Understanding the Influence of Mental Health Diagnosis and Gender on Placement Decisions for Justice-Involved Youth.

Justice-involved youth have high rates of psychiatric diagnoses, and these youth are often placed out-of-home, although evidence identifies several negative implications of juvenile confinement, especially for youth with psychopathology. Furthermore, youth in the justice system may be processed diff...

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Publicado en:Journal of Youth & Adolescence Vol. 46; no. 7; pp. 1562 - 1582
Autores principales: Kempker, Samantha, Schmidt, Adam, Espinosa, Erin
Formato: Artículo
Publicado: Springer Nature Jul2017
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Acceso en línea:Ver este registro en EBSCOhost
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          Kempker, Samantha
          Schmidt, Adam
          Espinosa, Erin
        affil:
          Western Psychiatric Institute and Clinic , 3811 O'Hara Street, Bellefield Towers, Room 325 Pittsburgh 15213 USA
          Department of Psychological Sciences , Texas Tech University , Campus Box 42051 Lubbock 79409 USA
          School of Social Work , The University of Texas at Austin , 1717 West 6th Street Austin 78703 USA
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        United States
        Juvenile detention homes
        Gender & society
        Decision making
        Externalizing behavior
        Juvenile offenders
        Substance abuse
        Psychology
        Psychiatric diagnosis
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          Juvenile detention homes
          Gender & society
          Decision making
          Externalizing behavior
          Juvenile offenders
          Substance abuse
          Psychology
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          Psychiatric diagnosis
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        Externalizing
        Internalizing
        Juveniles
        Mental health
        Placement
        Substance use Gender
        Externalizing
        Internalizing
        Juveniles
        Mental health
        Placement
        Substance use Gender
      ab: Justice-involved youth have high rates of psychiatric diagnoses, and these youth are often placed out-of-home, although evidence identifies several negative implications of juvenile confinement, especially for youth with psychopathology. Furthermore, youth in the justice system may be processed differently based on gender. As males and females tend to manifest symptoms differently, the psychopathology of youth may act to moderate the relationship between gender and placement in the juvenile justice system. The present study used a large, diverse sample ( n = 9 851, 19.8 % female) to examine whether youth placed in various types of out-of-home facilities differed in terms of externalizing, internalizing, substance use, or comorbid disorders, and to determine the predictive value of mental health diagnoses in placement decisions. The moderation effect of psychopathology and substance use on the relationship between gender and placement also was explored. The results indicated that each type of disorder differed across placements, with internalizing being most prevalent in non-secure, and externalizing, comorbid, and substance use being most prevalent in secure settings. Mental health diagnoses improved the prediction of placement in each out-of-home placement beyond legal and demographic factors such that externalizing and substance use disorders decreased the likelihood of placement in non-secure settings, and internalizing, externalizing, and substance use disorders increased the likelihood of placement in secure and state-secure facilities. The relationship between internalizing pathology and placement in more secure facilities was moderated by externalizing pathology. The relationship between gender and placement was significantly moderated by mental health such that females with mental health diagnoses receive less secure placements. Implications for policymakers and practitioners are discussed, as well as implications for reforming juvenile justice within a developmental approach.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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