Behavioral Health Care Needs, Detention-Based Care, and Criminal Recidivism at Community Reentry From Juvenile Detention: A Multisite Survival Curve Analysis
Behavioral Health Care Needs, Detention-Based Care, and Criminal Recidivism at Community Reentry From Juvenile Detention: A Multisite Survival Curve Analysis
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DOI：
10.2105/ajph.2014.302529
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发表时间：
2015-07-01
影响因子：
12.7
通讯作者：
Grisso, Thomas
中科院分区：
文献类型：
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作者：
Aalsma, Matthew C.;White, Laura M.;Grisso, Thomas
目标.我们研究了2008年至2012年期间在印第安纳州被拘留的青少年提供的行为健康服务以及服务对累犯的影响。我们获得了8363名青少年（年龄12-18岁; 79.4%为男性）的行为健康需求，接受的行为健康治疗，以及释放后12个月内的累犯信息。我们进行了生存分析，以确定是否行为健康服务显着影响时间复发。大约19.1%的青少年有积极的心理健康筛查，25.3%的青少年在释放后12个月内重新犯罪。在筛查呈阳性的青少年中，29.2%的人看过心理健康医生，16.1%的人在拘留期间接受过行为健康服务，30.0%的人接受过拘留后服务的转介。生存分析表明，男性，黑人，年轻，并有较高的分数的物质使用或易怒的子量表的屏幕预测较短的时间累犯。接受行为预防、拘留期间的行为健康服务或社区评估也可预测复发时间较短。研究结果支持以前的研究表明，行为健康问题与累犯有关，黑人男性在拘留后不成比例地再次被捕。
Objectives. We examined the provision of behavioral health services to youths detained in Indiana between 2008 and 2012 and the impact of services on recidivism.Method. We obtained information about behavioral health needs, behavioral health treatment received, and recidivism within 12 months after release for 8363 adolescents (aged 12-18 years; 79.4% male). We conducted survival analyses to determine whether behavioral health services significantly affected time to recidivating.Results. Approximately 19.1% of youths had positive mental health screens, and 25.3% of all youths recidivated within 12 months after release. Of youths with positive screens, 29.2% saw a mental health clinician, 16.1% received behavioral health services during detention, and 30.0% received referrals for postdetention services. Survival analyses showed that being male, Black, and younger, and having higher scores on the substance use or irritability subscales of the screen predicted shorter time to recidivism. Receiving a behavior precaution, behavioral health services in detention, or an assessment in the community also predicted shorter time to recidivating.Conclusions. Findings support previous research showing that behavioral health problems are related to recidivism and that Black males are disproportionately rearrested after detention.