title: Behavioral Health Care Needs, Detention-Based Care, and Criminal Recidivism at Community Reentry From Juvenile Detention: A Multisite Survival Curve Analysis.
abstract: OBJECTIVE
  We examined the provision of behavioral health services to youths detained in Indiana between 2008 and 2012 and the impact of services on recidivism.
  
  
  METHODS
  We obtained information about behavioral health needs, behavioral health treatment received, and recidivism within 12 months after release for 8363 adolescents (aged 12-18 years; 79.4% male). We conducted survival analyses to determine whether behavioral health services significantly affected time to recidivating.
  
  
  RESULTS
  Approximately 19.1% of youths had positive mental health screens, and 25.3% of all youths recidivated within 12 months after release. Of youths with positive screens, 29.2% saw a mental health clinician, 16.1% received behavioral health services during detention, and 30.0% received referrals for postdetention services. Survival analyses showed that being male, Black, and younger, and having higher scores on the substance use or irritability subscales of the screen predicted shorter time to recidivism. Receiving a behavior precaution, behavioral health services in detention, or an assessment in the community also predicted shorter time to recidivating.
  
  
  CONCLUSIONS
  Findings support previous research showing that behavioral health problems are related to recidivism and that Black males are disproportionately rearrested after detention.
authors.affiliation: Matthew C. Aalsma, Laura M. White, and Katherine S. L. Lau are with the Department of Pediatrics, Indiana University School of Medicine, Indianapolis. Anthony Perkins is with Precision Statistical Consulting, LLC, Indianapolis, IN. Patrick Monahan is with the Department of Biostatistics, Indiana University School of Medicine. Thomas Grisso is with the Department of Psychiatry, University of Massachusetts Medical School, Worcester.
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Aalsma
authors.forename: Laura M
authors.initials: LM
authors.lastname: White
authors.forename: Katherine S L
authors.initials: KS
authors.lastname: Lau
authors.forename: Anthony
authors.initials: A
authors.lastname: Perkins
authors.forename: Patrick
authors.initials: P
authors.lastname: Monahan
authors.forename: Thomas
authors.initials: T
authors.lastname: Grisso
mesh_terms: D000293:Adolescent; D002648:Child; D003415:Crime / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007196:Indiana / Q000453:epidemiology; D007604:Juvenile Delinquency / Q000706:statistics & numerical data*; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy; D008605:Mental Health Services / Q000706:statistics & numerical data*; D011330:Prisons / Q000458:organization & administration / Q000706:statistics & numerical data