This study examined the utility of the Millon Adolescent Clinical Inventory (MACI) in the assessment of 135 incarcerated juvenile offenders. The three primary research questions were: (1) What is the MACI profile for juvenile offenders? (2) Are there distinctive characteristics in the MACI profiles of aggressive offenders, chronic offenders, or sex offenders? (3) Do juvenile offenders with mood disorder, conduct disorder, or substance abuse disorder have distinguishing MACI profiles? This study also investigated the factor structure of the MACI and compared results using factor scores versus individual MACI scales.Participants in this study were 135 volunteer adolescents admitted to a centralized intake facility for the state juvenile correctional center in Richmond, Virginia. The participants ranged in age from 13 to 18, with a mean age of 16 years. Each participant completed the MACI during their initial intake period. MACI results were compared with clinical data gathered by the institution's Behavioral Services Unit staff, including psychiatric diagnosis, history of drug and alcohol use, and offense history. Researchers also coded violent offense history and institutional infractions for violent behavior.Clinical staff members completed a modified version of the Observed Aggression Scale.An exploratory factor analysis of MACI scales revealed a three-factor solution for Personality Patterns, and two factor solutions for Expressed Concerns and Clinical Syndromes scales. The factors accounted for 82, 66, and 78% of the variance respectively. Theoretically related factors were correlated with outcome criteria related to mental health problems (.18 to .39) and offense history characteristics ( .18 to .28). MACI factors were able to classify offenders with mood disorders, conduct disorders, and 11 substance abuse problems with moderate accuracy (65 to 78%). Factors adequately discriminated between violent offenders, sex offenders, and chronic offenders (58 to 82%). The results of this study support the MACI as a useful instrument for clinicians working in juvenile offender institutions.
Mental Health ProblemsMany incarcerated juveniles offenders have emotional and behavioral disorders that require mental health treatment (Otto, Greenstein, Johnson, & Friedman, 1992;Teplin, 2001;McGarvey & Waite, 1999). The purpose of this study was to examine the value of a self-report inventory that could be used to help identify juvenile offenders with mental health treatment needs. A comprehensive review of the research literature on the prevalence and types of mental disorders among youth in the juvenile justice system concluded that these youth experience substantially higher rates of mental disorders than youth in the general population (Cocozza & Skowyra, 2000). A study by Atkins et al., (1999), estimated that 60% of youth receiving counseling services from community mental health centers met diagnostic criteria for a mental disorder, in comparison to 72% of incarcerated youth. In Chicago, a study of delinquent yo...