This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (230)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Anxiety Disorders  • Attention Deficit Hyperactivity Disorder  • Depression  • Mood Disorders  • Obsessive-Compulsive Disorder  • Public Health  • Substance Abuse/ Alcoholism  • Alert me on articles by topic  Social Bookmarking   What's this?

Linda A. Teplin, PhD; Karen M. Abram, PhD; Gary M. McClelland, PhD; Mina K. Dulcan, MD; Amy A. Mericle, PhD

Arch Gen Psychiatry. 2002;59:1133-1143.

Background  Given the growth of juvenile detainee populations, epidemiologic data on their psychiatric disorders are increasingly important. Yet, there are few empirical studies. Until we have better epidemiologic data, we cannot know how best to use the system's scarce mental health resources.

Methods  Using the Diagnostic Interview Schedule for Children version 2.3, interviewers assessed a randomly selected, stratified sample of 1829 African American, non-Hispanic white, and Hispanic youth (1172 males, 657 females, ages 10-18 years) who were arrested and detained in Cook County, Illinois (which includes Chicago and surrounding suburbs). We present 6-month prevalence estimates by demographic subgroups (sex, race/ethnicity, and age) for the following disorders: affective disorders (major depressive episode, dysthymia, manic episode), anxiety (panic, separation anxiety, overanxious, generalized anxiety, and obsessive-compulsive disorders), psychosis, attention-deficit/hyperactivity disorder, disruptive behavior disorders (oppositional defiant disorder, conduct disorder), and substance use disorders (alcohol and other drugs).

Results  Nearly two thirds of males and nearly three quarters of females met diagnostic criteria for one or more psychiatric disorders. Excluding conduct disorder (common among detained youth), nearly 60% of males and more than two thirds of females met diagnostic criteria and had diagnosis-specific impairment for one or more psychiatric disorders. Half of males and almost half of females had a substance use disorder, and more than 40% of males and females met criteria for disruptive behavior disorders. Affective disorders were also prevalent, especially among females; more than 20% of females met criteria for a major depressive episode. Rates of many disorders were higher among females, non-Hispanic whites, and older adolescents.

Conclusions  These results suggest substantial psychiatric morbidity among juvenile detainees. Youth with psychiatric disorders pose a challenge for the juvenile justice system and, after their release, for the larger mental health system.

From The Feinberg School of Medicine, Northwestern University Department of Psychiatry and Behavioral Sciences (Drs Teplin, Abram, McClelland, and Dulcan); Psycho-Legal Studies Program (Drs Teplin, Abram, and McClelland); Children's Memorial Hospital (Dr Dulcan); and the School of Social Service Administration, University of Chicago (Dr Mericle), Chicago, Ill.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Prevalence of and Gender Differences in Psychiatric Disorders Among Juvenile Delinquents Incarcerated for Nine Months
Karnik et al.
Psychiatr. Serv. 2009;60:838-841.
ABSTRACT | FULL TEXT  

Detecting, Preventing, and Treating Sexually Transmitted Diseases Among Adolescent Arrestees: An Unmet Public Health Need
Belenko et al.
Am. J. Public Health 2009;99:1032-1041.
ABSTRACT | FULL TEXT  

Seven-Year Life Outcomes of Adolescent Offenders in Los Angeles
Ramchand et al.
Am. J. Public Health 2009;99:863-870.
ABSTRACT | FULL TEXT  

Predicting Medication Costs and Usage: Expenditures in a Juvenile Detention Facility
Tennyson
J Correct Health Care 2009;15:98-104.
ABSTRACT  

Determining What Works for Girls in the Juvenile Justice System: A Summary of Evaluation Evidence
Zahn et al.
Crime Delinquency 2009;55:266-293.
ABSTRACT  

Exploring Patterns of Court-Ordered Mental Health Services for Juvenile Offenders: Is There Evidence of Systemic Bias?
Dannerbeck Janku and Jiahui Yan
Criminal Justice and Behavior 2009;36:402-419.
ABSTRACT  

