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Detecting mental disorder in juvenile detainees: Who receives services

Author

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  • Teplin, L.A.
  • Abram, K.M.
  • McClelland, G.M.
  • Washburn, J.J.
  • Pikus, A.K.

Abstract

Objectives. We determined whether or not juvenile detainees with major mental disorders received treatment, and the variables that predicted who received services. Methods. Our sample was 1829 randomly selected juvenile detainees taking part in the Northwestern Juvenile Project. To determine need for mental health services, independent interviewers administered the Diagnostic Interview Schedule for Children and rated functional impairment using the Child Global Assessment Scale. Records on service provision were obtained from the juvenile justice and public health systems. Results. Among detainees who had major mental disorders and associated functional impairments, 15.4% received treatment in the detention center and 8.1% received treatment in the community by the time of case disposition or 6 months, whichever came first. Significantly more girls than boys were detected and treated. Receiving treatment was predicted by clinical variables (having a major mental disorder or reported treatment history or suicidal behavior) and demographic variables. Conclusions. The challenge to public health is to provide accessible, innovative, and effective treatments to juvenile detainees, a population that is often beyond the reach of traditional services.

Suggested Citation

  • Teplin, L.A. & Abram, K.M. & McClelland, G.M. & Washburn, J.J. & Pikus, A.K., 2005. "Detecting mental disorder in juvenile detainees: Who receives services," American Journal of Public Health, American Public Health Association, vol. 95(10), pages 1773-1780.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.067819_7
    DOI: 10.2105/AJPH.2005.067819
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    Cited by:

    1. Lee A. Underwood & Aryssa Washington, 2016. "Mental Illness and Juvenile Offenders," IJERPH, MDPI, vol. 13(2), pages 1-14, February.
    2. Heaton, Leanne L., 2018. "Race and ethnic differences in mental health need and services received in justice-involved youth," Children and Youth Services Review, Elsevier, vol. 90(C), pages 54-65.
    3. Lee, Lewis Hyukseung & Goodkind, Sara & Shook, Jeffrey J., 2017. "Racial/ethnic disparities in prior mental health service use among incarcerated adolescents," Children and Youth Services Review, Elsevier, vol. 78(C), pages 23-31.
    4. Maschi, Tina & Hatcher, Schnavia Smith & Schwalbe, Craig S. & Rosato, Nancy Scotto, 2008. "Mapping the social service pathways of youth to and through the juvenile justice system: A comprehensive review," Children and Youth Services Review, Elsevier, vol. 30(12), pages 1376-1385, December.
    5. Kalu, Sandra R. & Menon, Sujeeta E. & Quinn, Camille R., 2020. "The relationship between externalizing behavior and school and familial attachments among girls from diverse backgrounds," Children and Youth Services Review, Elsevier, vol. 116(C).
    6. Dauber, Sarah & Hogue, Aaron, 2011. "Profiles of systems involvement in a sample of high-risk urban adolescents with unmet treatment needs," Children and Youth Services Review, Elsevier, vol. 33(10), pages 2018-2026, October.
    7. Michio Ariga & Toru Uehara & Kazuo Takeuchi & Yoko Ishige & Reiko Nakano & Masahiko Mikuni, 2010. "Follow-Up Study of Female Delinquent Adolescents in a Detention Centre: Effectiveness of Psychiatric Intervention as a Mental Health Service," International Journal of Social Psychiatry, , vol. 56(1), pages 15-22, January.
    8. Zajac, Kristyn & Sheidow, Ashli J. & Davis, Maryann, 2015. "Juvenile justice, mental health, and the transition to adulthood: A review of service system involvement and unmet needs in the U.S," Children and Youth Services Review, Elsevier, vol. 56(C), pages 139-148.

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