOR = 1.84, 95% CI 1.03-3.29); non-Hispanic White and Hispanic males were more likely to persist than Black males (AOR = 3.32, 95% CI 1.50-7.35; AOR = 2.32, 95% CI 1.04-5.18, respectively). DISCUSSION The type of SUD during adolescence matters. Youth with SUDs such as cocaine and opioids fared the worst. Healthcare providers must collaborate with correctional officials to increase service provision.
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Affiliation(s)
- Leah J Welty
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - María José Luna
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - David A Aaby
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Anna J Harrison
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California; Mental Health Service, San Francisco Veterans Affairs Health Care System, San Francisco, California
| | - Lauren M Potthoff
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Ann & Robert H. Lurie Children's Hospital of Chicago, Pritzker Department of Psychiatry and Behavioral Health, Chicago, Illinois
| | - Karen M Abram
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Linda A Teplin
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
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Klein RJ, Lekkas D, Nguyen ND, Jacobson NC. Comparing Transdiagnostic Risk Factors: Predicting Emergence of Significant Depressive, Anxiety, and Substance Abuse Symptoms Among Juvenile Delinquents. Child Psychiatry Hum Dev 2024:10.1007/s10578-024-01682-6. [PMID: 38782806 DOI: 10.1007/s10578-024-01682-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/15/2024] [Indexed: 05/25/2024]
Abstract
In a 7-year 11-wave study of low-SES adolescents (N = 856, age = 15.98), we compared multiple well-established transdiagnostic risk factors as predictors of first incidence of significant depressive, anxiety, and substance abuse symptoms across the transition from adolescence to adulthood. Risk factors included negative emotionality, emotion regulation ability, social support, gender, history of trauma, parental histories of substance abuse, parental mental health, and socioeconomic status. Machine learning models revealed that negative emotionality was the most important predictor of both depression and anxiety, and emotion regulation ability was the most important predictor of future significant substance abuse. These findings highlight the critical role that dysregulated emotion may play in the development of some of the most prevalent forms of mental illness.
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Affiliation(s)
- Robert J Klein
- Center for Technology and Behavioral Health, Dartmouth College, Hanover, USA.
- The Well Living Lab, Rochester, USA.
- Delos Living, LLC, New York, USA.
- The Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH, 03755, USA.
| | - Damien Lekkas
- Center for Technology and Behavioral Health, Dartmouth College, Hanover, USA
- Quantitative Biomedical Sciences Program, Dartmouth College, Hanover, USA
| | - Nhi D Nguyen
- Center for Technology and Behavioral Health, Dartmouth College, Hanover, USA
| | - Nicholas C Jacobson
- Center for Technology and Behavioral Health, Dartmouth College, Hanover, USA
- Department of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Hanover, USA
- Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, USA
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Karachaliou E, Douzenis P, Chatzinikolaou F, Pantazis N, Martinaki S, Bali P, Tasios K, Douzenis A. Prisoners' Perceptions and Satisfaction with Telepsychiatry Services in Greece and the Effects of Its Use on the Coercion of Mental Healthcare. Healthcare (Basel) 2024; 12:1044. [PMID: 38786454 PMCID: PMC11121354 DOI: 10.3390/healthcare12101044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2024] [Revised: 05/04/2024] [Accepted: 05/17/2024] [Indexed: 05/25/2024] Open
Abstract
BACKGROUND Prisoners are often associated with mental health and substance use disorders. Coercive measures are widely used in prison settings. The objective of this study was to compare inmates' perceptions and satisfaction with telepsychiatry versus face-to-face consultation and the effects of telepsychiatry on the use of coercive measures. The sample consisted of 100 male inmates from various backgrounds who had experienced both approaches of services (face to face and telepsychiatry). METHOD The data were obtained through an interview where the individuals completed a Demographic Data Questionnaire, a Participant Satisfaction Questionnaire to assess satisfaction with face-to-face psychiatric services, and a Participant Satisfaction Questionnaire to assess their satisfaction with services offered via telepsychiatry. Additionally, calculations of time spent waiting for a face-to-face psychiatric evaluation and time spent in handcuffs and in confined spaces were made before and after the introduction of telepsychiatry. RESULTS Statistically significant improvements (all p-values < 0.001) were noted in waiting times, support for relapse prevention, follow up, quality of mental health care, quality of care in the management of psychiatric problems and related medication, behavior of psychiatrists, duration of the assessment, sense of comfort, and confidentiality. Telepsychiatry led to the elimination of time spent in handcuffs and in confined spaces (transport vehicles). CONCLUSION According to the results of this study, telepsychiatry is an acceptable method of service delivery in correctional facilities and was associated with a reduction of coercive practices.
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Affiliation(s)
| | - Phoebe Douzenis
- University Hospitals of Derby and Burton, Derby DE22 3NE, UK;
| | - Fotios Chatzinikolaou
- Department of Laboratory of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece;
| | - Nikos Pantazis
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece;
| | - Sophia Martinaki
- Department of Social Work, University of West Attica, 12241 Athens, Greece;
| | - Panagiota Bali
- Second Department of Psychiatry, Medical School, University General Hospital “Attikon”, National and Kapodistrian University of Athens, 12462 Chaidari, Greece;
| | | | - Athanasios Douzenis
- Department of Psychiatry, School of Medicine, National & Kapodistrian University of Athens, 15772 Athens, Greece;
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Rosenkranz SE, Courtney D, Chen S, Ma C. Outcomes among youth attending inpatient treatment for co-occurring disorders. Early Interv Psychiatry 2024; 18:198-206. [PMID: 37455362 DOI: 10.1111/eip.13450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 05/30/2023] [Accepted: 07/02/2023] [Indexed: 07/18/2023]
Abstract
AIM An emerging body of research is identifying effective outpatient integrated treatment approaches for youth with co-occurring psychiatric and substance use disorders, though few studies exist examining inpatient treatment. The current study aimed to address this gap by examining response to treatment during admission to, and in the year following discharge from, a specialized inpatient program for youth with co-occurring disorders. METHODS A single-cohort longitudinal design examined change in adaptive functioning, mental health symptoms, and substance use frequency among N = 142 youth (69.1% female) aged 14-21 (M = 16.9, SD = 1.5) attending the program. Participants completed self-report measures at admission, discharge, and 1-, 6- and 12-months post-discharge. RESULTS Analyses indicated significant improvements in adaptive functioning, internalizing and externalizing symptoms, and substance use frequency during admission. There was some loss of gains in adaptive functioning over the 12-months post-discharge. Improvements were maintained in internalizing symptoms and substance use frequency, and improvements in externalizing symptoms continued over the 12-months post-discharge. There was no significant interaction between change in functioning and internalizing symptoms at admission or type of substance use disorder diagnosis. There was a significant interaction with externalizing symptoms, such that those with clinically significant levels of externalizing symptoms at admission experienced greater improvement in functioning, though the groups ended treatment with comparable functioning scores. CONCLUSIONS The results provide preliminary support for integrated treatment for co-occurring disorders delivered in an inpatient setting. However, the results also reflect the significant needs of youth with co-occurring disorders and the importance of ongoing care post-discharge from intensive treatment settings.
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Affiliation(s)
- Susan E Rosenkranz
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
- Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - Darren Courtney
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
- Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
- Cundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - Sheng Chen
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
- Biostatistics Core, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - Clement Ma
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
- Biostatistics Core, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
- Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
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Choi BS, Kim B. Prevalence of and Gender Differences in Psychiatric Disorders among Juvenile Detainees in South Korea: A Comparative Study. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:2068. [PMID: 38138171 PMCID: PMC10744417 DOI: 10.3390/medicina59122068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 11/18/2023] [Accepted: 11/21/2023] [Indexed: 12/24/2023]
Abstract
Background and Objectives: High rates of psychiatric disorders and comorbidities have been reported in juvenile detainees, which have been associated with repeat offenses. However, research into this topic has been limited to Asian countries. This study aimed to examine the prevalence of psychiatric disorders and sexual differences among juvenile detainees in a detention center in South Korea. Materials and Methods: The participants comprised 54 males and 46 females, with a minimum intelligence score of 80. Psychiatric diagnosis was determined using the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). The Massachusetts Youth Screening Instrument-Version 2 (MAYSI-2) was used to investigate gender differences. Results: Using the MINI-KID, the most frequent diseases were conduct disorder (CD), alcohol dependence, suicidal tendency, and attention-deficit/hyperactivity disorder (ADHD), with statistically significant differences between men and women. Only alcohol abuse was higher in males, while the rest were higher in females. The items with a statistically significant gender difference in MAYSI-2 were alcohol/drug use, feeling depressed/anxious, somatic complaints, suicidal ideation, and traumatic experiences. All items for which gender difference was statistically significant were higher in the proportion of women. Conclusions: Juvenile detainees exhibit high rates of psychiatric disorders and comorbidities. CDs, alcohol dependence, and ADHD are the most common psychiatric disorders among juvenile detainees in South Korea. Assessment of and intervention in psychiatric disorders may help prevent further offenses. These findings highlight the importance of diagnosing and intervening in psychiatric disorders within juvenile detention systems.
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Affiliation(s)
- Bum-Sung Choi
- Department of Psychiatry, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Medical Research Institute, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Republic of Korea;
| | - Bongseog Kim
- Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dong-il Street, Seoul 01757, Republic of Korea
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8
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Folk JB, Yang P, Thomas A, Lyon J, Patel J, Yoon C, Barbara-Robles-Ramamurthy. Comprehensive Dialectical Behavior Therapy for Adolescents in a Juvenile Correctional Treatment Center: A Pilot Evaluation. FRONTIERS IN CHILD AND ADOLESCENT PSYCHIATRY 2023; 2:1207575. [PMID: 39220324 PMCID: PMC11364369 DOI: 10.3389/frcha.2023.1207575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Abstract
Background Incarcerated youth commonly present with emotion dysregulation, aggression, and comorbid psychiatric disorders, yet often do not receive necessary mental health treatment while confined. It is therefore crucial to expand the evidence base regarding empirically supported mental health interventions which are feasible to implement in secure settings to address incarcerated youth's mental health needs. Through a community-academic partnership, the current pilot study evaluated a comprehensive Dialectical Behavior Therapy program implemented in a juvenile correctional treatment center. Methods Youth participants (N=113) were on average 15.37 years old (SD=1.10, range=13-17), 68.1% boys, and identified as 69.0% Latinx, 22.1% Black, 8.0% White, and 0.9% Native American. Youth received comprehensive Dialectical Behavior Therapy for Adolescents (DBT-A), including individual therapy, skills training groups, family therapy, multi-family skills training groups, and skills coaching in the milieu by direct care staff who participated in extensive training and ongoing consultation team meetings. As part of a facility-designed program evaluation, youth completed a battery of empirically validated assessments of mental health and emotion regulation prior to and following completion of the program. Results Results show that comprehensive DBT-A is feasible to implement in a juvenile correctional treatment center and overall, youth improved from pre- to post-treatment in mental health symptoms and emotion regulation, with small to medium effect sizes. Conclusion These findings build upon a growing literature showing Dialectical Behavior Therapy is a promising intervention for treating emotion dysregulation and mental health conditions and can be successfully implemented in juvenile forensic settings.