Coping as a Mediator of the Effects of Stressors and Supports on Depression Among Girls in Juvenile Justice
Goodkind et al.
Youth Violence and Juvenile Justice 2009;7:100-118.
ABSTRACT  

The Prevalence of Mental Disorders in a German Sample of Male Incarcerated Juvenile Offenders
Kohler et al.
Int J Offender Ther Comp Criminol 2009;53:211-227.
ABSTRACT  

Exploring the Mediating Mechanism Between Gender-Based Violence and Biologically Confirmed Chlamydia Among Detained Adolescent Girls
Salazar et al.
Violence Against Women 2009;15:258-275.
ABSTRACT  

Justice System Involvement Into Young Adulthood: Comparison of Adolescent Girls in the Public Mental Health System and in the General Population
Davis et al.
Am. J. Public Health 2009;99:234-236.
ABSTRACT | FULL TEXT  

Fear and Anxiety at the Basis of Adolescent Externalizing and Internalizing Behaviors: A Case Study
Kramer and Zimmermann
Int J Offender Ther Comp Criminol 2009;53:113-120.
ABSTRACT  

Attention-Deficit/Hyperactivity Disorder and Correctional Health Care
Eme
J Correct Health Care 2009;15:5-18.
ABSTRACT  

Psychosocial Predictors of Clinicians' Recommendations and Judges' Placement Orders in a Juvenile Court
O'Donnell and Lurigio
Criminal Justice and Behavior 2008;35:1429-1448.
ABSTRACT  

Psychosocial Functioning Problems Over Time Among High-Risk Youths: A Latent Class Transition Analysis
Dembo et al.
Crime Delinquency 2008;54:644-670.
ABSTRACT  

Psychiatric Disorders Among Detained Youths: A Comparison of Youths Processed in Juvenile Court and Adult Criminal Court
Washburn et al.
Psychiatr. Serv. 2008;59:965-973.
ABSTRACT | FULL TEXT  

Telemedicine can improve the health of youths in detention
Fox and Whitt
J Telemed Telecare 2008;14:275-276.
ABSTRACT | FULL TEXT  

Risk for Disciplinary Infractions Among Incarcerated Male Youths: Influence of Psychiatric Disorder
Mcreynolds and Wasserman
Criminal Justice and Behavior 2008;35:1174-1185.
ABSTRACT  

An Investigation of Psychopathic Features Among Delinquent Girls: Violence, Theft, and Drug Abuse
Vaughn et al.
Youth Violence and Juvenile Justice 2008;6:240-255.
ABSTRACT  

Variations in Mental Health Problems, Substance Use, and Delinquency Between African American and Caucasian Juvenile Offenders: Implications for Reentry Services
Vaughn et al.
Int J Offender Ther Comp Criminol 2008;52:311-329.
ABSTRACT  

The Influence of Psychosocial Maturity on Adolescent Offenders' Delinquent Behavior
Cruise et al.
Youth Violence and Juvenile Justice 2008;6:178-194.
ABSTRACT  

Psychiatric Disorder in a Juvenile Assessment Center
McReynolds et al.
Crime Delinquency 2008;54:313-334.
ABSTRACT  

Incarceration and Psychotropic Drug Use by Youth
Cuellar et al.
Arch Pediatr Adolesc Med 2008;162:219-224.
ABSTRACT | FULL TEXT  

AAPL Practice Guideline for the Forensic Psychiatric Evaluation of Competence to Stand Trial
Mossman et al.
J Am Acad Psychiatry Law 2007;35:S3-S72.
FULL TEXT  

Arrests of Adolescent Clients of a Public Mental Health System During Adolescence and Young Adulthood
Davis et al.
Psychiatr. Serv. 2007;58:1454-1460.
ABSTRACT | FULL TEXT  

