There is evidence that youth in the justice system are more likely to experience trauma and mental health problems than the general population. Trauma histories may exacerbate mental health problems, and mental health problems may increase the likelihood of continued offending. While prior research has examined the effects of adverse childhood experiences (ACEs) on recidivism, it has yet to consider the prevalence of trauma among youth in a juvenile mental health court. Data from an urban juvenile mental health court (N = 203) was used to assess the prevalence of ACEs. The average ACE score of participants was 3.6% and 46% had a high ACE score. Furthermore, those who did not complete the program and/or were rearrested following participation had significantly higher ACE scores. Controlling for other factors, ACEs were not significantly associated with program noncompletion or rearrest. Policy implications surrounding trauma-informed practices are provided.
AbramK. M.TeplinL. A.CharlesD. R.LongworthS. L.McClellandG. M.DulcanM. K. (2004). Posttraumatic stress disorder and trauma in youth in juvenile detention. Archives of General Psychiatry, 61, 403–410. https://doi.org/10.1001/archpsyc.61.4.403
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.).
3.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
4.
AndaR. F.BrownD. W.FelittiV. J.BremnerJ. D.DubeS. R.GilesW. H. (2007). Adverse childhood experiences and prescribed psychotropic medications in adults. American Journal of Preventive Medicine, 32, 389–394. https://doi.org/10.1016/j.amepre.2007.01.005
5.
ArredondoD. E.KumliK.SotoL.ColinE.OrnellasJ.DavillaJr, J. R. J.EdwardsJ. L. P.HymanJ. E. M. (2001). Juvenile mental health court: Rationale and protocols. Juvenile and Family Court Journal, 52(4), 1–19. https://doi.org/10.1111/j.1755-6988.2001.tb00047.x
6.
BaglivioM. T. (2009). The assessment of risk to recidivate among a juvenile offending population. Journal of Criminal Justice, 37(6), 596–607. https://doi.org/10.1016/j.jcrimjus.2009.09.008
7.
BaglivioM. T.EppsN. (2016). The interrelatedness of adverse childhood experiences among high-risk juvenile offenders. Youth Violence and Juvenile Justice, 14, 179–198. https://doi.org/10.1177/1541204014566286
8.
BaglivioM. T.EppsN.SwartzK.HuqM. S.SheerA.HardtN. S. (2014). The prevalence of adverse childhood experiences (ACE) in the lives of juvenile offenders. Journal of Juvenile Justice, 3, 12–34.
9.
BaglivioM. T.JackowskiK. (2013). Examining the validity of a juvenile offending risk assessment instrument across gender and race/ethnicity. Youth Violence and Juvenile Justice, 11(1), 26–43. https://doi.org/10.1177/1541204012440107
10.
BaglivioM. T.WolffK. T.DeLisiM.JackowskiK. (2020). The role of adverse childhood experiences (ACEs) and psychopathic features on juvenile offending criminal careers to age 18. Youth Violence and Juvenile Justice, 18(4), 337–364. https://doi.org/10.1177/1541204020927075
11.
BaglivioM. T.WolffK. T.PiqueroA. R.BilchikS.JackowskiK.GreenwaldM. A.EppsN. (2016). Maltreatment, child welfare, and recidivism in a sample of deep-end crossover youth. Journal of Youth and Adolescence, 45(4), 625–654. https://doi.org/10.1007/s10964-015-0407-9
12.
BaglivioM. T.WolffK. T.PiqueroA. R.EppsN. (2015). The relationship between adverse childhood experiences (ACE) and juvenile offending trajectories in a juvenile offender sample. Journal of Criminal Justice, 43, 229–241. https://doi.org/10.1016/j.jcrimjus.2015.04.012
13.
BarrettD. E.KatsiyannisA.ZhangD.ZhangD. (2013). Delinquency and recidivism: A multicohort, matched-control study of the role of early adverse experiences, mental health problems, and disabilities. Journal of Emotional and Behavioral Disorders, 22(1), 3–15. https://doi.org/10.1177/1063426612470514
14.
BehnkenM. P.ArredondoD. E.PackmanW. L. (2009). Reduction in recidivism in a juvenile mental health court: A pre-and post-treatment outcome study. Juvenile and Family Court Journal, 60(3), 23–44. https://doi.org/10.1111/j.1755-6988.2009.01030.x
15.
