The Impact of Behavioral Health Treatment Among Adolescent Offenders

众所周知，青少年罪犯患有精神健康和药物滥用障碍。 与社区中没有任何司法历史的年轻人相比，比率高得不成比例 系统参与。在努力改造犯罪青年和防止犯罪累犯方面， 政策制定者和研究人员开发并实施了循证行为健康 针对罪犯的特殊待遇。然而，研究文献很少能证实这一点 服务实际上减少了青少年罪犯的累犯率，特别是当服务于 考虑了行为健康需求的范围。此外，以前的研究还没有量化 最有可能改善的行为健康服务利用的频率、持续时间和类型 与犯罪有关的后果。 因此，这个项目的主要目标是评估是否有足够的行为事件 健康治疗减少了大量青少年罪犯中的累犯率。至 完成我们的目标，我们的跨学科研究团队将准备和分析正义 马里恩县150,000多名青年的系统和电子健康记录(EHR) 印第安纳州(印第安纳波利斯)。由此产生的15年回顾、纵向分析数据库将包括 在行为健康和刑事司法系统方面拥有广泛经验的青年。我们 预计超过三分之一的抽样青少年将有青少年犯罪记录，包括更多 40 000多名青年第一次接触司法系统的记录(即第一次被捕)。在……里面 通过这种方式，我们将捕获各种发育阶段、行为健康诊断、犯罪 指控，以及行为健康和司法系统的途径。 我们将创建并分析社区青年(即非罪犯)的对照小组，以便 加强对青少年行为健康利用模式的认识。通过雇用 对于适当的行为健康治疗，我们将采用现有的治疗质量绩效衡量标准 突出罪犯和社区青年之间在服务利用方面的有意义的差异，以及 在罪犯的群体中。我们预计，行为的时间和强度上的差异 罪犯对医疗保健的利用将影响治疗是否以及如何减少再犯罪率。 最后，我们将评估青少年案件处置(即缓刑条件)在 行为卫生服务利用与犯罪累犯的关系。具体目标 包括： 目的1.比较行为健康治疗需求和行为健康服务 从利用青少年罪犯到利用社区青少年罪犯。 目的2.检验行为卫生服务利用与犯罪的关系 青少年罪犯中的累犯。 青少年犯罪行为给社会带来了巨大的代价。我们预计BH是否会量化 治疗可以减少犯罪累犯率。该项目的长期目标是确定特定的点 沿着司法系统参与的连续不断(例如，逮捕、拘留、监禁和移交 到成人法院)，其中行为健康服务的利用将对减少 犯罪累犯。

It is well established that youth offenders suffer mental health and substance abuse disorders at disproportionately high rates when compared to youth in the community without any history of justice system involvement. In efforts to rehabilitate delinquent youth and prevent criminal recidivism, policymakers and researchers have developed and implemented evidence-based behavioral health treatments specific to offenders. However, the research literature has rarely confirmed that such services actually reduce criminal recidivism among adolescent offenders, especially when services for a range of behavioral health needs are considered. Previous studies, moreover, have not quantified the frequency, duration, and type of behavioral health service utilization most likely to improve delinquency-related outcomes. Therefore, the primary objective of this project is to assess whether adequate episodes of behavioral health treatment reduce criminal recidivism among a large population of adolescent offenders. To accomplish our objective, our interdisciplinary research team will prepare and analyze the justice system and electronic health records (EHR) of more than 150,000 youth from Marion County (Indianapolis), Indiana. The resulting 15-year retrospective, longitudinal analytic database will include youth with a wide array of experiences in both the behavioral health and criminal justice systems. We expect that more than one third of sampled youth will have a juvenile criminal record, including more than 40,000 youth with records from their first encounter with the justice system (i.e., first arrest). In this way, we will capture a variety of developmental stages, behavioral health diagnoses, criminal charges, and pathways through both the behavioral health and justice systems. We will create and to analyze a comparison group of community youth (i.e., non-offenders), in order to strengthen our understanding of adolescent behavioral health utilization patterns. By employing existing performance measures of treatment quality for adequate behavioral health treatment, we will highlight meaningful differences in service utilization between offenders and community youth, and within the group of offenders. We expect that differences in the timing and intensity of behavioral health care utilization among offenders will affect whether and how treatment reduces recidivism. Lastly, we will assess the role that delinquency case dispositions (i.e., conditions of probation) play in the relationship between behavioral health service utilization and criminal recidivism. Specific aims include: Aim 1. Compare the behavioral health treatment needs and behavioral health service utilization of youth offenders to those of community youth. Aim 2. Test the relationship between behavioral health service utilization and criminal recidivism among youth offenders. There is a substantial cost of juvenile criminal behavior to society. We expect to quantify if BH treatment reduces criminal recidivism. The long-term goal of this project is to identify specific points along the continuum of justice system involvement (e.g., arrest, detention, incarceration, and transfer to adult court) where utilization of behavioral health services will have the most impact in reducing criminal recidivism.