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Affiliation(s)
- Johanna B. Folk
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA
| | - Phillip Yang
- School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA
| | - Anne Thomas
- Bexar County Juvenile Probation Department, San Antonio, Texas
| | - Jayme Lyon
- Bexar County Juvenile Probation Department, San Antonio, Texas
| | - Jaisal Patel
- School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA
| | - Clara Yoon
- School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA
| | - Barbara-Robles-Ramamurthy
- School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA
- Bexar County Juvenile Probation Department, San Antonio, Texas
- Department of Psychiatry and Behavioral Sciences, University of Texas Health San Antonio, San Antonio, Texas, USA
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9
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Elkington KS, Wasserman GA, Ryan ME, Sichel CE, Sarapas C, Dennis ML, Taxman FS. E-Connect: Linking probation youth at risk for suicide to behavioral health services. J Consult Clin Psychol 2023; 91:547-557. [PMID: 37261738 PMCID: PMC10526689 DOI: 10.1037/ccp0000824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
OBJECTIVE Youth involved in the justice system (YIJ) have higher rates of suicidal thoughts and behaviors (STB) and associated behavioral health (BH) problems, yet lower levels of service use compared to youth in the general population. This study examined the efficacy of e-Connect, a digital clinical decision support system (CDSS), at improving STB risk identification, referral, and linkage to BH services by probation officers. As the intervention spanned pre- and post-COVID-19 shutdown periods, we also examined the disruption in public agencies' service provision on study outcomes. METHOD Administrative record data (1,488 youth, ages 10-18 years, 56% male, 56% White) allowed examination of differences between care-as-usual (baseline) and e-Connect in screening, identification of STB and BH problems, referral, and treatment initiation. RESULTS Compared to care-as-usual, probation officers using e-Connect were over five times as likely to identify YIJ with STB (adjusted odds ratio [aOR] = 5.86; 95% confidence interval, CI [3.24, 11.7]) and over 11 times more likely to refer YIJ in need of BH services to treatment (aOR = 11.04; 95% CI [6.54, 19.43]). In turn, youth referred to treatment via e-Connect were nearly 17 times more likely to initiate (aOR = 16.92; 95% CI [9.17, 32.60]). Results remained unchanged during the pre- and post-COVID-19 shutdown periods. CONCLUSION e-Connect is one of the first digital STB screening, referral, and linkage-to-service systems that use CDSS technology to successfully assist probation officers in linking youth on their caseload to treatment. Such an approach may support identification of STB and cross-systems linkage in other youth-serving organizations, such as schools, that increasingly manage youth BH problems with minimal clinical support. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
| | | | | | | | | | | | - Faye S Taxman
- Schar School of Policy and Government, George Mason University
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10
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Webb L, Musci R, Mendelson T. Co-Occurring Mental Health Symptoms in Urban Adolescents: Comorbidity Profiles and Correlates. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2023; 52:171-183. [PMID: 33819113 PMCID: PMC8490478 DOI: 10.1080/15374416.2021.1901228] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To identify subgroups of urban youth based on their self- and teacher-reported mental health symptoms, and to explore characteristics of these subgroups. METHODS Cross-sectional data from 426 eighth-grade students (Mage = 13.22 years; 70.1% Black/African American; 58.7% female) across 20 Baltimore City public schools were analyzed using latent profile analysis and latent regressions. Variables for latent profile analysis included self-reported symptoms (i.e., anxiety, depression, trauma, interpersonal issues, social problems, and behavioral dysfunction) and teacher-reported symptoms (i.e., externalizing, internalizing, and problems in social and emotional competence). Regressions used profile membership to predict trauma exposure, coping mechanisms, and substance use. RESULTS A 3-profile solution was found from the latent profile analysis. The profile with high student- and teacher-reported symptoms had more trauma exposures, greater use of maladaptive coping mechanisms, and higher substance use. CONCLUSIONS The current study may help in the identification of urban youth who are at risk of developing multiple co-occurring psychological disorders to target for prevention efforts.
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Affiliation(s)
- Lindsey Webb
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Rashelle Musci
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Tamar Mendelson
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
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11
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Tolou-Shams M, Folk JB, Holloway ED, Ordorica CM, Dauria EF, Kemp K, Marshall BDL. Psychiatric and Substance-Related Problems Predict Recidivism for First-Time Justice-Involved Youth. THE JOURNAL OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW 2023; 51:35-46. [PMID: 36646452 PMCID: PMC10019581 DOI: 10.29158/jaapl.220028-21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Justice-involved youth with clinically significant co-occurring psychiatric and substance-related problems are at increased risk for recidivism. Less is known about how psychiatric symptoms (i.e., internalizing and externalizing) and substance-related problems (i.e., alcohol and cannabis) interact to predict recidivism, especially at first court contact. Among 361 first-time justice-involved youth aged 12 to 18, we used nested multivariate negative binomial regression models to examine the association between psychiatric symptoms, substance-related problems and 24-month recidivism while accounting for demographic and legal covariates. Clinically significant externalizing symptoms and alcohol-related problems predicted recidivism. Moderation analyses revealed that alcohol-related problems drove recidivism for youth without clinically significant psychiatric symptoms and externalizing symptoms predicted recidivism, regardless of alcohol-related problems. After accounting for other predictors, Latinx, Black non-Latinx, and multiracial non-Latinx youth were more likely to recidivate at follow-up than White non-Latinx youth. Systematic screening, referral, and linkage to treatment for psychiatric and substance-related problems are needed to reduce recidivism risk among first-time justice-involved youth. Differences in recidivism rates by race/ethnicity not attributable to behavioral health needs suggest it is imperative to concurrently deploy large-scale structural interventions designed to combat systemic racial bias and overrepresentation of ethnoracial minoritized youth within the juvenile justice system.
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Affiliation(s)
- Marina Tolou-Shams
- Dr. Tolou-Shams is Professor, Dr. Folk is Assistant Professor, Dr. Holloway is Postdoctoral Fellow, and Ms. Ordorica is Clinical Research Coordinator, University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, San Francisco, CA. Dr. Dauria is Assistant Professor at University of Pittsburgh, Department of Behavioral and Community Health Sciences, Pittsburgh, PA. Dr. Kemp is Assistant Professor at The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI. Dr. Marshall is Associate Professor at Brown University School of Public Health, Department of Epidemiology, Providence, RI.
| | - Johanna B Folk
- Dr. Tolou-Shams is Professor, Dr. Folk is Assistant Professor, Dr. Holloway is Postdoctoral Fellow, and Ms. Ordorica is Clinical Research Coordinator, University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, San Francisco, CA. Dr. Dauria is Assistant Professor at University of Pittsburgh, Department of Behavioral and Community Health Sciences, Pittsburgh, PA. Dr. Kemp is Assistant Professor at The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI. Dr. Marshall is Associate Professor at Brown University School of Public Health, Department of Epidemiology, Providence, RI
| | - Evan D Holloway
- Dr. Tolou-Shams is Professor, Dr. Folk is Assistant Professor, Dr. Holloway is Postdoctoral Fellow, and Ms. Ordorica is Clinical Research Coordinator, University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, San Francisco, CA. Dr. Dauria is Assistant Professor at University of Pittsburgh, Department of Behavioral and Community Health Sciences, Pittsburgh, PA. Dr. Kemp is Assistant Professor at The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI. Dr. Marshall is Associate Professor at Brown University School of Public Health, Department of Epidemiology, Providence, RI
| | - Catalina M Ordorica
- Dr. Tolou-Shams is Professor, Dr. Folk is Assistant Professor, Dr. Holloway is Postdoctoral Fellow, and Ms. Ordorica is Clinical Research Coordinator, University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, San Francisco, CA. Dr. Dauria is Assistant Professor at University of Pittsburgh, Department of Behavioral and Community Health Sciences, Pittsburgh, PA. Dr. Kemp is Assistant Professor at The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI. Dr. Marshall is Associate Professor at Brown University School of Public Health, Department of Epidemiology, Providence, RI
| | - Emily F Dauria
- Dr. Tolou-Shams is Professor, Dr. Folk is Assistant Professor, Dr. Holloway is Postdoctoral Fellow, and Ms. Ordorica is Clinical Research Coordinator, University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, San Francisco, CA. Dr. Dauria is Assistant Professor at University of Pittsburgh, Department of Behavioral and Community Health Sciences, Pittsburgh, PA. Dr. Kemp is Assistant Professor at The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI. Dr. Marshall is Associate Professor at Brown University School of Public Health, Department of Epidemiology, Providence, RI
| | - Kathleen Kemp
- Dr. Tolou-Shams is Professor, Dr. Folk is Assistant Professor, Dr. Holloway is Postdoctoral Fellow, and Ms. Ordorica is Clinical Research Coordinator, University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, San Francisco, CA. Dr. Dauria is Assistant Professor at University of Pittsburgh, Department of Behavioral and Community Health Sciences, Pittsburgh, PA. Dr. Kemp is Assistant Professor at The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI. Dr. Marshall is Associate Professor at Brown University School of Public Health, Department of Epidemiology, Providence, RI
| | - Brandon D L Marshall
- Dr. Tolou-Shams is Professor, Dr. Folk is Assistant Professor, Dr. Holloway is Postdoctoral Fellow, and Ms. Ordorica is Clinical Research Coordinator, University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, San Francisco, CA. Dr. Dauria is Assistant Professor at University of Pittsburgh, Department of Behavioral and Community Health Sciences, Pittsburgh, PA. Dr. Kemp is Assistant Professor at The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI. Dr. Marshall is Associate Professor at Brown University School of Public Health, Department of Epidemiology, Providence, RI
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A mediated moderation model of negative life events, self-esteem, rumination and parental divorce on depression among Chinese juvenile delinquents. Sci Rep 2023; 13:1793. [PMID: 36720911 PMCID: PMC9889766 DOI: 10.1038/s41598-023-28626-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 01/20/2023] [Indexed: 02/02/2023] Open
Abstract
Little attention was paid to the prevalence of depression in Chinese juvenile delinquents who are studied in correctional work-study schools. Hence, the present study aimed to test the unique, mediating and moderating effects of negative life events, self-esteem, rumination and parental divorce on depression among Chinese juvenile delinquents. A total of 236 juvenile delinquents aged between 12 and 17 years old (M = 14.68 SD = 1.30) were recruited to accomplish a battery of self-report questionnaires concerning their negative life events, self-esteem, rumination, depression and demographic profile. The descriptive analysis showed that there was a positive correlation between negative life events and depression in Chinese juvenile delinquents. Moreover, the results from the structural model indicated that self-esteem and rumination played separate and sequential mediating roles between negative life events and depression. In addition, parental divorce had a moderating effect between negative life events and self-esteem in the model. These results suggest that the prevalence of depression among Chinese juvenile delinquents can be reduced through modification of the ruminative way of thinking, improving their self-esteem when they encounter a number of negative life events. Furthermore, more attention should be paid to the juvenile delinquents who experienced parental divorce.
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Webb L, Jackson DB, Jindal M, Alang S, Mendelson T, Clary LK. Anticipation of Racially Motivated Police Brutality and Youth Mental Health. JOURNAL OF CRIMINAL JUSTICE 2022; 83:101967. [PMID: 38846374 PMCID: PMC11156263 DOI: 10.1016/j.jcrimjus.2022.101967] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2024]
Abstract
Purpose Exposure to police brutality is a significant risk to adolescent mental health. This study extends this literature by exploring connections between anticipation of racially motivated police brutality and multiple facets of adolescent mental health. Methods Students ages 14 to 18 (n = 151) were recruited from a study administered in Baltimore City public schools. Between December 2020 and July 2021, participants completed a questionnaire assessing anticipatory stress regarding racially motivated police brutality and current mental health. Regression models examined associations between this anticipatory stress and mental health. Latent profile and regression analyses were used to examine whether anticipatory stress was more salient among adolescents with comorbid mental health symptoms, compared to those without comorbid symptoms. Results Youth with anticipatory stress stemming from both personal and vicarious police brutality had more symptoms of anxiety, depression, and PTSD, as well as lower hope, compared to youth without anticipatory stress. The association between anticipatory stress and anxiety was stronger for girls than boys. Conclusions Findings from this study highlight racialized police brutality as a common anticipated stressor among youth, particularly for girls. Findings have implications for policing interventions, including development of additional trainings for police officers and promoting positive police/youth interactions.
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Affiliation(s)
- Lindsey Webb
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health
| | - Dylan B. Jackson
- Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health
| | - Monique Jindal
- Academic Internal Medicine, Department of Medicine, University of Illinois Chicago
| | - Sirry Alang
- Department of Sociology and Anthropology, Lehigh University
| | - Tamar Mendelson
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health
- Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health
| | - Laura K. Clary
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health
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Whitney E, McCue Horwitz S, Tedeschi F, Alexander AR, Baetz CL, Bart AL, Guo F, Havens J. Diagnoses and Treatment in Juvenile Detention Before and After Evaluation by Facility-Based Mental Health Service. J Am Acad Child Adolesc Psychiatry 2022; 61:1203-1205. [PMID: 35691600 DOI: 10.1016/j.jaac.2022.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 04/21/2022] [Accepted: 06/02/2022] [Indexed: 11/18/2022]
Abstract
As of 2018, more than 37,000 American youth were residing in juvenile detention or residential placement facilities.1 Prevalence studies have demonstrated high rates of psychiatric illness in this population, with estimates ranging from 50% to 75%.2,3 Comorbidity is common: Abram et al. found that 75% of juvenile detainees meeting criteria for one disorder met criteria for two or more disorders.4 Compared to psychiatric morbidity in justice-involved youth, there is a paucity of data describing mental health services within juvenile justice settings, treatments delivered by these services, or outcomes following treatment. We performed a retrospective study to compare diagnoses and medications prescribed to youth in the community prior to detention with those received after evaluation by the facility-based juvenile justice mental health service (JJMHS) staffing secure detention facilities in New York, NY.
