An important role served by mental health professionals in the juvenile court system involves the provision of recommendations regarding the long-term placement of youthful offenders. However, research on the factors used by clinicians in making these decisions is scarce. The present study examines the use of demographic, historical, and clinical variables, as well as an actuarial risk assessment instrument, the Youth Level of Service/Case Management Inventory (YLS/CMI; Hoge & Andrews, 1994, 2002), in the courtordered placement recommendations of 220 juvenile offenders. Univariate analyses revealed strong relationships between factors common in the risk assessment literature and level of placement recommendation. In fact, youth recommended for out-of-home placements scored significantly higher on seven out of eight subscales of the YLS/CMI. Additionally, multivariate analyses found that the strongest predictors of placement recommendation were two YLS/CMI subscales (family circumstances/parenting and attitudes/orientation) and the presence of mood disorder. These findings suggest that clinical decisionmaking regarding placement recommendations incorporates the assessment of a hybrid of risk-related and treatment amenability issues. Implications of these results in regards to clinical decision-making and juvenile justice policy are discussed.
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References
1.
American Academy of Child and Adolescent Psychiatry. 2005. Practice parameter for the assessment and treatment of youth in juvenile detention and correctional facilities. Journal of the American Academy of Child and Adolescent Psychiatry, 44: 1085–1098.
2.
AshfordJ. B.LeCroyC. W.1990. Juvenile recidivism: A comparison of three prediction instruments. Adolescence, 25: 441–450.
3.
BakerA. J. L.CurtisP.2006. Prior placements of youth admitted to therapeutic foster care and residential treatment centers: The odyssey project population. Child & Adolescent Social Work Journal, 23: 38–60.
4.
CicchettiD. V.SparrowS. A.1981. Developing criteria for establishing interrater reliability of specific items: Applications to assessment of adaptive behavior. American Journal of Mental Deficiency, 86: 127–137.
5.
CohenR.WileyS.OswaldD. P.EakinK. B.BestA. M.1999. Applying utilization management principles to a comprehensive service system for children with emotional and behavioral disorders and their families: A feasibility study. Journal of Child and Family Studies, 8: 463–476.
6.
CollinsM. E.SchwartzI. M.EpsteinI.2001. Risk factors for adult imprisonment in a sample of youth released from residential childcare. Children and Youth Services Review, 23: 203–226.
7.
CottleC. C.LeeR. J.HeilbrunK.2001. The prediction of criminal recidivism in juveniles: A meta-analytic review. Criminal Justice and Behavior, 28: 367–394.
8.
CourtneyM. E.1994. “Factors associated with entrance into group care”. In Child welfare research review, Edited by: BarthR.BerrickJ. D.GilbertN. Vol. 1, 185–204. New York: Columbia University Press.
9.
DannerbeckA.M.2005. Differences in parenting attributes, experiences, and behaviors of delinquent youth with and without a parental history of incarceration. Youth Violence and Juvenile Justice, 3: 199–213.
10.
DefeoC. D.2002. Measuring change of juvenile offenders in residential treatment. Dissertation Abstracts International, 63(2): 1019B
11.
DicataldoF.GrissoT.1995. A typology of juvenile offenders based on the judgments of juvenile court professionals. Criminal Justice and Behavior, 22: 246–262.
12.
DishionT.McCordJ.PoulinF.1999. When interventions harm: Peer groups and problem behavior. American Psychologist, 54: 755–764.
13.
ElbogenE. B.MercadoC.C.TomkinsA. J.ScaloraM. J.2002. Perceived relevance of factors for violence risk assessment: A survey of clinicians. International Journal of Forensic Mental Health, 1: 37–47.
14.
ElbogenE. B.MercadoC.C.TomkinsA. J.ScaloraM. J.2001. “Clinical practice and violence risk assessment: Availability of MacArthur Risk Factors”. In Sex and violence: The psychology of crimes and risk assessment, Edited by: FarringtonD.HollinC. R.McMurranM.38–55. New York: Routledge.
