Prevalence and Persistence of Psychiatric Disorders in Youth After Detention: A Prospective Longitudinal Study
Open accessAbstract
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 follow-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.
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- Findingown data
Compared with African Americans, Hispanics had 3.82 times the odds of panic disorder (95% CI 1.54-9.47).
“Compared with African Americans, Hispanics had 3.82 times the odds of panic disorder (95% CI, 1.54–9.47)”
Quote in the paperNot a substantial claim - Findingown data
Even after adjusting for time spent in correctional facilities, substance use disorders were more common among non-Hispanic whites and Hispanics than African Americans.
“Even after adjusting for time spent in correctional facilities, substance use disorders were more common among non-Hispanic whites and Hispanics than African Americans”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Time spent in correctional facilities adequately captures the restriction on access to alcohol and drugs that affects substance use disorder prevalence.
- Findingown data
Prevalence of panic disorder increased slightly overall (AOR 1.30 per year; 95% CI 1.03-1.65).
“The prevalence of panic disorder increased slightly overall (AOR, 1.30 per year; 95% CI, 1.03–1.65).”
Quote in the paperNot a substantial claim - Findingown data
Females had higher rates of any anxiety disorder (AOR 1.42; 95% CI 1.06-1.91).
“Females had higher rates of any anxiety disorder (AOR, 1.42; 95% CI, 1.06–1.91).”
Quote in the paperNot a substantial claim - Findingown data
Compared with non-Hispanic whites, Hispanics had more than twice the odds of any anxiety disorder (AOR 2.18; 95% CI 1.37-3.49).
“Compared with non-Hispanic whites, Hispanics had more than twice the odds of any anxiety disorder (AOR, 2.18; 95% CI, 1.37–3.49)”
Quote in the paperNot a substantial claim
- Findingown data
For every additional year of age, there was an approximate 10% decrease in odds of any mood disorder (AOR 0.91; 95% CI 0.85-0.97).
“For every additional year of age, there was an approximate 10% decrease in the odds of any mood disorder (adjusted odds ratio [AOR], 0.91; 95% CI, 0.85–0.97)”
Quote in the paperNot a substantial claim - Findingown data
Five years after baseline, males had more than 2.5 times the odds of any substance use disorder compared with females (AOR 2.61; 95% CI 1.96-3.47).
“males, however, had higher rates over time (5 years after baseline, adjusted odds ratio [AOR], 2.61; 95% CI, 1.96–3.47).”
- Also stated in: § Prevalence · plain
“Five years after baseline, males had more than 2.5 times the odds of these disorders compared with females (respectively, AOR, 2.61; 95% CI, 1.96–3.47;”
Quote in the paperSubstantial claim - Also stated in: § Prevalence · plain
- Findingown data
Three years after baseline, males had 1.82 times the odds of any disruptive behavior disorder compared with females (95% CI 1.46-2.26).
“Three years after baseline, males had 1.82 times the odds of any disruptive behavior disorder (95% CI, 1.46–2.26) compared with females”
Quote in the paperSubstantial claim - Findingown data
Other than mania, prevalence rates of mood disorders decreased as participants aged.
“Other than mania, prevalence rates decreased as participants aged.”
Quote in the paperNot a substantial claim - Findingown data
Over time, females had higher rates of major depression (AOR 1.59; 95% CI 1.22-2.08).
“and major depression (AOR, 1.59; 95% CI, 1.22–2.08).”
Quote in the paperNot a substantial claim - Findingown data
Three years after baseline, males had approximately twice the odds of any substance use disorder compared with females (AOR 2.00; 95% CI 1.64-2.43).
“Three years after baseline, compared with females, males had approximately twice the odds of any substance use disorder (AOR, 2.00; 95% CI, 1.64–2.43)”
Quote in the paperNot a substantial claim - Findingown data
Prevalence of dysthymia decreased with age (AOR 0.57; 95% CI 0.46-0.70).
“The prevalence of dysthymia also decreased with age (AOR, 0.57; 95% CI, 0.46–0.70).”
Quote in the paperNot a substantial claim - Findingown data
Substance use disorders were the most prevalent disorders in the sample.
“Substance use disorders were the most common disorders”
- Also stated in: § Prevalence · plain
“Substance use disorders were the most prevalent disorders in our sample.”
- Also stated in: § COMMENT · plain
“Substance use and disruptive behavior disorders continued to be the most common disorders.”
Quote in the paperNot a substantial claim - Also stated in: § Prevalence · plain
- Findingown data
Three years after baseline, rates of alcohol disorder were no longer decreasing among males (AOR 1.03 per year; 95% CI 0.96-1.11).
“three years after baseline, rates of alcohol disorder were no longer decreasing among males (AOR, 1.03 per year; 95% CI, 0.96–1.11).”
Quote in the paperSubstantial claim - Findingown data
Compared with African Americans, Hispanics had about 1.5 times the odds of any substance use disorder (AOR 1.59; 95% CI 1.24-2.30).
“Hispanics had about 1.5 times the odds of any substance use disorder and its subcategory, drug use disorder, compared with African Americans (respectively, AOR, 1.59; 95% CI, 1.24–2.30;”
Quote in the paperNot a substantial claim - Findingown data
Compared with African Americans, non-Hispanic whites had nearly twice the odds of any substance use disorder (AOR 1.96; 95% CI 1.54-2.49).
“Non-Hispanic whites and Hispanics also had higher rates of substance use disorders compared with African Americans (respectively, AOR, 1.96, 95% CI, 1.54–2.49;”
- Also stated in: § Prevalence · plain
“Compared with African Americans, non -Hispanic whites had nearly twice the odds of any substance use disorder and its subcategory, drug use disorder (respectively, AOR, 1.96; 95% CI, 1.54–2.49;”
Quote in the paperNot a substantial claim - Also stated in: § Prevalence · plain
- Findingown data
At baseline, rates of alcohol use disorder were not significantly different between males and females.
“rates of alcohol use disorder were not significantly different.”
Quote in the paperNot a substantial claim - Findingown data
Five years after baseline, males had 2.95 times the odds of any disruptive behavior disorder compared with females (95% CI 2.16-4.02).
“five years after baseline, males had 2.95 times the odds (95% CI, 2.16–4.02).”
Quote in the paperSubstantial claim - Findingown data
Over time, females had higher rates of any mood disorder (AOR 1.33; 95% CI 1.05-1.68).
“Over time, females had higher rates of any mood disorder (AOR, 1.33; 95% CI, 1.05–1.68)”
Quote in the paperNot a substantial claim - Findingown data
Even excluding disruptive behavior disorders, 37% of males and 25% of females had any disorder at Time 2.
“Even excluding disruptive behavior disorders, 37% of males and 25% of females had any disorder.”
Quote in the paperNot a substantial claim - Findingown data
At baseline, males had about one-third greater odds of any substance use disorder compared with females (AOR 1.34; 95% CI 1.05-1.71).
“At baseline, compared with females, males had about one-third greater odds of any substance use disorder (AOR, 1.34; 95% CI, 1.05–1.71)”
Quote in the paperNot a substantial claim - Findingown data
Mania was more prevalent among African Americans and Hispanics than non-Hispanic whites over time (AA vs W AOR 6.92; 95% CI 1.78-26.88; H vs W AOR 8.01; 95% CI 2.05-31.38).
“The only significant racial/ethnic difference was for mania, which was more prevalent among minorities over time (African American [AA] vs non-Hispanic white [W]: AOR, 6.92; 95% CI, 1.78–26.88; Hispanic [H] vs W: AOR, 8.01; 95% CI, 2.05–31.38).”
