Pullmann Michael D
University of Washington, Division of Public Behavioral Health and Justice Policy, 2815 Eastlake Ave. East, Suite 200, Seattle, WA 98102, Box 358015.
J Child Fam Stud. 2010 Aug 1;19(4):483-491. doi: 10.1007/s10826-009-9320-8.
Dual involvement with the mental health system and justice system is relatively frequent for young adults with mental health problems, yet the research on factors predictive of dual involvement is incomplete. This study extends past research on predictors of criminal charges for people in the public mental health system in four ways. First, this study expands the longitudinal study period to include the time of transition to adulthood, from 16 to 25 years of age. Second, this study separately predicts specific types of criminal charges, including violent, property, drug, and nuisance charges. Third, this study examines whether residential treatment or inpatient hospitalization are predictive of criminal charges. Fourth, this study stratifies prediction by gender. Findings indicated high levels of dual involvement during this time period. In general, males and people diagnosed with substance use disorder or conduct disorder were more likely to have a criminal charge. Other predictors of specific criminal charges varied by gender. Residential treatment, inpatient hospitalization, and anxiety disorder were generally not related to criminal charges. Implications for cross-system collaboration and early intervention are discussed.
对于有心理健康问题的年轻人来说,同时涉及心理健康系统和司法系统的情况相对较为常见,但关于预测双重涉入的因素的研究并不完整。本研究从四个方面扩展了以往关于公共心理健康系统中人群刑事指控预测因素的研究。第一,本研究将纵向研究期延长至包括从16岁到25岁的成年过渡期。第二,本研究分别预测特定类型的刑事指控,包括暴力、财产、毒品和滋扰指控。第三,本研究考察住院治疗或住院是否能预测刑事指控。第四,本研究按性别分层进行预测。研究结果表明在此期间双重涉入的程度很高。总体而言,男性以及被诊断患有物质使用障碍或品行障碍的人更有可能受到刑事指控。特定刑事指控的其他预测因素因性别而异。住院治疗、住院和焦虑症通常与刑事指控无关。文中讨论了跨系统协作和早期干预的意义。