Emotional disorders in young offenders

Problem: To estimate rates of emotional disorder in the Maryland juvenile j ustice system as a guide for planning and policy, efforts. Methods: In this cross-sectional study, psychopathology and level of functi oning in a random sample of 312 committed and detained youth (60 females, 2 52 males) were assessed. Youth diagnostically, classified met criteria for mental disorder using the Diagnostic Interview Schedule for Children (DISC) combined with a cut-off score (60 or below) on the Child Global Assessment Scale (CGAS), as established by the National Institute of Mental Health (N IMH). Findings: Fifty-three percent were classified with diagnosable mental disor ders on the DISC, but were above the cut-off scores on the CGAS. Forty-six percent met criteria for diagnosis and low functioning. Twenty-six Percent of youth indicated need for immediate mental health services. Fourteen perc ent with serious mental disorders and substantial functional impairment wer e in need of a highly restrictive environment as determined by the severity of their offenses. Conclusions: The number of youth in the Maryland juvenile justice System in need of mental health services indicates a need to examine treatment optio ns that meet the requirements for security, and treatment. The complexity o f problems found in this sample indicates the need for collaborative effort s between mental health and juvenile justice personnel in planning for the immediate and future needs of these youth.