Quote in the paperNot a substantial claim - Findingown data
The disparity between males and females in externalizing disorders increased over time.
“Furthermore, the disparity between males and females increased over time.”
Quote in the paperNot a substantial claim - Findingnone given
The persistence of mood disorders, about 20%, was similar in males and females.
“The persistence of mood disorders, about 20%, was similar in males and females.”
Quote in the paperNot a substantial claim - Findingown data
Males were more likely than females to persist with substance use disorders and disruptive behavior disorder.
“Males were also more likely than females to persist with substance use disorders and disruptive behavior disorder.”
Quote in the paperSubstantial claim - Findingcitation
As in the general population, females had higher rates of internalizing disorders than males.
“As in the general population,99 females had higher rates of internalizing disorders than males.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [99] NCS-R dataset Collaborative Psychiatric Epidemiology Surveys Web site http://www.icpsr.umich.edu/CPES Accessed March 15, 2011
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- Findingown data
For most disorders, rates of persistence were higher at Time 1 than at Time 2.
“For most disorders, rates of persistence were higher at Time 1 than at Time 2.”
Quote in the paperNot a substantial claim - Findingown data
Among males, there were no significant racial/ethnic differences in the persistence of disorders.
“Among males, there were no significant racial/ethnic differences in the persistence of disorders (eTable 5).”
Quote in the paperNot a substantial claim - Findingown data
Racial/ethnic differences in substance use disorders were found even after taking into account that African Americans spend more time in correctional facilities, where access to alcohol and drugs is restricted.
“We found racial/ethnic differences in substance use disorders even after taking into account that African Americans spend more time in correctional facilities—where access to alcohol and drugs is restricted.100, 101”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [100] Puzzanchera C Kang W Easy Access to Juvenile Court Statistics: 1985–2008 http://www.ojjdp.gov/ojstatbb/ezajcs/
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- cites [101] Sickmund M Sladky TJ Kang W Census of Juveniles in Residential Placement Databook http://www.ojjdp.gov/ojstatbb/ezacjrp/
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- The authors state this as an assumption: Time spent in correctional facilities adequately captures the restriction on access to alcohol and drugs that affects substance use disorder prevalence.
- Findingown data
Five years after baseline, males had 2 to 3 times the odds of having substance use and disruptive behavior disorders compared with females.
“Five years after baseline, males had 2 to 3 times the odds of having substance use and disruptive behavior disorders compared with females.”
Quote in the paperSubstantial claim - Findingown data
Among females, Hispanics were more likely than African Americans to persist at Time 1 with substance use disorder and alcohol disorder.
“Hispanics were also more likely than African Americans to persist at Time 1 with substance use disorder and its subcategory alcohol disorder.”
Quote in the paperNot a substantial claim - Findingown data
The most marked discrepancies between our findings and NCS-R were for drug use disorders, regardless of sex and race/ethnicity.
“The most marked discrepancies between our findings and NCS-R were for drug use disorders, regardless of sex and race/ethnicity.”
Quote in the paperNot a substantial claim - Findingown data
Regardless of sex, about 1 in 5 participants had a mood disorder that persisted to Time 2.
“Regardless of sex, about 1 in 5 participants had a mood disorder that persisted to Time 2.”
Quote in the paperNot a substantial claim - Premisecitation
At intake to detention, even after excluding conduct disorder, more than 60% of juvenile detainees met diagnostic criteria with diagnosis-specific impairment for one or more psychiatric disorders.
“The Northwestern Juvenile Project found that at intake to detention, even after excluding conduct disorder, more than 60% of juvenile detainees met diagnostic criteria with diagnosis-specific impairment for one or more psychiatric disorders.15”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] Teplin LA Abram KM McClelland GM Dulcan MK Mericle AA Psychiatric disorders in youth in juvenile detention Archives of General Psychiatry 2002 59 12 1133 1143 12470130 PMC2861992
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- Premisecitation
Among youth incarcerated for nine months, about 90% had a psychiatric disorder other than conduct disorder or oppositional defiant disorder.
“Among youth incarcerated for nine months, Karnik et al.16 found even higher rates: about 90% of detainees had a psychiatric disorder other than conduct disorder or oppositional defiant disorder.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [16] Karnik NS Soller M Redlich A Silverman M Kraemer HC Haapanen R Steiner H Prevalence of and gender differences in psychiatric disorders among juvenile delinquents incarcerated for nine months Psychiatric Services 2009 60 6 838 841 19487357
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- Premisecitation
Few longitudinal studies have examined prevalence and persistence of psychiatric disorders after youth leave detention.
“Despite its importance, few longitudinal studies have examined the prevalence and persistence of psychiatric disorders after youth leave detention. Instead, studies of delinquent youth have focused on the association between psychiatric disorders and criminal recidivism, antisocial behavior, or social functioning.23–26”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [23] Hiscoke UL Langstrom N Ottosson H Grann M Self-reported personality traits and disorders (DSM-IV) and risk of criminal recidivism: A prospective study Journal of Personality Disorders 2003 17 4 293 305 14521178
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- cites [24] Vermeiren R Schwab-Stone M Ruchkin V De Clippele A Deboutte D Predicting recidivism in delinquent adolescents from psychological and psychiatric assessment Comprehensive Psychiatry 2002 43 2 142 149 11893993
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- cites [25] Randall J Henggeler SW Pickrel SG Brondino MJ Psychiatric comorbidity and the 16-month trajectory of substance-abusing and substance-dependent juvenile offenders Journal of the American Academy of Child and Adolescent Psychiatry 1999 38 9 1118 1124 10504810
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- cites [26] Douglas KS Epstein ME Poythress NG Criminal recidivism among juvenile offenders: Testing the incremental and predictive validity of three measures of psychopathic features Law and Human Behavior 2008 32 5 423 438 18064548
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- Premisecitation
Risk factors for psychiatric disorders are common among delinquent youth.
“Risk factors for psychiatric disorders are common among delinquent youth: maltreatment,18–20 dysfunctional families,19, 21 family substance abuse, 18 and brain injury. 22”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [18] Wareham J Dembo R A Longitudinal Study of Psychological Functioning Among Juvenile Offenders: A Latent Growth Model Analysis Criminal Justice and Behavior 2007 34 2 259 273
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- cites [19] Dixon A Howie P Starling J Psychopathology in female juvenile offenders Journal of Child Psychology & Psychiatry 2004 45 6 1150 1158 15257671
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- cites [20] Gover AR Childhood sexual abuse, gender, and depression among incarcerated youth International Journal of Offender Therapy and Comparative Criminology 2004 48 6 683 696 15538026
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- cites [21] Dembo R Jainchill N Turner C Chunki F Farkas S Childs K Levels of psychopathy and its correlates: A study of incarcerated youths in three states Behavioral Sciences & the Law 2007 25 5 717 738 17899531
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- Premisecitation
Many psychiatric disorders are likely to persist as delinquent youth become young adults.
“Many psychiatric disorders are likely to persist as these juveniles become young adults.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [18] Wareham J Dembo R A Longitudinal Study of Psychological Functioning Among Juvenile Offenders: A Latent Growth Model Analysis Criminal Justice and Behavior 2007 34 2 259 273
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- Premisecitation
Harrington et al. found that two years after detention, many mental health problems persisted or worsened.
“Harrington et al27 found that two years after detention, many mental health problems persisted or worsened.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [27] Harrington RC Kroll L Rothwell J McCarthy K Bradley D Bailey S Psychosocial needs of boys in secure care for serious or persistent offending Journal of Child Psychology and Psychiatry 2005 46 8 859 866 16033634
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- Premisecitation
Psychiatric disorders are common among incarcerated juveniles.
