Emaediong I Akpanekpo, Preeyaporn Srasuebkul, Tony Butler, Julian Norman Trollor, John Kasinathan, Dianna Kenny, David Mace Greenberg, Melanie Simpson, Claire Gaskin, Jocelyn Jones, Nabila Z Chowdhury, Anyiekere Ekanem, Azar Kariminia
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引用次数: 0
Abstract
Objective: Unaddressed mental health needs of justice-involved youths increase the risk for reoffending and impede effective community integration. This study had three main objectives: to calculate the prevalence of mental disorders, to estimate the cumulative incidence of reoffending, and to examine patterns of nonmandated outpatient mental health treatment and its association with reoffending among justice-involved youths.
Methods: Offending records from January 1, 1994, to March 31, 2022, were linked with mental health records from January 1, 2001, to March 31, 2022, for justice-involved youths supervised in both custodial (N=790) and community (N=766) settings in New South Wales, Australia. The association between mental health service contact and reoffending was assessed by using Cox proportional hazards regression.
Results: Mental health issues were prevalent among 32% of girls and 29% of boys. Among custody-supervised youths, 49% reoffended within 12 months of release. Custody-supervised youths with mental health issues had a median time of 1 month until contact with mental health services after their release. Among community-supervised youths, 41% reoffended within 12 months of study entry. The median time until contact with mental health services for community-supervised youths with mental health issues was 6 months. Contact with mental health services was associated with lower hazards of reoffending among boys in custody (adjusted hazard ratio [aHR]=0.60, p=0.001) and under community supervision (aHR=0.43, p=0.045).
Conclusions: Clinical engagement with mental health services can address criminogenic mental health problems among justice-involved youths and reduce criminal behavior.
期刊介绍：
Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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