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Affiliation(s)
- Eric Whitney
- New York University Grossman School of Medicine, New York.
| | | | - Frank Tedeschi
- New York University Grossman School of Medicine, New York
| | | | | | - Amanda L Bart
- New York University Grossman School of Medicine, New York
| | - Fei Guo
- New York University Grossman School of Medicine, New York
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Porche MV, Fortuna LR, Tolou-Shams M. Unpacking the Layers: Dismantling Inequities in Substance Use Services and Outcomes for Racially Minoritized Adolescents. Child Adolesc Psychiatr Clin N Am 2022; 31:223-236. [PMID: 35361361 PMCID: PMC10662943 DOI: 10.1016/j.chc.2021.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Minoritized youth have lower prevalence rates of substance use disorders (SUD) compared with White peers, but proportionally those that are diagnosed are less likely to engage in specialized care and there are few culturally responsive treatments or programs available. We examine social determinants of SUD, with emphasis on the impact of trauma, including racial trauma, and include an intersectional approach incorporating race, ethnicity, and gender. This review of the literature highlights evidence-based effective clinical practice as examples for the field in developing therapeutic approaches to SUD for this population.
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Affiliation(s)
- Michelle V Porche
- Department of Psychiatry and Behavioral Sciences, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco (UCSF), 1001 Potrero Avenue, Building 5, Room 7M, San Francisco, CA, USA.
| | - Lisa R Fortuna
- Department of Psychiatry and Behavioral Sciences, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Avenue, Building 5, Room 7M16, San Francisco, CA, USA
| | - Marina Tolou-Shams
- Department of Psychiatry and Behavioral Sciences, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Avenue, Building 5, Room 7M18, San Francisco, CA 94110, USA
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Conrad SM, Webb M, Affleck K, Hood E, Kemp K. Suicide Risk, Self-Injury, and Sleep: An Exploration of the Associations in a Sample of Juvenile Justice Involved Adolescents. JOURNAL OF FORENSIC PSYCHOLOGY RESEARCH AND PRACTICE 2022; 24:48-65. [PMID: 38525195 PMCID: PMC10959508 DOI: 10.1080/24732850.2022.2057268] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/26/2024]
Abstract
Court-involved youth living in the community represent a vulnerable, yet understudied, group that is at risk for a variety of concerning outcomes including increased suicidal ideation, suicide attempts, and non-suicidal self-injury (NSSI). Additionally, sleep disruption, which has been associated with an increase in impulsive decision making, appears to be disproportionately high in this population. However, little is known about any connection between poor sleep and increased suicide risk and NSSI in a group of youth. This study explores the associations between sleep disruption, suicidal ideation, suicide attempts, and NSSI in a sample of court-involved youth in the community referred for mental health evaluation at a court based mental health clinic. Findings suggest that sleep disruption is related to NSSI in this population but not suicidal ideation and suicide attempts. Additional relationships were found between NSSI and being female, as well as having a lifetime history of trauma and marijuana use. Findings suggest that court clinics may wish to screen for sleep disruption as a risk factor for NSSI, and future studies may wish to explore improved sleep as a protective factor for CINI youth.
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Affiliation(s)
- Selby M Conrad
- Rhode Island Hospital
- Bradley Hospital
- Warren Alpert Medical School of Brown University
- Roger Williams University
| | - Margaret Webb
- Rhode Island Hospital
- Warren Alpert Medical School of Brown University
| | - Katelyn Affleck
- Bradley Hospital
- Warren Alpert Medical School of Brown University
| | | | - Kathleen Kemp
- Rhode Island Hospital
- Warren Alpert Medical School of Brown University
- Rhode Island Family Court
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Stewart SL, Celebre A, Semovski V, Hirdes JP, Vadeboncoeur C, Poss JW. The interRAI Child and Youth Suite of Mental Health Assessment Instruments: An Integrated Approach to Mental Health Service Delivery. Front Psychiatry 2022; 13:710569. [PMID: 35370860 PMCID: PMC8967950 DOI: 10.3389/fpsyt.2022.710569] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Accepted: 02/14/2022] [Indexed: 12/20/2022] Open
Abstract
Various biological, social, psychological, and environmental factors impact children and youth living with mental health problems across their lifespan. To meet the wide-ranging challenges of mental illness, service system integration is needed to improve efficiencies and reduce fragmentation. Unfortunately, the mental health system has been plagued by the lack of coordination across services. There is a general consensus that mental health service delivery must ensure a child or youth's needs are addressed in a collaborative, coordinated, and seamless manner. A key element to successful integration is the development of a comprehensive standardized screening and assessment system. Numerous assessments have been developed to assess child mental health and functioning, but they typically have a very narrow focus with limited use and utility. Not only does this reduce the ability to take a life course perspective to mental health, but this uncoordinated approach also results in redundancies in information collected, additional resources, and increased assessor burden for children, youth, and their families. The interRAI child and youth mental health assessment suite was developed in response to the need for an integrated mental health system for young persons. This suite includes screening and assessment instruments for in-patient and community settings, emergency departments, educational settings, and youth justice custodial facilities. The instruments form a mental health information system intentionally designed to work in an integrated fashion beginning in infancy, and incorporate key applications such as care planning, outcome measurement, resource allocation, and quality improvement. The design of these assessment tools and their psychometric properties are reviewed. Data is then presented using examples related to interpersonal trauma, illustrating the use and utility of the integrated suite, along with the various applications of these assessment systems.
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Affiliation(s)
| | - Angela Celebre
- Faculty of Education, Western University, London, ON, Canada
| | | | - John P. Hirdes
- Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON, Canada
| | | | - Jeffrey W. Poss
- Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON, Canada
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Bourion-Bédès S, Bisch M, Baumann C. Factors associated with family involvement in a family-centered care program among incarcerated French adolescents with conduct disorder. Int J Prison Health 2022; 19:220-229. [PMID: 35150213 DOI: 10.1108/ijph-09-2021-0092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE This study aims to identify the patient characteristics that may influence family involvement in a family-centered care program during detention. DESIGN/METHODOLOGY/APPROACH Little is known about the needs of incarcerated adolescents and their families. This exploratory study used a cross-sectional design to collect data from incarcerated adolescents with conduct disorder followed in a French outpatient psychiatric department. Logistic regression models were used to identify the sociodemographic, clinical and family characteristics of these incarcerated adolescents that could predict family involvement in their care. FINDINGS Among 44 adolescents with conduct disorder, the probability of family involvement during the adolescent's detention was 9.6 times greater (95% CI 1.2-14.4, p = 0.03) for adolescents with no than for those with cannabis substance use disorder, and family involvement decreased with the age of the adolescent (OR = 0.22, 95% CI 0.1-0.9, p = 0.04). RESEARCH LIMITATIONS/IMPLICATIONS Increased knowledge of the characteristics of these adolescents and their families is needed to develop programs that will increase family interventions by specialty treatment services during detention. ORIGINALITY/VALUE No study has yet been published on French incarcerated adolescents with conduct disorder. As conduct disorder is one of the most important mental health disorders among delinquent adolescents, this study provides knowledge about these adolescents and the need to involve their parents in their care to prevent the further escalation of problem behaviors.
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Affiliation(s)
- Stéphanie Bourion-Bédès
- Centre Hospitalier de Versailles, Le Chesnay, France and EA4360 APEMAC, University of Lorraine, Nancy, France
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Ng MY, Harrison A, Bath E, Kemp K, Galbraith K, Brown LK, Tolou-Shams M. Sexting and Behavioral Health in First-time Justice-Involved Adolescents. CHILDREN AND YOUTH SERVICES REVIEW 2022; 132:106298. [PMID: 37745773 PMCID: PMC10516529 DOI: 10.1016/j.childyouth.2021.106298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/26/2023]
Abstract
Objectives We examined the prevalence of sexting, related motivations, demographics, and association with behavioral health problems among justice-involved adolescents. Hypotheses We hypothesized positive associations between sexting and sexual risk, substance use, delinquency, and mental health problems. Methods Participants were 307 community-supervised justice-involved adolescents with a first-time offense (Mage =14.50 years, 44.6% female) and their caregivers. Adolescents answered questions on technology use and sexting by sending, receiving, or forwarding sexually suggestive text messages and images (pictures or videos). They also completed measures of recent (past 4-month) sexual activity, unprotected sex, cigarette, alcohol, marijuana, and other drug use, and delinquency; current trauma symptoms, internalizing problems, and adaptive functioning. Results Prevalence of sexting were 37.7% (lifetime overall; 17.0% sent texts; 17.4% sent images) and 29.5% (past-year overall; 12.8% sent texts; 13.6% sent images). Sexts were commonly sent as presents to partners, in response to sexts received, or to have fun. "Sexters" were older than "non-sexters" and more likely to identify as lesbian, gay, bisexual, or questioning. Past-year sexting was significantly associated with recent sexual activity; unprotected sex; alcohol use and days of use; marijuana and other drug use; delinquency and variety of delinquent acts; and elevated trauma symptoms and internalizing problems. Conclusions Sexting is prevalent among adolescents with a first-time offense and co-occurs with multiple behavioral health needs. Intervention for this population may be informed by routinely assessing sexting in community settings. Familiarity with local reporting laws could help clinicians navigate the legal implications of sexting among adolescents with existing justice-system involvement.
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Affiliation(s)
- Mei Yi Ng
- Department of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, and Department of Psychology and Center for Children and Families, Florida International University
- Florida International University, Anna Harrison is now at the San Francisco VA Healthcare System, and Katharine Galbraith is now at the University of Southern California
| | - Anna Harrison
- Department of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, and Suicide Prevention Program, San Francisco VA Healthcare System
| | - Eraka Bath
- Department of Psychiatry and Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles
| | - Kathleen Kemp
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University and Rhode Island Hospital
| | - Katharine Galbraith
- Department of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, and Zuckerberg San Francisco General Hospital
| | - Larry K Brown
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University and Rhode Island Hospital
| | - Marina Tolou-Shams
- Department of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, and Zuckerberg San Francisco General Hospital
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Wahab S, Baharom MA, Abd Rahman FN, A. Wahab K, Zulkifly MA, Azmi AD, Ahmad N. The relationship of lifetime substance-use disorder with family functioning, childhood victimisation, and depression, among juvenile offenders in Malaysia. Addict Behav Rep 2021; 14:100359. [PMID: 34136633 PMCID: PMC8181857 DOI: 10.1016/j.abrep.2021.100359] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 05/16/2021] [Accepted: 05/21/2021] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Adolescent substance use is a multifactorial social issue that leads to detrimental outcomes. The aim of this study is to understand the association of a lifetime history of substance abuse or dependence with family functioning, childhood victimisation, and depression, among adolescent male inmates in a juvenile detention centre in Malaysia. METHODS This study was cross-sectional involving 230 inmates and was conducted in a juvenile detention centre in Malaysia. The mean age of the participants was 16.65 years, with the highest percentage from the Malay ethnicity (87.8% where n = 202). The Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID), Adolescent Alcohol and Drug Involvement Scale (AADIS), Family Adaptability and Cohesion Evaluation Scale (FACES) IV and Juvenile Victimization Questionnaire Second Revision (JVQ-R2) were used as instruments. RESULTS The prevalence of a lifetime history of substance abuse and substance dependence is 72.6% and 58.3%, respectively. A lifetime history of substance abuse and dependence had a significant association with age, race, religion, and peer/sibling victimisation. Further analysis reveals that an increase in age can be a predictor of both lifetime history of substance abuse and dependence while peer/sibling victimisation may predict lifetime history of substance abuse. There was no significant association of lifetime substance-use disorder with family functioning and depression in the juvenile offenders. CONCLUSIONS Adolescents exposed to peer/sibling victimisation might be at a higher risk of developing a substance-use disorder. At-risk groups need to be identified, assessed, and have intervention early to prevent adverse outcomes.
