Diagnoses and Treatment in Juvenile Detention Before and After Evaluation by Facility-Based Mental Health Service

Whitney, Eric; Horwitz, Sarah M.; Tedeschi, Frank; Alexander, Ava; Baetz, Carly Lyn; Bart, Amanda; Guo, Fei; Havens, Jennifer

doi:10.1016/j.jaac.2022.05.009

Cited by 5 publications

(4 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Justice-involved youth exhibit markedly high rates of mental health problems (e.g., Casiano et al, 2013; Whitney et al, 2022). One thus-far underexplored factor that may contribute to these problems is exposure to PMIEs (Litz et al, 2009), for which these youth appear to be at risk from multiple sources.…”

Section: Discussionmentioning

confidence: 99%

“…Research shows that two-thirds of these youth meet the criteria for at least one serious psychiatric disorder, underscoring the extreme mental health burden borne by this population (e.g., Teplin et al, 2002; see Colins et al, 2010 for a review). Primary among these disorders are frequently overlooked internalizing problems, including depression, anxiety, and nonsuicidal self-injury (NSSI), as well as posttraumatic stress symptoms (PTSS; Casiano et al, 2013; Teplin et al, 2002; Whitney et al, 2022). These symptoms are undoubtedly highly deleterious to youths’ well-being and create a significant need for mental health and rehabilitative services for detained youth.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Moral Injury as a Transdiagnostic Risk Factor for Mental Health Problems in Detained Youth

Alexander,

Mendez,

Kerig

2023

Criminal Justice and Behavior

Self Cite

View full text Add to dashboard Cite

Youth who become involved in the juvenile justice system are at highly elevated risk for many emotional and behavioral problems. Past research has often focused on trauma exposure as a transdiagnostic risk factor in this population. However, distress resulting from perpetrating or witnessing acts that conflict with one’s deeply held moral beliefs, termed moral injury, may also play a role in predisposing these youth toward negative mental health outcomes. This study utilized a sample of 96 youth housed in secure detention centers and tested associations between exposure to potentially morally injurious events (PMIEs) and mental health outcomes, including anxiety, depression, posttraumatic stress, and nonsuicidal self-injury (NSSI). After controlling for trauma exposure and demographic variables, PMIEs were significantly and positively associated with symptoms of depression and anxiety, as well as engagement in NSSI. Implications for research and clinical practice are discussed.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Moral Injury as a Transdiagnostic Risk Factor for Mental Health Problems in Detained Youth

Alexander,

Mendez,

Kerig

2023

Criminal Justice and Behavior

Self Cite

View full text Add to dashboard Cite

show abstract

“…For example, in children in juvenile detention, the prevalence was reported as 13.7% of children in the community (prior to detention), however once they were re-evaluated within the juvenile detention centre this dropped dramatically to 0.9%. 14 The immense variation in statistics within a recent sampling frame highlights the poor inter-rater reliability of the diagnosis and taken together these studies illustrate that researchers utilise a variety of criteria and differing methods and often sample quite disparate populations. This necessarily makes any effort to draw meaningful correlations and amalgamate findings extremely difficult.…”

Section: The Prevailing Questionmentioning

confidence: 99%

“…However, another complication that is less obvious is that results can change even within the same cohort and are subject to who conducts the assessment. For example, in children in juvenile detention, the prevalence was reported as 13.7% of children in the community (prior to detention), however once they were re‐evaluated within the juvenile detention centre this dropped dramatically to 0.9% 14 …”

Section: Introductionmentioning

confidence: 99%

The diagnosis of bipolar disorder in children and adolescents: Past, present and future

Malhi,

Jadidi,

Bell

2023

Bipolar Disorders

View full text Add to dashboard Cite

AimsThis article examines the ongoing debate concerning the diagnosis of bipolar disorder in children and adolescents. This contentious issue has generated robust discussion over the past two decades without consensus, and as such the true prevalence of so‐called paediatric bipolar disorder (PBD) remains unknown. In this article we offer a solution to break this deadlock.MethodsRecent meta‐analyses and additional literature concerning the definition and prevalence of PBD was critically reviewed with a view to understanding the perspectives of those developing the taxonomy of PBD, and those engaged in research and clinical practice.ResultsA key finding is the lack of iteration and meaningful communication between the various groups interested in PBD that stems from deep‐seated problems within our classificatory systems. This undermines our research efforts and complicates clinical practice. These problems make the already difficult diagnosis of bipolar disorder in adults even more challenging to transpose to younger populations, and additional complexities arise when parsing clinical phenomenology from normative developmental changes in youth. Therefore, in those manifesting bipolar symptoms post‐puberty, we argue for the use of adolescent bipolar disorder to describe bipolar symptoms whereas in pre‐pubertal children, we propose a reconceptualisation that allows symptomatic treatment to be advanced whilst requiring critical review of these symptoms over time.ConclusionSignificant changes in our current taxonomy are necessary and to be clinically meaningful, these revisions to our diagnoses need to be developmentally‐informed.

show abstract

Comparing Rates of Mental Health Diagnosis in Adolescents Evaluated at a Community Clinic Versus Detention-Based Clinic: Is Traumatic Stress Still Most Salient?

Snyder,

Mayinja,

Robles-Ramamurthy

et al. 2024

Psychol. Inj. and Law

View full text Add to dashboard Cite

Diagnoses and Treatment in Juvenile Detention Before and After Evaluation by Facility-Based Mental Health Service

Cited by 5 publications

References 4 publications

Moral Injury as a Transdiagnostic Risk Factor for Mental Health Problems in Detained Youth

Moral Injury as a Transdiagnostic Risk Factor for Mental Health Problems in Detained Youth

The diagnosis of bipolar disorder in children and adolescents: Past, present and future

Comparing Rates of Mental Health Diagnosis in Adolescents Evaluated at a Community Clinic Versus Detention-Based Clinic: Is Traumatic Stress Still Most Salient?

Contact Info

Product

Resources

About