Effective systems of care for youth with emotional disorders require shared
values among stakeholders toward a variety of mental health issues. Juveni
le courts represent one stakeholder group whose values can affect the deliv
ery of services to young offenders with or at risk of emotional disturbance
s. This research uses statewide data from Tennessee to assess the mental he
alth orientation (MHO) of juvenile courts, their use of treatment options f
or offenders, and whether MHO influences the treatment referral decision. R
esults show that courts have a positive MHO, but this subjective orientatio
n does not correspond to higher treatment referral rates. Moreover, service
referrals are at a considerably lower rate than estimates of need for this
population of youth would predict. While positive MHO suggests a basis for
nurturing the shared vision required for effective systems of care, other
factors must be considered to account for courts' underutilization of treat
ment options for juvenile offenders.