“Psychiatric disorders are prevalent among incarcerated juveniles.1–14”
- Also stated in: § Context · plain
“Psychiatric disorders are prevalent among incarcerated juveniles.”
Quote in the paperSubstantial claim0 of 10 sources checked- cites [1] Davis DL Bean GJ Schumacher JE Stringer TL Prevalence of emotional disorders in a juvenile justice institutional population American Journal of Forensic Psychology 1991 9 1 5 17
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- cites [2] Forehand R Wierson M Frame C Kempton T Armistead L Juvenile delinquency entry and persistence: do attention problems contribute to conduct problems? Journal of Behavior Therapy and Experimental Psychiatry 1991 22 4 261 264 1823660
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- cites [3] Eppright TD Kashani JH Robison BD Reid JC Comorbidity of conduct disorder and personality disorders in an incarcerated juvenile population American Journal of Psychiatry 1993 150 8 1233 1236 8328569
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- Also stated in: § Context · plain
- Premisecitation
Only one longitudinal study of persistence and prevalence of psychiatric disorders in detained youth could be found.
“We could find only one longitudinal study of the persistence and prevalence of psychiatric disorders in detained youth. Harrington et al27 found that two years after detention, many mental health problems persisted or worsened.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [27] Harrington RC Kroll L Rothwell J McCarthy K Bradley D Bailey S Psychosocial needs of boys in secure care for serious or persistent offending Journal of Child Psychology and Psychiatry 2005 46 8 859 866 16033634
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- Study design and conductown data
Sensitivity analyses using adjusted scoring algorithms to maximize comparability among DISC 2.3, DISC-IV, and DIS-IV criteria showed no substantive differences from original unadjusted diagnoses.
“All analyses were run twice, with and without these adjusted criteria. Because there were no substantive differences in findings and to enable comparisons with other studies, we present results using the original, unadjusted diagnoses.”
Quote in the paperSubstantial claim - Premisenone given
No large-scale longitudinal study has examined prevalence and persistence of psychiatric disorders after youth leave detention.
“In sum, to our knowledge, no large-scale longitudinal study has examined the prevalence and persistence of psychiatric disorders after youth leave detention.”
- Also stated in: § Context · plain
“Yet, no large-scale study has examined psychiatric disorders after youth leave detention.”
Quote in the paperNot a substantial claim - Also stated in: § Context · plain
- Premisecitation
Juvenile detainees have a median length of stay of only two weeks.
“Juvenile detainees have a median length of stay of only two weeks.67”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [67] Snyder HN Sickmund M Juvenile Offenders and Victims: 1999 National Report Washington, DC Office of Juvenile Justice and Delinquency Prevention 1999 NCJ 178257
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- Premisereasoning
Longitudinal studies of high-risk youth provide little information about detained youth.
“The related literature – longitudinal studies of “high-risk” youth – also provides little information.”
Quote in the paperSubstantial claim0 of 10 sources checked- cites [28] Craig TKJ Hodson S Homeless youth in London: II. Accommodation, employment and health outcomes at 1 year Psychological Medicine 2000 30 1 187 194 10722189
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- Study design and conductown data
Results for substance use disorders without impairment criteria were substantially similar to those with impairment.
“We also analyzed substance use disorders without impairment criteria, an approach used by recent studies of the general population.50, 58 Results were substantially similar (available from the authors).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [50] Kessler RC Chiu WT Demler O Walters EE Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication Archives of General Psychiatry 2005 62 617 627 15939839 PMC2847357
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- cites [58] Kessler RC Berglund P Demler O Jin R Merikangas KR Walters EE Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication Archives of General Psychiatry 2005 62 6 593 602 15939837
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- Study design and conductown data
Sensitivity analysis using weights combining probability of being sampled with probability of dropping out produced substantially similar results.
“We examined the sensitivity of our models to attrition by using weights that combined the probability of being sampled with the probability of dropping out.91 Results (available from the authors) were substantially similar.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [91] Molenberghs G Verbeke G Models for Discrete Longitudinal Data Springer 2006
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- Interpretationcitation
Changes in prevalence over time mirror those in the general population for most disorders.
“Changes in prevalence over time mirror those in the general population for most disorders.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [109] Costello EJ Copeland W Angold A Trends in psychopathology across the adolescent years: What changes when children become adolescents, and when adolescents become adults? J Child Psychol Psychiatry 2011 52 10 1015 1025 21815892 PMC3204367
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- Interpretationown data
For many delinquent youth, especially males, externalizing disorders were not limited to adolescence.
“For many delinquent youth – especially males – externalizing disorders were not limited to adolescence.”
Quote in the paperSubstantial claim - Study design and conductown data
At follow-up, many participants were not eligible to have caretakers interviewed because they were older than 17 years or did not live with a caretaker.
“At the follow-up interviews, many participants were not eligible to have caretakers interviewed because the participants were older than 17 years or did not live with a caretaker.”
Quote in the paperNot a substantial claim - Study design and conductown data
Among participants who lived in the community the entire year prior to Time 2, prevalence rates and demographic differences for substance use disorders were substantially similar to those in the entire sample.
“These prevalence rates – and the demographic differences – were substantially similar to those in the entire sample (eTable 4).”
Quote in the paperNot a substantial claim - Interpretationreasoning
Our findings appear consistent with the view that disproportionate minority confinement for drug offenses is due to disparate enforcement.
“Our findings appear consistent with this view.”
Quote in the paperNot a substantial claim - Premisecitation
The most recent comparable investigation conducted in the United States using a sample of similar age and DSM-based criteria found lower rates of persistence of depression and disruptive behavior disorders than in our sample.
“In terms of persistence, the most recent comparable investigation48 that was conducted in the United States using a sample of similar age and DSM-based criteria (albeit different measures) found lower rates of persistence of depression and disruptive behavior disorders than in our sample.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [48] Copeland WE Shanahan L Costello J Angold A Childhood and adolescent psychiatric disorders as predictors of young adult disorders Archives of General Psychiatry 2009 66 7 764 772 19581568 PMC2891142
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- Premisereasoning
The National Comorbidity Survey Replication provides the most comparable data to our Time 2 interview.
“The National Comorbidity Survey Replication (NCS-R) provides the most comparable data to our Time 2 interview.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [107] National Comorbidity Survey Harvard School of Medicine Web site http://www.hcp.med.harvard.edu/ncs/diagnosis.php Accessed March 16, 2011
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- cites [108] NCS and NCS-R Data Harvard School of Medicine Web site http://www.hcp.med.harvard.edu/ncs/ncs_data.php Accessed March 16, 2011
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- Premisecitation
Delinquent males are less likely to receive services than females.
“First, delinquent males are less likely to receive services than females.94”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [94] Teplin LA Abram KM McClelland GM Washburn JJ Pikus AK Detecting mental disorder in juvenile detainees: Who receives services American Journal of Public Health 2005 95 10 1773 1780 16186454 PMC1449435
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- Premisecitation
Comprehensive programs including functional family therapy, multidimensional treatment foster care, and multisystemic therapy are capable of being effective.
“Comprehensive interventions, such as functional family therapy,138 multidimensional treatment foster care,139 and multisystemic therapy, 140 can be effective.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [138] Gordon DA Arbuthnot J Gustafson KE McGreen P Home-based behavioral-systems family therapy with disadvantaged juvenile delinquents American Journal of Family Therapy 1988 16 3 243 255
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- cites [139] Chamberlain P Leve LD DeGarmo DS Multidimensional treatment foster care for girls in the juvenile justice system: Two year follow-up of a randomized clinical trial Journal of Consulting and Clinical Psychology 2007 75 1 187 193 17295579 PMC1995088
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- cites [140] Henggeler SW Clingempeel WG Brondino MJ Pickerel SG Four-year follow-up of multisystemic therapy with substance-abusing and substance-dependent juvenile offenders Journal of the American Academy of Child and Adolescent Psychiatry 2002 41 7 868 874 12108813
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- Premisecitation
Following return to the community, obtaining services can be difficult.
