Matthew C. Aalsma and Katherine Schwartz are with the Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis. Anthony J. Perkins is with Precision Statistical Consulting LLC, Indianapolis.
Am J Public Health. 2014 Oct;104(10):e82-8. doi: 10.2105/AJPH.2014.302054. Epub 2014 Aug 14.
We describe a statewide effort to implement detention-based mental health screening and assess follow-up services offered to detained youths in Indiana.
A total of 25,265 detention stays (15,461 unique youths) occurred between January 1, 2008, and December 31, 2011, across 16 detention centers participating in the Indiana Juvenile Mental Health Screening Project. We collected screening results and reports of detention-based follow-up mental health services and referrals from justice system records.
Approximately 21% of youths screened positive for mental health issues requiring follow-up. A positive screen significantly predicted that youths would receive a follow-up mental health service or referral while detained or upon detention center discharge, compared with youths who did not screen positive (61% vs 39%). Logistic regression models indicated that a positive screen was associated with (1) contact with a mental health clinician within 24 hours of detention center intake and (2) a mental health referral upon discharge. White youths were more likely than minorities to receive both follow-up services.
Future statewide efforts to improve the mental health of detained youths should incorporate standards for providing appropriate follow-up services in detention centers.
我们描述了一项全州范围内的努力，旨在实施基于拘留的心理健康筛查，并评估印第安纳州被拘留青少年提供的后续服务。
在 2008 年 1 月 1 日至 2011 年 12 月 31 日期间，16 个参与印第安纳州青少年心理健康筛查项目的拘留中心共发生了 25265 次拘留（15461 名独特的青少年）。我们从司法系统记录中收集了筛查结果和基于拘留的后续心理健康服务报告和转介。
大约 21%的青少年 screened positive （筛查呈阳性）心理健康问题需要跟进。与未进行筛查的青少年相比，筛查呈阳性 significantly predicted （显著预测）青少年在被拘留期间或拘留中心出院后会接受后续心理健康服务或转介（61%比 39%）。Logistic regression models （逻辑回归模型）表明，筛查呈阳性与以下因素有关：（1）在被拘留中心收容后的 24 小时内与心理健康临床医生接触，（2）在出院时进行心理健康转介。白人青少年比少数族裔更有可能同时获得这两种后续服务。
未来全州范围内改善被拘留青少年心理健康的努力应纳入在拘留中心提供适当后续服务的标准。
