Journal ArticleDOI
Understanding clinical complexity in delinquent youth: comorbidities, service utilization, cost, and outcomes.
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TLDR
There is a need for co-occurring, integrated treatment efforts that address family, emotional, and mental health problems of delinquent youth (especially females) in order to improve their ability to successfully attend to substance abuse problems and interpersonal conflicts.Abstract:
This study describes the extent and severity of multiple comorbidities in a juvenile detention center population, and explores how these numerous problems impact the utilization of treatment services, costs, and outcomes including those for substance abuse, mental illness, and criminal activity. Cluster analyses of the outcome scales at intake yielded two groups: youth high (42%) and youth lower (58%) on all factors. Girls experienced the most significant impairments across emotional problems, behavior complexity, internal mental distress, and victimization domains, utilized significantly more units of residential treatment, individual counseling and case management, and had the highest treatment costs. The total cost of services ($1,171,290, N = 114) was significantly related to substance problems in the past year (r = .219, p < .05), emotional problems (r = .237, p < .05), behavior complexity (r = .318, p < .05), internal mental distress (r = .263, p < .05), environmental risk (r = .205, p < .0...read more
Citations
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Journal ArticleDOI
Complex Trauma and Aggression in Secure Juvenile Justice Settings
TL;DR: Youth in secure juvenile justice settings (eg, detention, incarceration) often have histories of complex trauma: exposure to traumatic stressors including polyvictimization, life-threatening acci
The downside up? A study of factors associated with a successful course of treatment for adolescents in secure residential care
TL;DR: Harder et al. as discussed by the authors assessed adolescents' behavior change during care and their treatment satisfaction, and identified whether client and care factors that are considered to be important in achieving outcomes are associated with these outcomes.
Journal ArticleDOI
Risky or Needy? Dynamic Risk Factors and Delinquent Behavior of Adolescents in Secure Residential Youth Care
TL;DR: The findings indicate that treatment for some adolescents should be mainly focused on their individual needs, while other adolescents need intensive, multimodal treatment focusing on both risks in the individual, family, and peer domains.
Journal ArticleDOI
Adolescent treatment initiation and engagement in an evidence-based practice initiative
Margaret T. Lee,Deborah W. Garnick,Peggy L. O’Brien,Lee Panas,Grant A. Ritter,Andrea Acevedo,Bryan R. Garner,Rodney R. Funk,Mark D. Godley +8 more
TL;DR: Although relatively high initiation and engagement rates were achieved, the results suggest that attention to program and client factors may further improve compliance with these performance indicators.
Journal ArticleDOI
Diverting Juvenile Justice-Involved Youth With Behavioral Health Issues From Detention Preliminary Findings From Ohio’s Behavioral Health Juvenile Justice (BHJJ) Initiative
TL;DR: The Behavioral Health Juvenile Justice (BHJJ) program as discussed by the authors is a diversion program for juvenile justice-involved youth with behavioral health issues that provides evidence-and community-based behavioral health treatment.
References
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Journal ArticleDOI
Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention.
TL;DR: The authors suggest that the most promising route to effective strategies for the prevention of adolescent alcohol and other drug problems is through a risk-focused approach.
Journal ArticleDOI
Risky Families: Family Social Environments and the Mental and Physical Health of Offspring
TL;DR: It is concluded that childhood family environments represent vital links for understanding mental and physical health across the life span.
Book
Cluster analysis
TL;DR: Cluster analysis is a multivariate procedure for detecting natural groupings in data that resembles discriminant analysis in one respect—the researcher seeks to classify a set of objects into subgroups although neither the number nor members of the subgroups are known.
Journal ArticleDOI
Violence and Risk of PTSD, Major Depression, Substance Abuse/Dependence, and Comorbidity: Results From the National Survey of Adolescents
Dean G. Kilpatrick,Kenneth J. Ruggiero,Ron Acierno,Benjamin E. Saunders,Heidi S. Resnick,Connie L. Best +5 more
TL;DR: Results generally support the hypothesis that exposure to interpersonal violence increases the risk of these disorders and of diagnostic comorbidity.
Journal ArticleDOI
Family Factors as Correlates and Predictors of Juvenile Conduct Problems and Delinquency
TL;DR: In this paper, a meta-analysis was performed of concurrent and longitudinal studies on the relation of family factors to juvenile conduct problems and delinquency, finding that socialization variables, such as lack of parental supervision, parental rejection, and parent-child involvement, are among the most powerful predictors of delinquency.