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Racial/ethnic disparities in prior mental health service use among incarcerated adolescents

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  • Lee, Lewis Hyukseung
  • Goodkind, Sara
  • Shook, Jeffrey J.

Abstract

Research on racial and ethnic disparities in mental health and substance abuse service use among incarcerated youth in the U.S. is inconclusive. This cross-sectional study adds to our understanding of racial and ethnic disparities by examining the prior use of mental health and substance abuse services among incarcerated juveniles. Guided by Andersen's behavioral model of health service utilization, a series of logistic regression analyses were conducted on a non-probability sample of 13–19year-old youth in two residential facilities for juvenile offenders in Western Pennsylvania (N=181). Black and Hispanic youth were less likely than White youth to have used mental health and substance abuse services, even when controlling for predisposing, enabling, and need factors. Additional analyses revealed that these differences did not hold across all service types, specifically with regards to outpatient service use. Significant differences did exist, however, in the prior use of inpatient mental health and substance abuse services. This suggests that White youth are often funneled into the mental health system, while youth of color enter the justice system. Implications for racial/ethnic disproportionality in service use and justice system involvement are discussed.

Suggested Citation

  • Lee, Lewis Hyukseung & Goodkind, Sara & Shook, Jeffrey J., 2017. "Racial/ethnic disparities in prior mental health service use among incarcerated adolescents," Children and Youth Services Review, Elsevier, vol. 78(C), pages 23-31.
    • Handle: RePEc:eee:cysrev:v:78:y:2017:i:c:p:23-31
    DOI: 10.1016/j.childyouth.2017.04.019
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    References listed on IDEAS

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    1. Teplin, L.A. & Abram, K.M. & McClelland, G.M. & Washburn, J.J. & Pikus, A.K., 2005. "Detecting mental disorder in juvenile detainees: Who receives services," American Journal of Public Health, American Public Health Association, vol. 95(10), pages 1773-1780.
    2. Welty, L.J. & Harrison, A.J. & Abram, K.M. & Olson, N.D. & Aaby, D.A. & McCoy, K.P. & Washburn, J.J. & Teplin, L.A., 2016. "Health disparities in drug- and alcohol-use disorders: A 12-year longitudinal study of youths after detention," American Journal of Public Health, American Public Health Association, vol. 106(5), pages 872-880.
    3. Ryan, Joseph P. & Herz, Denise & Hernandez, Pedro M. & Marshall, Jane Marie, 2007. "Maltreatment and delinquency: Investigating child welfare bias in juvenile justice processing," Children and Youth Services Review, Elsevier, vol. 29(8), pages 1035-1050, August.
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    Cited by:

    1. Kim, Minseop & Garcia, Antonio R. & Lee, Lewis H., 2021. "Dual system youth: Subsequent system re-entry after receiving mental health services," Children and Youth Services Review, Elsevier, vol. 127(C).
    2. Durrell M. Washington & Toyan Harper & Alizé B. Hill & Lester J. Kern, 2021. "Achieving Juvenile Justice through Abolition: A Critical Review of Social Work’s Role in Shaping the Juvenile Legal System and Steps toward Achieving an Antiracist Future," Social Sciences, MDPI, vol. 10(6), pages 1-17, June.

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