Linda A Teplin Feinberg School of Medicine, Feinberg Clinical, Psychiatry and Behavioral Sciences

Linda A Teplin

Research Interest Keywords

HIV Infection, Health Disparities, Mental Health, Mental Health Service Utilization, Public Health, Public Policy, Social science, Substance Use Disorders

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312/503-3500

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Prevalence and persistence of psychiatric disorders in youth after detention: A prospective longitudinal study

Linda A. Teplin; Leah J. Welty; Karen M. Abram; Mina K. Dulcan; Jason J. Washburn

(Profiled Authors: Karen M Abram; Mina K Dulcan; Linda A Teplin; Leah J Welty; Jason J Washburn)

Archives of General Psychiatry. 2012;69(10):1031-1043.

Abstract

Context: Psychiatric disorders are prevalent among incarcerated juveniles. Most juveniles eventually return to their communities, where they become the responsibility of the community mental health system. However, no large-scale study has examined psychiatric disorders after youth leave detention. Objective: To examine changes in the prevalence and persistence of psychiatric disorders during the 5 years after detention, focusing on sex and racial/ethnic differences. Design : Prospective longitudinal study with up to 5 interviews (1829 youth: 1172 males and 657 females). To ensure representation of key demographic subgroups, the randomly selected sample was stratified by sex, race/ ethnicity (African American, non-Hispanic white, and Hispanic), age, and legal status (juvenile or adult court). Setting: The Northwestern Juvenile Project, sampling youth from the Cook County Juvenile Temporary Detention Center, Chicago, Illinois. Participants: Detained youth, aged 10 to 18 years at baseline interview. Main Outcome Measures: At baseline, the Diagnostic Interview Schedule for Children Version 2.3. At fol-low-up interviews, the Diagnostic Interview Schedule for Children Version IV (Child and Young Adult versions) and the Diagnostic Interview Schedule Version IV (substance use disorders and antisocial personality disorder). Results: Five years after baseline, more than 45% of males and nearly 30% of females had 1 or more psychiatric disorders with associated impairment. More than 50% of males and more than 40% of females had 1 or more psychiatric disorders without impairment. Substance use disorders were the most common; males, however, had higher rates over time (5 years after baseline, adjusted odds ratio [AOR], 2.61; 95% CI, 1.96-3.47). Non-Hispanic whites and Hispanics also had higher rates of substance use disorders vs African Americans (AOR, 1.96; 95% CI, 1.54-2.49 and AOR, 1.59; 95% CI, 1.24-2.03). Females had higher rates of major depression over time (AOR, 1.59; 95% CI, 1.22-2.08). Conclusions: Although prevalence rates of most psychiatric disorders declined as youth aged, a substantial proportion of delinquent youth continue to have disorders. There are notable sex and racial/ethnic differences in the prevalence and persistence of psychiatric disorders in this population. ©2012 American Medical Association. All rights reserved.


PMID: 23026953     PMCID: PMC3737771    

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