BehnkenM. P.BortA.BorbonM. (2017). Race and gender recidivism differences among juvenile mental health court graduates. Juvenile and Family Court Journal, 68(2), 19–31. https://doi.org/10.1111/jfcj.12092
16.
BlackP. J.WoodworthM.TremblayM.CarpenterT. (2012). A review of trauma-informed treatment for adolescents. Canadian Psychology/Psychologie Canadienne, 53(3), 192–203. https://doi.org/10.1037/a0028441
17.
BransonC. E.BaetzC. L.HorwitzS. M.HoagwoodK. E. (2017). Trauma-informed juvenile justice systems: A systematic review of definitions and core components. Psychological Trauma, 9, 635–646. https://doi.org/10.1037/tra0000255
18.
BrezinaT.TekinE.TopalliV. (2009). “Might not be a tomorrow”: A multimethods approach to anticipated early death and youth crime. Criminology, 47(4), 1091–1129. https://doi.org/10.1111/j.1745-9125.2009.00170.x
19.
BrownS. H.GilmanS. G.GoodmanE. G.Adler-TapiaR.FrengS. (2015). Integrated trauma treatment in drug court: Combining EMDR therapy and seeking safety. Journal of EMDR Practice and Research, 9(3), 123–136. https://doi.org/10.1891/1933-3196.9.3.123
20.
CallahanL.CocozzaJ.SteadmanH. J.TillmanS. (2012). A national survey of U.S. juvenile mental health courts. Psychiatric Services, 63(2), 130–134. https://doi.org/10.1176/appi.ps.201100113
21.
Clements-NolleK.WaddingtonR. (2019). Adverse childhood experiences and psychological distress in juvenile offenders: The protective influence of resilience and youth assets. Journal of Adolescent Health, 64, 49–55. https://doi.org/10.1016/j.jadohealth.2018.09.025
22.
CraigJ. M. (2019). The potential mediating impact of future orientation on the ACE-crime relationship. Youth Violence and Juvenile Justice, 17(2), 111–128. https://doi.org/10.1177/1541204018756470
23.
CraigJ. M.PiqueroA. R.FarringtonD. P.TtofiM. M. (2017). A little early risk goes a long bad way: Adverse childhood experiences and life-course offending in the Cambridge study. Journal of Criminal Justice, 53, 34–45. https://doi.org/10.1016/j.jcrimjus.2017.09.005
24.
CraigJ. M.TrulsonC. R.DeLisiM.CaudillJ. W. (2020). Toward an understanding of the impact of adverse childhood experiences on the recidivism of serious juvenile offenders. American Journal of Criminal Justice, 45(6), 1024–1039. https://doi.org/10.1007/s12103-020-09524-6
25.
CraigJ. M.ZettlerH. R. (2021). Are the effects of adverse childhood experiences on violent recidivism offense-specific?Youth Violence and Juvenile Justice, 19(1), 27–44. https://doi.org/10.1177/1541204020939638
26.
CraigJ. M.ZettlerH. R.WolffK. T.BaglivioM. T. (2019). Considering the mediating effects of drug and alcohol use, mental health, and their co-occurrence on the adverse childhood experiences-recidivism relationship. Youth Violence and Juvenile Justice, 17(3), 219–240. https://doi.org/10.1177/1541204018796910
27.
DavisK. M.Peterson-BadaliM.WeagantB.SkillingT. A. (2015). A process evaluation of Toronto’s first youth mental health court. Canadian Journal of Criminology and Criminal Justice, 57(2), 159–188. https://doi.org/10.3138/CJCCJ.2014.E10
28.
DeVenterM.DemyttenaereK.BruffaertsR. (2013). The relationship between adverse childhood experiences and mental health in adulthood. A systematic literature review. Tijdschrift Voor Psychiatrie, 55, 259–268.
29.
DierkhisingC. B.KoS. J.Woods-JaegerB.BriggsE. C.LeeR.PynoosR. S. (2013). Trauma histories among justice-involved youth: Findings from the National Child Traumatic Stress Network. European Journal of Psychotraumatology, 4, 1–13. https://doi.org/10.3402/ejpt.v4i0.20274
30.