15.
EppsK.1997. Looking after children in secure settings: recent themes. Educational and Child Psychology, 14: 42–52.
16.
ForthA. E.KossonD. S.HareR. D.2003. The Hare Psychopathy Checklist: Youth Version, Toronto, Canada: Multi-Health Systems.
17.
FunkS. J.1999. Risk assessment for juveniles on probation: A focus on gender. Criminal Justice and Behavior, 26: 44–68.
18.
GlissonC.1996. Judicial and service decisions for children entering state custody: The limited role of mental health. Social Service Review, 70: 257–281.
19.
GlissonC.GreenP.2006. The role of specialty mental health care in predicting child welfare and juvenile justice out-of-home placements. Research on Social Work Practice, 16: 480–490.
20.
GrissoT.1998. Forensic Evaluation of Juveniles, Sarasota, FL: Professional Resource Press.
21.
HansonR. K.Morton-BourgonK.2005. Predictors of sexual recidivism: An updated meta-analysis. Journal of Consulting and Clinical Psychology, 73: 1154–1163.
22.
HarmsP.2003. “Detention in delinquency cases, 1990–1999”. In Office of Juvenile Justice and Delinquency Prevention Fact Sheet, Washington, D.C: U.S. Department of Justice.
23.
HeckerT.SteinbergL.2002. Psychological evaluation at juvenile court disposition. Professional Psychology: Research and Practice, 33: 300–306.
24.
HenggelerS. W.1999. Multisystemic therapy: An overview of clinical procedures, outcomes, and policy implications. Child Psychology and Psychiatry Review, 4: 2–10.
25.
HerzD. C.2001. Understanding the use of mental health placements by the juvenile justice system. Journal of Emotional and Behavioral Disorders, 9: 172–181.
26.
HogeR. D.1999. An expanded role for psychological assessments in juvenile justice systems. Criminal Justice and Behavior, 26: 251–266.
27.
HogeR. D.AndrewsD. A.1994. The Youth Level of Service/Case Management Inventory and manual, Ottawa, Canada: Carleton University, Department of Psychology.
28.
HogeR. D.AndrewsD. A.2002. The Youth Level of Service/Case Management Inventory, Toronto, Canada: Multi-Health Systems.
29.
HogeR. D.AndrewsD. A.LeschiedA. W.1996. An investigation of risk and protective factors in a sample of youthful offenders. Journal of Child Psychology and Psychiatry, 37: 419–424.
30.
HolsingerA.LowenkampC.LatessaE.2006. Predicting institutional misconduct using the Youth Level of Service/ Case Management Inventory. American Journal of Criminal Justice, 30: 267–284.
31.
HowellJ.KellyM.PalmerJ.MangumR.2004. Integrating child welfare, juvenile justice, and other agencies in a continuum of services. Child Welfare, 83: 143–156.
32.
HunterW. M.CoulterM. L.RunyanD. K.EversonM. D.1990. Determinants of placement for sexually abused children. Child Abuse and Neglect, 14: 407–417.
33.
JonesL.KrukE.2005. Life in government care: The connection of youth to family. Child & Youth Care Forum, 34: 405–421.
34.
KnappM.BainesB.BrysonD.LewisJ.1987. Modelling the initial placement decision for children received into care. Children and Youth Services Review, 9: 1–15.
35.
LitrownikA. J.TaussigH. N.LandsverkJ. A.GarlandA. F.1999. Youth entering an emergency shelter care facility: Prior involvement in juvenile justice and mental health systems. Journal of Social Service Research, 25: 5–19.
36.
LuY.LandsverkJ.Ellis-MacleodE.NewtonR.GangerW.JohnsonI.2004. Race, ethnicity, and case outcomes in child protective services. Children & Youth Services Review, 26: 447–461.
37.
LyonsJ. S.KisielC. L.DulcanM.CohenR.CheslerP.1997. Crisis assessment and psychiatric hospitalization of children and adolescents in state custody. Journal of Child and Family Studies, 6: 311–320.