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Affiliation(s)
- Suzaily Wahab
- Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Kuala Lumpur, Malaysia
| | | | - Fairuz Nazri Abd Rahman
- Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Kuala Lumpur, Malaysia
| | | | - Muhamad Afiq Zulkifly
- Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Kuala Lumpur, Malaysia
| | - Amirul Danial Azmi
- Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Kuala Lumpur, Malaysia
| | - Norfazilah Ahmad
- Department of Community Health, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Kuala Lumpur, Malaysia
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Kuranga AT, Yussuf AD. Psychiatric morbidity amongst adolescents in a Nigerian juvenile correctional facility. S Afr J Psychiatr 2021; 27:1590. [PMID: 34522436 PMCID: PMC8424729 DOI: 10.4102/sajpsychiatry.v27i0.1590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 05/20/2021] [Indexed: 11/21/2022] Open
Abstract
Background The high occurrence of psychiatric disorders amongst adolescents within the Juvenile Justice System (JJS) has been confirmed. Most of the available data are from developed countries and some of them focus on just a single psychiatric disorder which may not be representative of the situation in low-income countries, hence the need for more studies in developing countries, including Nigeria. Aim The study aimed to determine the prevalence of psychiatric disorders amongst adolescent residents of a correctional facility. Setting The study was carried out at a Borstal Institution in North-Central Nigeria. Methods A descriptive cross-sectional study design was used. One hundred and twenty adolescents were assessed using the socio-demographic pro forma questionnaire designed by the researcher and the Kiddies Schedule for Affective Disorders and Schizophrenia (KSADS-PL). Data were analysed using EPI-INFO 4.06 d version 6.04 software. Results A total of 62.5% of the male respondents were older than 15 years. The percentage of respondents with a psychiatric disorder was 82.5%. The rate of psychiatric disorders was high with disruptive behaviour disorders being the most common at 40.8%, others were substance use disorders (15.8%), anxiety disorders (14.2%), psychosis (6.7%) and mood disorders (5%). Conclusion This study has established a high prevalence rate of psychiatric disorders amongst incarcerated adolescents. This is in line with the findings of numerous studies worldwide. This study has identified the need to increase awareness and knowledge about the high morbidity of mental disorders in growing juvenile detainee populations. This will allow early identification of adolescents at risk of psychiatric disorders and ensure efficient resource distribution of both JJS service and mental healthcare. Effective and appropriate interventions have shown to improve overall health, quality of life and reduce the rate of recidivism amongst incarcerated juveniles.
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Affiliation(s)
- Amudalat T Kuranga
- Department of Behavioural Science, University of Ilorin Teaching Hospital, Kwara State, Nigeria
| | - Abdullahi D Yussuf
- Department of Behavioural Science, University of Ilorin Teaching Hospital, Kwara State, Nigeria
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Turner D, Wolf AJ, Barra S, Müller M, Gregório Hertz P, Huss M, Tüscher O, Retz W. The association between adverse childhood experiences and mental health problems in young offenders. Eur Child Adolesc Psychiatry 2021; 30:1195-1207. [PMID: 32740721 PMCID: PMC8310856 DOI: 10.1007/s00787-020-01608-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2019] [Accepted: 07/20/2020] [Indexed: 01/04/2023]
Abstract
High rates of adverse childhood experiences (ACEs, e.g., abuse and neglect) have been found in young offenders. Furthermore, ACEs seem to increase the risk of developing relevant mental health problems, in non-offending juveniles and adults. However, this association has only seldomly been addressed in offending juveniles and young adults. The present study aimed at evaluating the prevalence of ACEs and mental health problems as well as their association within a sample of male and female young offenders. Altogether, 161 adolescent and young adult offenders (16.8% females) from the youth detention center Worms (Germany) filled out questionnaires concerning ACEs and mental health problems with a focus on attention-deficit/hyperactivity disorder and intermittent explosive disorder. Considerable rates of mental health problems were found, e.g., a prevalence of 35.9% was found for intermittent explosive disorder. Furthermore, a greater proportion of the female offenders fell into the clinically significant category for somatic complaints, anxiety/depression, and attention problems than the male offenders. Female young offenders also reported more frequently about all forms of ACEs compared to the male offenders. Latent class analysis defined three subtypes of young offenders depending on their individual ACE patterns: (1) low ACEs, (2) mainly neglectful ACEs, and (3) multiple ACEs. ACEs were significantly associated with the occurrence of both internalizing and externalizing mental health disturbances, with the multiple-ACE subtype being most likely to report about significant mental health problems. The results of the present study point towards the relevance to routinely assess ACEs in young offenders to identify possible precursors of mental health problems and of future criminal behaviors.
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Affiliation(s)
- Daniel Turner
- Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Untere Zahlbacher Straße 8, 55131, Mainz, Germany.
| | - Anne Jule Wolf
- Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Untere Zahlbacher Straße 8, 55131, Mainz, Germany
| | - Steffen Barra
- Neurocenter - Institute for Forensic Psychology and Psychiatry, Saarland University Medical Center, Homburg, Germany
| | - Marcus Müller
- Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Untere Zahlbacher Straße 8, 55131, Mainz, Germany
| | - Priscilla Gregório Hertz
- Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Untere Zahlbacher Straße 8, 55131, Mainz, Germany
| | - Michael Huss
- Department of Child and Adolescent Psychiatry, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Oliver Tüscher
- Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Untere Zahlbacher Straße 8, 55131, Mainz, Germany
| | - Wolfgang Retz
- Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Untere Zahlbacher Straße 8, 55131, Mainz, Germany
- Neurocenter - Institute for Forensic Psychology and Psychiatry, Saarland University Medical Center, Homburg, Germany
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Teplin LA, Potthoff LM, Aaby DA, Welty LJ, Dulcan MK, Abram KM. Prevalence, Comorbidity, and Continuity of Psychiatric Disorders in a 15-Year Longitudinal Study of Youths Involved in the Juvenile Justice System. JAMA Pediatr 2021; 175:e205807. [PMID: 33818599 PMCID: PMC8022269 DOI: 10.1001/jamapediatrics.2020.5807] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 07/01/2020] [Indexed: 12/26/2022]
Abstract
Importance Previous studies have found that one-half to three-quarters of youths detained in juvenile justice facilities have 1 or more psychiatric disorders. Little is known about the course of their disorders as they age. Objective To examine the prevalence, comorbidity, and continuity of 13 psychiatric disorders among youths detained in a juvenile justice facility during the 15 years after detention up to a median age of 31 years, with a focus on sex and racial/ethnic differences. Design, Setting, and Participants The Northwestern Juvenile Project is a longitudinal cohort study of health needs and outcomes of 1829 randomly selected youths in a temporary juvenile detention center in Cook County, Illinois. Youths aged 10 to 18 years were interviewed in detention from November 20, 1995, through June 14, 1998. Participants were reinterviewed up to 12 times during the 15-year study period through February 2015, for a total of 16 372 interviews. The sample was stratified by sex, race/ethnicity (Black, Hispanic, and non-Hispanic White), age (10-13 years or 14-18 years), and legal status (processed in juvenile or adult court). Data analysis was conducted from February 2014, when data preparation began, to March 2020. Exposures Detention in a juvenile justice facility. Main Outcomes and Measures Psychiatric disorders, assessed by the Diagnostic Interview Schedule for Children, version 2.3 at the baseline interviews. Follow-up interviews were conducted using the Diagnostic Interview Schedule for Children, version IV; the Diagnostic Interview Schedule, version IV; and the World Mental Health Composite International Diagnostic Interview (beginning at the 6-year follow-up interview). Results The study included 1829 youths sampled at baseline (1172 males and 657 females; mean [SD] age, 14.9 [1.4] years). Although prevalence and comorbidity of psychiatric disorders decreased as the 1829 participants aged, 52.3% of males and 30.9% of females had at least 1 or more psychiatric disorders 15 years postdetention. Among participants with a disorder at baseline, 64.3% of males and 34.8% of females had a disorder 15 years later. Compared with females, males had 3.37 times the odds of persisting with a psychiatric disorder 15 years after baseline (95% CI, 1.79-6.35). Compared with Black participants and Hispanic participants, non-Hispanic White participants had 1.6 times the odds of behavioral disorders (odds ratio, 1.56; 95% CI, 1.27-1.91 and odds ratio, 1.59; 95% CI, 1.23-2.05, respectively) and greater than 1.3 times the odds of substance use disorders (odds ratio, 1.90; 95% CI, 1.55-2.33 and odds ratio, 1.39; 95% CI, 1.11-1.73, respectively) throughout the follow-up period. Behavioral disorders and substance use disorders were the most prevalent 15 years after detention. Conclusions and Relevance This study's findings suggest that persistent psychiatric disorders may complicate the transition from adolescence to adulthood, which is already challenging for youths involved in the juvenile justice system, many of whom are from racial/ethnic minority groups and low-income backgrounds. The pediatric health community should advocate for early identification and treatment of disorders among youths in the justice system.
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Affiliation(s)
- Linda A. Teplin
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Lauren M. Potthoff
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - David A. Aaby
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Leah J. Welty
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Mina K. Dulcan
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois
| | - Karen M. Abram
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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Lensch T, Clements-Nolle K, Oman RF, Evans WP, Lu M, Yang W. Adverse childhood experiences and co-occurring psychological distress and substance abuse among juvenile offenders: the role of protective factors. Public Health 2021; 194:42-47. [PMID: 33857872 DOI: 10.1016/j.puhe.2021.02.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Revised: 01/16/2021] [Accepted: 02/14/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The purpose of this study was to estimate associations between cumulative exposure to adverse childhood experiences (ACEs), protective factors, and co-occurrence among male and female juvenile offenders. STUDY DESIGN Cross-sectional study. METHODS Validated measures of ACEs, internal resilience, external youth assets, psychological distress, and substance abuse were collected from 429 youths involved in the juvenile justice system in Nevada. A three-level outcome variable was created using the psychological distress and substance use measures: no problems, one problem, or co-occurring problems. Hierarchical multinomial logistic regression models were used to determine the independent, direct, and moderating impact of the protective factors on ACEs and the outcome. RESULTS Internal resilience, family communication, school connectedness, peer role models, and non-parental adult role models were associated with lower odds of co-occurrence compared to having no problems (adjusted odds ratios [AORs] ranged from 0.11 to 0.33). When ACEs were added to the model, internal resilience and all assets except for one (non-parental adult role models) continued to offer protection against co-occurrence. Internal resilience was the only protective factor that significantly moderated the association between ACEs and co-occurrence (AOR, 0.24; 95% CI, 0.06, 0.99). CONCLUSION Most protective factors decreased co-occurring mental health and substance abuse problems in the presence of ACE exposure and internal resilience moderated the relationship between ACEs and co-occurrence. Juvenile justice systems should use positive youth development approaches to help prevent co-occurrence among youths.
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Affiliation(s)
- T Lensch
- School of Community Health Sciences, University of Nevada, Reno, USA.
| | - K Clements-Nolle
- School of Community Health Sciences, University of Nevada, Reno, USA
| | - R F Oman
- School of Community Health Sciences, University of Nevada, Reno, USA
| | - W P Evans
- College of Education, University of Nevada, Reno, USA
| | - M Lu
- School of Community Health Sciences, University of Nevada, Reno, USA
| | - W Yang
- School of Community Health Sciences, University of Nevada, Reno, USA
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25
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Hartsell EN. The relationship between psychological symptom ratings and crime in juvenile justice system involved young people. CRIMINAL BEHAVIOUR AND MENTAL HEALTH : CBMH 2021; 31:13-30. [PMID: 33026131 DOI: 10.1002/cbm.2169] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 04/20/2020] [Accepted: 08/30/2020] [Indexed: 06/11/2023]
Abstract
RATIONALE Prior research has not adequately examined the relationship between psychological state and offending. Limitations include over-reliance on criminal convictions as the dependent variable, failure to examine a comprehensive set of psychological states, the limited nature of measures and the frequent use of cross-sectional data that cannot ensure temporal ordering. AIMS To explore the relationship between five self-reported psychological states-anxiety, depression, hostility, paranoia and psychoticism-and three types of offending-violent, non-violent and marijuana use-reported 6 months later in a sample of justice system involved young people. METHODS Data were acquired from the publicly available Pathways to Desistance dataset, a longitudinal study of 1262 young people (86% male) involved in the criminal justice system. Measures of psychological state were self-reported using the Brief Symptom Inventory at project entry and self-report offending measures 6 months later. RESULTS No psychological states were significantly associated with reports of marijuana use and depression was not related to offending. Anger and paranoia each predicted an increased variety of violent and non-violent offending, while anxiety and psychoticism each increased the variety of violent but not non-violent offending. Clinically significant states on one or more sub-scales were related to variety of both violent and non-violent offending. IMPLICATIONS These results suggest that early screening of psychological state may help identify young people at risk for offending. Further research might be directed at clarifying the extent of actual disorder and the nature of interventions that would best help not only those with a diagnosable disorder, but also those with aspects of their psychological state which trouble them, but which may not actually amount to disorder.
