Comparing Outcomes for Youth Served in Treatment Foster Care and Treatment Group Care

This study compared youth in the Florida Medicaid system prior to entry into treatment foster care or treatment group care, and compared outcomes in the 6 months after treatment. Florida Medicaid data from FY2003/04 through 2006/2007 along with Department of Juvenile Justice, Department of Law Enforcement, and involuntary examination data were used to examine youth receiving out-of-home treatment. Propensity score matching was used to examine the effect of out-of-home treatment on outcomes. Males, older youth, and youth with prior involuntary examinations, felony charges, misdemeanor charges, or inpatient psychiatric treatment were more likely to be placed in treatment group care. Treatment foster care placement was more likely for youth with prior treatment foster care episodes. Propensity matching results indicated that youth in treatment foster care had greater reductions in felony charges, and were less likely to return to out-of-home treatment in the following 6 months. While often placed in group care settings, youth with prior criminal justice encounters, especially for felony charges, may be better served in treatment foster care programs.     

Predicting Homelessness among Emerging Adults Aging Out of Foster Care

This study examines risk and protective factors associated with experiencing homelessness in the year after “aging out” of foster care. Using a state‐level integrated administrative database, we identified 1,202 emerging adults in Washington State who exited foster care between July 2010 and June 2012. Initial bivariate analyses were conducted to assess the association between candidate predictive factors and an indicator of homelessness in a 12‐month follow‐up period. After deploying a stepwise regression process, the final logistic regression model included 15 predictive factors. Youth who were parents, who had recently experienced housing instability, or who were African American had approximately twice the odds of experiencing homelessness in the year after exiting foster care. In addition, youth who had experienced disrupted adoptions, had multiple foster care placements (especially in congregate care settings), or had been involved with the juvenile justice system were more likely to become homeless. In contrast, youth were less likely to experience homelessness if they had ever been placed with a relative while in foster care or had a high cumulative grade point average relative to their peers.     

Child Delinquents: Examining the Market for Criminal Futures

This article investigates child delinquency (offenders younger than 13 years of age). The population of child delinquents under various dispositions in the state of Louisiana, at one point in time, is described. Eighty youth are examined using the following characteristics: Race, Gender, Age, Offense Type (violent, nonviolent) Crime Category (felony, status offense, misdemeanor, and felony or misdemeanor) and Disposition (supervision, secure custody, and non-secure custody). Child delinquency is an important topic because the younger the age of first offense the greater the probability of a delinquent and criminal career. Findings reveal very few youth in secure custody and black males account for over half of the population of child delinquents. Over 75% of the population was 12 years of age.     

Female juvenile delinquency, motherhood, and the intergenerational transmission of aggression and antisocial behavior

The current study explored the intergenerational transmission of aggression and antisocial behavior by examining mothers' juvenile delinquency, their pregnancies, and its impact on their children's aggressive behavior. The sample consisted of the first 181 biological mothers recruited as part of the Vancouver Longitudinal Study on the Psychosocial Development of Children (British Columbia, Canada). Results indicated that mothers who were juvenile delinquents were more likely to experience social adversity, to use substances during pregnancy and to offend in adulthood. Furthermore, mothers who reported juvenile delinquency had children who were more physically aggressive and had an earlier onset of physical aggression. This pattern of association held when controlling for sociodemographics, social adversities, prenatal substance exposure, and criminal involvement in adulthood. The study findings highlighted the importance of understanding the role and impact of female delinquency and motherhood on the intergenerational transmission of antisocial behavior.     

Interpersonal Skills Training to Reduce Aggressive and Delinquent Behavior: Limited Evidence and the Need for an Evidence-Based System of Care

The prevention of aggressive and delinquent behavior during childhood and adolescence is one of the highest priorities for public health and crime prevention. The most common approach to preventing or treating these conduct problems has been to provide interpersonal skills training to the affected youth. This paper reviews all randomized controlled trials evaluating interpersonal skills training programs as an intervention to reduce conduct problems. Research shows that such programs have weak empirical support as isolated interventions. An alternative evidence-based system of care is described. Such a system would include behavioral parent training and behavioral classroom-based interventions for young children at risk of developing problems, as well as multisystemic family therapy or multidimensional treatment foster care for chronic delinquents. Within such a network of services, interpersonal skills training could play an important supportive role. Such a system holds the greatest promise for reducing the prevalence of aggressive and delinquent behavior in communities.     

