Sichel Corianna E, Galbraith Katharine, Elkington Katherine S
Columbia University, New York, United States.
New York State Psychiatric Institute, New York, NY, USA.
Health Justice. 2025 Jul 3;13(1):42. doi: 10.1186/s40352-025-00342-8.
Youth involved in the juvenile justice system (YIJ), including those under community supervision, have disproportionately high rates of behavioral health disorders compared to community samples, yet the vast majority do not receive the care they need. When left unaddressed, youths' behavioral health concerns can contribute to deepening juvenile justice involvement, which is frequently accompanied by increasing severity of behavioral health disorders and negative long-term ramifications for youth, families, and communities. The majority of YIJ are under community supervision, meaning they reside in the community and must receive behavioral health treatment through the community-based behavioral health system. To highlight the need for innovative approaches that break this cycle by closing the gap between clinical need and uptake of effective treatment for these high-risk and often overlooked youth, we synthesize existing literature on the prevalence of psychiatric disorders and intersecting domains of risk for disorder and justice involvement among youth under community supervision, drawing on ecodevelopmental and ecological systems theory to advance an understanding of specific barriers to services for youth under community supervision. We review existing efforts to facilitate treatment access and conclude with data-driven recommendations for future research, clinical practice, and policy changes.
参与青少年司法系统的青少年（YIJ），包括那些处于社区监管之下的青少年，与社区样本相比，患有行为健康障碍的比例极高，但绝大多数人并未得到他们所需的护理。如果不加以解决，青少年的行为健康问题会导致他们更深地卷入青少年司法系统，这往往伴随着行为健康障碍的加剧以及对青少年、家庭和社区产生负面的长期影响。大多数参与青少年司法系统的青少年处于社区监管之下，这意味着他们居住在社区中，必须通过基于社区的行为健康系统接受行为健康治疗。为了强调需要创新方法来打破这一循环，即缩小这些高风险且常被忽视的青少年的临床需求与有效治疗利用率之间的差距，我们综合了关于社区监管下青少年精神障碍患病率以及障碍和司法介入风险交叉领域的现有文献，借鉴生态发展和生态系统理论来增进对社区监管下青少年获得服务的具体障碍的理解。我们回顾了现有的促进治疗可及性的努力，并以基于数据的建议作为结尾，为未来的研究、临床实践和政策变革提供参考。