DouglasK. R.ChanG.GelernterJ.AriasA. J.AntonR. F.PolingJ. F.FarrerL.KranzlerH. R. (2011). T-HTTLPR as a potential moderator of the effects of adverse childhood experiences on risk of antisocial personality disorder. Psychiatric Genetics, 21, 240–248. https://doi.org/10.1097/YPG.0b013e3283457c15
31.
FelittiV. J.AndaR. F.NordenbergD.WilliamsonD. F.SpitzA.EdwardsV.KossM. P.MarksJ. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14, 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8
32.
FolkJ. B.KempK.YurasekA.Barr-WalkerJ.Tolou-ShamsM. (2021). Adverse childhood experiences among justice-involved youth: Data-driven recommendations for action using the sequential intercept model. The American Psychologist, 76(2), 268–283. https://doi.org/10.1037/amp0000769
33.
FolkJ. B.RamosL.BathE. P.RosenB.MarshallB. D.KempK.BrownL.ConradS.Tolou-ShamsM. (2021). The prospective impact of adverse childhood experiences on justice-involved youth’s psychiatric symptoms and substance use. Journal of Consulting and Clinical Psychology, 89(6), 483–498. https://doi.org/10.1037/ccp0000655
34.
FoxB.MileyL. N.KortrightK. E.WetsmanR. J. (2021). Assessing the effect of mental health courts on adult and juvenile recidivism: A meta-analysis. American Journal of Criminal Justice, 46, 644–664. https://doi.org/10.1007/s12103-021-09629-6
35.
FoxB. H.PerezN.CassE.BaglivioM. T.EppsN. (2015). Trauma changes everything: Examining the relationship between adverse childhood experiences and serious, violent and chronic juvenile offenders. Child Abuse & Neglect, 46, 163–173. https://doi.org/10.1016/j.chiabu.2015.01.011
36.
GardnerP. (2011). An overview of juvenile mental health courts. ABA Child Law Practice, 30(7), 101–105.
37.
GoldkampJ.Irons-GuynnC. (2000). Emerging judicial strategies for the mentally ill in the criminal caseload: Mental health courts in Fort Lauderdale, Seattle, San Bernadino, and Anchorage (NCJ: 182504). Bureau of Justice Assistance.
38.
GrandeT.HallmanJ.CaldwellK.UnderwoodL. (2011). Using the BASC-2 to assess mental health needs of incarcerated juveniles: Implications for treatment and release. Corrections Today, 73(5), 100–102.
39.
HeilbrunK.GoldsteinN. E. S.DeMatteoD.NewshamR.Gale-BentzE.ColeL.ArnoldS. (2017). The sequential intercept model and juvenile justice: Review and prospectus. Behavioral Sciences & the Law, 35, 319–336. https://doi.org/10.1002/bsl.2291
40.
HeretickD. M.RussellJ. A. (2013). The impact of juvenile mental health court on recidivism among youth. Journal of Juvenile Justice, 3(1), 1–14.
41.
KerigP. K.WardR. M.VanderzeeK. L.MoeddelM. A. (2009). Posttraumatic stress as a mediator of the relationship between trauma and mental health problems among juvenile delinquents. Journal of Youth and Adolescence, 38(9), 1214–1225. https://doi.org/10.1007/s10964-008-9332-5
42.
KowalskiM. A. (2019). Adverse childhood experiences and justice-involved youth: The effect of trauma and programming on different recidivistic outcomes. Youth Violence and Juvenile Justice, 17(4), 354–384. https://doi.org/10.1177/1541204018809836
43.
Logan-GreeneP.TennysonR. L.NuriusP. S.BorjaS. (2017). Adverse childhood experiences, coping resources, and mental health problems among court-involved youth. Child Youth Care Forum, 46, 923–946. https://doi.org/10.1007/s10566-017-9413-2
44.
MeldrumR. C.Campion YoungB.SoorS.HayC.CoppJ. E.TraceM.Smith-DardenJ. P.KernsmithP. D. (2020). Are adverse childhood experiences associated with deficits in self-control?Criminal Justice and Behavior, 47(2), 166–186. https://doi.org/10.1177/0093854819879741
45.
MerrickM. T.PortsK. A.FordD. C.AfifiT. O.GershoffE. T.Grogan-KaylorA. (2017). Unpacking the impact of adverse childhood experiences on adult mental health. Child Abuse & Neglect, 69, 10–19. https://doi.org/10.1016/j.chiabu.2017.03.016
46.