Childhood Psychiatric Disorders and Young Adult Crime: A Prospective, Population-Based Study
Copeland et al.
Am. J. Psychiatry 2007;164:1668-1675.
ABSTRACT | FULL TEXT  

Posttraumatic Stress Disorder and Psychiatric Comorbidity Among Detained Youths
Abram et al.
Psychiatr. Serv. 2007;58:1311-1316.
ABSTRACT | FULL TEXT  

Incidence and Practical Issues of Mental Health for School-Aged Youth in Juvenile Justice Detention
Osterlind et al.
J Correct Health Care 2007;13:268-277.
ABSTRACT  

Psychiatric Symptoms and Substance Use Among Juvenile Offenders: A Latent Profile Investigation
Vaughn et al.
Criminal Justice and Behavior 2007;34:1296-1312.
ABSTRACT  

Reducing Out-of-Community Placement and Recidivism: Diversion of Delinquent Youth With Mental Health and Substance Use Problems From the Justice System
Sullivan et al.
Int J Offender Ther Comp Criminol 2007;51:555-577.
ABSTRACT  

Gender Differences in Mental Health Symptoms Among Delinquent and Community Youth
Cauffman et al.
Youth Violence and Juvenile Justice 2007;5:287-307.
ABSTRACT  

Progress and Perils in the Juvenile Justice and Mental Health Movement
Grisso
J Am Acad Psychiatry Law 2007;35:158-167.
ABSTRACT | FULL TEXT  

Commentary: The Role of Mental Health Services in Preadjudicated Juvenile Detention Centers
Migdole and Robbins
J Am Acad Psychiatry Law 2007;35:168-171.
ABSTRACT | FULL TEXT  

Diagnostic Screening With Incarcerated Youths: Comparing the DPS and Voice DISC
McReynolds et al.
Criminal Justice and Behavior 2007;34:830-845.
ABSTRACT  

Perceived Dangerousness of Children With Mental Health Problems and Support for Coerced Treatment
Pescosolido et al.
Psychiatr. Serv. 2007;58:619-625.
ABSTRACT | FULL TEXT  

Drug Use and Delinquent Behavior: A Growth Model of Parallel Processes Among High-Risk Youths
Dembo et al.
Criminal Justice and Behavior 2007;34:680-696.
ABSTRACT  

A Longitudinal Study of the Prevalence, Development, and Persistence of HIV/Sexually Transmitted Infection Risk Behaviors in Delinquent Youth: Implications for Health Care in the Community
Romero et al.
Pediatrics 2007;119:e1126-e1141.
ABSTRACT | FULL TEXT  

Factors Associated With Mental Health and Juvenile Justice Involvement Among Children With Severe Emotional Disturbance
Graves et al.
Youth Violence and Juvenile Justice 2007;5:147-167.
ABSTRACT  

The Massachusetts Youth Screening Instrument as a Predictor of Institutional Maladjustment in Severe Male Juvenile Offenders
Butler et al.
Criminal Justice and Behavior 2007;34:476-492.
ABSTRACT  

A Longitudinal Study of Psychological Functioning Among Juvenile Offenders: A Latent Growth Model Analysis
Wareham and Dembo
Criminal Justice and Behavior 2007;34:259-273.
ABSTRACT  

The Next Generation of Prisoners: Toward an Understanding of Violent Institutionalized Delinquents
Blackburn et al.
Youth Violence and Juvenile Justice 2007;5:35-56.
ABSTRACT  

Behaviorally-based disorders: the historical social construction of youths' most prevalent psychiatric diagnoses.
Mallett
History of Psychiatry 2006;17:437-460.
ABSTRACT  

Early Adolescent Delinquency: Assessing the Role of Childhood Problems, Family Environment, and Peer Pressure
Sullivan
Youth Violence and Juvenile Justice 2006;4:291-313.
ABSTRACT  

Concordance Between Self-Reported Maltreatment and Court Records of Abuse or Neglect Among High-Risk Youths
Swahn et al.
Am. J. Public Health 2006;96:1849-1853.
ABSTRACT | FULL TEXT  

