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Psychiatric disorders in youth in juvenile detention.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Teplin, Linda A. Abram, Karen M. McClelland, Gary M. Dulcan, Mina K. Mericle, Amy A. |
| Copyright Year | 2002 |
| Abstract | BACKGROUND Given the growth of juvenile detainee populations, epidemiologic data on their psychiatric disorders are increasingly important. Yet, there are few empirical studies. Until we have better epidemiologic data, we cannot know how best to use the system's scarce mental health resources. METHODS Using the Diagnostic Interview Schedule for Children version 2.3, interviewers assessed a randomly selected, stratified sample of 1829 African American, non-Hispanic white, and Hispanic youth (1172 males, 657 females, ages 10-18 years) who were arrested and detained in Cook County, Illinois (which includes Chicago and surrounding suburbs). We present 6-month prevalence estimates by demographic subgroups (sex, race/ethnicity, and age) for the following disorders: affective disorders (major depressive episode, dysthymia, manic episode), anxiety (panic, separation anxiety, overanxious, generalized anxiety, and obsessive-compulsive disorders), psychosis, attention-deficit/hyperactivity disorder, disruptive behavior disorders (oppositional defiant disorder, conduct disorder), and substance use disorders (alcohol and other drugs). RESULTS Nearly two thirds of males and nearly three quarters of females met diagnostic criteria for one or more psychiatric disorders. Excluding conduct disorder (common among detained youth), nearly 60% of males and more than two thirds of females met diagnostic criteria and had diagnosis-specific impairment for one or more psychiatric disorders. Half of males and almost half of females had a substance use disorder, and more than 40% of males and females met criteria for disruptive behavior disorders. Affective disorders were also prevalent, especially among females; more than 20% of females met criteria for a major depressive episode. Rates of many disorders were higher among females, non-Hispanic whites, and older adolescents. CONCLUSIONS These results suggest substantial psychiatric morbidity among juvenile detainees. Youth with psychiatric disorders pose a challenge for the juvenile justice system and, after their release, for the larger mental health system. |
| Starting Page | 3529 |
| Ending Page | 3536 |
| Page Count | 8 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://archpsyc.jamanetwork.com/journals/PSYCH/articlepdf/206941/yoa10003.pdf |
| Alternate Webpage(s) | http://www.nctsnet.org/nctsn_assets/Articles/104.pdf |
| PubMed reference number | 12470130v1 |
| Volume Number | 59 |
| Issue Number | 12 |
| Journal | Archives of general psychiatry |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Anxiety Disorders Attention deficit hyperactivity disorder Behavior Disorders Bipolar Disorder Cardiac Arrest Compulsive Personality Disorder Conduct Disorder Depressive disorder Disruptive Behavior Disorder Dysthymic Disorder Epidemiology Estimated Ethanol Hyperactive behavior Large Mood Disorders Morbidity - disease rate Obsessive-Compulsive Disorder Oppositional Defiant Disorder Psychotic Disorders Substance abuse problem diagnostic criteria major depressive episode mental health nervous system disorder non-T, non-B adult acute lymphoblastic leukemia |
| Content Type | Text |
| Resource Type | Article |
