Shaw Dylan J, Johnson Micah E
College of Medicine, University of Central Florida, Orlando, FL, USA.
Department of Mental Health Law and Policy, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA.
J Drug Issues. 2022 Jan;52(1):97-113. doi: 10.1177/00220426211037608. Epub 2021 Sep 26.
The prevalence of opioid misuse (OM) among justice-involved children (JIC) is significantly higher than children in the general population, yet little research has examined the predictors of OM among JIC. Goldstein's "economic compulsive model" hypothesizes that JIC who commit crimes for material gain will have a higher likelihood of meeting past-30 day (P30D) OM criteria. The data in this study were cross-sectional and represented 79,960 Florida JIC. To test the hypothesis, logistic regression analyses were utilized. Over 2000 JIC (2.67%) met P30D OM criteria and JIC who committed crimes for material gain were 2.55 times as likely to meet P30D OM criteria. Findings indicate that children may be incarcerated due to an inability to afford their addiction, contributing to the criminalization of mental health. JIC could benefit from the increased utilization of drug courts and the implementation of a cascade of care model.
涉司法儿童（JIC）中阿片类药物滥用（OM）的发生率显著高于普通儿童群体，但很少有研究探讨涉司法儿童中阿片类药物滥用的预测因素。戈尔茨坦的“经济强迫模型”假设，为获取物质利益而犯罪的涉司法儿童更有可能符合过去30天（P30D）阿片类药物滥用标准。本研究的数据为横断面数据，代表了佛罗里达州的79960名涉司法儿童。为了验证这一假设，采用了逻辑回归分析。超过2000名涉司法儿童（2.67%）符合过去30天阿片类药物滥用标准，为获取物质利益而犯罪的涉司法儿童符合过去30天阿片类药物滥用标准的可能性是其他儿童的2.55倍。研究结果表明，儿童可能因无力承担成瘾费用而被监禁，这导致了心理健康问题的刑事化。涉司法儿童可能会受益于药物法庭利用率的提高和级联护理模式的实施。
