Revista Brasileira de Epidemiologia | |
Psychiatric and Substance-Related Problems Predict Recidivism for First-Time Justice-Involved Youth | |
article | |
Marina Tolou-Shams1  Johanna B. Folk1  Evan D. Holloway1  Catalina M. Ordorica1  Emily F. Dauria2  Kathleen Kemp3  Brandon D. L. Marshall4  | |
[1] University of California, San Francisco, Department of Psychiatry and Behavioral Sciences;University of Pittsburgh, Department of Behavioral and Community Health Sciences;The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior;Brown University School of Public Health, Department of Epidemiology | |
关键词: juvenile justice; mental health; racial disparities; recidivism; substance use; | |
DOI : 10.29158/JAAPL.220028-21 | |
学科分类:社会科学、人文和艺术(综合) | |
来源: SciELO | |
【 摘 要 】
Justice-involved youth with clinically significant co-occurring psychiatric and substance-related problemsare at increased risk for recidivism. Less is known about how psychiatric symptoms (i.e., internalizingand externalizing) and substance-related problems (i.e., alcohol and cannabis) interact to predict recidivism, especially at first court contact. Among 361 first-time justice-involved youth aged 12 to 18, weused nested multivariate negative binomial regression models to examine the association between psychiatric symptoms, substance-related problems and 24-month recidivism while accounting for demographic and legal covariates. Clinically significant externalizing symptoms and alcohol-related problemspredicted recidivism. Moderation analyses revealed that alcohol-related problems drove recidivism foryouth without clinically significant psychiatric symptoms and externalizing symptoms predicted recidivism,regardless of alcohol-related problems. After accounting for other predictors, Latinx, Black non-Latinx,and multiracial non-Latinx youth were more likely to recidivate at follow-up than White non-Latinxyouth. Systematic screening, referral, and linkage to treatment for psychiatric and substance-relatedproblems are needed to reduce recidivism risk among first-time justice-involved youth. Differences inrecidivism rates by race/ethnicity not attributable to behavioral health needs suggest it is imperative toconcurrently deploy large-scale structural interventions designed to combat systemic racial bias andoverrepresentation of ethnoracial minoritized youth within the juvenile justice system.
【 授权许可】
CC BY-NC
【 预 览 】
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