Published online by Cambridge University Press: 11 August 2009
Mental health screening in juvenile justice
Over 106 000 youths are in the custody of juvenile justice facilities in the US daily (Synder & Sickmund, 1999). Recent estimates suggest that nearly 60 percent of boys and over two-thirds of girls involved with the juvenile justice system meet criteria for one or more psychiatric disorders, even after controlling for conduct disorder (Teplin et al., 2002). These prevalence rates are higher than those found in youth in the general population (around 14–22 percent; e.g., Kazdin, 2000; Rutter, 1989) and substantially higher than adult prisoners in areas where such comparisons can be made. For example, 13 percent of male delinquents (Teplin et al., 2002) would meet criteria for major depression in contrast to only 4 percent of male adult offenders (Teplin, 1994).
In light of these statistics, accurate identification of mental, behavioral, and emotional disturbances that require immediate attention; namely, risk of suicide or self-harm, risk of aggression, or a pressing mental disorder, is essential as youths enter the juvenile justice system. State juvenile justice facilities have a legal and moral responsibility to respond to the mental health needs of adolescents in their custody (Grisso, 2004). When youths are identified as having a high potential for serious mental health issues, it allows staff to respond immediately to these needs by making appropriate placement decisions in the institution or by referring the youth for a clinical evaluation.
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