Predictors of Mental Health Service Enrollment Among Juvenile Offenders
Lopez-Williams et al.
Youth Violence and Juvenile Justice 2006;4:266-280.
ABSTRACT  

Juvenile Offenders With Mental Health Needs: Reducing Recidivism Using Wraparound
Pullmann et al.
Crime Delinquency 2006;52:375-397.
ABSTRACT  

Mental Health Care in Juvenile Detention Facilities: A Review
Desai et al.
J Am Acad Psychiatry Law 2006;34:204-214.
ABSTRACT | FULL TEXT  

Classifying Juvenile Offenders According to Risk of Recidivism: Predictive Validity, Race/Ethnicity, and Gender
Schwalbe et al.
Criminal Justice and Behavior 2006;33:305-324.
ABSTRACT  

A Rasch Differential Item Functioning Analysis of the Massachusetts Youth Screening Instrument: Identifying Race and Gender Differential Item Functioning Among Juvenile Offenders
Cauffman and MacIntosh
Educational and Psychological Measurement 2006;66:502-521.
ABSTRACT  

Mental health needs of young offenders in custody and in the community
CHITSABESAN et al.
Br. J. Psychiatry 2006;188:534-540.
ABSTRACT | FULL TEXT  

Violence Risk and Race in a Sample of Youth in Juvenile Detention: The Potential to Reduce Disproportionate Minority Confinement
Chapman et al.
Youth Violence and Juvenile Justice 2006;4:170-184.
ABSTRACT  

Suspension, Race, and Disability: Analysis of Statewide Practices and Reporting
Krezmien et al.
Journal of Emotional and Behavioral Disorders 2006;14:217-226.
ABSTRACT  

Using the Short Mood and Feelings Questionnaire to Detect Depression in Detained Adolescents
Kuo et al.
Assessment 2005;12:374-383.
ABSTRACT  

Paper and Voice MAYSI-2: Format Comparability and Concordance With the Voice DISC-IV
Hayes et al.
Assessment 2005;12:395-403.
ABSTRACT  

Detecting Mental Disorder in Juvenile Detainees: Who Receives Services
Teplin et al.
Am. J. Public Health 2005;95:1773-1780.
ABSTRACT | FULL TEXT  

Medicaid Insurance Policy for Youths Involved in the Criminal Justice System
Evans Cuellar et al.
Am. J. Public Health 2005;95:1707-1711.
ABSTRACT | FULL TEXT  

Child Maltreatment Prevention Priorities at the Centers for Disease Control and Prevention
Whitaker et al.
Child Maltreat 2005;10:245-259.
ABSTRACT  

Major Mental Disorders, Substance Use Disorders, Comorbidity, and HIV-AIDS Risk Behaviors in Juvenile Detainees
Teplin et al.
Psychiatr. Serv. 2005;56:823-828.
ABSTRACT | FULL TEXT  

Juvenile Correctional Workers' Perceptions of Suicide Risk Factors and Mental Health Issues of Incarcerated Juveniles
Penn et al.
J Correct Health Care 2005;11:333-346.
ABSTRACT  

Mental disorders in prison populations aged 15-21: national register study of two cohorts in Finland
Sailas et al.
BMJ 2005;330:1364-1365.
FULL TEXT  

The Availability of Behavioral Health Services for Youth in the Juvenile Justice System
Thomas et al.
J Am Psychiatr Nurses Assoc 2005;11:156-163.
ABSTRACT  

Early Violent Death Among Delinquent Youth: A Prospective Longitudinal Study
Teplin et al.
Pediatrics 2005;115:1586-1593.
ABSTRACT | FULL TEXT  

Correlates and Predictors of Self-Reported Suicide Attempts Among Incarcerated Youths
Putnins
Int J Offender Ther Comp Criminol 2005;49:143-157.
ABSTRACT  

