Journal of the American Academy of Child & Adolescent Psychiatry
Volume 47, Issue 9 , Pages 1010-1019 , September 2008

Mental Disorders Among Adolescents in Juvenile Detention and Correctional Facilities: A Systematic Review and Metaregression Analysis of 25 Surveys

  • Seena Fazel, M.R.C. Psych., M.D.

      Affiliations

    • Corresponding Author InformationCorrespondence to Dr. Seena Fazel, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK
  • ,
  • Helen Doll, M.Sc., D.Phil.
  • ,
  • Niklas Långström, M.D., Ph.D.

,Accepted 18 April 2008.

References 

  1. Snyder H, Sickmund M. Juvenile Offenders and Victims: 2006 National Report. Washington, DC: Office of Juvenile Justice and Delinquency Prevention; 2006;
  2. Council on Scientific Affairs, American Medical Association . Health status of detained and incarcerated youths. JAMA. 1990;263:987–991
  3. American Academy of Pediatrics Committee on Adolescence . Health care for children and adolescents in the juvenile correctional care system. Pediatrics. 2001;107:799–803
  4. Arroyo W, Buzogany W, Hansen G. American Academy of Child and Adolescent Psychiatry (AACAP) Task Force on Juvenile Justice Reforms: Recommendations for Juvenile Justice Reform. Washington, DC: AACAP; 2001;
  5. Langan P, Schmitt E, Durose M. Recidivism of Sex Offenders Released From Prison in 1994. Washington, DC: U.S. Department of Justice; 2003;
  6. Home Office, Prison Statistics 2002: England and Wales. London: HMSO; 2003;
  7. Cottle C, Lee R, Heilbrun K. The prediction of criminal recidivism in juveniles: a meta-analysis. Criminal Justice Behav. 2001;28:367–394
  8. Kessler C. Need for attention to mental health of young offenders. Lancet. 2002;359:1956–1957
  9. Bailey S. Editorial. J Adolesc. 2000;23:237–241
  10. Grisso T, Steinberg L, Woolard J, et al. Juveniles' competence to stand trial: a comparison of adolescents' and adults' capacities as trial defendants. Law Hum Behav. 2003;27:333–363
  11. Bickel R, Campbell A. Mental health of adolescents in custody: the use of the Adolescent Psychopathology Scale in a Tasmanian context. Aust N Z J Psychiatry. 2002;36:603–609
  12. Rawal P, Romansky J, Jenuwine M, Lyons J. Racial differences in the mental health needs and service utilization of youth in the juvenile justice system. J Behav Health Serv Res. 2004;31:242–254
  13. Kramp P, Israelson L, Mortensen K, Aarkrog T. Serious juvenile offenders: demographic variables, diagnostic problems, and therapeutic possibilities. Int J Law Psychiatry. 1987;10:63–73
  14. Forth A, Hart S, Hare R. Assessment of psychopathy in male young offenders. Psychol Assess. 1990;2:342–344
  15. Kroll L, Rothwell J, Bradley D, Shah P, Bailey S, Harrington R. Mental health needs of boys in secure care for serious or persistent offending: a prospective, longitudinal study. Lancet. 2002;359:1975–1979
  16. McCann J, James A, Wilson S, Dunn G. Prevalence of psychiatric disorders in young people in the care system. BMJ. 1996;13:1529–1530
  17. Otto-Salaj L, Gore-Felton C, McGarvey E, Canterbury R. Psychiatric functioning and substance use: factors associated with HIV risk among incarcerated adolescents. Child Psychiatry Hum Dev. 2002;33:91–106
  18. Cohen R, Parmalee D, Irwin L, et al. Characteristics of children and adolescents in a psychiatric hospital and a corrections facility. J Am Acad Child Adolesc Psychiatry. 1990;29:909–913
  19. Steiner H, Cauffman E, Duxbury E. Personality traits in juvenile delinquents: relation to criminal behavior and recidivism. J Am Acad Child Adolesc Psychiatry. 1999;38:256–262
