Mental Health Service Referral and Treatment Following Screening and Assessment in Juvenile Detention.
Autor: | Tedeschi F; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah., Horwitz SM; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah., Surko M; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah., Weinberger E; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah., Bart A; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah., Baetz C; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah., Guo F; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah., Alexander A; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah., Havens JF; Dr. Tedeschi, Dr. Surko, and Dr. Baetz are Clinical Assistant Professors; Dr. Horwitz is a Professor; Mr. Guo is a research scientist; and Dr. Havens is Department Chair, Department of Child & Adolescent Psychiatry (DCAP), New York University Grossman School of Medicine, New York, New York. Dr. Weinberger is a psychology resident, Denver Health Medical Center, Denver, Colorado. Ms. Bart is an executive assistant, Brennan Center for Justice at NYU School of Law, New York, New York. Ms. Alexander is a doctoral student, Department of Psychology, University of Utah, Salt Lake City, Utah. |
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Jazyk: | angličtina |
Zdroj: | The journal of the American Academy of Psychiatry and the Law [J Am Acad Psychiatry Law] 2024 Dec 12; Vol. 52 (4), pp. 460-469. Date of Electronic Publication: 2024 Dec 12. |
DOI: | 10.29158/JAAPL.240082-24 |
Abstrakt: | Numerous recommendations have been made to address the high rates of mental health disorders among justice-involved youth. Few data are available on the use, quality, appropriateness, or availability of services to address these needs. This study examined the relationship between trauma-informed mental health screening, other referral pathways for diagnostic evaluation, subsequent DSM-5 diagnoses, and treatments for evaluated youth. Eligible participants were all youth admitted to New York City secure juvenile detention facilities from September 17, 2015 to October 30, 2016 who remained in the facility for at least five days ( N = 786). Of those, 581 (73.9%) were voluntarily screened and 309 (53.2%) later received a diagnostic evaluation. Youth who screened positive for depression, posttraumatic stress disorder, and problematic substance use were more likely to be evaluated. Treatment received was related to diagnosis rather than reason for referral. For youth who were referred for behavioral or emotional concerns, 99.1 percent (114 of 115) of those diagnosed with a neurodevelopmental disorder had attention-deficit/hyperactivity disorder (ADHD). These data are among the first to describe DSM-5 diagnoses and treatment among youth detainees. They highlight the prevalence of ADHD in detained youth and argue for the coordination of universal trauma-informed mental health screening and a structured referral system for this population. (© 2024 American Academy of Psychiatry and the Law.) |
Databáze: | MEDLINE |
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