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J Am Acad Psychiatry Law 34:2:204-214 (2006)
Copyright © 2006 by the American Academy of Psychiatry and the Law.
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REGULAR ARTICLE

Mental Health Care in Juvenile Detention Facilities: A Review

Rani A. Desai, PhD, MPH, Joseph L. Goulet, PhD, MS, Judith Robbins, LCSW, JD, John F. Chapman, PsyD, Scott J. Migdole, LCSW and Michael A. Hoge, PhD

Dr. Desai is Associate Professor of Psychiatry and Public Health, and Dr. Goulet is Associate Research Scientist, Internal Medicine, Yale University School of Medicine, New Haven, CT. Ms. Robbins, is Assistant Clinical Professor of Social Work (in Psychiatry), Yale University School of Medicine, and Program Director, Juvenile Detention Program, Yale Behavioral Health, New Haven, CT. Dr. Chapman is Clinical Instructor of Psychology (in Psychiatry), Yale University School of Medicine, New Haven, CT, and Clinical Coordinator, State of Connecticut, Judicial Branch, Hartford, CT. Mr. Migdole is Assistant Clinical Professor of Social Work (in Psychiatry), Yale University School of Medicine and Chief Operating Officer, Yale Behavioral Health, New Haven, CT. Dr. Hoge is Professor of Psychology (in Psychiatry), Yale University School of Medicine, New Haven, CT. Address correspondence to: Rani A. Desai, PhD, MPH, NEPEC/182, 950 Campbell Avenue, West Haven, CT 06516. E-mail: rani.desai{at}yale.edu

Juvenile detention facilities have come under increasing legal pressure to provide mental health services to detainees, and mental health clinicians may be asked to design and implement programs in detention facilities. However, there is little consensus on what types of services should be provided, and virtually no data on the effectiveness of such services in a detention setting. The objective of this article is to provide an overview of the existing literature on mental health services in juvenile detention and to make suggestions about future research needs. Specifically, it highlights the tension surrounding the provision of mental health care in juvenile detention, presents data on the prevalence of psychiatric problems in detention settings and what types of services are currently provided, and draws on the larger child and adolescent mental health literature to suggest what types of services might be most appropriate for juvenile detention settings. We conclude that, although there are some suggestions of promising interventions that may be appropriate, much more research, specifically in detention settings, is needed to determine their effectiveness.




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Can Juvenile Justice Detention Facilities Meet the Call of the American Academy of Pediatrics and National Commission on Correctional Health Care? A National Analysis of Current Practices
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J Am Acad Psychiatry Law, December 1, 2006; 34(4): 570 - 571.
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Copyright © 2006 by the American Academy of Psychiatry and the Law.