مقاله انگلیسی مراقبت از سلامت روان جوانان بازداشت شده در بازداشتگاه های نوجوانان
Keywords
Key points
Introduction
Principles of adjudicated youth mental health treatment
Trauma issues in juvenile justice
Crisis management of youth in detention centers
Treatment of disruptive, impulse control, and conduct-related disorder in delinquent youth
Seclusion, isolation, and solitary confinement
Discrimination, mental health, and adjudicated youth
Integrated care in juvenile detention
Summary
Clinics care points
Disclosure
References
INTRODUCTION
Mental health treatment of juvenile offenders and undocumented immigrant youth in detention provides a unique opportunity for treatment providers. Although the work may be challenging, the clinical needs and opportunities for early and meaningful interventions are significant. Adjudication “is the court process that determines (judges) if the juvenile committed the act for which he or she is charged. The term ’adjudicated’ is analogous to ’convicted’ and indicates that the court concluded the juvenile committed the act.”1 Common causes of youth adjudication include violence directedat others, vandalism, burglary or robbery, status offenses including curfew violation, loitering or disorderly conduct, truancy, running away, underage drinking, trespassing, weapons offenses, drug abuse violations, and driving under the influence. Less common reasons for adjudication include aggravated assault, homicide, manslaughter, arson, gambling, embezzlement, forgery, counterfeiting, prostitution, obstruction of justice, and sexual deviance. Many reasons for the adjudication of youth exist. Often the youths’ causes for adjudication are complex: comorbid psychosocial conditions and stressors are common. Youthful offenses are frequently influenced by poverty, disenfranchisement, poor access to jobs, residential segregation, schools ill-equipped to address acting-out behaviors, family structure including single-parent households and family disruption or a parent in prison, substance use, mental health disorders, and so forth. Community level structural factors impede systemic social organizations and often impede living within the constraints of the law.2within the constraints of the law.2 Mental health care of youth in the juvenile justice system and asylum-seeking youth in detention provides a unique opportunity to address and remedy social constraints in the context of psychiatric illness.