Prevalence of Co-Occurring Disorders Among Juveniles Committed to Detention Centers
Abrantes et al.
Int J Offender Ther Comp Criminol 2005;49:179-193.
ABSTRACT  

Delinquent Youth in Corrections: Medicaid and Reentry Into the Community
Gupta et al.
Pediatrics 2005;115:1077-1083.
FULL TEXT  

Ability of Substance Abusers to Escape Detection on the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) in a Juvenile Correctional Facility
Stein and Graham
Assessment 2005;12:28-39.
ABSTRACT  

Juvenile Delinquency: Understanding the Origins of Individual Differences
Grisso
Psychiatr. Serv. 2005;56:115-115.
FULL TEXT  

Gender Differences in Psychiatric Disorders at Juvenile Probation Intake
Wasserman et al.
Am. J. Public Health 2005;95:131-137.
ABSTRACT | FULL TEXT  

A Review of Mood Disorders Among Juvenile Offenders
Ryan and Redding
Psychiatr. Serv. 2004;55:1397-1407.
ABSTRACT | FULL TEXT  

An Examination and Replication of the Psychometric Properties of the Massachusetts Youth Screening Instrument-Second Edition (MAYSI-2) Among Adolescents in Detention Settings
Archer et al.
Assessment 2004;11:290-302.
ABSTRACT  

Catatonia in Juvenile Corrections
NIEDERMIER
Am. J. Psychiatry 2004;161:2133-2134.
FULL TEXT  

A Review of Clinical Characteristics and Residential Treatments for Adolescent Delinquents with Mental Health Disorders: A Promising Residential Program
Underwood et al.
Trauma Violence Abuse 2004;5:199-242.
ABSTRACT  

Heterogeneity in the Association Between Social-Emotional Adjustment Profiles and Deviant Behavior Among Male and Female Serious Juvenile Offenders
Cauffman et al.
Int J Offender Ther Comp Criminol 2004;48:235-252.
ABSTRACT  

Posttraumatic Stress Disorder and Trauma in Youth in Juvenile Detention
Abram et al.
Arch Gen Psychiatry 2004;61:403-410.
ABSTRACT | FULL TEXT  

Reentry of Young Offenders from the Justice System: A Developmental Perspective
Steinberg et al.
Youth Violence and Juvenile Justice 2004;2:21-38.
ABSTRACT  

An Empirical Portrait of the Youth Reentry Population
Snyder
Youth Violence and Juvenile Justice 2004;2:39-55.
ABSTRACT  

Youth Perspectives on the Experience of Reentry
Sullivan
Youth Violence and Juvenile Justice 2004;2:56-71.
ABSTRACT  

Local Implementation of Drug Policy and Access to Treatment Services for Juveniles
Terry-McElrath and McBride
Crime Delinquency 2004;50:60-87.
ABSTRACT  

Characteristics of Emotional Disturbance in Middle and High School Students
Cullinan and Sabornie
Journal of Emotional and Behavioral Disorders 2004;12:157-167.
ABSTRACT  

Clinical and Forensic Outcomes From the Illinois Mental Health Juvenile Justice Initiative
Lyons et al.
Psychiatr. Serv. 2003;54:1629-1634.
ABSTRACT | FULL TEXT  

MMPI-A Characteristics of Male Adolescents in Juvenile Justice and Clinical Treatment Settings
Archer et al.
Assessment 2003;10:400-410.
ABSTRACT  

Comorbid Psychiatric Disorders in Youth in Juvenile Detention
Abram et al.
Arch Gen Psychiatry 2003;60:1097-1108.
ABSTRACT | FULL TEXT  

Posttraumatic Stress Disorder Among Criminally Involved Youth
Newman and Kaloupek
Arch Gen Psychiatry 2003;60:849-849.
FULL TEXT  

HIV and AIDS Risk Behaviors in Juvenile Detainees: Implications for Public Health Policy
Teplin et al.
Am. J. Public Health 2003;93:906-912.
FULL TEXT