“After release back to the community, services may be difficult to obtain.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [147] Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of National Findings Rockville, MD Substance Abuse and Mental Health Services Administration 2010
Not checked in the free run.
- cites [148] 2009 National Survey on Drug Use and Health: Detailed Tables http://oas.samhsa.gov/NSDUH/2k9NSDUH/tabs/LOTSect5pe.htm#TopOfPage Accessed October 4, 2010
Not checked in the free run.
- Premisecitation
Roughly 75% of youths in adult jails and prisons with a need for substance abuse treatment go without it.
“About one-half of youth in juvenile correctional facilities142, 143 and about three -quarters of youth in adult jails and prisons who need substance abuse treatment do not receive it.142”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [142] Mulvey EP Schubert CA Chung H Service use after court involvement in a sample of serious adolescent offenders Children and Youth Services Review 2007 29 518 544 19907667 PMC2774906
Not checked in the free run.
- Interpretationreasoning
Even with health care reform, mental health service provision is unlikely to improve for individuals resembling the study participants, who often move in and out of correctional facilities.
“Despite the promise of health care reform, service provision is not likely to improve mental health services for persons like our participants, who may frequently cycle through correctional facilities.”
Quote in the paperSubstantial claim- Rests on an assumption: Incarceration disrupts community treatment.
- Premisecitation
A study in JAMA reported that 80% to 85% of adult prisoners with a need for drug abuse treatment went untreated.
“a recent study published in JAMA concluded that 80% to 85% of adult prisoners who needed treatment for drug abuse did not receive it.146”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [146] Chandler RK Fletcher BW Volkow ND Treating drug abuse and addiction in the criminal justice system: Imporving public health and safety Journal of the American Medical Association 2009 301 2 183 190 19141766 PMC2681083
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- Premisecitation
Health care reform does not strengthen the declining public health safety-net programs that many poor individuals would use for treatment after release.
“Health Care Reform also does not improve the deteriorating public health infrastructure (“safety-net programs”), where many impoverished persons would receive treatment149, 150 after they are released.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [149] Jacobson PD Gostin LO Restoring health to health reform Journal of the American Medical Association 2010 304 1 85 86 20606153
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- cites [150] Katz MH Future of the safety net under health reform Journal of the American Medical Association 2010 304 6 679 680 20699460
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- Premisecitation
Males account for 85% of youths in correctional facilities.
“males, who comprise 70% of juvenile arrests and 85% of youth in correctional facilities.17, 129”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [17] Sickmund M Sladky TJ Kang W Census of Juveniles in Residential Placement Databook http://www.ojjdp.ncjrs.org/ojstatbb/cjrp/ Accessed November 25, 2008
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- cites [129] Puzzanchera C Juvenile Arrests 2008 US Departemnt of Justice, Office of Juvenile Justice and Delinquency Prevention 2009 NCJ 228479
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- Premisecitation
Roughly 50% of youths in juvenile correctional facilities with a need for substance abuse treatment go without it.
“About one-half of youth in juvenile correctional facilities142, 143 and about three -quarters of youth in adult jails and prisons who need substance abuse treatment do not receive it.142”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [142] Mulvey EP Schubert CA Chung H Service use after court involvement in a sample of serious adolescent offenders Children and Youth Services Review 2007 29 518 544 19907667 PMC2774906
Not checked in the free run.
- cites [143] Sedlak AJ McPherson KS Youth’s Needs and Services: Findings from the Survey of Youth in Residential Placement Washington, DC U.S. Department of Justice, Office of Juvenile Justice and Delinquency Prevention 2010
Not checked in the free run.
- Interpretationcitation
The demand for substance abuse services greatly outstrips the supply.
“Yet, the need for services far exceeds their availability.”
Quote in the paperSubstantial claim
- May combine two claims. 35
- Classified as probably not a substantial claim. 29
May combine two claims.
Findingown dataPrevalence of any disruptive behavior disorder decreased over time, but the rate of decrease depended on sex.
“The prevalence of any disruptive behavior disorder decreased over time, but the rate of decrease depended on sex.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNon-Hispanic whites had the highest rates of any disruptive behavior disorder over time, followed by Hispanics.
“non-Hispanic whites had the highest rates of any disruptive behavior disorder over time (W vs AA: AOR, 2.34; 95% CI, 1.80–3.04; W vs H: AOR, 1.56; 95% CI, 1.16–2.11), followed by Hispanics (H vs AA: AOR, 1.50; 95% CI, 1.10–2.04).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataMales and females did not have significantly different rates of any disruptive behavior disorder at baseline, but prevalence decreased faster among females than males.
“Males and females did not have significantly different rates of any disruptive behavior disorder at baseline, but prevalence decreased faster among females than among males.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataRates of PTSD appeared to decrease, especially for females, but the trend was not statistically significant (AOR 0.93; 95% CI 0.81-1.05).
“Although rates of PTSD appeared to decrease, especially for females, this trend was not statistically significant (AOR, 0.93; 95% CI, 0.81–1.05).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataBy follow-up, disparities between males and females in substance use disorders increased substantially because prevalence rates decreased faster for females than males.
“By the follow-up interviews, however, the disparities between males and females increased substantially because prevalence rates decreased faster for females than for males.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataMore than one-quarter of African American females and more than one-third of Hispanic and non-Hispanic white females had any disorder at Time 2.
“More than one-quarter of African American females and more than one-third of Hispanic and non-Hispanic white females had any disorder.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAmong males at Time 2, 44% of African Americans, 50% of Hispanics, and 64% of non-Hispanic whites had any disorder.
“Among males, 44% of African Americans, 50% of Hispanics, and 64% of non-Hispanic whites had any disorder at Time 2.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPrevalence of substance use disorders generally decreased over time, but the rate of decrease depended on sex.
“The prevalence of substance use disorders generally decreased over time, but the rate of decrease depended on sex.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAt Time 2, more than 45% of males and nearly 30% of females had any disorder with impairment.
“Five years after baseline, more than 45% of males and nearly 30% of females had one or more psychiatric disorders with associated impairment.”
- Also stated in: § Prevalence · plain
“At Time 2, more than 45% of males and nearly 30% of females had any disorder (with impairment).”
- Also stated in: § COMMENT · plain
“five years after detention, when participants were ages 14 to 24 years, nearly half of males and nearly 30% of females had one or more psychiatric disorders with associated impairment.”
Quote in the paperSubstantial claim- Also stated in: § Prevalence · plain
May combine two claims.
Findingown dataNearly 14% of Hispanic females and nearly one-quarter of Hispanic males in our sample had a drug use disorder, compared with less than 5% of Hispanics in the NCS-R.
“nearly 14% of Hispanic females and nearly one-quarter of Hispanic males had a drug use disorder, compared with less than 5% of Hispanics in the NCS-R.99”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [99] NCS-R dataset Collaborative Psychiatric Epidemiology Surveys Web site http://www.icpsr.umich.edu/CPES Accessed March 15, 2011
Not checked in the free run.
May combine two claims.
Findingown dataAbout 20% of males in our sample had a drug use disorder, compared with about 7% in the NCS-R.
“For example, we found about 20% of males had a drug use disorder, compared with about 7% in the NCS-R;”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [99] NCS-R dataset Collaborative Psychiatric Epidemiology Surveys Web site http://www.icpsr.umich.edu/CPES Accessed March 15, 2011
Not checked in the free run.
