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Research ArticleRegular Article

Predictors of Detention Among Juveniles Referred for a Court Clinic Forensic Evaluation

Marina Tolou-Shams, Christie J. Rizzo, Selby M. Conrad, Sarah Johnson, Cassandra Oliveira and Larry K. Brown
Journal of the American Academy of Psychiatry and the Law Online March 2014, 42 (1) 56-65;
Marina Tolou-Shams
Dr. Tolou-Shams is Assistant Professor (Research), Dr. Rizzo is Assistant Professor (Research) and Dr. Brown is Professor, Warren Alpert Medical School of Brown University, Providence, RI. Dr. Tolou-Shams, Dr. Rizzo and Dr. Conrad are Staff Psychologists, Bradley Hasbro Children's Research Center, Rhode Island Hospital, Providence, RI. Ms. Johnson is a graduate student, Bouve College of Health Sciences Graduate School, Northeastern University, Boston, MA. Ms. Oliviera is a graduate student, MCPHS University, Worcester, MA. Dr. Brown is Director of Child, Adolescent and Young Adult Psychiatry Research, Department of Psychiatry, Rhode Island Hospital, Providence, RI.
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Christie J. Rizzo
Dr. Tolou-Shams is Assistant Professor (Research), Dr. Rizzo is Assistant Professor (Research) and Dr. Brown is Professor, Warren Alpert Medical School of Brown University, Providence, RI. Dr. Tolou-Shams, Dr. Rizzo and Dr. Conrad are Staff Psychologists, Bradley Hasbro Children's Research Center, Rhode Island Hospital, Providence, RI. Ms. Johnson is a graduate student, Bouve College of Health Sciences Graduate School, Northeastern University, Boston, MA. Ms. Oliviera is a graduate student, MCPHS University, Worcester, MA. Dr. Brown is Director of Child, Adolescent and Young Adult Psychiatry Research, Department of Psychiatry, Rhode Island Hospital, Providence, RI.
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Selby M. Conrad
Dr. Tolou-Shams is Assistant Professor (Research), Dr. Rizzo is Assistant Professor (Research) and Dr. Brown is Professor, Warren Alpert Medical School of Brown University, Providence, RI. Dr. Tolou-Shams, Dr. Rizzo and Dr. Conrad are Staff Psychologists, Bradley Hasbro Children's Research Center, Rhode Island Hospital, Providence, RI. Ms. Johnson is a graduate student, Bouve College of Health Sciences Graduate School, Northeastern University, Boston, MA. Ms. Oliviera is a graduate student, MCPHS University, Worcester, MA. Dr. Brown is Director of Child, Adolescent and Young Adult Psychiatry Research, Department of Psychiatry, Rhode Island Hospital, Providence, RI.
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Sarah Johnson
Dr. Tolou-Shams is Assistant Professor (Research), Dr. Rizzo is Assistant Professor (Research) and Dr. Brown is Professor, Warren Alpert Medical School of Brown University, Providence, RI. Dr. Tolou-Shams, Dr. Rizzo and Dr. Conrad are Staff Psychologists, Bradley Hasbro Children's Research Center, Rhode Island Hospital, Providence, RI. Ms. Johnson is a graduate student, Bouve College of Health Sciences Graduate School, Northeastern University, Boston, MA. Ms. Oliviera is a graduate student, MCPHS University, Worcester, MA. Dr. Brown is Director of Child, Adolescent and Young Adult Psychiatry Research, Department of Psychiatry, Rhode Island Hospital, Providence, RI.
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Cassandra Oliveira
Dr. Tolou-Shams is Assistant Professor (Research), Dr. Rizzo is Assistant Professor (Research) and Dr. Brown is Professor, Warren Alpert Medical School of Brown University, Providence, RI. Dr. Tolou-Shams, Dr. Rizzo and Dr. Conrad are Staff Psychologists, Bradley Hasbro Children's Research Center, Rhode Island Hospital, Providence, RI. Ms. Johnson is a graduate student, Bouve College of Health Sciences Graduate School, Northeastern University, Boston, MA. Ms. Oliviera is a graduate student, MCPHS University, Worcester, MA. Dr. Brown is Director of Child, Adolescent and Young Adult Psychiatry Research, Department of Psychiatry, Rhode Island Hospital, Providence, RI.
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Larry K. Brown
Dr. Tolou-Shams is Assistant Professor (Research), Dr. Rizzo is Assistant Professor (Research) and Dr. Brown is Professor, Warren Alpert Medical School of Brown University, Providence, RI. Dr. Tolou-Shams, Dr. Rizzo and Dr. Conrad are Staff Psychologists, Bradley Hasbro Children's Research Center, Rhode Island Hospital, Providence, RI. Ms. Johnson is a graduate student, Bouve College of Health Sciences Graduate School, Northeastern University, Boston, MA. Ms. Oliviera is a graduate student, MCPHS University, Worcester, MA. Dr. Brown is Director of Child, Adolescent and Young Adult Psychiatry Research, Department of Psychiatry, Rhode Island Hospital, Providence, RI.
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    Figure 1.

