title: Mental health needs of young offenders in custody and in the community.
abstract: BACKGROUND
  Research has revealed high levels of mental health needs in young offenders but many studies have been small, focusing on specific populations.
  
  
  OBJECTIVE
  To evaluate the mental health and psychosocial needs of a nationally representative sample of juvenile offenders in England and Wales, including female offenders and those from Black and minority ethnic groups.
  
  
  METHODS
  A cross-sectional survey of 301 young offenders, 151 in custody and 150 in the community, was conducted in six geographically representative areas across England and Wales. Each young person was interviewed to obtain demographic information, mental health and social needs, and psychometric data.
  
  
  RESULTS
  Young offenders were found to have high levels of needs in a number of different areas including mental health (31%), education/work (36%) and social relationships (48%). Young offenders in the community had significantly more needs than those in secure care and needs were often unmet. One in five young offenders was also identified as having a learning disability (IQ<70).
  
  
  CONCLUSIONS
  Needs for young offenders were high but often unmet. This emphasises the importance of structured needs assessment within custody and community settings in conjunction with a care programme approach that improves continuity of care.
authors.affiliation: Research Room, Gardner Unit, Bolton, Trafford and Salford Mental Health Trust, Bury New Road, Manchester M25 3BL, UK. pchitsabesan@yahoo.com
authors.forename: Prathiba
authors.initials: P
authors.lastname: Chitsabesan
authors.forename: Leo
authors.initials: L
authors.lastname: Kroll
authors.forename: Sue
authors.initials: S
authors.lastname: Bailey
authors.forename: Cassandra
authors.initials: C
authors.lastname: Kenning
authors.forename: Stephanie
authors.initials: S
authors.lastname: Sneider
authors.forename: Wendy
authors.initials: W
authors.lastname: MacDonald
authors.forename: Louise
authors.initials: L
authors.lastname: Theodosiou
mesh_terms: D000293:Adolescent; D003156:Community Mental Health Services / Q000458:organization & administration; D003430:Cross-Sectional Studies; D004739:England / Q000453:epidemiology; D005260:Female; D005555:Forensic Psychiatry / Q000458:organization & administration; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006302:Health Services Research; D006801:Humans; D007604:Juvenile Delinquency / Q000208:ethnology / Q000706:statistics & numerical data*; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000208:ethnology; D008605:Mental Health Services / Q000458:organization & administration*; D011329:Prisoners / Q000523:psychology*; D011330:Prisons / Q000458:organization & administration; D011594:Psychometrics; D014852:Wales / Q000453:epidemiology