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Adjudicated Youth, An Issue of Child and Adolescent Psychiatric Clinics, E-Book

Adjudicated Youth, An Issue of Child and Adolescent Psychiatric Clinics, E-Book

Louis Kraus

(2016)

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Book Details

Abstract

A great number of incarcerated youth have diagnosable psychiatric problems and, while in detention, this population experiences events that make them more vulnerable to disorders of mental health. This issue of Child & Adolescent Psychiatric Clinics is edited and authored by psychiatrists expert in working with youth in detention. Topics include Demographics of youth in detention; Mental health screening and assessment; Mental health care of detained youth and solitary confinement and restraint within juvenile detention facilities; Civil and constitutional rights of adjudicated youth;  Community based alternatives to incarceration and assessment and community based planning for probation/community based alternatives;  The role of the child and adolescent psychiatrist in the adjudicatory assessments;  Screening and assessment of detained youth;  Quality of education for youth in the juvenile detention system;  Variety of out-of-home placements for juvenile offenders;  Juvenile sexual offenders;  Sexual exploitation of children in detention;  Transfer from juvenile to adult court:  Which states have the most effective models? ; Competence to stand trial; Firesetting. Clinical vignettes are presented with each topic to exemplify a case of the discussion.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Adjudicated Youth\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
CONSULTING EDITOR EMERITUS iii
FOUNDING CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Preface: Juvenile Delinquency\r vii
Demographics\r vii
Civil and Constitutional Rights of Adjudicated Youth\r vii
Mental Health Screening and Assessment of Detained Youth\r vii
Transfer of Juvenile Cases to Criminal Court\r vii
Juvenile Competency to Stand Trial\r viii
The Role of the Child and Adolescent Psychiatrist in the Adjudicatory Assessment\x0B viii
Mental Health Care of Detained Youth and Solitary Confinement and Restraint Within Juvenile Detention Facilities\r viii
Juvenile Sex Offenders\r ix
Juvenile Firesetting\r ix
Understanding and Responding to the Needs of Commercially Sexually Exploited\rYouth: Recommendations for the Mental Health Provider\r ix
Community-Based Alternatives to Incarceration and Assessment and Community-Based Planning for Probation/Community-Based Alt ... ix
CHILD AND ADOLESCENT\rPSYCHIATRIC CLINICS\r xi
FORTHCOMING ISSUES xi
April 2016 xi
July 2016 xi
October 2016 xi
RECENT ISSUES xi
October 2015 xi
July 2015 xi
April 2015 xi
Preface : Juvenile \rDelinquency xiii
Demographics 1
Key points 1
INTRODUCTION 1
Definition 1
Historical Legislative Trends and Shifts in the Juvenile Justice System 3
THEORIES EXPLAINING DISPROPORTIONATE MINORITY CONTACT 5
Differential Involvement in Crime 5
Differential Selection and Processing in the Juvenile Justice System 6
Differences in policing 7
Judicial discretion 7
Cumulative effects of differential decision making in the juvenile justice system 8
Combined Effects of Differential Involvement in Crime and Differential Selection and Processing in the Juvenile Justice System 8
Psychosocial factors 9
Individual factors 9
Family and community factors 11
Institutional factors 11
IMPLICATIONS 11
INTERVENTIONS 14
RESOURCES 15
REFERENCES 15
Civil and Constitutional Rights of Adjudicated Youth 19
Key points 19
EARLY HISTORY OF JUVENILE JUSTICE 19
The Evolution of the Concept of Childhood and Adolescence 20
THE CREATION OF THE JUVENILE COURT 20
The Doctrine of Parens Patriae and the Rehabilitative Ideal 21
THE WORST OF BOTH WORLDS: ESTABLISHMENT OF MINIMUM DUE PROCESS RIGHTS FOR JUVENILES 21
JUVENILE RIGHTS POST-GAULT 22
The Juvenile Justice Delinquency Prevention Act and the Rise of the Superpredator 23
Age Matters: Recent Supreme Court Decisions Regarding Juvenile Rights 24
GAPS IN CONSTITUTIONAL PROTECTIONS: THE CASE OF THE STATUS OFFENDER 24
SUMMARY 25
REFERENCES 25
Mental Health Screening and Assessment of Detained Youth 27
Key points 27
JUVENILE REHABILITATION 27
FEDERAL RESPONSE TO JUVENILES 28
WHY INVEST IN JUVENILES? 28
SCREENING VERSUS ASSESSMENT 28
SCREENING INSTRUMENTS 29
SCREENING AND ASSESSMENT 29
DEVELOPMENTAL AND SOCIAL HISTORY 30
GENERAL PSYCHIATRIC ASSESSMENT 31
SUICIDE RISK 32
VIOLENCE RISK 33
TRAUMA AND CHILD MALTREATMENT 34
SUBSTANCE USE 34
SPECIAL EDUCATION 35
MEDICAL/DENTAL 35