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26
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Teplin LA, Meyerson NS, Jakubowski JA, Aaby DA, Zheng N, Abram KM, Welty LJ. Association of Firearm Access, Use, and Victimization During Adolescence With Firearm Perpetration During Adulthood in a 16-Year Longitudinal Study of Youth Involved in the Juvenile Justice System. JAMA Netw Open 2021; 4:e2034208. [PMID: 33538822 PMCID: PMC7862991 DOI: 10.1001/jamanetworkopen.2020.34208] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
IMPORTANCE Preventing firearm violence requires understanding its antecedents. Yet no comprehensive longitudinal study has examined how involvement with firearms during adolescence-use, access, and victimization (defined as threatened with a weapon or gunshot injury)-is associated with the perpetration of firearm violence in adulthood. OBJECTIVE To examine the association between firearm involvement during adolescence and subsequent firearm perpetration and ownership in adulthood among youth involved in the juvenile justice system. DESIGN, SETTING, AND PARTICIPANTS This cohort study analyzed interview responses of 1829 randomly selected participants as part of the Northwestern Juvenile Project, a longitudinal study of health needs and outcomes of youth sampled from a temporary juvenile detention center in a large US city. Youth aged 10 to 18 years were interviewed in detention from November 1995 through June 1998. Participants were reinterviewed up to 13 times over 16 years through February 2015, for a total of 17 776 interviews. The sample was stratified by sex, race/ethnicity, age, and legal status (juvenile or adult court). Data were analyzed from April 2017, when data preparation began, through November 2020. EXPOSURES Firearm involvement during adolescence: use (ie, threaten, shoot), access (ownership, ease of access, firearm in household, membership in gang that carries firearms), and victimization (gunshot injury, threatened with a weapon). MAIN OUTCOMES AND MEASURES Firearm involvement during adulthood: perpetration of firearm violence (ie, threatening with or using a firearm) and firearm ownership. RESULTS Among the 1829 participants, 1388 had a 16-year follow-up interview: 860 males, 528 females; 809 were African American, 203 were non-Hispanic White; 374 were Hispanic; and 2 were other race/ethnicity; median (interquartile range) age of 32 (30-32) years. Eighty-five percent of males and 63.2% of females were involved with firearms as adolescents. Compared with females, males had significantly higher odds of every type of involvement except having a firearm in the home. In adulthood, 41.3% of males and 10.5% of females perpetrated firearm violence. Adolescents who had been threatened with a weapon or injured by firearms had 3.1 (95% CI, 2.0-4.9) and 2.4 (95% CI, 1.2-4.9) times the odds of perpetrating violence during adulthood. Similar associations were found for firearm ownership. CONCLUSIONS AND RELEVANCE Involvement with firearms during adolescence-including victimization-is a significant risk factor for firearm perpetration and ownership during adulthood.
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Affiliation(s)
- Linda A. Teplin
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Department of Medicine, Infectious Disease, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Institute for Policy Research, Northwestern University, Evanston, Illinois
- Department of Sociology, Weinberg College of Arts & Sciences, Northwestern University, Evanston, Illinois
- School of Education and Public Policy, Northwestern University, Evanston, Illinois
| | - Nicholas S. Meyerson
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Jessica A. Jakubowski
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - David A. Aaby
- Department of Medicine, Infectious Disease, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Nanzi Zheng
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Karen M. Abram
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Leah J. Welty
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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Attention-Deficit/Hyperactivity Disorder (ADHD), antisociality and delinquent behavior over the lifespan. Neurosci Biobehav Rev 2020; 120:236-248. [PMID: 33271164 DOI: 10.1016/j.neubiorev.2020.11.025] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 10/28/2020] [Accepted: 11/26/2020] [Indexed: 12/24/2022]
Abstract
Attention-Deficit/Hyperactivity Disorder (ADHD) is closely linked to the development of conduct problems during socialization in early life and to an increased risk for antisocial activities and delinquency over the lifespan. The interaction between ADHD and common comorbid disorders like substance use disorders as well as changing environmental conditions could mediate the course of antisocial and delinquent behavior with increasing age. However, this complex interaction is only partially understood so far. This review presents current knowledge about the association of ADHD with antisociality and the development of delinquent behavior. Thereby, the relationships between ADHD, conduct disorder and antisocial personality disorder in offenders are discussed, as well as the impact of comorbid psychiatric disorders and psychosocial conditions on offending behavior. Also, treatment studies in offender populations with ADHD are presented. Although our understanding of the role of ADHD in the development of criminal behavior has substantially improved during the last two decades, more research is needed to further elucidate the mechanisms generating unfavorable outcomes and to engender adequate treatment strategies for this population at risk. Moreover, more attention is needed on children with conduct problems in order to avoid antisocial or delinquent behaviors over the lifespan.
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28
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Bosman HS, van Rensburg CJ, Lippi G. Suicide risk of male State patients with antisocial personality traits. S Afr J Psychiatr 2020; 26:1543. [PMID: 33240553 PMCID: PMC7670019 DOI: 10.4102/sajpsychiatry.v26i0.1543] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 08/05/2020] [Indexed: 11/15/2022] Open
Abstract
Background Suicide mortality rates are higher in people with personality disorders, especially those who have antisocial personality traits. These mortality rates are also higher in people who have committed offences. Antisocial personality traits are very common in populations who have committed offences and in forensic psychiatric patients. Aim To determine if male State patients with antisocial personality traits had a higher risk of suicide compared with patients with no antisocial personality traits. We tried to identify other risk factors for attempted suicide in this population. Setting Weskoppies Hospital’s Forensic Unit, Pretoria, South Africa. Methods Of the 275 male State patients, 37 had antisocial personality traits and were included in the study. Of the remaining State patients, we randomly selected 37 control group participants, who had no antisocial personality traits. For each participant, we completed a data capturing sheet and a Beck’s Suicide Ideation Scale (BSIS). We compared suicide risk and associated factors between study and control group participants. Results Study group and control group participants had the same current suicide risk. Overall, 63 participants (85.14%) had no current suicide risk. Of the 11 (14.86%) remaining participants with current suicide risk, 5 had antisocial personality traits. Eighteen had previous suicide attempts, 13 of whom had antisocial personality traits. Conclusion State patients with and without antisocial personality traits had similar current suicide risk. Although antisocial personality disorder is an identified risk factor for suicide, it was not the case in this study. Assessment of other risk factors for suicide should be prioritised.
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Affiliation(s)
- Hendrik S Bosman
- Department of Psychiatry, Faculty of Health Sciences, School of Medicine, University of Pretoria, Pretoria, South Africa
| | | | - Gian Lippi
- Department of Psychiatry, Faculty of Health Sciences, School of Medicine, University of Pretoria, Pretoria, South Africa
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29
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Young S, González RA, Wolff K, Xenitidis K, Mutch L, Malet-Lambert I, Gudjonsson GH. Substance and Alcohol Misuse, Drug Pathways, and Offending Behaviors in Association With ADHD in Prison Inmates. J Atten Disord 2020; 24:1905-1913. [PMID: 28135882 DOI: 10.1177/1087054716688532] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: The objective of the study is to quantify the extent of specific polysubstance use, drug transitions to current substances, and describe the association with alcohol use disorders among inmates with ADHD. We also examined health risk behaviors and patterns of offending in relation with ADHD. Method: A total of 387 male British prison inmates were screened and interviewed via the Diagnostic Interview for ADHD in Adults 2.0 (DIVA-2). Results: Male prisoners with ADHD endorse more methadone and amphetamine use. There was a significantly higher linear trend among those with ADHD for the number of substances ever used. ADHD was positively associated with increasing levels of alcohol use disorder severity, and with alcohol dependence. Transition along the pathways of substance misuse and persistence of drug misuse was better explained by the presence of conduct disorder/antisocial personality traits. Conclusion: Higher rates of alcohol dependence and stimulant-cocaine misuse suggest these inmates have maladaptive coping mechanisms, such as self-medication behaviors.
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Affiliation(s)
- Susan Young
- Imperial College London, UK.,West London Mental Health Trust, London, UK
| | - Rafael A González
- Imperial College London, UK.,University of Puerto Rico, San Juan, Puerto Rico
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30
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Atilola O, Abiri G, Ola B. Psychiatric morbidity among adolescents and youth involved with the juvenile justice system in sub-Saharan Africa: Systematic scoping review of current studies and research gaps. INTERNATIONAL JOURNAL OF LAW AND PSYCHIATRY 2020; 73:101633. [PMID: 33188993 DOI: 10.1016/j.ijlp.2020.101633] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/05/2020] [Accepted: 09/30/2020] [Indexed: 06/11/2023]
Abstract
The current body of knowledge on the prevalence rate of psychiatric morbidity among adolescents and youth within the juvenile justice system in sub-Saharan Africa is yet to be systematically synthesized.. Consequently, African literature in the field has remained obscure, out of consideration in global discourses around the subject.; and incoherent to policy-makers. The situation has also hampered the identification of and filling of regional research-gaps in the field. The aim of this study, therefore, was to conduct a systematic scoping review of available data on psychiatric morbidity among adolescents and youth within the juvenile justice system in sub-Saharan Africa. The search was conducted using PubMed/MEDLINE, Science Direct, EMBASE, CINAHL and Psych Info. Additional searches were done in Google Scholar and African Journal Online (AJOL) databases. Twenty-six studies from 21 different research projects were identified. More than two-thirds were conducted in Nigeria and published within the last decade. Similar to what has been established around the world, the prevalence rate of psychiatric disorder was often very high, with a range of 59.7% - 63.0% among respondents. Key strengths of identified studies included use of standardized clinician-administered instruments for assessment and exploration of a wide range of psychiatric disorders. The main weaknesses in the studies included male gender-bias, lack of normative comparison groups, emphasis on custodial settings with little data on non-custodial systems, and considerable length of time-lag between the points of incarceration and psychiatric evaluation among the samples studied.. The study concluded that a modest number of studies have been conducted on psychiatric morbidity among justice-involved adolescents in sub-Saharan Africa, but there are still significant research gaps which could be bridged in order to aid context-appropriate interventions.
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Affiliation(s)
- Olayinka Atilola
- Department of Behavioural Medicine, Lagos State University Ojo, Lagos, Nigeria.
| | | | - Bolanle Ola
- Department of Behavioural Medicine, Lagos State University Ojo, Lagos, Nigeria
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31
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Determining the probability of juvenile delinquency by using support vector machines and designing a clinical decision support system. Med Hypotheses 2020; 143:110118. [DOI: 10.1016/j.mehy.2020.110118] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 07/14/2020] [Accepted: 07/16/2020] [Indexed: 11/23/2022]
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32
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Lee JS, Taxman FS. Using latent class analysis to identify the complex needs of youth on probation. CHILDREN AND YOUTH SERVICES REVIEW 2020; 115:105087. [PMID: 32501317 PMCID: PMC7236694 DOI: 10.1016/j.childyouth.2020.105087] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 05/12/2020] [Accepted: 05/12/2020] [Indexed: 06/11/2023]
Abstract
Youth involved with the juvenile justice system have higher rates of unmet social and psychological service needs than the general population. Yet, scant research has addressed the potentially complex needs of youth on probation. This study is thus a first step in improving our ability to promote positive youth development and improved outcomes from youth on probation. It uses administrative data on probation youth from FY2011-2013 in a mid-Atlantic state. We estimated latent class models based on the ordinal scoring (high, moderate, none/low) of the 25 subscales from a standardized assessment administered at intake. In order to test whether groups were distinct, we examined a range of variables, including the official risk classification and recidivism rates measured by officieal rearrests and reconvictions. We report the demographic differences between the estimated groups, as well as adverse childhood experiences, school and employment status, previous legal history, and substance use history. Ultimately, the seven-class model produced four groups that others have noted: a relatively low needs (lowest need), relatively high needs (complex needs), substance use service needs, and mental health service needs. The other three groups that emerged include two gender specific groups (one for male and one for female high-need groups) and a group with skills needs that lacks supportive and protective skills. The analyses will facilitate a better appreciation for the service needs of moderate risk youth. Youth on probation are not a uniform population; they reflect tremendous heterogeneity, and probation systems should embrace systemic responsivity to provide appropriate services to improve youth outcomes. Advancing efforts to provide a broader spectrum of services that address multi-morbid conditions can ensure that youth have opportunities to improve their quality of life during the period of supervision.