Race bias in diagnosis and treatment of juvenile offenders: Findings and suggestions

There is evidence that Black juvenile delinquents have received biased differential treatment in mental health care systems. Research shows that the White juvenile offender often is assessed as having a psychological problem while the Black juvenile offender is more often seen as exhibiting behavior characteristic of his culture and more often than not receives inadequate psychological counseling. This article integrates information on juvenile delinquency, interracial diagnosis, and cross-cultural understanding. It is hoped the information will aid the forensic psychological professional to better understand culturally different children and youth as well as examine his or her own cache of cultural baggage which may interfere with the appropriate assessment and treatment of Black juvenile offenders.     

Linking Foster Family Characteristics and Mental Health Symptoms of Youth in Care

Youth in foster care are disproportionately at risk for developing internalizing and externalizing problems (Lawrence et al., 2006); however, a history of maltreatment prior to foster care placement does not automatically result in poor mental health outcomes. Among non-foster care youth, the quality of family interactions has been related to adjustment outcomes, such that low family cohesion and high family conflict is associated with poor mental health symptoms (Caples & Barrera, 2006). While little is known about these constructs in foster care placements, they may help explain the variance in internalizing and externalizing problems for youth in foster care. The present study aimed to examine whether characteristics of the foster care environment (i.e., conflict, cohesion) across various placement types (i.e., traditional foster homes, group-care settings) could help explain the link between previous maltreatment exposure and mental health problems. The sample included 178 youth in foster care (M_age?=?15.18, SD?=?1.76) and their foster caregivers living in the Midwest. Youth participants completed self-report measures about prior maltreatment history, current family environment characteristics, and youth internalizing symptoms. Foster caregivers completed measures on current family environment and youth externalizing symptoms. Results indicated that caregiver report, but not youth report, of family cohesion was negatively associated with youth report of internalizing problems. When examining the indirect effects, youth report of family conflict partially accounted for the link between youth self-report of maltreatment and internalizing symptoms (B?=?0.106, 95% CI?=?0.026–0.186). Caregiver report of family conflict fully accounted for the association between youth self-report of maltreatment and caregiver report of youths’ externalizing symptoms (B?=?0.108, 95% CI?=?0.005–0.211). Findings highlight the importance of utilizing multiple informants when measuring foster family environment and suggest that family conflict is particularly salient for the mental health of youth in foster care.

     

未成年人归因的内隐特征与攻击行为

本研究使用投射法这一内隐社会认知的研究方法,考察了朱成年人罪犯群体与正常群体的攻击行为内隐社会认知过程的特征,结果表明：整体上而言,未成年人罪犯群体与正常群体的内隐归因方式存在显著差异,罪犯的内控程度要低于常人的内控程度。从而得出罪犯产生攻击性犯罪行为的原因之一是他们的归因存在偏差,支持了攻击行为成因的归因模型。未成年人男女两性在内隐的内外控方面不存在显著差异,且结果提示归因方式与女性罪犯的攻击行为没有必然联系。     

未成年犯童年期受虐待程度与攻击行为的关系：有调节的中介模型

采用问卷法对广东省未成年犯管教所417名男性未成年犯进行调查,考察了自尊在未成年犯童年期受虐待程度与其攻击行为关系间的中介效应,以及感觉寻求在其中的调节作用。结果发现：（1）在控制了年龄、家庭月收入和父母受教育水平后,童年期受虐待程度可显著正向预测攻击行为;（2）自尊在童年期受虐待程度与攻击行为之间起部分中介作用;（3）感觉寻求显著调节自尊对攻击行为的影响,间接效应对于低感觉寻求的个体不显著,对于高感觉寻求的个体显著。     

Suicide attempts among juvenile delinquents; the contribution of mental health factors.

This study examined which, if any, of four variables (depression, hopelessness, conduct problems, substance abuse) differentiated suicide attemptors from nonattemptors among incarcerated juvenile delinquents. Fifty-one male youth served as subjects. The predictor variables were collected by either a standardized interview or an orally administered questionnaire. Youth self-report data regarding suicide attempts were collected. The results indicated that depression served as a predictor of suicide attempts but only in white, not black, youth. Suicide attempts also were reported three times more often in white than black participants. Implication, as well as limitations, of the findings are discussed.     

Psychopathy and behavioral correlates of victim injury in serious juvenile offenders

The study examines delinquent behavior and psychopathy and assesses their relationship to victim injury in a population of 168 incarcerated juvenile delinquent males with lengthy histories of criminal and violent behavior. A series of multiple regressions found that 17% of the variance associated with level of victim injury was accounted for by a model that included the three-factor model of the Psychopathy Checklist: Youth Version [Forth, Kosson, and Hare, 2003], criminal versatility, and age of onset of criminal offending. Notably, anger and DSM-IV symptoms of conduct disorder were not related to level of victim injury. The results of this study support an escalation hypothesis where individuals with earlier onset to criminal behavior and greater criminal versatility escalate to more severe violence. The current results demonstrate the importance of integrating established theories of juvenile delinquency when explaining severe violence in youth.     

Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services

For children and youth making a mental health crisis visit, we investigated ethnic disparities in whether the children and youth were currently in treatment or whether this crisis visit was an entry or reentry point into mental health treatment. We gathered Medicaid claims for mental health services provided to 20,110 public-sector clients ages 17 and younger and divided them into foster care and non-foster care subsamples. We then employed logistic regression to analyze our data with sociodemographic and clinical controls. Among children and youth who were not placed in foster care, African Americans, Latinos, and Asian Americans were significantly less likely than Caucasians to have received mental health care during the three months preceding a crisis visit. Disparities among children and youth in foster care were not statistically significant. Ethnic minority children and youth were more likely than Caucasians to use emergency care as an entry or reentry point into the mental health treatment, thereby exhibiting a crisis-oriented pattern of care.     

techniques of neutralization and self-esteem: a critical test of social control and neutralization theory

Sykes and Matza argued that delinquents use techniques of neutralization to enable themselves to engage in behavior they believe is wrong under most circumstances. One function of using these techniques is that the individual is able to protect his or her self-concept while committing delinquent acts. This implies that delinquent youth who use these techniques should have higher levels of self-esteem than delinquents who do not use them. Because Sykes and Matza hold that neutralization is necessary because of the delinquents ties to conventional society, this effect should be stronger among delinquent youth who are more strongly attached to their parents. In contrast, Hirschis social control theory predicts that delinquents who are able to maintain a bond to conventional society should be less likely to neutralize, but if they do neutralize, they should be unable to sufficiently convince themselves of the validity of the neutralizations to protect self-esteem. These hypotheses are tested using data from the Richmond Youth Survey. The results differed depending on whether general neutralizations or neutralizations regarding the police were analyzed. Children who are attached to their parents are less likely to use police-related neutralizations, but delinquents who use these neutralizations have higher self-esteem, consistent with neutralization theory. Delinquents who are more strongly attached to their parents are also less likely to use general neutralizations, but these neutralization techniques do not lead to higher levels of self-esteem, consistent with control theory.     

俄勒冈社会学习中心反社会行为预防与干预研究述评

简要回顾了美国俄勒冈社会学习中心的发展历程,重点介绍了该机构的主要研究课题内容和研究成果。该中心在应用研究领域,主要是针对问题儿童在课堂场景及其家中进行干预。其基础性研究致力于家庭、同伴以及社会背景对青少年行为发展模式的长期影响。俄勒冈社会学习中心针对青少年开展的早期经验、应激神经生理学和病原学的研究,以及以家庭、学校、福利制度、司法制度等背景开展的对收养家庭养育、受虐孩子、受监禁父母的孩子、问题青少年反社会行为的预防与干预研究对我国青少年的干预研究都富有借鉴意义     

Expanding the concept of birthparent loss to orphans: Exploratory findings from adolescents in institutional care in South Korea

Conservative estimates of the number of orphaned and abandoned children suggest there are approximately 132 million worldwide, of whom the majority reside in Asia followed by Sub-Saharan Africa. Research on alternative care for children in need of parental protection have largely been siloed by care setting (i.e. institutional care, adoption, foster care) without consideration of risk factors across care types. One factor specific to alternative care that occurs for all children across care settings is disruption and disconnection of birth parents as a consequence of out-of-home placement. Thus, the purpose of this cross-sectional study of 170 adolescents in institutional care in South Korea was to explore whether a common risk factor specific to the experience of family removal and placement in alternative care, cognitive appraisal of birth parent loss, was present and was a risk factor for more mental health and behavior problems. Findings affirmed the majority of adolescents in institutional care had thoughts about birth parents, but most did not express negative emotions towards birth parents. A more negative appraisal of birth parent loss was found to be a significant predictor of more depressive symptoms, PTSD symptoms, and internalizing behavior problems, but not more externalizing behavior problems. Findings suggest cognitive appraisal of birth parent loss may be a risk factor for more mental health and internal behavior problems for youth in institutional care and that systems of alternative care need to assist youth in having information about their birth parents regardless of contact.     

Impact of Social Networking Sites on Children in Military Families

Youth in military families experience a relatively unique set of stressors that can put them at risk for numerous psychological and behavior problems. Thus, there is a need to identify potential mechanisms by which children can gain resiliency against these stressors. One potential mechanism that has yet to be empirically studied with military youth is social networking sites (SNSs). SNSs have gained significant popularity among society, especially youth. Given the significance of these communication tools in youths’ lives, it is important to analyze how SNS use may affect military youth and their ability to cope with common military life stressors. The current review examines the potential positive and negative consequences associated with SNS use in coping with three common stressors of youth in military families: parent deployment, frequent relocation, and having a family member with a psychological or physical disability. By drawing from SNS and military literature, we predict that SNS use can be a positive tool for helping children in military families to cope with stressors. However, certain SNS behaviors can potentially result in more negative outcomes. Recommendations for future research are also discussed.     

