Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA, 70803, USA.
Harris County Juvenile Probation Department, Houston, USA.
Adm Policy Ment Health. 2024 May;51(3):393-405. doi: 10.1007/s10488-024-01341-x. Epub 2024 Mar 1.
Previous research indicates that youth exhibiting antisocial behavior are at risk for utilizing a disproportionate amount of health services compared to youth without these problems. The present study investigates whether being processed by the juvenile justice system and showing callous-unemotional (CU) traits independently predict health service utilization (medical and mental health service use and out-of-home placement) over and above the severity of antisocial behavior across adolescence. A total of 766 participants who had been arrested for the first time in adolescence provided data at ten appointments over a period of seven years. Results showed that self-reported antisocial behavior at the time of arrest predicted increased use of most health service use types over the next seven years (i.e. medicine prescriptions, tests for sexually transmitted infections, mental health service appointments, and out-of-home placements). All except prescription medication use remained significant when controlling for justice system processing and CU traits. Further, justice system processing added significantly to the prediction of medical service appointments. Whereas CU traits were associated with mental health service appointments and out-of-home placements, these did not remain significant when controlling for severity of antisocial behavior. These findings are consistent with prior research documenting the health care costs of antisocial behavior.
先前的研究表明，与没有这些问题的年轻人相比，表现出反社会行为的年轻人使用不成比例的大量医疗服务的风险更高。本研究调查了在整个青春期，青少年司法系统的处理和表现出无情（CU）特征是否独立于反社会行为的严重程度预测健康服务的利用（医疗和心理健康服务的使用以及离家安置）。共有 766 名因首次在青春期被捕的参与者在七年期间的十个预约中提供了数据。结果表明，被捕时自我报告的反社会行为预测了未来七年中大多数健康服务利用类型的增加（即开处方药、性传播感染检查、心理健康服务预约和离家安置）。在控制司法系统处理和 CU 特征后，除了处方药使用外，所有结果均保持显著。此外，司法系统的处理对医疗服务预约的预测有显著的附加作用。虽然 CU 特征与心理健康服务预约和离家安置有关，但在控制反社会行为的严重程度后，这些特征不再显著。这些发现与先前记录反社会行为的医疗保健成本的研究一致。
