Costs of juvenile violence: Policy implications

Citation
Tr. Miller et al., Costs of juvenile violence: Policy implications, PEDIATRICS, 107(1), 2001, pp. NIL_18-NIL_24
Citations number
29
Categorie Soggetti
Pediatrics,"Medical Research General Topics
Journal title
PEDIATRICS
ISSN journal
00314005 → ACNP
Volume
107
Issue
1
Year of publication
2001
Pages
NIL_18 - NIL_24
Database
ISI
SICI code
0031-4005(200101)107:1<NIL_18:COJVPI>2.0.ZU;2-B
Abstract
Objective. Violence involving children has been one of the least documented areas of violent crime. The purpose of this study was to develop cost esti mates to assess the magnitude of juvenile violence in Pennsylvania in terms of both victimizations and perpetrators. Our study is the first to address 4 critical questions. First, how large a share of violence is juvenile vio lence? Second, is the juvenile violence problem primarily a problem of viol ence by juveniles or of violence against juveniles? Third, is the juvenile violence pattern different in urban and rural areas? Fourth, does the publi c spend more on victims or on perpetrators of juvenile violence? Methods. Archival data on the number of violent crimes committed in the sta te in 1993 were used and adjusted for underreporting. The incidence of juve nile violence has 2 dimensions: 1) juvenile perpetrator violence, which con sists of violent crimes committed by juveniles regardless of victim age; an d 2) juvenile victim violence, which includes violent crimes committed agai nst juveniles regardless of perpetrator age. Cost estimates were developed to reflect the costs incurred by society for both victims and perpetrators. Two major categories of costs were computed: 1) victimization costs and 2) perpetrator costs. Victimization costs of juvenile violence include the costs related to victi ms of both juvenile perpetrator violence and juvenile victim violence. Thes e costs were computed in 5 categories: 1) medical care costs, 2) future ear nings losses, 3) public program costs, 4) property damage and losses, and 5 ) quality of life losses. Victim costs per violent crime were adapted from national estimates that we broke down by rural/urban location and by victim age. National estimates were multiplied times price and wage adjusters for Pennsylvania. We applied a 2.5% discount rate to adjust future losses exte nding beyond a year (eg, future work loss, quality of life losses) to their present value. Perpetrator costs of juvenile crime included the expenditures for juvenile offenders who committed violent crimes against other juveniles and adults. The costs associated with adult perpetrators of violent crimes against juve niles were not studied. The major elements of perpetrator costs were: 1) pr obation costs, 2) detention costs, 3) residential treatment program costs, 4) alternative placement costs, and 5) incarceration costs. Results. In 1993, there were 63 500 cases of violence by juveniles against other juveniles, 30 400 cases of violence by juveniles against adults, and 31 300 cases of adult violence against juveniles. Nearly 9 of 10 violent cr imes committed by juveniles and 7 of 10 violent crimes committed against ju veniles involved rape or assault. Of the 377 000 estimated violent crimes o verall committed in Pennsylvania in 1993, juveniles were 25% of both perpet rators and victims. For most violent crimes, the largest contributors to national estimates of average total costs per victim were quality of life losses followed by futu re earnings losses. The absolute level of quality of life and future earnin gs losses, however, varied considerably across crimes. The quality of life and future earnings losses related to murder and rape were larger for juven ile victims than for adult victims because juveniles suffer larger producti vity losses because of their longer expected work lives. Victim age was als o related to differences in medical care costs of rape victims because of h igher average mental health treatment costs for the juvenile victims. Estimated total victim costs of all violent crime in Pennsylvania in 1993 e xceeded $11.6 billion. Of this total, juvenile violence accounted for $5.4 billion of victim costs (47%). Quality of life losses accounted for 83% of total victim costs and future earnings losses accounted for 11%. Including Medicare and Medicaid costs, public programs targeted toward the victims of juvenile violence cost an estimated $42 million. The victim costs of viole nce against juveniles ($4.5 billion) greatly exceeded the victim costs of v iolence by juveniles ($2.6 billion). Most juvenile violence occurred in the urban counties of the state, which t ogether accounted for >72% and nearly 71% of the total violent crimes commi tted by juveniles and against juveniles, respectively. As with the incidenc e of violent crime, victim costs were higher in urban counties than in rura l ones ($4.0 billion vs $1.4 billion), accounting for nearly 75% of total v ictim costs. In both urban and rural counties, the largest share of victim costs of juvenile violence was for crimes by adults against juveniles; the smallest share was for violent crimes by juveniles against adults. Several violent crimes-rape, assault, and robbery-were more likely to result in phy sical injury when committed in rural areas. The estimated total criminal justice costs for perpetrators of juvenile vio lence in Pennsylvania exceeded $46 million in 1993. Juvenile treatment prog ram costs accounted for 55% of total perpetrator costs, and probation costs and detention costs similar to 20% each. Incarceration costs, although lar ge per unit, accounted for only 6% of total costs. Total public spending on victims and perpetrators of juvenile violence was approximately equal. On a per capita basis, however, spending per known per petrator was nearly 5 times greater than spending per known victim. Conclusions. Contrary to recent concerns over rates of violence among juven iles, the results of this study suggest that violence against children and adolescents is a much larger problem than is violence committed by youth. A lthough incidence data suggest that juveniles are 25% of both victims and p erpetrators, our cost estimates show that because of differences in the dis tributions of youth and adult victims across crimes and the impacts on vict ims, greater losses are associated with violence against youth than with vi olence by youth. Although the analysis presented here is based on data from 1993 (when juvenile violence peaked), recently published national crime an d injury data suggest that our findings regarding juvenile victim versus ju venile perpetrator violence continue to hold. The finding that total public spending on victims of juvenile violence roug hly equals total spending on juvenile perpetrators of violence is both nove l and provocative. Public debate is needed about whether equity in expendit ures on victims versus perpetrators is appropriate, as well as the extent t o which resources should be directed toward prevention programs (which are not costed here).