Youth with Oppositional Defiant Disorder at Entry into Home-Based Treatment,Foster Care,and Residential Treatment

We explored and compared rates of youth diagnosed with oppositional defiant disorder (ODD) at entry into three broad program types, home-based care, foster care, and residential care. We also explored factors other than an ODD diagnosis that could be associated with program placement, and compared the presence of these factors in youth with and without an ODD diagnosis. Analyses were conducted using data from an ongoing, private-agency led, outcome measurement project. Programs were grouped into low (home-based), moderate (foster), or high (residential) categories, based upon levels of supervision and structure provided. A sample of 9,564 youth admitted into care between years 2005 and 2007 was used. Results suggested the following rates of ODD: 14.2 % overall; 7.9 % for low level programs; 5.3 % for moderate level programs; 21.1 % for high level programs. Rates were significantly different by program level (p ≤ 0.001). Sixty of 65 additional risk factors were also significantly associated with placement by level of program. No risk factors were unique to youth with ODD. Of the significant factors for youth with ODD, 4 were particularly strong: Classification as a child in need of services (CHINS), history of neglect, verbal aggression, and truancy. Youth classified as CHINS and with substantiated or suspected neglect were more likely placed into a moderate level program. Youth with verbal aggression or truancy were more likely placed into a high level program. Results suggested many factors are considered at program entry. Given the potential for poor prognosis and social costs of ODD, results support an individualized approach to placement determinations, with increased attention to symptoms of ODD and associated features at program entry.     

Assessment of incarcerated juvenile delinquents: Agreement across raters and approaches to psychopathology

The purpose of the current study was to examine the agreement across three informants (youth, teacher, caretaker) when rating behaviors of incarcerated juvenile delinquents. Furthermore, the agreement between a dimensional approach (Child Behavior Checklist) and a categorical approach (DSM-III-R) of assessing behavior was examined. Fifty-two delinquent youth were assessed with a structured interview. In addition, the youth, teacher, and caretaker completed the Child Behavior Checklist (CBCL). The results indicated significant correlations across the teacher and caretaker for externalizing types of problems. The youth report form of the CBCL did not correspond to either adult informant. However, the ratings by the teacher and caretaker were related to externalizing types of problems, primarily hyperactivity/inattention, derived from the structured interview with the delinquent. The results suggest that, in the psychological assessment of incarcerated juvenile delinquents, agreement across informants is dependent on multiple factors, including type of behavior assessed and the approach utilized in assessment.This work was supported, in part, by the Juvenile Justice Coordinating Council of Georgia, the Office of Juvenile Justice and Delinquency Prevention, and the University of Georgia's Institute for Behavioral Research.     

Using Systems of Care to Reduce Incarceration of Youth with Serious Mental Illness

Youth with serious mental illness come into contact with juvenile justice more than 3 times as often as other youth, obliging communities to expend substantial resources on adjudicating and incarcerating many who, with proper treatment, could remain in the community for a fraction of the cost. Incarceration is relatively ineffective at remediating behaviors associated with untreated serious mental illness and may worsen some youths' symptoms and long-term prognoses. Systems of care represent a useful model for creating systems change to reduce incarceration of these youth. This paper identifies the systemic factors that contribute to the inappropriate incarceration of youth with serious mental illness, including those who have committed non-violent offenses or were detained due to lack of available treatment. It describes the progress of on-going efforts to address this problem including wraparound and diversion programs and others utilizing elements of systems of care. The utility of systems of care principles for increasing access to community-based mental health care for youth with serious mental illness is illustrated and a number of recommendations for developing collaborations with juvenile justice to further reduce the inappropriate incarceration of these youth are offered.     

Family secrecy: a comparative study of juvenile sex offenders and youth with conduct disorders

The reported research was designed to compare adjudicated male juvenile sexual offenders and youth with conduct disorders on five aspects of family secrecy and deception. Twenty-nine male juvenile sex offenders and 32 comparison youth from three child welfare agencies in New York State participated in the study. Research assistants, blind to the hypotheses of the study and status of the youth, coded agency records for five variables identified a priori as a basis of comparison. Analyses revealed that the two groups were different on three of the five and on the total number of items scored. Families of juvenile sex offenders told more lies, had more family myths, and were more likely to be involved in taboo behavior. Logistic regression revealed that this factor of family deception significantly increased the odds of sexual offending over and above other measures of family pathology. These data support the hypotheses of the study and have implications for both clinical practice and future research in this area.