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Affiliation(s)
- JoAnn S Lee
- George Mason University Department of Social Work, 4400 University Drive - MSN 1F8, Fairfax, VA 22030, USA
| | - Faye S Taxman
- George Mason University Criminology, Law & Society, Center for Advancing Correctional Excellence!, 4097 University Drive, MSN 6D3, Fairfax, VA 22030, USA
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33
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Tolou-Shams M, Brown LK, Marshall BDL, Dauria E, Koinis-Mitchell D, Kemp K, Poindexter B. The Behavioral Health Needs of First-Time Offending Justice-Involved Youth: Substance Use, Sexual Risk and Mental Health. JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE 2020; 28:291-303. [PMID: 34220180 DOI: 10.1080/1067828x.2020.1774023] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This study examines substance use, emotional/behavioral symptoms and sexual risk among first-time offending, court-involved, non-incarcerated (FTO-CINI) youth. Youth and caregivers (N=423) completed tablet-based assessments. By time of first justice contact (average 14.5 years old), 49% used substances, 40% were sexually active and 33% reported both. Youth with co-occurring substance use and sexual risk had more emotional/behavioral symptoms; youth with delinquent offenses and females had greater co-occurring risk. Time of first offense is a critical period to intervene upon high rates of mental health need for those with co-occurring substance use and sexual risk to prevent poor health and legal outcomes.
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Affiliation(s)
- Marina Tolou-Shams
- University of California, San Francisco, Department of Psychiatry, Weill Institute for Neurosciences; 1001 Potrero Ave, San Francisco, CA, 94110, USA.,Zuckerberg San Francisco General Hospital, Division of Infant Child and Adolescent Psychiatry; 1001 Potrero Ave, San Francisco, CA, 94110, USA
| | - Larry K Brown
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; 222 Richmond St, Providence, RI 02903, USA.,Department of Psychiatry, Rhode Island Hospital; 593 Eddy St, Providence, RI 02903, USA
| | - Brandon D L Marshall
- Department of Epidemiology, Brown University School of Public Health; 121 S Main St, Providence, RI 02903, USA
| | - Emily Dauria
- University of California, San Francisco, Department of Psychiatry, Weill Institute for Neurosciences; 1001 Potrero Ave, San Francisco, CA, 94110, USA.,Zuckerberg San Francisco General Hospital, Division of Infant Child and Adolescent Psychiatry; 1001 Potrero Ave, San Francisco, CA, 94110, USA
| | - Daphne Koinis-Mitchell
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; 222 Richmond St, Providence, RI 02903, USA.,Department of Psychiatry, Rhode Island Hospital; 593 Eddy St, Providence, RI 02903, USA
| | - Kathleen Kemp
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; 222 Richmond St, Providence, RI 02903, USA.,Department of Psychiatry, Rhode Island Hospital; 593 Eddy St, Providence, RI 02903, USA
| | - Brittney Poindexter
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; 222 Richmond St, Providence, RI 02903, USA.,Department of Psychiatry, Rhode Island Hospital; 593 Eddy St, Providence, RI 02903, USA
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34
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Crystalline methamphetamine (ice) use prior to youth detention: A forensic concern or a public health issue? PLoS One 2020; 15:e0229389. [PMID: 32469882 PMCID: PMC7259510 DOI: 10.1371/journal.pone.0229389] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 03/25/2020] [Indexed: 12/02/2022] Open
Abstract
Links between crystalline methamphetamine (CM) use and criminal offending are often drawn in the media; however, there has been little scientific research into this relationship. The aim of this study was to ascertain the prevalence and correlates of lifetime CM use among a sample of young people in detention in Australia and to examine whether an association exists between lifetime CM use and recidivism in this population.The sample included 202 young people (164 males) in youth detention in the state of Victoria, Australia. Participants were administered questionnaires related to lifetime substance use and socio-environmental experiences. Lifetime mental health data and offending data were obtained for each participant from public mental health and policing databases. More than one third (38%) of the sample reported lifetime CM use. In multivariate logistic regression analyses, older age, male gender, polysubstance use, and high levels of community disorganisation were associated with CM use. The presence of a psychiatric diagnosis over the lifetime was not significantly associated with CM use. CM use was also not significantly associated with violent recidivism. Efforts to address CM use and related harm in detained youth should include community-based strategies to reduce CM use among this vulnerable population following their release from detention. However, the findings suggest that CM use on its own is unlikely to be an important consideration for professionals concerned with determining which young people should be selected for treatment designed to reduce the risk of violent recidivism.
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35
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Smith DM, Blake JJ, Luo W, Keith VM, Gilreath T. Subtypes of Girls Who Engage in Serious Delinquency and Their Young Adult Outcomes. PSYCHOLOGY OF WOMEN QUARTERLY 2020. [DOI: 10.1177/0361684320918243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Girls are increasingly becoming involved with the juvenile justice system; however, what brings girls to engage in delinquency or what obstacles these girls face later in life resulting from adolescent criminal behavior is understudied. In the present study, we used latent class analysis to identify subtypes of risks among adolescent girls ( N = 1,174) who have engaged in delinquent behaviors and mixture modeling to determine what distal psychological, social, educational, and economic outcomes in young adulthood are associated with each subtype. Four adolescent subtypes were identified, which were distinguished primarily based on the severity of their self-reported victimization experiences and mental health concerns. Classes with higher levels of victimization experiences tended to report more engagement with delinquent behavior in adolescence and had a larger proportion of Black and Hispanic girls than lower-victimization classes. Identified classes differed from each other on distal (i.e., young adulthood) measures of economic instability, educational attainment, drug use, depression, and adult arrests. Generally, latent classes which were characterized by higher rates of victimization and mental health concerns and lower educational performance in adolescence fared worse in young adulthood. Implications for those who care for girls who engage in delinquency, including suggestions for using trauma and culture informed screening, prevention, and intervention services, and directions for future research are discussed. Additional online materials for this article are available on PWQ’s website at http://journals.sagepub.com/doi/suppl/0361684320918243 .
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Affiliation(s)
- Danielle M. Smith
- Department of Child and Adolescent Psychiatry, Kaiser Permanente San Jose Medical Center, CA, USA
| | - Jamilia J. Blake
- Department of Educational Psychology, Texas A&M University, College Station, USA
| | - Wen Luo
- Department of Educational Psychology, Texas A&M University, College Station, USA
| | - Verna M. Keith
- Department of Sociology, University of Alabama at Birmingham, USA
| | - Tameka Gilreath
- Department of Health and Kinesiology, Texas A&M University, College Station, USA
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Stein L, Martin R, Clair-Michaud M, Lebeau R, Hurlbut W, Kahler CW, Monti PM, Rohsenow D. A randomized clinical trial of motivational interviewing plus skills training vs. Relaxation plus education and 12-Steps for substance using incarcerated youth: Effects on alcohol, marijuana and crimes of aggression. Drug Alcohol Depend 2020; 207:107774. [PMID: 31927162 PMCID: PMC7316199 DOI: 10.1016/j.drugalcdep.2019.107774] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 11/15/2019] [Accepted: 11/23/2019] [Indexed: 11/26/2022]
Abstract
BACKGROUND Motivational Interviewing plus Cognitive Behavior Therapy (MI/CBT) has been used to reduce adolescent substance use, but has rarely been applied in youth correctional settings. This trial compared MI/CBT against Relaxation Training plus Substance-Education/12-Steps (RT/SET) to reduce substance use and crime among incarcerated youth. METHODS Participants (N = 199) were incarcerated juveniles (64.8 % non-White, 10.1 % girls, mean age of 17.1 years). Two individual sessions of MI (or RT) were followed by 10 group sessions of CBT (or SET). Youth were randomized to condition with follow-ups at 3- and 6-months after release. Major outcomes included alcohol, marijuana and crimes involving aggression. RESULTS A marginal treatment by time interaction was found for percent heavy drinking days, with follow-up tests indicating less alcohol use in RT/SET than MI/CBT at 6 months, and increased use within MI/CBT from 3 to 6 months. A significant treatment by time interaction was found for alcohol-related predatory aggression, with follow-up tests indicating fewer youth engaged in this behavior from 3 to 6 months within RT/SET, and weak evidence favoring MI/CBT over RT/SET at 3 months. General predatory aggression decreased from 3 to 6-months for both treatments. CONCLUSIONS Although weak evidence was found favoring MI/CBT with respect to alcohol-related predatory aggression, results generally support RT/SET in reducing percent heavy drinking days.
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Affiliation(s)
- L.A.R. Stein
- Department of Psychology, The University of Rhode Island, 130 Flagg Road, Kingston, RI 02881,Center for Alcohol & Addiction Studies, Brown University, Brown University, Box G-S121-5, 121 South Main Street, Providence, RI 02912,Department of Behavioral & Social Sciences, Brown University, Box G-S121-4, 121 South Main Street, Providence, RI 02912,Rhode Island Training School, 300 New London Avenue, Cranston, RI 02920,Corresponding Author:
| | - Rosemarie Martin
- Center for Alcohol & Addiction Studies, Brown University, Brown University, Box G-S121-5, 121 South Main Street, Providence, RI 02912
| | | | - Rebecca Lebeau
- Rhode Island Executive Office of Health & Human Services, 3 West Road, Cranston, RI 02920
| | - Warren Hurlbut
- Administration of Justice, Salve Regina University, 100 Ochre Street, Newport, RI 02840
| | - Christopher W. Kahler
- Center for Alcohol & Addiction Studies, Brown University, Brown University, Box G-S121-5, 121 South Main Street, Providence, RI 02912,Department of Behavioral & Social Sciences, Brown University, Box G-S121-4, 121 South Main Street, Providence, RI 02912
| | - Peter M. Monti
- Center for Alcohol & Addiction Studies, Brown University, Brown University, Box G-S121-5, 121 South Main Street, Providence, RI 02912
| | - Damaris Rohsenow
- Center for Alcohol & Addiction Studies, Brown University, Brown University, Box G-S121-5, 121 South Main Street, Providence, RI 02912
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Hughes N, Ungar M, Fagan A, Murray J, Atilola O, Nichols K, Garcia J, Kinner S. Health determinants of adolescent criminalisation. THE LANCET CHILD & ADOLESCENT HEALTH 2020; 4:151-162. [PMID: 31956016 DOI: 10.1016/s2352-4642(19)30347-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Revised: 09/24/2019] [Accepted: 10/15/2019] [Indexed: 12/18/2022]
Abstract
Several conditions related to health and development in adolescence can increase the risk that a young person will be exposed to the criminal justice system. Such determinants include neurodevelopmental disability, poor mental health, trauma, and experiences of maltreatment. Furthermore, the risk of exposure to the criminal justice system seems to be amplified by social marginalisation and inequality, such that young people are made susceptible to criminal behaviour and criminalisation by a combination of health difficulties and social disadvantages. This Review presents evidence on the health determinants of criminalisation among adolescents, providing a persuasive case for policy and practice reform, including for investment in approaches to prevent criminalisation on the basis of health and developmental difficulties, and to better address related needs once within a criminal justice system.
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Affiliation(s)
- Nathan Hughes
- Department of Sociological Studies, University of Sheffield, Sheffield, UK; Murdoch Children's Research Institute, Melbourne, VIC, Australia.
| | - Michael Ungar
- School of Social Work, Dalhousie University, Halifax, NS, Canada
| | - Abigail Fagan
- Department of Sociology and Criminology and Law, University of Florida, Gainesville, FL, USA
| | - Joseph Murray
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - Olayinka Atilola
- College of Medicine, Lagos State University, Yaba, Lagos, Nigeria
| | - Kitty Nichols
- Department of Sociological Studies, University of Sheffield, Sheffield, UK
| | - Joana Garcia
- School of Social Work, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Stuart Kinner
- Murdoch Children's Research Institute, Melbourne, VIC, Australia; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia
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Borschmann R, Janca E, Carter A, Willoughby M, Hughes N, Snow K, Stockings E, Hill NTM, Hocking J, Love A, Patton GC, Sawyer SM, Fazel S, Puljević C, Robinson J, Kinner SA. The health of adolescents in detention: a global scoping review. LANCET PUBLIC HEALTH 2020; 5:e114-e126. [PMID: 31954434 PMCID: PMC7025881 DOI: 10.1016/s2468-2667(19)30217-8] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Revised: 10/18/2019] [Accepted: 10/18/2019] [Indexed: 12/12/2022]
Abstract
Adolescents detained within the criminal justice system are affected by complex health problems, health-risk behaviours, and high rates of premature death. We did a global synthesis of the evidence regarding the health of this population. We searched Embase, PsycINFO, Education Resources Information Center, PubMed, Web of Science, CINCH, Global Health, the Cochrane Database of Systematic Reviews, the Campbell Library, the National Criminal Justice Reference System Abstract Database, and Google Scholar for peer-reviewed journal articles, including reviews, that reported the prevalence of at least one health outcome (physical, mental, sexual, infectious, and neurocognitive) in adolescents (aged <20 years) in detention, and were published between Jan 1, 1980, and June 30, 2018. The reference lists of published review articles were scrutinised for additional relevant publications. Two reviewers independently screened titles and abstracts, and three reviewed full texts of relevant articles. The protocol for this Review was registered with PROSPERO (CRD42016041392). 245 articles (204 primary research articles and 41 reviews) were included, with most primary research (183 [90%]) done in high-income countries. A high lifetime prevalence of health problems, risks, and conditions was reported in detained adolescents, including mental disorders (0–95%), substance use disorders (22–96%), self-harm (12–65%), neurodevelopmental disabilities (2–47%), infectious diseases (0–34%), and sexual and reproductive conditions (pregnant by age 19 years 20–37%; abnormal cervical screening test result 16%). Various physical and mental health problems and health-risk behaviours are more common among adolescents in detention than among their peers who have not been detained. As the social and structural drivers of poor health overlap somewhat with factors associated with exposure to the criminal justice system, strategies to address these factors could help to reduce both rates of adolescent detention and adolescent health inequalities. Improving the detection of mental and physical disorders, providing appropriate interventions during detention, and optimising transitional health care after release from detention could improve the health outcomes of these vulnerable young people.