SEXUAL ORIENTATION/IDENTITY 36
FUTURE DIRECTIONS 36
REFERENCES 36
Transfer of Juvenile Cases to Criminal Court 41
Key points 41
MODERN HISTORY OF CHILDREN 41
JUVENILE COURT 42
METHODS OF TRANSFER 42
RECENT TRENDS 43
ADOLESCENT DEVELOPMENT 43
FORENSIC EVALUATION FOR JUVENILE TRANSFERS TO CRIMINAL COURT 44
REFERENCES 46
Juvenile Competency to Stand Trial 49
Key points 49
CORRELATES OF COMPETENCY TO STAND TRIAL IN JUVENILE OFFENDERS 53
Competency to Stand Trial and Mental Illness 53
Competency to Stand Trial and Age 53
Cognitive Deficits/Learning Disabilities and Competency to Stand Trial 54
MEASUREMENTS 54
MacArthur Competence Assessment Tool-Criminal Adjudication 55
The Fitness Interview Test-Revised Assesses Understanding, Appreciation, and Communication 55
The Juvenile Adjudicative Competence Interview 55
The Competence Assessment for Standing Trial for Defendants with Mental Retardation 56
COMPETENCY RESTORATION 56
REFERENCES 57
The Role of the Child and Adolescent Psychiatrist in the Adjudicatory Assessment 61
Key points 61
INTRODUCTION 61
KEY COMPONENTS OF ADJUDICATORY ASSESSMENTS 62
Clinical Needs and Diagnostic Assessment 62
Risk Assessment for Future Offending 63
Amenability to Treatment 64
Risk Management and Treatment Recommendations 64
CLINICAL PEARLS AND PRACTICE GUIDELINES 65
Scope of Assessment and Evaluator’s Role 65
Communication of Risk 65
Psychopathy 66
SUMMARY 66
ACKNOWLEDGMENTS 66
REFERENCES 67
Mental Health Care of Detained Youth and Solitary Confinement and Restraint Within Juvenile Detention Facilities 71
Key points 71
INTRODUCTION 71
PRINCIPLES OF ADJUDICATED YOUTH MENTAL HEALTH TREATMENT 72
TRAUMA ISSUES IN JUVENILE JUSTICE 73
CRISIS MANAGEMENT OF YOUTH IN DETENTION CENTERS 74
DISORDERS COMMONLY ASSOCIATED WITH DELINQUENT YOUTH 75
MEDICATION MANAGEMENT 77
SECLUSION, ISOLATION, AND SOLITARY CONFINEMENT 77
REFERENCES 78
Juvenile Sex Offenders 81
Key points 81
SCOPE OF THE PROBLEM AND DEFINITIONS 81
WHAT CAUSES JUVENILE SEXUAL OFFENDING? 82
RISK FACTORS FOR JUVENILE SEXUAL OFFENDING 83
Pedophilia 84
Voyeurism 84
Exhibitionism 84
Frotteurism 84
Sexual masochism 84
Sexual sadism 84
Fetishism 84
Transvestism 84
Zoophilia 84
Coprohilia 85
Urophilia 85
Necrophilia 85
Klismaphilia 85
Telephone scatologia 85
Vignette 1 86
Vignette 2 86
PSYCHIATRIC EVALUATION AND PSYCHOPATHOLOGY 88
FEMALE JUVENILE SEX OFFENDERS 89
TESTING AND USE OF STRUCTURED INSTRUMENTS 89
TREATMENT 90
Pharmacologic Treatment 92
REFERENCES 93
Juvenile Firesetting 99
Key points 99
INTRODUCTION 99
DEVELOPMENT OF FIRESETTING 99
SAFETY AND STATISTICS 100
RISK FACTORS FOR JUVENILE FIRESETTING 100
RECIDIVISM 101
TREATMENT 102
Cognitive Behavior Therapy–Based Intervention Programs 102
Pharmacotherapy 102
Community Agency–Based Interventions 103
Satiation 103
Clinician Resources 103
FORENSIC ASPECTS 104
DISCUSSION 104
REFERENCES 104
Understanding and Responding to the Needs of Commercially Sexually Exploited Youth 107
Key points 107
INTRODUCTION 108
DEFINING COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN 108
The Trafficking Victims Protection Act of 2000 and “Safe Harbor” Protections for Commercially Sexually Exploited Youth 109
Risk Factors Contributing to Vulnerability to Commercial Sexual Exploitation of Children 109
RECRUITMENT AND ENTRAPMENT TECHNIQUES USED BY TRAFFICKERS 111
Domestic Recruitment 112
International Recruitment 112
THE PSYCHIATRIC INTERVIEW AND POTENTIAL CHALLENGES 113
IDENTIFICATION OF COMMERCIALLY SEXUALLY EXPLOITED YOUTH 113
MENTAL HEALTH IMPLICATIONS OF COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN 115
PHYSICAL HEALTH IMPLICATIONS OF COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN 115
TREATMENT OPTIONS AND APPROACHES 116
General Principles Include Using a Multidisciplinary Approach and Trauma-Informed Care 117
Evidence-based Treatment of Symptoms Associated with Commercial Sexual Exploitation of Children 117
Programmatic Interventions 118
ADDITIONAL RESOURCES FOR PROVIDERS 118
SUMMARY 119
REFERENCES 119
Community-Based Alternatives to Incarceration and Assessment and Community-Based Planning for Probation/Community-Based Alt ... 123
Key points 123
BACKGROUND 123
Evidence-Based Psychosocial Treatments 124
FUNCTIONAL FAMILY THERAPY 125
Functional Family Parole: Combining Functional Family Therapy with Probation Supervision 125
MULTIDIMENSIONAL TREATMENT FOSTER CARE, ALSO KNOWN AS TREATMENT FOSTER CARE OREGON 125
MULTISYSTEMIC THERAPY 125
Mutisystemic Therapy Adaptations 126
MULTIDIMENSIONAL FAMILY THERAPY 126
Multidimensional Family Therapy: Detention to Community 126
SUMMARY 127
REFERENCES 127
Index 129