The case for a diversion option to trauma-informed community-based primary mental health services for young people following early encounters with police.

AIM

There is a convergence between the peak age of onset of mental illness, offending behaviour and associated risk of crime victimization. This study compared self-reported childhood maltreatment and mental health outcomes among a cohort of help-seeking young people who disclosed either a prior criminal charge, crime victimization, or both, to those who did not report any such experiences. The outcomes may inform the development of a diversion option for young people at a first or early encounter with police.

METHODS

The Transitions Study (N = 802; mean age = 18.3 years; 66% female) baseline and 12-month follow-up data were analysed in relation to childhood maltreatment (Childhood Trauma Questionnaire) and changes in mental health (Kessler Psychological Distress Scale and Social and Occupational Functioning Assessment Scale) among young people attending headspace centres in Australia. Outcomes were compared between those young people reporting a prior criminal charge and/or crime victimization and those who did not.

RESULTS

Young people who reported a prior criminal charge or crime victimization reported higher frequency and severity of childhood maltreatment, than those who did not. Both groups reported a reduction in psychological distress following youth mental health service access at 12-month follow-up, however functional improvement was only evident for young people who did not report a prior criminal charge or crime victimization.

CONCLUSIONS

Higher rates of reported childhood maltreatment and reduced psychological distress following service access supports trialling a diversion option to a trauma-informed community-based primary mental health service for young people following an early encounter with police.