Psychiatric and Substance-Related Problems Predict Recidivism for First-Time Justice-Involved Youth

Revista Brasileira de Epidemiologia

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