MerskyJ. P.TopitzesJ.ReynoldsA. J. (2013). Impacts of adverse childhood experiences on health, mental health, and substance use in early adulthood: A cohort study of an urban, minority sample in the U.S. Child Abuse and Neglect, 37, 917–925. https://doi.org/10.1016/j.chiabu.2013.07.011
47.
MuellerK. C.CareyM. T.NohK. (2022). Revalidating the Positive Achievement Change Tool (PACT) in a major city: A survival analysis. Crime & Delinquency, 69(13–14), 2678–2698. https://doi.org/00111287221087949
48.
MuirN. M.ViljoenJ. L. (2022). Adverse childhood experiences and recidivism in Indigenous and White female and male adolescents on probation. Child Abuse & Neglect, 126, 105512. https://doi.org/10.1016/j.chiabu.2022.105512
49.
MunetzM. R.GriffinP. A. (2006). Using the sequential intercept model as an approach to decriminalization of people with serious mental illness. Psychiatric Services, 57, 544–549.
50.
NarveyC.YangJ.WolffK. T.BaglivioM.PiqueroA. R. (2021). The interrelationship between empathy and adverse childhood experiences and their impact on juvenile recidivism. Youth Violence and Juvenile Justice, 19(1), 45–67. https://doi.org/10.1177/1541204020939647
51.
PerezN. M.JenningsW. G.BaglivioM. T. (2018). A path to serious, violent, chronic delinquency: The harmful aftermath of adverse childhood experiences. Crime & Delinquency, 64(1), 3–25. https://doi.org/10.1177/0011128716684806
52.
PetrilaJ.PoythressN. G.McGahaA.BoothroydR. A. (2000). Preliminary observations from an evaluation of the Broward County Florida mental health court. Court Review (Fall), 37(4), 20–28. https://digitalcommons.usf.edu/mhlp_facpub/4
53.
PiqueroA. R. (2016). “Take my license n’all that Jive, I can’t see…35”: Little hope for the future encourages offending over time. Justice Quarterly, 33(1), 73–99. https://doi.org/10.1080/07418825.2014.896396
54.
PowellC.StevensS.Lo DolceB.SinclairK. O.Swenson-SmithC. (2012). Outcomes of a trauma-informed Arizona family drug court. Journal of Social Work Practice in the Addictions, 12(3), 219–241. https://doi.org/10.1080/1533256X.2012.702624
55.
RamirezA. M.AndrettaJ. R.BarnesM. E.WoodlandM. H. (2015). Recidivism and psychiatric symptom outcomes in a juvenile mental health court. Juvenile and Family Court Journal, 66(1), 31–46. https://doi.org/10.1111/jfcj.12025
56.
RedlichA. D.SteadmanH. J.MonahanJ.PetrilaJ.GriffinP. A. (2005). The second generation of mental health courts. Psychology, Public Policy and the Law, 11(4), 527–538.
57.
SchillingE. A.AseltineR. H.Jr.GoreS. (2007). Adverse childhood experiences and mental health in young adults: A longitudinal survey. BMC Public Health, 7, 30–39. https://doi.org/10.1186/1471-2458-7-30
58.
SilvermanW. K.OrtizC. D.ViswesvaranC.BurnsB. J.KolkoD. J.PutnamF. W.Amaya-JacksomL. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child & Adolescent Psychology, 37(1), 156–183. https://doi.org/10.1080/15374410701818293
59.
SkowyraK.CocozzaJ. J. (2006). A blueprint for change: Improving the system response to youth with mental health needs involved with the juvenile justice system. National Center for Mental Health and Juvenile Justice.
60.
StataCorp. (2017). Stata Statistical Software: Release 15.
TeplinL. A.AbramK. M.McClellandG. M.DulcanM. K.MericleA. A. (2002). Psychiatric disorders in youth in juvenile detention. Archives of General Psychiatry, 59(12), 1133–1143. https://doi.org/10.1001/archpsyc.59.12.1133
63.
TestaA.TurneyK.JacksonD. B.JaynesC. M. (2022). Police contact and future orientation from adolescence to young adulthood: Findings from the pathways to desistance study. Criminology, 60(2), 263–290. https://doi.org/10.1111/1745-9125.12297
64.