May combine two claims.
Findingown dataRates of substance use disorders and disruptive behavior disorders were lower in African Americans than non-Hispanic whites.
“Rates of substance use disorders and disruptive behavior disorders were lower in African Americans than non-Hispanic whites.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAny disruptive behavior disorder was among the most persistent disorders in males, and at Time 2 was significantly more likely to persist in males than in females.
“Any disruptive behavior disorder was also among the most persistent disorders in males, and at Time 2 was significantly more likely to persist in males than in females.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningOur sample is most notably different from the general population in substance use disorders: our rates decreased over time.
“Again, our sample is most notably different than the general population in substance use disorders: our rates decreased over time.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSubstance use disorders were among the most persistent disorders for both males and females, but were significantly more likely to persist among males than females.
“Substance use disorders were among the most persistent disorders for both males and females, but were significantly more likely to persist among males than females.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAmong females, compared with African Americans, non-Hispanic whites had about 3 times the odds of persisting at Time 1 with any substance use disorder and alcohol use disorder, and at Time 2 of persisting with drug disorder.
“Compared with African Americans, non-Hispanic whites had about 3 times the odds of persisting at Time 1 with any substance use disorder and its subcategory, alcohol use disorder, and at Time 2 of persisting with drug disorder.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenIn the study sample, alcohol- and drug-related diagnoses ranked among the most frequent and enduring conditions, with no variation by sex or race/ethnicity.
“Irrespective of sex or race/ethnicity, alcohol and drug use disorders were among the most common and persistent disorders.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationHarrington et al.'s study was conducted in the United Kingdom, limiting generalizability to juvenile detainees in the United States.
“Moreover, the study was conducted in the United Kingdom, limiting generalizability to juvenile detainees in the United States.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [27] Harrington RC Kroll L Rothwell J McCarthy K Bradley D Bailey S Psychosocial needs of boys in secure care for serious or persistent offending Journal of Child Psychology and Psychiatry 2005 46 8 859 866 16033634
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA 2008 literature review concluded that psychiatric disorders are substantially more common in adolescents in detention than among adolescents in the general population.
“A 2008 literature review concluded that psychiatric disorders are substantially more common in adolescents in detention than among adolescents in the general population.14”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [14] Fazel S Doll H Långström N Mental disorders among adolescents in juvenile detention and correctional facilities: A systematic review and metaregression analysis of 25 surveys Journal of the American Academy of Child & Adolescent Psychiatry 2008 47 9 1010 1019 18664994
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May combine two claims.
PremisecitationHarrington et al.'s sample excluded females, was 80% white, and was too small (n=97) to permit detailed analyses.
“Their sample, however, excluded females, was 80% white, and was too small (n=97) to permit detailed analyses.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [27] Harrington RC Kroll L Rothwell J McCarthy K Bradley D Bailey S Psychosocial needs of boys in secure care for serious or persistent offending Journal of Child Psychology and Psychiatry 2005 46 8 859 866 16033634
Not checked in the free run.
May combine two claims.
InterpretationcitationBecause delinquent youth have few protective factors, many are vulnerable to continued psychiatric morbidity as they age.
“Because delinquent youth have few protective factors to offset these risks, many are vulnerable to continued psychiatric morbidity as they age.18”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [18] Wareham J Dembo R A Longitudinal Study of Psychological Functioning Among Juvenile Offenders: A Latent Growth Model Analysis Criminal Justice and Behavior 2007 34 2 259 273
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown data88.7% of participants had every scheduled interview.
“88.7% of participants had every scheduled interview.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe study procedures were approved by the Northwestern University IRB and CDC IRB, which waived parental consent for minors consistent with federal regulations.
“The Northwestern University Institutional Review Board and the Centers for Disease Control and Prevention Institutional Review Board approved all study procedures and waived parental consent for persons younger than 18 years, consistent with federal regulations regarding research with minimal risk.75”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [75] Federal Register Federal Policy for the Protection of Human Subjects: Notices and Rules. Part 2 56 117 18 6 28002 32 (56 FR 28002) 1991 10112214
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductcitationSampling weights with nonresponse adjustment were used to generate prevalence rates reflecting CCJTDC's population.
“To generate prevalence rates that reflect CCJTDC’s population, each participant was assigned a sampling weight augmented with a nonresponse adjustment to account for missing data.87”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [87] Korn E Graubard B Analysis of Health Surveys New York Wiley 1999
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductreasoningThe sample was stratified by sex, race/ethnicity, age, and legal status to ensure adequate representation of key subgroups.
“To ensure adequate representation of key subgroups, we stratified our sample by sex, race/ethnicity (classified via self-identification as African American, non-Hispanic white, or Hispanic), age (10–13 years or ≥14 years), and legal status (processed in juvenile or adult court).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenInterviewers were trained for at least 1 month, and consistency across interviewers was established and maintained via scripted mock interviews.
“All interviewers were trained for at least 1 month. For each wave, consistency across interviewers was established and maintained via scripted mock interviews following training and mid-wave.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningAll models describing substance use disorders included linear and quadratic terms for time incarcerated prior to interviews.
“Because detention may alter access to substances, all models describing substance use disorders included linear and quadratic terms for time incarcerated prior to the interviews.”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Time spent in correctional facilities adequately captures the restriction on access to alcohol and drugs that affects substance use disorder prevalence.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataRefusal rates did not differ significantly by sex, race/ethnicity, or age.
“There were no significant differences in refusal rates by sex, race/ethnicity, or age.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationEven if initially sampled, youth may be lost to follow-up when incarcerated because they cannot be found and because studying prisoners requires special approvals.
“Even if sampled initially, youth may be lost to follow-up when they are incarcerated because they cannot be found, and because studying prisoners requires special procedures and approvals from the Secretary of Health and Human Services.66”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [66] Office of Human Research Protections OHRP Guidance on the Involvement of Prisoners in Research Bethesda, MD Department of Health and Human Services 2003
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.
InterpretationreasoningJuvenile detainees become a community public health problem when released and may continue to burden society as they age.
“Thus, juvenile detainees become a community public health problem when they are released and may continue to burden society as they age.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationOf approximately one-half million incarcerated youth and young adults, nearly 70% are African American or Hispanic, compared with one-third in the general population.
“Of the approximately one-half million incarcerated youth and young adults (ages 24 and younger), nearly 70% are African American or Hispanic,17, 71 compared with one -third in the general population.72”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [17] Sickmund M Sladky TJ Kang W Census of Juveniles in Residential Placement Databook http://www.ojjdp.ncjrs.org/ojstatbb/cjrp/ Accessed November 25, 2008
Not checked in the free run.
- cites [71] West HC Prison Inmates at Midyear 2009 -Statistical Tables Washington, D.C U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics 2010
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- cites [72] US Census Bureau Resident Population by Race, Hispanic Origin, and Single Years of Age: 2009. Table 20 Monthly Resident Population Estimates by Age, Sex, Race and Hispanic Origin for the United States: April 1, 2000 to December 1, 2010 [ http://www.census.gov/popest/national/asrh/2009-nat-res.html Accessed March 18, 2011 2011
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningGEE models included covariates for sex, race/ethnicity, aging, age at baseline, and legal status.
“All GEE models included covariates for sex, race/ethnicity (African American, Hispanic, non-Hispanic white), and aging (time since baseline). We also included age at baseline (10–18 years) and legal status at detention (processed in juvenile or adult court) because they were stratification characteristics.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe DISC 2.3 is highly structured, contains detailed symptom probes, has acceptable reliability and validity, and requires relatively brief training.