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Affiliation(s)
- Rohan Borschmann
- Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia; Centre for Adolescent Health; Murdoch Children's Research Institute, Melbourne, VIC, Australia; Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
| | - Emilia Janca
- Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Annie Carter
- Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Melissa Willoughby
- Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Centre for Adolescent Health; Murdoch Children's Research Institute, Melbourne, VIC, Australia
| | - Nathan Hughes
- Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Department of Sociological Studies, University of Sheffield, Sheffield, UK
| | - Kathryn Snow
- Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Centre for International Child Health, Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia
| | - Emily Stockings
- National Drug and Alcohol Research Centre, University of New South Wales Sydney, Sydney, NSW, Australia
| | | | - Jane Hocking
- Sexual Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Alexander Love
- Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Centre for Adolescent Health; Murdoch Children's Research Institute, Melbourne, VIC, Australia
| | - George C Patton
- Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia; Centre for Adolescent Health; Murdoch Children's Research Institute, Melbourne, VIC, Australia; Royal Children's Hospital, Melbourne, VIC, Australia
| | - Susan M Sawyer
- Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia; Centre for Adolescent Health; Murdoch Children's Research Institute, Melbourne, VIC, Australia; Royal Children's Hospital, Melbourne, VIC, Australia
| | - Seena Fazel
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK
| | - Cheneal Puljević
- Centre for Health Services Research, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
| | - Jo Robinson
- Orygen Youth Health, Melbourne, VIC, Australia
| | - Stuart A Kinner
- Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Centre for Adolescent Health; Murdoch Children's Research Institute, Melbourne, VIC, Australia; Mater Research Institute-UQ, University of Queensland, Brisbane, QLD, Australia; Griffith Criminology Institute, Griffith University, Brisbane, QLD, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
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Moffett S, Javdani S, Miglin R, Sadeh N. Examining latent profiles of psychopathy in a mixed-gender sample of juvenile detainees. Personal Disord 2019; 11:290-299. [PMID: 31763869 DOI: 10.1037/per0000370] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
There is growing support for the disaggregation of psychopathy into primary and secondary variants. The present study used latent profile analysis to distinguish psychopathic variants in a sample of male and female adolescent detainees (N = 162). Youth were classified by their scores on the self-report Triarchic Psychopathy Measure, indexing trait Boldness, Meanness, and Disinhibition, as well as measures of anxiety and guilt. Four groups were found, two of which were nonpsychopathic. Consistent with theory, however, two distinct classes of youth scoring high on psychopathic traits were identified: a primary variant with below-average levels of anxiety and guilt and a secondary variant with markedly above-average levels. Youth in the latter category also presented with the highest levels of psychopathology within the detainee sample. The ratio of males to females was 2:1 within the low-anxious psychopathy variant, and it was 1:2 in the high-anxious psychopathy variant. Implications for identification and treatment of adolescent psychopathic variants are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Affiliation(s)
| | | | | | - Naomi Sadeh
- Department of Psychological and Brain Sciences
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Kim H, Kim B. Affective Factors That Contribute to the Quality of Life of Juvenile Inmates with Attention-Deficit/Hyperactivity Disorder: A Focus on Items from the Korean Youth Self Report. Soa Chongsonyon Chongsin Uihak 2019; 30:161-167. [PMID: 32595337 PMCID: PMC7298911 DOI: 10.5765/jkacap.190021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 07/13/2019] [Accepted: 07/17/2019] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES This study investigated quality of life in Korean juvenile inmates with attention-deficit/hyperactivity disorder (ADHD) and the impact of behavioral and emotional problems on quality of life. METHODS In total, 200 inmates were evaluated using the Korean version of the Mini-International Neuropsychiatric Interview (K-MINI) and the Korean version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime (K-SADS-PL-K). We extracted the inmates with ADHD and evaluated their quality of life, behavioral problems, and emotional problems with the Pediatric Quality of Life Inventory (PedsQL) and the Korean Youth Self Report (K-YSR) scale. Descriptive statistics, Pearson correlation analysis, and multiple regression analysis were conducted. RESULTS Among the 200 total inmates, 68 were diagnosed with ADHD by the K-SADS-PL-K. Most of the correlations between PedsQL scores and K-YSR items were significant. Multiple regression analysis showed that PedsQL could be predicted by affective problems (among the DSM-oriented scales of the K-YSR) and attention problems (among the syndrome scales of the K-YSR). CONCLUSION Our results demonstrate that, among juvenile inmates with ADHD, quality of life was negatively correlated with most behavioral and emotional problems. Meanwhile, the significant influence of affective and attention problems on inmates' quality of life suggests the necessity of comprehensive treatments for this group.
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Affiliation(s)
- Hyesoon Kim
- Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
| | - Bongseog Kim
- Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
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41
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Folk JB, Brown LK, Marshall BDL, Ramos LMC, Gopalakrishnan L, Koinis-Mitchell D, Tolou-Shams M. The Prospective Impact of Family Functioning and Parenting Practices on Court-Involved Youth's Substance Use and Delinquent Behavior. J Youth Adolesc 2019; 49:238-251. [PMID: 31399895 DOI: 10.1007/s10964-019-01099-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Accepted: 07/29/2019] [Indexed: 01/03/2023]
Abstract
Court-involved youth exhibit high rates of psychiatric symptoms, substance use, and delinquency, yet little is known about the contributing roles of caregiver and family factors. The current study examined whether family functioning and parental monitoring mediate the relationship between caregiver and youth psychiatric symptoms (at first court contact) and youth substance use and delinquency (two years later). Participants were 400 first-time offending court-involved youth (Mage = 14.5 years; 57.3% male; 45.6% non-Latinx White, 42.0% Latinx) and an involved caregiver (Mage = 41.0 years; 87.2% female; 53.0% non-Latinx White, 33.8% Latinx). Structural equation modeling revealed that caregiver and youth psychiatric symptoms were prospectively associated with worse family functioning, which was in turn related to higher levels of youth delinquency and greater likelihood of substance use. The results support the notion of addressing the needs of justice-involved youth and families holistically rather than treating youth as "the problem" in isolation.
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Affiliation(s)
- Johanna B Folk
- Department of Psychiatry, University of California, San Francisco, 1001 Potrero Ave, San Francisco, CA, 94110, USA.
| | - Larry K Brown
- Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI, 02903, USA
| | - Brandon D L Marshall
- School of Public Health, The Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI, 02903, USA
| | - Lili M C Ramos
- Department of Psychiatry, University of California, San Francisco, 1001 Potrero Ave, San Francisco, CA, 94110, USA
| | - Lakshmi Gopalakrishnan
- Department of Psychiatry, University of California, San Francisco, 1001 Potrero Ave, San Francisco, CA, 94110, USA
| | - Daphne Koinis-Mitchell
- Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI, 02903, USA
| | - Marina Tolou-Shams
- Department of Psychiatry, University of California, San Francisco, 1001 Potrero Ave, San Francisco, CA, 94110, USA
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Scott CK, Dennis ML, Grella CE, Funk RR, Lurigio AJ. Juvenile justice systems of care: results of a national survey of community supervision agencies and behavioral health providers on services provision and cross-system interactions. HEALTH & JUSTICE 2019; 7:11. [PMID: 31201642 PMCID: PMC6717998 DOI: 10.1186/s40352-019-0093-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Accepted: 05/22/2019] [Indexed: 05/24/2023]
Abstract
BACKGROUND Youth involved in the juvenile justice (JJ) system have high needs for behavioral health services, especially related to substance use and mental disorders. This study aimed to understand the extent to which elements in the cascade model of behavioral health services for JJ-involved youth are provided to youth by Community Supervision (CS) and/or Behavioral Health (BH) providers. In order to understand interactions across CS and BH systems, this study used a multistage probabilistic survey design to sample CS agencies and their primary BH service providers of substance use and mental health treatment in the United States. Parallel surveys were administered to both CS and BH providers regarding: characteristics of youth served, BH services available, whether services were provided directly and/or by referral, use of evidence-based practices (EBPs), and methods of collaboration, referral, and information exchange across CS and BH providers. RESULTS The findings from weighted national estimates demonstrate that youth referred from CS to the BH programs represent a more severe sub-group of youth under CS supervision. There are established cross-system relationships for assessment and referral for substance use and mental health treatment, but less so for prevention services. Most CS programs refer youth to BH providers for these services, which typically utilize more highly trained staff to provide EBPs to a majority of the youth served. More intensive substance use and mental health treatment, aftercare, and recovery support services were limited in availability. CONCLUSIONS The findings suggest that although many elements in a cascade model of BH services for JJ-involved youth have been implemented within local systems of care through collaboration between CS and BH providers, there are several underdeveloped areas and potential for attrition across the service cascade. Greater attention to providing services to youth with higher levels of severity, aftercare services, and recovery support is warranted within a multi-systemic framework.
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Affiliation(s)
- Christy K Scott
- Chestnut Health Systems, 221 W. Walton St., Chicago, IL, 60610, USA.
| | - Michael L Dennis
- Chestnut Health Systems, 221 W. Walton St., Chicago, IL, 60610, USA
| | | | - Rodney R Funk
- Chestnut Health Systems, 221 W. Walton St., Chicago, IL, 60610, USA
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McNair FD, Havens J, Surko M, Weinberger E, Baetz C, Moaveni M, Bart A, Marr M, Quinlan C, Horwitz SM. Post-traumatic stress and related symptoms among juvenile detention residents: Results from intake screening. CHILD ABUSE & NEGLECT 2019; 92:22-31. [PMID: 30903924 DOI: 10.1016/j.chiabu.2019.03.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Revised: 02/26/2019] [Accepted: 03/04/2019] [Indexed: 05/16/2023]
Abstract
BACKGROUND Juvenile justice-involved youth have high rates of trauma exposure, physical and sexual abuse and PTSD. Several factors have been found to be related to PTSD symptoms in youth including number and chronicity of traumatic events. OBJECTIVE To simultaneously examine the relationships between allostatic load (defined here as number of traumatic experiences), poly-victimization (exposure to two or more forms of victimization based on 5 of the 6 categories in Ford et al.'s 2010 study), physical/sexual abuse and PTSD in justice-involved youth. PARTICIPANTS AND SETTING The sample consisted of 1984 youth in juvenile detention in a Northeastern city. The sample was 73.4% male and the majority of youth were either African American or Hispanic. METHODS Clinicians collected demographic and psychosocial information, and measured symptoms of PTSD, depression, and problematic substance use. RESULTS Results showed that youth with more traumas, those who experienced poly-victimization and those who experienced physical/sexual assault/abuse were not only more likely to have PTSD, but also more likely to have depression, thoughts of suicide/self-harm, and problematic substance use (as indicated by the presence of 2 or more of 6 possible indicators). Poly-victimization was a stronger correlate of PTSD than number of traumas or physical/sexual assault/abuse. However, among youth with PTSD, number of traumas was associated with co-occurring problems while poly-victimization and physical/sexual assault/abuse were not. CONCLUSIONS Findings can be used to help direct resources to juvenile justice-involved youth who are most in need of treatment.