  20. Golzari M, Hunt SJ, Anoshiravani A. The health status of youth in juvenile detention facilities. J Adolesc Health. 2006;38:776–782
  21. Fazel S, Danesh J. Serious mental disorder in 23 000 prisoners: a systematic review of 62 surveys. Lancet. 2002;359:545–550
  22. Neighbors B, Kempton T, Forehand R. Co-occurrence of substance abuse with conduct, anxiety, and depression disorders in juvenile delinquents. Addictive Behav. 1992;17:379–386
  23. Marsteller F, Brogan D, Smith I, et al. The Prevalence of Substance Use Disorders Among Juveniles Admitted to Regional Youth Detention Centers Operated by the Georgia Department of Children and Youth Services. Atlanta: Georgia Department of Children and Youth Services; 1997;
  24. Eppright T, Kashani J, Robison B, Reid J. Comorbidity of conduct disorder and personality disorders in an incarcerated juvenile population. Am J Psychiatry. 1993;150:1233–1236
  25. Davis D, Bean G, Schumacher J, Stringer T. Prevalence of emotional disorders in a juvenile justice institutional population. Am J Forensic Psychol. 1991;9:5–17
  26. Ko S, Wasserman G, McReynolds L, Katz L. Contribution of parent report to voice DISC-IV diagnosis among incarcerated youths. J Am Acad Child Adolesc Psychiatry. 2004;43:868–877
  27. Garland A, Hough R, McCabe K, Yeh M, Wood P, Aarons G. Prevalence of psychiatric disorders in youths across five sectors of care. J Am Acad Child Adolesc Psychiatry. 2001;40:409–418
  28. Pliszka S, Sherman J, Barrow M, Irick S. Affective disorder in juvenile offenders: a preliminary study. Am J Psychiatry. 2000;157:130–132
  29. Atkins D, Pumariega A, Rogers K, et al. Mental health and incarcerated youth. I: prevalence and nature of psychopathology. J Child Fam Studies. 1999;8:193–204
  30. Kratzer L, Hodgins S. Adult outcomes of child conduct problems: a cohort study. J Abnorm Psychol. 1997;25:65–81
  31. Loeber R, Burke J, Lahey B, Winters A, Zera M. Oppositional defiant and conduct disorder: a review of the past 10 years, part I. J Am Acad Child Adolesc Psychiatry. 2000;39:1484–1486
  32. Lader D, Singleton N, Meltzer H. Psychiatric Morbidity Among Youth Offenders in England and Wales. London: Office for National Statistics; 2000;
  33. Timmons-Mitchell J, Brown C, Schulz S, Webster S, Underwood L, Semple W. Comparing the mental health needs of female and male incarcerated juvenile delinquents. Behav Sci Law. 1997;15:195–202
  34. Teplin L, Abram K, McClelland G, Dulcan M, Mericle A. Psychiatric disorders in youth in juvenile detention. Arch Gen Psychiatry. 2002;59:1133–1143
  35. Higgins J, Thompson S, Deeks J, Altman D. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557–560
  36. Higgins J, Thompson S. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21:1539–1558
  37. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–188
  38. Thompson S, Higgins J. How should meta-regression analyses be undertaken and interpreted?. Stat Med. 2002;21:1559–1573
  39. Sterne J, Bradburn M, Egger M. Meta-analysis in Stata. In:  Egger M,  Altman D editor. Systematic Reviews in Health Care: Meta-Analysis in Context. London: BMJ; 2001;
  40. Waite D, Neff J. Profiles of Incarcerated Adolescents in Virginia's Juvenile Correctional Centers: Fiscal Years 1999–2003. Richmond: Virginia Department of Juvenile Justice; 2004;
  41. Bolton A. A Study of the Need for and Availability of Mental Health Services for Mentally Disordered Jail Inmates and Juveniles in Detention Facilities. Report to the California State Legislature. Sacramento, CA: Arthur Bolton Associates; 1976;