“The DISC 2.3 is highly structured, contains detailed symptom probes, has acceptable reliability and validity, and requires relatively brief training.76, 78–81”
Quote in the paperNot a substantial claim0 of 5 sources checked- cites [76] Shaffer D Fisher P Dulcan MK Davies M Piacentini J Schwab-Stone ME Lahey BB Bourdon K Jensen PS Bird HR Canino G Regier DA The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, acceptability, prevalence rates, and performance in the Meca Study J Am Acad Child Adolesc Psychiatry 1996 35 7 865 877 8768346
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- cites [78] Piacentini J Shaffer D Fisher PW Schwab-Stone M Davies M Gioia E The Diagnostic Interview Schedule for Children--Revised Version (DISC--R): III. Concurrent criterion validity Journal of the American Academy of Child & Adolescent Psychiatry 1993 32 3 658 665 8496130
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- cites [79] Schwab-Stone M Fisher PW Piacentini J Shaffer D Davies M Briggs M The Diagnostic Interview Schedule for Children--Revised version (DISC--R): II. Test-retest reliability Journal of the American Academy of Child & Adolescent Psychiatry 1993 32 3 651 657 8496129
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- cites [80] Schwab-Stone ME Shaffer D Dulcan MK Jensen PS Fisher P Bird HR Goodman SH Lahey BB Lichtman JH Canino G Rubio-Stipec M Rae DS Criterion validity of the NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3) Journal of the American Academy of Child & Adolescent Psychiatry 1996 35 7 878 888 8768347
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- cites [81] Shaffer D Schwab-Stone M Fisher PW Cohen P Piacentini J Davies M Conners C Reiger D The Diagnostic Interview Schedule for Children--Revised version (DISC--R): I. Preparation, field testing, interrater reliability, and acceptability Journal of the American Academy of Child & Adolescent Psychiatry 1993 32 3 643 650 8496128
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May combine two claims.
PremisecitationStudies of high-risk youth have included youth with histories of detention but none distinguished between youth with and without histories of detention.
“Youth with histories of detention have been included in studies of high -risk youth: the homeless,28, 29 youth living in impoverished or high-crime neighborhoods,30–34 and the offspring of parents who used substances or had psychiatric disorders.29, 35–46 Yet, none of these studies distinguished between youth with and without histories of detention.”
Quote in the paperSubstantial claim0 of 10 sources checked- cites [28] Craig TKJ Hodson S Homeless youth in London: II. Accommodation, employment and health outcomes at 1 year Psychological Medicine 2000 30 1 187 194 10722189
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- cites [29] Meyer SE Carlson GA Youngstrom E Ronsaville DS Martinez PE Gold PW Hakak R Radke-Yarrow M Long-term outcomes of youth who manifested the CBCL-Pediatric Bipolar Disorder phenotype during childhood and/or adolescence Journal of Affective Disorders 2009 113 3 227 235 18632161
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- cites [30] Mason WA Kosterman R Hawkins JD Herrenkohl TI Lengua LJ McCauley E Predicting depression, social phobia, and violence in early adulthood from childhood behavior problems Journal of the American Academy of Child & Adolescent Psychiatry 2004 43 3 307 315 15076264
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- cites [31] Cohen P Chen H Crawford TN Brook JS Gordon K Personality disorders in early adolescence and the development of later substance use disorders in the general population Drug and Alcohol Dependence 2007 88 S71 s84 17227697 PMC2034357
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- cites [32] Fothergill KE Ensminger ME Childhood and adolescent antecedents of drug and alcohol problems: A longitudinal study Drug and Alcohol Dependence 2006 82 1 61 76 16150555 PMC5827970
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- cites [33] Fothergill KE Ensminger ME Green KM Crum RM Robertson J Juon H-S The impact of early school behavior and educational achievement on adult drug use disorders: A prospective study Drug and Alcohol Dependence 2008 92 1 191 199 17869029 PMC2393553
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- cites [34] Crum RM Juon H-S Green KM Robertson J Fothergill K Ensminger M Educational achievement and early school behavior as predictors of alcohol-use disorders: 35-year follow-up of the Woodlawn Study Journal of Studies on Alcohol 2006 67 1 75 85 16536131 PMC5784844
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- cites [35] Egeland JA Shaw JA Endicott J Pauls DL Allen CR Hostetter AM Sussex JN Prospective study of prodromal features for bipolarity in well Amish children Journal of the American Academy of Child & Adolescent Psychiatry 2003 42 7 786 796 12819438
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- cites [36] Weissman MM Warner V Wickramaratne P Moreau D Olfson M Offspring of depressed parents: 10 years later Archives of General Psychiatry 1997 54 932 940 9337774
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- cites [37] Clark DB Parker AM Lynch KG Psychopathology and substance-related problems during early adolescence: A survival analysis Journal of Clinical Child Psychology 1999 28 3 333 341 10446682
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May combine two claims.
Interpretationown dataAlthough prevalence rates of most psychiatric disorders declined over time, a substantial proportion of delinquent youth continue to have disorders as they age.
“Although prevalence rates of most psychiatric disorders declined over time, a substantial proportion of delinquent youth continue to have disorders.”
- Also stated in: § COMMENT · plain
“Although prevalence rates of most psychiatric disorders declined over time, a substantial proportion of delinquent youth continue to have disorders as they age.”
Quote in the paperSubstantial claim- Also stated in: § COMMENT · plain
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Study design and conductnone givenAlthough retention rates were high, participants who missed interviews might be more likely to have had disorders than those who were found.
“Although retention rates were high, participants who missed interviews might be more likely to have had disorders than those who were found.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants who missed interviews are missing at random conditional on the observed covariates used in the weighting and models.
Classified as probably not a substantial claim. May combine two claims.
PremisecitationAs summarized by Costello et al., many disorders in the general population decrease from adolescence to young adulthood, with the exception of panic disorders and substance use disorders, which increase; findings on depression have been equivocal.
“As summarized in the recent literature review by Costello et al,109 many disorders in the general population decrease from adolescence to young adulthood, with the exception of panic disorders and substance use disorders, which increase;48, 110–115 findings on depression have been equivocal.48, 110–115”
Quote in the paperSubstantial claim0 of 8 sources checked- cites [109] Costello EJ Copeland W Angold A Trends in psychopathology across the adolescent years: What changes when children become adolescents, and when adolescents become adults? J Child Psychol Psychiatry 2011 52 10 1015 1025 21815892 PMC3204367
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- cites [48] Copeland WE Shanahan L Costello J Angold A Childhood and adolescent psychiatric disorders as predictors of young adult disorders Archives of General Psychiatry 2009 66 7 764 772 19581568 PMC2891142
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- cites [110] Wittchen HU Nelson CB Lachner G Prevalence of mental disorders and psychosocial impairments in adolescents and young adults Psychological Medicine 1998 28 1 109 126 9483687
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- cites [111] Jaffee SR Moffitt TE Caspi A Fombonne E Poulton R Martin J Differences in early childhood risk factors for juvenile-onset and adult-onset depression Archives of General Psychiatry 2002 59 3 215 222 11879158
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- cites [112] Richardson LP Davis R Poulton R McCauley E Moffitt TE Caspi A Connell F A longitudinal evaluation of adolescent depression and adult obesity Archives of Pediatrics & Adolescent Medicine 2003 157 8 739 745 12912778
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- cites [113] Moffitt TE Harrington H Caspi A Kim-Cohen J Goldberg D Gregory AM Poulton R Depression and generalized anxiety disorder: Cumulative and sequential comorbidity in a birth cohort followed prospectively to age 32 years Archives of General Psychiatry 2007 64 6 651 660 17548747
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- cites [114] Newman DL Moffitt TE Caspi A Magdol L Silva PA Stanton WR Psychiatric disorder in a birth cohort of young adults: Prevalence, comorbidity, clinical significance, and new case incidence from ages 11–21 Journal of Consulting and Clinical Psychology 1996 64 3 552 562 8698949
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- cites [115] Kessler RC Walters EE Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey Depression and Anxiety 1998 7 1 3 14 9592628
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May combine two claims.