TossoneK.BaughmanM. (2020). Trauma exposure and post-traumatic stress symptoms among men and women in a substance use and mental health treatment court sample. Journal of Offender Rehabilitation, 59(3), 117–137. https://doi.org/10.1080/10509674.2019.1706687
65.
TrulsonC. R.HaerleD. R.CaudillJ. W.DeLisiM. (2016). Lost causes: Blended sentencing, second chances, and the Texas youth commission. University of Texas Press.
66.
TurnerD.WolfA. J.BarraS.MüllerM.Gregório HertzP.HussM.TüscherO.RetzW. (2021). The association between adverse childhood experiences and mental health problems in young offenders. European Child & Adolescent Psychiatry, 30(8), 1195–1207. https://doi.org/10.1007/s00787-020-01608-2
van der KolkB. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.
70.
van der KolkB. A.FislerR. E. (1994). Childhood abuse and neglect and loss of self-regulation. Bulletin of the Menninger Clinic, 58, 145–168.
71.
VaughnM. G.Salas-WrightC. P.HuangJ.QianZ.TerzisL. D.HeltonJ. J. (2017). Adverse childhood experiences among immigrants to the United States. Journal of Interpersonal Violence, 32, 1543–1564. https://doi.org/10.1177/0886260515589568
72.
VincentG. M.GrissoT.TerryA.BanksS. M. (2008). Sex and race differences in mental health symptoms in juvenile justice: The MAYSI-2 national meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 47(3), 282–290. https://doi.org/10.1097/CHI.0b013e318160d516
73.
VitopoulosN. A.Peterson-BadaliM.BrownS.SkillingT. A. (2019). The relationship between trauma, recidivism risk, and reoffending in male and female juvenile offenders. Journal of Child & Adolescent Trauma, 12, 351–364. https://doi.org/10.1007/s40653-018-0238-4
74.
WassermanG. A.McReynoldsL. S.SchwalbeC. S.KeatingJ. M.JonesS. A. (2010). Psychiatric disorder, comorbidity, and suicidal behavior in juvenile justice youth. Criminal Justice and Behavior, 37(12), 1361–1376. https://doi.org/10.1177/0093854810382751
75.
WeberS.LynchS. (2021). Understanding the relations among adverse childhood experiences (ACE), substance use, and reoffending among detained youth. Child Abuse & Neglect, 120, 105211. https://doi.org/10.1016/j.chiabu.2021.105211
76.
Winokur-EarlyK.HandG. A.BlankenshipJ. (2012). Validity and reliability of the Florida Positive Achievement Change Tool (PACT) risk and needs assessment instrument: A three-phase evaluation (validation study, factor analysis, inter-rater reliability). Justice Research Center.
77.
WolffK. T.BaglivioM. T. (2017). Adverse childhood experiences, negative emotionality, and pathways to juvenile recidivism. Crime & Delinquency, 63(12), 1495–1521. https://doi.org/10.1177/0011128715627469
78.
WolffK. T.BaglivioM. T.IntraviaJ. (2022). Adverse childhood experience (ACEs), psychotropic medication prescription, and continued offending among youth with serious offending histories in juvenile justice residential placement. Journal of Criminal Justice, 83, 101922. https://doi.org/10.1016/j.jcrimjus.2022.101922
79.
WolffK. T.BaglivioM. T.PiqueroA. R. (2017). The relationship between adverse childhood experiences and recidivism in a sample of juvenile offenders in community-based treatment. International Journal of Offender Therapy and Comparative Criminology, 61(11), 1210–1242. https://doi.org/10.1177/0306624X15613992
80.
YohrosA. (2023). Examining the relationship between adverse childhood experiences and juvenile recidivism: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 24(3), 1640–1655. https://doi.org/10.1177/15248380211073846
81.
ZettlerH. R. (2021). Much to do about trauma: A systematic review of existing trauma-informed treatments on youth violence and recidivism. Youth Violence and Juvenile Justice, 19(1), 113–134. https://doi.org/10.1177/1541204020939645
82.
ZettlerH. R.WolffK.BaglivioM.CraigJ. M.EppsN. (2018). The racial and gender differences in the impact of adverse childhood experiences on juvenile residential placement. Youth Violence and Juvenile Justice, 16(3), 319–337. https://doi.org/10.1177/1541204017698213