  42. Wasserman G, McReynolds L, Lucas C, Fisher P, Santos L. The voice DISC-IV with incarcerated male youths: prevalence of disorder. J Am Acad Child Adolesc Psychiatry. 2002;41:314–321
  43. Shelton D. Estimates of Emotional Disorder in Detained and Committed Youth in the Maryland Juvenile Justice System. Baltimore: University of Maryland, School of Nursing; 1998;
  44. Hollander H, Turner F. Characteristics of incarcerated delinquents: Relationship between development disorders, environmental and family factors, and patterns of offense and recidivism. J Am Acad Child Psychiatry. 1985;24:221–226
  45. Robertson A, Husain J. Prevalence of Mental Illness and Substance Abuse Disorders Among Incarcerated Juvenile Offenders. Mississippi State: Mississippi Department of Public Safety; 2001;
  46. Gosden N, Kramp P, Gabrielsen G, Sestoft D. Prevalence of mental disorders among 15–17 year old male adolescent remand prisoners in Denmark. Acta Psychiatr Scand. 2003;107:102–110
  47. Nicol R, Stretch D, Whitney I, et al. Mental health needs and services for severely troubled and troubling young people including young offenders in an NHS region. J Adolesc. 2000;23:243–261
  48. Ruchkin V, Schwab-Stone M, Koposov R, Vermeiren R, Steiner H. Violence exposure, posttraumatic stress, and personality in juvenile delinquents. J Am Acad Child Adolesc Psychiatry. 2002;41:322–329
  49. Chiles J, Miller M, Cox G. Depression in an adolescent delinquent population. Arch Gen Psychiatry. 1980;37:1179–1184
  50. Duclos C, Beals J, Novins D, Martin C, Jewett C, Manson S. Prevalence of common psychiatric disorders among American Indian adolescent detainees. J Am Acad Child Adolesc Psychiatry. 1998;37:866–873
  51. Kashani J, Manning G, McKnew D, Cytryn L, Simonds J, Wooderson P. Depression among incarcerated delinquents. Psychiatry Res. 1980;3:185–191
  52. Ulzen T, Hamilton H. The nature and characteristics of psychiatric comorbidity in incarcerated adolescents. Can J Psychiatry. 1998;43:57–63
  53. Dimond C, Misch P. Psychiatric morbidity in children remanded to prison custody—a pilot study. J Adolesc. 2002;25:681–689
  54. Vreugdenhil C, Doreleijers T, Vermeiren R, Wouters L, Van den Brink W. Psychiatric disorders in a representative sample of incarcerated boys in The Netherlands. J Am Acad Child Adolesc Psychiatry. 2004;43:97–104
  55. Oliván Gonzalvo G. Estado de salud y nuticion de mujeres adolescentes delincuentes [Health and nutritional status of delinquent female adolescents]. Anal Esp Pediatr. 2002;56:116–120
  56. Abrantes A, Hoffmann N, Anton R. Prevalence of co-occurring disorders among juveniles committed to detention centers. Int J Offender Ther Comp Criminol. 2005;49:179–193
  57. Kuo E, Stoep A, Stewart D. Using the Short Mood and Feelings Questionnaire to detect depression in detained adolescents. Assessment. 2005;12:374–383
  58. Lederman C, Dakof G, Larrea M, Li H. Characteristics of adolescent females in juvenile detention. Int J Law Psychiatry. 2004;27:321–337
  59. Chitsabesan P, Kroll L, Bailey S, et al. Mental health needs of young offenders in custody and in the community. Br J Psychiatry. 2006;188:534–540
  60. Dixon A, Howie P, Starling J. Psychopathology in female juvenile offenders. J Child Psychol Psychiatry. 2004;45:1150–1158
  61. Costello E, Egger H, Angold A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry. 2005;44:972–986
  62. Kirkbride J, Fearon P, Morgan C, et al. Heterogeneity in incidence rates of schizophrenia and other psychotic syndromes: findings from the 3-center AeSOP study. Arch Gen Psychiatry. 2006;63:250–258
  63. Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry. 2007;164:942–948