PremisecitationPersistence of substance use disorders is not comparable between our study and Copeland et al. because definitions differed; Copeland et al. used more liberal impairment criteria and included nicotine.
“Persistence of substance use disorders are not comparable because definitions differed; Copeland et al48 used more liberal impairment criteria and included nicotine.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [48] Copeland WE Shanahan L Costello J Angold A Childhood and adolescent psychiatric disorders as predictors of young adult disorders Archives of General Psychiatry 2009 66 7 764 772 19581568 PMC2891142
Not checked in the free run.
May combine two claims.
InterpretationcitationThese findings may reflect underlying racial/ethnic disparities in the legal system and different pathways by which non-Hispanic whites and racial/ethnic minorities enter the system.
“These findings may reflect underlying racial/ethnic disparities in the legal system, 71, 100–102 and the different pathways by which non -Hispanic whites and racial/ethnic minorities enter the system.”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [71] West HC Prison Inmates at Midyear 2009 -Statistical Tables Washington, D.C U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics 2010
Not checked in the free run.
- cites [100] Puzzanchera C Kang W Easy Access to Juvenile Court Statistics: 1985–2008 http://www.ojjdp.gov/ojstatbb/ezajcs/
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- cites [101] Sickmund M Sladky TJ Kang W Census of Juveniles in Residential Placement Databook http://www.ojjdp.gov/ojstatbb/ezacjrp/
Not checked in the free run.
- cites [102] Minton TD Jail Inmates at Midyear 2010 -Statistical Tables Washington, DC US Department of Justice 2011
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningIt is difficult to compare specific prevalence rates in our sample with those in the general population because differences in instrumentation and sample demographics limit meaningful comparisons.
“It is difficult to compare specific prevalence rates in our sample with those in the general population because differences in instrumentation and sample demographics limit meaningful comparisons.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenWe cannot know if psychiatric disorders increase the likelihood of arrest and detention or vice versa.
“We cannot know if psychiatric disorders increase the likelihood of arrest and detention or vice versa.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationRates would likely have been higher had caretakers been available to provide independent reports at baseline.
“Rates would likely have been higher had caretakers been available to provide independent reports at baseline.15”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] Teplin LA Abram KM McClelland GM Dulcan MK Mericle AA Psychiatric disorders in youth in juvenile detention Archives of General Psychiatry 2002 59 12 1133 1143 12470130 PMC2861992
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMany investigators suggest that disproportionate minority confinement for drug offenses is due, in part, to disparate enforcement of drug laws in African American communities, rather than higher rates of use or dealing.
“Many investigators suggest that disproportionate minority confinement for drug offenses is due, in part, to disparate enforcement of drug laws in African American communities, rather than higher rates of use or dealing.103–106”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [103] Beckett K Nyrop K Pfingst L Race, drugs, and policing: Understanding disparities in drug delivery arrests Criminology 2006 44 1 105 137
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- cites [104] Beckett K Nyrop K Pfingst L Bowen M Drug use, drug possession arrests, and the question of race: Lessons from Seattle Social Problems 2005 52 3 419 441
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- cites [105] Moore LD Elkavich A Who’s using and who’s doing time: Incarceration, the War on Drugs, and public health American Journal of Public Health 2008 98 782 786 18381984 PMC2374804
Not checked in the free run.
- cites [106] Gorvin I Targeting Blacks: Drug Law Enforcement and Race in the United States New York Human Rights Watch 2008
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDelinquent males may have fewer opportunities to assume age-appropriate social roles-jobs, post-secondary schooling-turning points that might reduce problem behaviors.
“Second, delinquent males may have fewer opportunities to assume age-appropriate social roles—jobs, post-secondary schooling—turning points that might reduce problem behaviors.95”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [95] Sampson RJ Laub JH Crime and deviance in the life course Annual Review of Sociology 1992 18 63 84
Not checked in the free run.
May combine two claims.
Study design and conductcitationIt was not feasible to study more than one jurisdiction; because prevalence of psychiatric disorders may vary across jurisdictions, generalizability may be limited.
“Moreover, it was not feasible to study more than one jurisdiction; because the prevalence of psychiatric disorders may vary across jurisdictions,14, 121, 122 generalizability may be limited.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [14] Fazel S Doll H Långström N Mental disorders among adolescents in juvenile detention and correctional facilities: A systematic review and metaregression analysis of 25 surveys Journal of the American Academy of Child & Adolescent Psychiatry 2008 47 9 1010 1019 18664994
Not checked in the free run.
- cites [121] Fazel S Danesh J Serious mental disorder in 23,000 prisoners: A systematic review of 62 surveys The Lancet 2002 359 9306 545 550 11867106
Not checked in the free run.
- cites [122] Wasserman GA McReynolds LS Craig SS Keating JM Jones SA Psychiatric disorder, comorbidity, and suicidal behavior in juvenile justice youth Criminal Justice and Behavior 2010 37 12 1361 1376
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe observed sex differences in externalizing disorders are consistent with those in the general population, where males are up to ten times more likely than females to persist in antisocial behavior from childhood to adulthood.
“The observed sex differences in externalizing disorders are consistent with those in the general population, where males are up to ten times more likely than females to persist in antisocial behavior from childhood to adulthood.93”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [93] Moffitt TE Caspi A Harrington H Milne BJ Males on the life-course-persistent and adolescence-limited antisocial pathways: follow-up at age 26 years Development and Psychopathology 2002 14 1 179 207 11893092
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenFindings might have been marginally different had identical measures and time frames been used at baseline and follow-up.
“Findings might have been marginally different had we been able to use identical measures and time frames at the baseline and follow-up interviews.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenOur findings do not take into account mental health services that might have been provided.
“Our findings do not take into account mental health services that might have been provided.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenOur data are subject to the limitations of self-report.
“Our data are subject to the limitations of self-report.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' self-reports accurately reflect their psychiatric disorders.
May combine two claims.
PremisecitationAlthough the NCS-R used different, often less stringent impairment criteria and did not assess the same disorders, it provides DSM-IV diagnoses for a similarly aged sample (18-24 years).
“Although the NCS-R used different, and often less stringent, impairment criteria and did not assess the same disorders (such as antisocial personality disorder), it provides DSM-IV diagnoses for a similarly aged sample (18–24 years).107, 108”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [107] National Comorbidity Survey Harvard School of Medicine Web site http://www.hcp.med.harvard.edu/ncs/diagnosis.php Accessed March 16, 2011
Not checked in the free run.
- cites [108] NCS and NCS-R Data Harvard School of Medicine Web site http://www.hcp.med.harvard.edu/ncs/ncs_data.php Accessed March 16, 2011
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrecocious transition to adult social roles, such as parenthood, may be associated with worse outcomes for males than for females.
“Finally, precocious transition to adult social roles, such as parenthood, may be associated with worse outcomes for males than for females.96–98”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [96] Kreager DA Matsueda RL Erosheva EA Motherhood and Criminal Desistance in Disadvantaged Neighborhoods Criminology 2010 48 1 221 258
Not checked in the free run.
