Mental health screenings, risk behavior interventions needed in juvenile justice system

January 28, 2008

Kids who have been arrested and are depressed are more likely to use drugs and alcohol and engage in unsafe sexual activity that puts them at greater risk for HIV, according to new research from the Bradley Hasbro Children’s Research Center.

Findings of the study, published in the January issue of the Journal of Studies on Alcohol and Drugs, suggest the need for depression screenings as part of the juvenile intake process in order to determine appropriate mental health, substance use and HIV risk behavior interventions.

“We know that symptoms of depression may be a factor that is linked to both drug and alcohol use and sexual risk-taking behaviors,” said lead author Marina Tolou-Shams, Ph.D., of the Bradley Hasbro Children’s Research Center and an assistant research professor of psychiatry at The Warren Alpert Medical School of Brown University. “However, juvenile offenders aren’t routinely screened for emotional difficulties, such as depression or anxiety – rather, everyone tends to focus more on their conduct or behavioral problems.”

She said that understanding more about the association between depression and risky behaviors can help create protocols for appropriately screening, assessing and identifying the needs of juvenile offenders and lead to positive health outcomes.

The current study is one of the first to examine the link between substance use, mental health and sexual risk among high-risk youth who have an arrest history but may not have been detained or incarcerated. According to Tolou-Shams, these kids may be at similar risk to those detained but are often released back to the community without ever having their needs comprehensively identified.

Researchers assessed the depressive symptoms, sexual behavior, substance use, risk attitudes and mental health history of 835 sexually active adolescents and young adults, ages 15 to 21, from Providence and Atlanta who participated in a larger, multi-site HIV prevention program. A quarter of the study participants had an arrest history.

They found that juvenile offenders with significant symptoms of depression, such as feelings of loneliness or worthlessness, reported much greater drug and alcohol use. They were also more likely to use these substances during sex, used condoms less, and had more psychiatric hospitalizations and suicide attempts than arrestees without depressive symptoms.

The authors caution that the study’s findings need to be replicated with a larger, more representative sample of kids with depressive symptoms. However, based on these findings, they say substance use and HIV prevention efforts within the juvenile justice system that include strategies to regulate mood may help juvenile offenders reduce emotional distress, thereby reducing the likelihood of risky behaviors.

“Models of juvenile correction that address mental health and physical health are crucial, because arrestees’ contact with the legal system may represent one of few opportunities to address health issues,” the authors said.

Source: Lifespan

Explore further: Black and Hispanic children and youth rarely get help for mental health problems

Related Stories

Cloning for medicine: the miracle that wasn't

July 4, 2016

When Dolly the cloned sheep was born 20 years ago on July 5, many hailed mankind's new-found mastery over DNA as a harbinger of medical miracles such as lab-grown transplant organs.

Recommended for you

How the finch changes its tune

August 3, 2015

Like top musicians, songbirds train from a young age to weed out errors and trim variability from their songs, ultimately becoming consistent and reliable performers. But as with human musicians, even the best are not machines. ...

Cow embryos reveal new type of chromosome chimera

May 27, 2016

I've often wondered what happens between the time an egg is fertilized and the time the ball of cells that it becomes nestles into the uterine lining. It's a period that we know very little about, a black box of developmental ...

Shaving time to test antidotes for nerve agents

February 29, 2016

Imagine you wanted to know how much energy it took to bike up a mountain, but couldn't finish the ride to the peak yourself. So, to get the total energy required, you and a team of friends strap energy meters to your bikes ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.