38.
MarczykG.R.HeilbrunK.LanderT.DeMatteoD.2003. Predicting juvenile recidivism with the PCL:YV, MAYSI, and YLS/CMI. International Journal of Forensic Mental Health, 2: 7–18.
39.
MynerJ.SantmanJ.CappellettyG. G.PerlmutterB. F.1998. Variables related to recidivism among juvenile offenders. International Journal of Offender Therapy and Comparative Criminology, 42: 65–80.
40.
NiarhosF. J.RouthD. K.1992. The role of clinical assessment in the juvenile court disposition: Predictors of juvenile dispositions and recidivism. Journal of Clinical Child Psychology, 21: 151–159.
41.
O'NeillB.2004. Influences on disposition decisions in the juvenile justice system. Journal for Juvenile Justice Services, 19: 29–46.
42.
ProctorE. K.2002. Decision making in social work practice. Social Work Research, 26: 3–5.
43.
QuinseyV. L.HarrisG. T.RiceM. E.CormierC. A.2005. Violent Offenders: Appraising and Managing Risk, 2nd, Washington, D.C: American Psychological Association.
44.
RawalP.RomanskyJ.JenuwineM.LyonsL. S.2004. Racial differences in the mental health needs and services utilization of youth in the juvenile justice system. The Journal of Behavioral Health Services & Research, 31: 242–254.
45.
RubackB. R.VardamanP. J.1997. Decision making in delinquency cases: The role of race and juveniles’ admission/denial of the crime. Law and Human Behavior, 21: 47–69.
46.
RyanJ.DavisR.YangH.2001. Reintegration services and the likelihood of adult imprisonment: A longitudinal study of adjudicated delinquents. Research on Social Work Practice, 11: 321–337.
47.
SchmidtF.HogeR.GomesL.2005. Reliability and validity analyses of the Youth Level of Service/Case Management Inventory. Criminal Justice and Behavior, 32: 329–344.
48.
SchwalbeC.FraserM.W.DayS.H.CooleyV.2006. Classifying juvenile offenders according to risk of recidivism: predictive validity, race/ethnicity and gender. Criminal Justice and Behavior, 33: 305–324.
49.
SmithB.1998. Children in custody: 20-year trends in juvenile detention, correctional, and shelter facilities. Crime & Delinquency, 44: 526–543.
50.
StageS. A.1999. Predicting adolescents’ discharge status following residential treatment. Residential Treatment for Children and Youth, 16: 37–56.
51.
ThomasJ.GourleyG.K.MeleN.2005. The availability of behavioral health services for youth in the juvenile justice system. American Psychiatric Nurses Association Journal, 11: 156–163.
52.
Timmons-MitchellJ.BrownC.SchulzS.WebsterS.UnderwoodL.SempleW.1997. Comparing the mental health needs of female and male incarcerated juvenile delinquents. Behavioral Sciences & the Law, 15: 195–202.
53.
WassermanG.A.JensenP.S.KoS. J.CocozzaJ.TrupinE.AngoldA.CauffmanE.GrissoT.2003. Mental health assessments in juvenile justice: Report on the consensus conference. Journal of the American Academy of Child & Adolescent Psychiatry, 42: 752–761.
54.
WeinerD. A.AbrahamM. E.LyonsJ.2001. Clinical characteristics of youths with substance use problems and implications for residential treatment. Psychiatric Services, 52: 793–799.
55.
WidomC. S.1991. The role of placement experiences in mediating the criminal consequences of early childhood victimization. American Journal of Orthopsychiatry, 61: 195–209.
56.
WilsonM.N.WoodsL.N.2006. “Iatrogenic outcomes of the child welfare system: vulnerable adolescents, peer influences, and instability in foster care arrangements”. In Deviant peer influences in programs for youth: Problems and solutions, Edited by: DodgeK. A.DishionT. J.LansfordJ. E.203–214. NY: Guilford.