  64. Costello E, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry. 2003;60:837–844
  65. Costello E, Erkanli A, Angold A. Is there an epidemic of child or adolescent depression?. J Am Acad Child Adolesc Psychiatry. 2006;47:1263–1271
  66. Arseneault L, Moffitt T, Caspi A, Taylor P, Silva P. Mental disorders and violence in a total birth cohort: results from the Dunedin study. Arch Gen Psychiatry. 2000;57:979–986
  67. Kasen S, Cohen P, Skodol A, Johnson J, Smailes E, Brook J. Childhood depression and adult personality disorder: alternative pathways of continuity. Arch Gen Psychiatry. 2001;58:231–236
  68. van Lier P, der Ende J, Koot H, Verhulst F. Which better predicts conduct problems? The relationship of trajectories of conduct problems with ODD and ADHD symptoms from childhood into adolescence. J Child Psychol Psychiatry. 2007;48:601–608
  69. Crowley T, Mikulich S, Ehlers K, Whitmore E, MacDonald M. Validity of structured clinical evaluations in adolescents with conduct and substance problems. J Am Acad Child Adolesc Psychiatry. 2001;40:265–273
  70. Leese M, Thomas S, Snow L. An ecological study of factors associated with rates of self-inflicted death in prisons in England and Wales. Int J Law Psychiatry. 2006;29:355–360
  71. Glaser J, Greifinger R. Correctional health care: a public health opportunity. Ann Intern Med. 1993;118:139–145
  72. Raimer B, Stobo J. Health care delivery in the Texas prison system: the role of academic medicine. JAMA. 2004;292:485–489
  73. American Academy of Child and Adolescent Psychiatry . Practice parameter for the assessment and treatment of youth in juvenile detention and correction facilities. J Am Acad Child Adolesc Psychiatry. 2005;44:1085–1098
  74. Bailey S, Tarbuck P. Recent advances in the development of screening tools for mental health in young offenders. Curr Opin Psychiatry. 2006;19:373–377
  75. Fazel S, Bains P, Doll H. Substance abuse and dependence in prisoners: a systematic review. Addiction. 2006;101:181–191
  76. Fruehwald S, Matschnig T, Koenig F, Bauer P, Frottier P. Suicide in custody: case-control study. Br J Psychiatry. 2004;185:494–498
  77. Fazel S, Benning R, Danesh J. Suicides in male prisoners in England and Wales, 1978–2003. Lancet. 2005;366:1301–1302
  78. Morgan J, Hawton K. Self-reported suicidal behaviour in juvenile offenders in custody: prevalence and associated factors. Crisis. 2004;25:8–11
  79. Pratt D, Piper M, Appleby L, Webb R, Shaw J. Suicide in recently released prisoners: a population-based cohort study. Lancet. 2006;368:119–123
  80. Larsen T, Friis S, Haahr U, et al. Early detection and intervention in first-episode schizophrenia: a critical review. Acta Psychiatr Scand. 2001;103:323–334
  81. Wilens T, Faraone S, Biederman J, Gunawardene S. Does stimulant therapy of attention-deficit/hyperactivity disorder beget later substance abuse? A meta-analytic review of the literature. Pediatrics. 2003;111:179–185

 This work was in part supported by a grant from the Swedish Research Council-Medicine (N.L.). The authors are grateful to the following investigators who kindly provided additional information from their studies: P. Chitsabesan, C. Duclos, R. Feinstein, P. Kirkish, D. Shelton, N. Singleton, A. Robertson, V. Ruchkin, E. Trupin, C. Vreugdenhil, D. Waite, and R. Zabel.Article Plus (online-only) materials for this article appear on the Journal's Web site:www.jaacap.com.

PII: S0890-8567(08)60077-5

doi: 10.1097/CHI.ObO13e31817eecf3

Journal of the American Academy of Child & Adolescent Psychiatry
Volume 47, Issue 9 , Pages 1010-1019 , September 2008