    Rates of primary Axis I diagnoses given at the time of the court clinic evaluation (n = 337).

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    Table 1.

    Baseline Comparisons of First-Time and Repeat Offending Juveniles

    Repeat (n = 111) n (%)First Time (n = 287) n (%)χ2p
    Demographics
        Gender (% male)67 (60)169 (59)0.0779
        Out of home (% yes)17 (15)18 (6)8.10.004
        Race/ethnicity (% minority)39 (35)102 (36)0.006.94
        Health insurance (% yes)91 (82)249 (87)1.47.23
    Legal factors
        Offense type at evaluation (% criminal)62 (56)63 (22)42.71<.0001
    Psychiatric factors
        History of inpatient hospitalization26 (24)26 (9)14.24<.0001
        History of mental health treatment85 (77)153 (55)17.00<.0001
        Any diagnosis (% yes)97 (87)254 (89)0.1076
        Primary externalizing diagnosis50 (45)102 (36)3.0608
        Dual diagnosis39 (40)47 (19)17.87<.0001
    • n = 398. This information was missing in the records of six juveniles in the database (N = 404).

    • View popup
    Table 2.

    Baseline Comparisons of Detained and Nondetained Juveniles

    Detained (n = 82) n (%)Nondetained (n = 322) n (%)χ2p
    Demographics
        Gender (% male)63 (77)178 (55)12.61<.0001
        Out of home (% yes)14 (17)21 (7)9.07.003
        Race/ethnicity (% minority)31 (38)113 (35)0.21.65
        Health insurance (% yes)70 (85)273 (85)0.02.90
    Legal factors
        First time offender (% yes)39 (48)248 (78)29.04<.0001
        Prior status offender (% yes)27 (34)50 (16)12.78<.0001
        Prior criminal offender (% yes)29 (36)30 (10)34.97<.0001
    Psychiatric factors
        History of inpatient hospitalization18 (23)35 (11)7.62.006
        History of mental health treatment54 (68)187 (60)1.620.20
        Any diagnosis (% yes)69 (84)284 (88)0.970.32
        Primary externalizing diagnosis33 (40)121 (38)0.200.66
        Dual diagnosis38 (55)48 (17)43.89<.0001
    • N = 404.

    • View popup
    Table 3.

    Prospective Predictors of Juvenile Detention Within 12 Months

    VariablesβS.E.WaldOdds Ratio
    Demographics
        Age0.04 (0.33)0.12 (0.09)0.11 (13.88)1.04 (1.39***)
        Gender0.88 (0.99)0.34 (0.29)60.61 (12.01)2.42** (2.68***)
        Out-of-home0.31 (1.08)0.58 (0.37)0.29 (8.44)1.37 (2.93*)
        Race and ethnicity0.27 (0.12)0.33 (0.26)0.67 (0.21)1.31 (1.12)
    Legal history
        Prior status offender0.69 (0.99)0.37 (0.28)3.44 (12.19)2.00 (2.68***)
        Prior criminal offender1.10 (1.67)0.40 (0.30)7.70 (3.61)3.01** (5.31***)
    Psychiatric factors
        Prior inpatient hospitalization0.68 (0.87)0.42 (0.32)2.62 (70.30)1.98 (2.40**)
        Disruptive behavior disorder−0.21 (0.11)0.32 (0.25)0.42 (0.20)0.81 (1.12)
        Dual diagnosis1.76 (1.80)0.49 (0.29)12.90 (38.57)5.83*** (6.03***)
        Number of diagnoses−0.21 (0.31)0.23 (0.12)0.79 (6.69)0.81 (1.36**)
    • n = 336; 68 cases were missing due to the listwise deletion inherent in least regression procedures. Data in parentheses represent unadjusted statistics.

    • ↵* p < .05;

    • ↵** p < .01;

    • ↵*** p < .0001.

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Journal of the American Academy of Psychiatry and the Law Online: 42 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 42, Issue 1
1 Mar 2014
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Predictors of Detention Among Juveniles Referred for a Court Clinic Forensic Evaluation
Marina Tolou-Shams, Christie J. Rizzo, Selby M. Conrad, Sarah Johnson, Cassandra Oliveira, Larry K. Brown
Journal of the American Academy of Psychiatry and the Law Online Mar 2014, 42 (1) 56-65;

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Predictors of Detention Among Juveniles Referred for a Court Clinic Forensic Evaluation
Marina Tolou-Shams, Christie J. Rizzo, Selby M. Conrad, Sarah Johnson, Cassandra Oliveira, Larry K. Brown
Journal of the American Academy of Psychiatry and the Law Online Mar 2014, 42 (1) 56-65;
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