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Affiliation(s)
- Felicia Debbra McNair
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States.
| | - Jennifer Havens
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
| | - Michael Surko
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
| | - Emily Weinberger
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
| | - Carly Baetz
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
| | - Mahtab Moaveni
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
| | - Amanda Bart
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
| | - Mollie Marr
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
| | - Carol Quinlan
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
| | - Sarah McCue Horwitz
- New York University School of Medicine, Department of Child and Adolescent Psychiatry, New York, NY, United States
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Ruch DA, Sheftall AH, Schlagbaum P, Fontanella CA, Campo JV, Bridge JA. Characteristics and Precipitating Circumstances of Suicide Among Incarcerated Youth. J Am Acad Child Adolesc Psychiatry 2019; 58:514-524.e1. [PMID: 30768395 PMCID: PMC9721273 DOI: 10.1016/j.jaac.2018.07.911] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Revised: 06/25/2018] [Accepted: 08/15/2018] [Indexed: 10/27/2022]
Abstract
OBJECTIVE Studies show incarcerated youth are at increased risk for suicidal behavior, yet little is known about factors associated with suicide for this population. Using a nationally representative sample, this study examined characteristics and precipitating circumstances of suicide in incarcerated youth decedents compared with youth suicide decedents in the general population. METHOD Data were analyzed for suicide decedents 10- to 24-years-old (N = 10,126) in the United States from 2003 through 2012 from the National Violent Death Reporting System. Logistic regression compared precipitating circumstances of suicide for incarcerated youth decedents and those not in custody. Details on suicide deaths in detained youth were captured from coroner/medical examiner and law enforcement reports associated with each incident. RESULTS Most youth suicide decedents were older, white, and male regardless of incarceration status. Incarcerated youth suicide decedents were more likely to die by hanging, strangulation, or suffocation and less likely to disclose suicide intent, leave a suicide note, or exhibit depressive symptoms compared with those not in custody. Additional risk factors for suicide were not significantly different between youth decedents in custody and those not in custody, suggesting that unique aspects of the incarceration environment could be associated with an increased risk of suicide. CONCLUSION Study findings highlight the need for early suicide risk detection and developmentally relevant interventions tailored for youth in correctional settings. Future efforts should include evaluation studies to support suicide prevention programs designed for incarcerated youth and research that examines distinctive factors associated with suicidal behavior in youth in custody.
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Affiliation(s)
- Donna A Ruch
- Research Institute at Nationwide Children's Hospital Center for Innovation of Pediatric Practice, Wexner Medical Center, The Ohio State University, Columbus.
| | - Arielle H Sheftall
- Research Institute at Nationwide Children's Hospital Center for Innovation of Pediatric Practice, Wexner Medical Center, The Ohio State University, Columbus
| | - Paige Schlagbaum
- Research Institute at Nationwide Children's Hospital Center for Innovation of Pediatric Practice, Wexner Medical Center, The Ohio State University, Columbus
| | - Cynthia A Fontanella
- Research Institute at Nationwide Children's Hospital Center for Innovation of Pediatric Practice, Wexner Medical Center, The Ohio State University, Columbus
| | - John V Campo
- Rockefeller Neuroscience Institute, West Virginia University School of Medicine, Morgantown
| | - Jeffrey A Bridge
- Research Institute at Nationwide Children's Hospital Center for Innovation of Pediatric Practice, Wexner Medical Center, The Ohio State University, Columbus
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Elizabeth Kim B, Gilman AB, Kosterman R, Hill KG. Longitudinal Associations among Depression, substance Abuse, and Crime: A Test of competing Hypotheses for Driving Mechanisms. JOURNAL OF CRIMINAL JUSTICE 2019; 62:50-57. [PMID: 31263316 PMCID: PMC6602553 DOI: 10.1016/j.jcrimjus.2018.08.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
PURPOSE Crime, depression, and substance abuse, often co-occur. This study examined competing models considering each problem domain individually as a driving mechanism for the other problems to better understand etiology and inform prevention efforts. Gender differences were also examined. METHODS Data were drawn from the Seattle Social Development Project, a multiethnic and gender-balanced urban panel of 808 participants constituted in 1985. Cross- lagged models examined prospective assessments of early (grades 7 & 8) and late (grades 9-12) adolescent internalizing problems, substance use, and delinquency, as well as measures of depression, substance dependence, and crime at early adulthood (ages 21-24) and later adulthood (ages 27-30). RESULTS Comparisons of nested models by gender showed (a) continuity in internalizing behaviors/depression, substance use/dependence, and delinquency/crime for both women and men; (b) accounting for continuity, depression did not consistently drive other problems for either women or men; (c) among women, both substance abuse and crime appeared to be important driving mechanisms; and (d) among men, crime emerged as the most pertinent driving mechanism. CONCLUSION Findings suggest that externalizing problems may be more important driving mechanisms for depression than vice versa. Preventing crime and substance abuse may have the important added benefit of reducing early adult depression.
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Affiliation(s)
- B.K. Elizabeth Kim
- University of Southern California, USC Suzanne Dworak-Peck School of Social Work
| | | | - Rick Kosterman
- Social Development Research Group, University of Washington
| | - Karl G. Hill
- Institute of Behavioral Science, University of Colorado, Boulder
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Gordon JA, Frost Bellgowan JA, Lawhorn C, Scheinert RB. Challenges and Opportunities in Psychiatric Neuroscience. COLD SPRING HARBOR SYMPOSIA ON QUANTITATIVE BIOLOGY 2019; 83:1-8. [PMID: 30890580 DOI: 10.1101/sqb.2018.83.037523] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Psychiatry faces a number of challenges as a field. These include the high individual and societal costs of mental illnesses, overlapping and heterogeneous diagnoses, a complete lack of biomarkers, and treatments that, although efficacious for some, leave many without adequate relief. On the other hand, scientific and technical advances present considerable opportunities, especially in genomics, computational and theoretical approaches, and neural circuit technologies. The National Institute of Mental Health is committed to taking advantage of these opportunities to address the challenges of psychiatry, in the service of achieving our mission of transforming the understanding and treatment of mental illnesses.
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Affiliation(s)
- Joshua A Gordon
- National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland 20892, USA
| | - Julie A Frost Bellgowan
- National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland 20892, USA
| | - Collene Lawhorn
- National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland 20892, USA
| | - Rachel B Scheinert
- National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland 20892, USA
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Lansing AE, Plante WY, Golshan S, Fenemma-Notestine C, Thuret S. Emotion regulation mediates the relationship between verbal learning and internalizing, trauma-related and externalizing symptoms among early-onset, persistently delinquent adolescents. LEARNING AND INDIVIDUAL DIFFERENCES 2019; 70:201-215. [PMID: 31130798 PMCID: PMC6532995 DOI: 10.1016/j.lindif.2017.01.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Research supports cascading relationships among internalizing and externalizing symptoms, and academic problems. This constellation of problems characterizes Early-Onset/Persistent Delinquent [EOPD] youth and appropriately targeted interventions accounting for this comorbidity may improve outcomes. To investigate these relationships in EOPD youth, we characterized their cross-diagnostic psychopathology and verbal (word-list) learning/memory and evaluated: 1) verbal learning/memory profiles of Withdrawn/Depressed relative to Non-Withdrawn/Depressed youth; 2) cognitive and psychiatric predictors of verbal learning; and 3) emotion regulation as a mediator of psychiatric and cognitive relationships. Results indicated Withdrawn/Depressed youth recalled significantly fewer words during immediate, and some delayed, recall conditions. Less word-learning was predicted by: Withdrawn/Depressed classification, higher trauma-specific re-experiencing symptoms, greater emotion dysregulation, weaker executive skills, fewer trauma-avoidance and aggressive symptoms, and earlier alcohol-use onset. Emotion regulation strongly mediated the relationship between verbal learning and psychopathology, but not cognitive skills, among youth at high-risk for school dropout. Mental health and education implications are discussed.
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Affiliation(s)
- Amy E. Lansing
- University of California, San Diego, Department of Psychiatry
- San Diego State University, Sociology Department, Psychology and Neuroscience, Department of Basic and Clinical Neuroscience
| | - Wendy Y. Plante
- University of California, San Diego, Department of Psychiatry
- San Diego State University, Sociology Department, Psychology and Neuroscience, Department of Basic and Clinical Neuroscience
| | | | - Christine Fenemma-Notestine
- University of California, San Diego, Department of Psychiatry
- University of California, San Diego, Department of Radiology
| | - Sandrine Thuret
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Basic and Clinical Neuroscience
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Andretta JR, Worrell FC, Watkins KM, Sutton RM, Thompson AD, Woodland MH. Race and Stereotypes Matter When You Ask About Conduct Problems: Implications for Violence Risk Assessment in Juvenile Justice Settings. JOURNAL OF BLACK PSYCHOLOGY 2019. [DOI: 10.1177/0095798418821278] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We examined the impact of stigma priming on self-reported severe conduct problems in two studies conducted with African American adolescents involved in the juvenile justice system. Data-collection interviews were conducted in a secure detention setting following arrest. In Study 1 ( N = 193), stigma was primed by manipulating the ordering of surveys. Adolescents who completed a questionnaire about racial identity attitudes prior to questions about severe conduct reported substantively more problematic behaviors than control group peers (β = 0.43). In Study 2 ( N = 264), stigma was primed by manipulating whether adolescents were interviewed by an African American or European American mental health professional. Racial group membership of the interviewer did not have a substantial effect on self-reported conduct problems (β = −0.04). Although the studies were not without limitations, they highlight the need for more research on the degree to which interview methods and context influence self-reported severe conduct behavior in forensic settings.
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White HR, Conway FN, Ward JH. Comorbidity of Substance Use and Violence. HANDBOOKS OF SOCIOLOGY AND SOCIAL RESEARCH 2019. [DOI: 10.1007/978-3-030-20779-3_26] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Bessler C, Stiefel D, Barra S, Plattner B, Aebi M. Psychische Störungen und kriminelle Rückfälle bei männlichen jugendlichen Gefängnisinsassen. ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2019; 47:73-88. [DOI: 10.1024/1422-4917/a000612] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Zusammenfassung. Fragestellung: Die Prävalenz psychischer Störungen unter inhaftierten Jugendlichen ist hoch. Offen ist die Frage, ob damit eine erhöhte kriminelle Rückfälligkeit einhergeht. Methodik: Zwischen dem 01.08.2010 und 31.10.2012 wurden im kantonalen Jugendgefängnis Zürich alle inhaftierten männlichen Jugendlichen bei Eintritt psychiatrisch untersucht (N = 122). Die psychischen Störungen wurden anhand eines standardisierten Interviews erfasst. Nach der Haftentlassung wurden die Probanden im Kantonalen Rechtsinformationssystem betreffend Rückfälligkeit während eines Jahres nachkontrolliert. Ergebnisse: 90.2 % der Insassen litten unter mindestens einer psychiatrischen Störung. Über 70 % der Jugendlichen waren zum Zeitpunkt ihrer Inhaftierung von mehreren psychiatrischen Erkrankungen betroffen. Es konnten vier voneinander unabhängige Störungskategorien unterschieden werden: affektive Störungen, Angststörungen, Verhaltensstörungen und Abhängigkeitserkrankungen. Betreffend Rückfälligkeit fand sich, dass Jugendliche mit Verhaltensstörungen und/oder einer Abhängigkeitserkrankung häufiger mit einer Gewaltstraftat rückfällig wurden als aus dem Gefängnis entlassene Jugendliche ohne psychische Erkrankungen. Zudem zeigte sich, dass je jünger die inhaftierten Jugendlichen waren, desto kürzer war die Zeit nach ihrer Entlassung, bis sie eine Gewaltstraftat verübten. Schlussfolgerungen: Aufgrund der hohen Prävalenz von psychischen Störungen unter inhaftierten Jugendlichen ist es notwendig, dass diese Minderjährigen auch jugendpsychiatrisch-psychologisch untersucht und adäquat behandelt werden. Neben der psychiatrischen Versorgung der minderjährigen Gefängnisinsassen kann so auch den Anforderungen eines effektiven Opferschutzes und dem Sicherheitsbedürfnis unserer Gesellschaft entsprochen werden.
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Affiliation(s)
- Cornelia Bessler
- Psychiatrische Universitätsklinik Zürich, Klinik für Forensische Psychiatrie, Zentrum für Kinder- und Jugendforensik, Zürich, Schweiz
| | - Dorothea Stiefel
- Psychiatrische Universitätsklinik Zürich, Klinik für Forensische Psychiatrie, Zentrum für Kinder- und Jugendforensik, Zürich, Schweiz
| | - Steffen Barra
- Psychiatrische Universitätsklinik Zürich, Klinik für Forensische Psychiatrie, Zentrum für Kinder- und Jugendforensik, Zürich, Schweiz
| | - Belinda Plattner
- Kinder- und Jugendpsychiatrie, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich
| | - Marcel Aebi
- Psychiatrische Universitätsklinik Zürich, Klinik für Forensische Psychiatrie, Zentrum für Kinder- und Jugendforensik, Zürich, Schweiz
- Psychiatrische Universitätsklinik Zürich, Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Zürich, Schweiz
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