- cites [97] Hope TL Wilder EI Watt TT The relationships among adolescent pregnancy, pregnancy resolution, and juvenile delinquency The Sociological Quarterly 2003 44 4
Not checked in the free run.
- cites [98] Thornberry TP Wei EH Stouthamer-Loeber M Van Dyke J Teenage Fatherhood and Delinquent Behavior Washington, D. C U.S. Department of Justice, Office of Juvenile Justice and Delinquency Prevention 2000
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationUnder 10% of juveniles with an alcohol use problem obtained specialty services during the prior year.
“SAMHSA reports, for example, that fewer than 10% of juveniles147 and adults 148 with an “alcohol use problem” received specialty services in the past year.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [147] Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of National Findings Rockville, MD Substance Abuse and Mental Health Services Administration 2010
Not checked in the free run.
May combine two claims.
PremisecitationMedicaid expansion offers no benefit to prisoners, since federal law forbids Medicaid payments for people held in public institutions.
“the expansion of Medicaid provides no benefit to prisoners because federal law prohibits Medicaid payments for individuals—juvenile or adult—who are inmates of public institutions (20 CFR §416.211).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 20 CFR §416.211
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrograms funded by the Office of Juvenile Justice and Delinquency Prevention, including Girl Talk and Girl Scouts in Detention Centers, met needs of delinquent girls.
“innovative programs funded by the Office of Juvenile Justice and Delinquency Prevention133—such as Girl Talk,134 and Girl Scouts in Detention Centers—addressed the needs of delinquent females.135–137”
Quote in the paperNot a substantial claim0 of 5 sources checked- cites [133] US Department of Justice Correctional Populations in the United States, 1998 Washington, DC US Department of Justice 2001 NCJ 192929
Not checked in the free run.
- cites [134] Shaffner L A study of GIRLS LINK collaborative; part one: The evaluation of the GIRLS LINK collaborative Chicago, IL Cook County Bureau of Public Safety and Judicial Coordination 2002
Not checked in the free run.
- cites [135] Slowikowski J In Focus: Girls’ Delinquency Washington, DC US Department of Justice, Office of Juvenile Justice and Delinquency Prevention 2010
Not checked in the free run.
- cites [136] Greene Peters and Associates Guiding principles for promising female programming: An inventory of best practices http://www.ojjdp.ncjrs.org/pubs/principles/contents.html Accessed March, 22, 2005
Not checked in the free run.
- cites [137] Sherman FT Pathways to Juvenile Detention Reform: Detention Reform and Girls Baltimore, MD The Annie E. Casey Foundation 2005
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMales account for 70% of juvenile arrests.
“males, who comprise 70% of juvenile arrests and 85% of youth in correctional facilities.17, 129”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [17] Sickmund M Sladky TJ Kang W Census of Juveniles in Residential Placement Databook http://www.ojjdp.ncjrs.org/ojstatbb/cjrp/ Accessed November 25, 2008
Not checked in the free run.
- cites [129] Puzzanchera C Juvenile Arrests 2008 US Departemnt of Justice, Office of Juvenile Justice and Delinquency Prevention 2009 NCJ 228479
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationUnder 10% of adults with an alcohol use problem obtained specialty services during the prior year.
“SAMHSA reports, for example, that fewer than 10% of juveniles147 and adults 148 with an “alcohol use problem” received specialty services in the past year.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [148] 2009 National Survey on Drug Use and Health: Detailed Tables http://oas.samhsa.gov/NSDUH/2k9NSDUH/tabs/LOTSect5pe.htm#TopOfPage Accessed October 4, 2010
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.
PremisecitationFurther development and wider use of these programs could reduce illegal behavior and offer cost-effective alternatives to incarceration.
“Continued development and dissemination of these programs can further reduce illegal behaviors and provide cost-effective alternatives to incarceration.141”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [141] Aos S Phillips P Barnoski B Lieb R The Comparative Costs and Benefits of Programs to Reduce Crime Olympia, WA Washington State Institute for Public Policy 2001
Not checked in the free run.
The authors state this as an assumption.
Time spent in correctional facilities adequately captures the restriction on access to alcohol and drugs that affects substance use disorder prevalence.
“Because detention may alter access to substances, all models describing substance use disorders included linear and quadratic terms for time incarcerated prior to the interviews.”
The paper relies on this without support.
Participants' self-reports accurately reflect their psychiatric disorders.
“Our data are subject to the limitations of self-report.”
The paper relies on this without support.
Participants who missed interviews are missing at random conditional on the observed covariates used in the weighting and models.
“Although retention rates were high, participants who missed interviews might be more likely to have had disorders than those who were found.”
The paper relies on this without support.
The diagnostic instruments measure the same constructs comparably across sex and racial/ethnic groups.
“The DISC 2.3 is highly structured, contains detailed symptom probes, has acceptable reliability and validity, and requires relatively brief training.76, 78–81”
The paper relies on this without support.
Incarceration disrupts community treatment.
“Incarceration disrupts community treatment.”
The paper relies on this without support.
Virtually all detained juveniles and incarcerated adults will eventually return to the community.
“where virtually all detained juveniles and incarcerated adults will eventually return.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Compared to White youth, Black youth are less likely to be referred to mental health services within child welfare and juvenile justice systems.
“Compared to White youth, Black youth are less likely to be referred to mental health services within child welfare (47), and juvenile justice systems (48, 49).”
From Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth: A Conceptual Framework and Illustration Across Systems (2022) · cites this paper as [48]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Conflicting upper confidence limit for the Hispanic substance-use estimate
MinorThe abstract and Results section report the same adjusted odds ratio for Hispanics versus African Americans, but give different upper limits for its 95% confidence interval: 2.03 and 2.30.
“AOR, 1.59, 95% CI, 1.24–2.03”
“AOR, 1.59; 95% CI, 1.24–2.30”
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Flagged first, then by citations
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Sorted by citations
Baglivio, M. T., Wolff, K. T., Piquero, A. R., Greenwald, M. A., & Epps, N. (2017) · Journal of Youth and Adolescence · doi:10.1007/s10964-016-0573-4 · Cited by 147 · see citing works
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- Authors
- Teplin, L. A., Welty, L. J., Abram, K. M., Dulcan, M. K., & Washburn, J. J.
- Affiliations
- Northwestern University (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2012-10-01
- Volume
- 69
- Issue
- 10
- Pages
- 1031
- ISSN
- 0003-990X (ISSN-L)
- PMC
- PMC3737771
- OpenAlex
- W2086824673
- Semantic Scholar
- 3246fa0d4b0f8b150b3c77cd80d3f443207a3fd0
- Cited by
- 136
- References
- 146
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 7 · 2023: 10 · 2022: 7 · 2021: 10 · 2020: 11 · 2019: 8 · 2018: 8 · 2017: 10 · 2016: 11 · 2015: 21 · 2014: 12 · 2013: 8 · 2012: 1
- FWCI
- 15.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000150)
- National Institute of Mental Health (R01MH59463, R01 MH 54197, R01MH059463, R01MH054197)
- National Institute on Drug Abuse (R01DA028763, R01DA022953, R01DA019380)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- juvenile detention, mental illness, delinquent youth, substance use disorders, major depressive disorder, antisocial personality disorder, sex differences, racial and ethnic differences, African American youth, Latino youth, community mental health, Diagnostic Interview Schedule for Children, antisocial behavior, substance use comorbidity, post-release outcomes
- MeSH terms
- Adolescent, Mental Disorders, Black or African American, Child, Female, Hispanic or Latino, Humans, Illinois, Juvenile Delinquency, Longitudinal Studies, Male, Prisoners, Prospective Studies, Time Factors, Prevalence, White People
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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