Indiana Juvenile Justice Task Force, Inc.
Sunday, June 17, 2012
Raising Awareness. Restoring Hope. Making a Difference.

Mental Health Assessment Report

Please Note that the following research was publicly funded.  Anyone is free to use this information, but we do ask that you notify us of how you have used this information.  Thank you.

Indiana Juvenile Justice Task Force, Inc.

 

Indiana Juvenile Detention Mental Health and Substance Use Assessment Project

 

 

William N. Glick, Executive Director

 

Mistie Morales, Project Statistician

 

 

Key Findings Nationally

 

 

 

 

***High rates of mental disorder, substance abuse, and multiple co-occurring disorders have been consistently reported among youth incarcerated in juvenile facilities.  Especially prevalent are anxiety disorders, including post-traumatic stress, mood disorders, psychotic symptoms, and disruptive behavior disorders.  In

Maryland, 19% of incarcerated youth reported suicidal ideations; in Virginia, 13% of securely detained youth were on suicide watch.

***An Abt Associates study conducted nationwide in 1994 found that 74% of youth in 95 public and private juvenile facilities reported mental health problems during screening.

***This same study found that 57% of the youth reported previous treatment for mental health problems.

***Studies have previously been conducted in Maryland, Virginia, Georgia, and South Carolina.  The methodologies vary, but the findings were similar: between 56% and 77% of the youth met the criteria for at least one mental health or substance abuse disorder.

***In all studies, rates of mental health/substance abuse disorder far exceeded those in the general population, i.e., under 25%.  In some studies, the rates even exceeded those found in youth in community mental health treatment settings.  In South Carolina, 60% of youth in the community mental health system met the criteria for a mental disorder, while 72% of the youth in Department of Juvenile Justice facilities met the criteria for at least one mental disorder.

 

The Indiana Juvenile Detention Mental health and Substance use Assessment Use Project was designed to produce an assessment package that could be readily implemented and analyzed so as to determine the status and treatment needs of youth in detention throughout the state.  The Project utilized the Personality Inventory for Youth (PIY; with permission of the Western Psychological Services), an adaptation of the Youth Risk Behavior Survey, and a proprietary demographic survey.  All respondents remained anonymous to the investigators to help ensure confidentiality and validity.

Statistical Breakdown to Key Elements of the Assessment Process

 Total number of respondents: 359; 264 or 74% Males; 95 or 26% Females 

Age Range:  From 8 to 19 years old; 52% of all participants were either 16 or 17

No Answer:                  1

8 years old:                   1

10 years old:                 1

11 years old:                 4

12 years old:                 11

13 years old:                 23

14 years old:                 47

15 years old:                 66

16 years old:                 93

17 years old:                 95

18 years old:                 14

19 years old:                 3

Breakdown by grade in school:  45% of all participants were in Grades 9 or 10

No Answer:                  22

Grade 5:                       2

Grade 6:                       11

Grade 7:                       36

Grade 8:                       45

Grade 9:                       80

Grade 10:                     81

Grade 11:                     50

Grade 12:                     31

Above 12:                    1

Breakdown by Ethnicity

White:                          223 or 62%

Black:                           88 or 25%

Hispanic:                      17 or 5%

Native American           4 or 1%

Asian:                           1 or 1%

Other:                           26 or 7%

 

Breakdown by County (based on location of Center, not geographic home of resident) 

 

County

Total Number of Participants

Percent of Total

Allen

31

9%

Bartholomew

31

9%

Clark

20

6%

Dearborn

22

6%

Elkhart

29

8%

Grant

14

4%

Hamilton

23

6%

Henry

21

6%

Howard

20

6%

Johnson

24

7%

Lake

59

16%

LaPorte

23

6%

Marion

42

12%

 

 

Key Findings Regarding Alcohol and Drug Use

Survey adapted from the Youth Risk Behavior Survey

 

 

Number of possible respondents = 359

Question 3: Have you ever used alcohol or other illegal drugs?

Answers: 295, or 82%, answered Yes.

Conclusion: Use of alcohol or other illegal drugs is widespread among detention center residents.

Question 6: In the 30 days before you came into the detention center, about how many days did you drink alcohol?

Answers: 173, or 48%, denied drinking alcohol; 113, or 31%, drank 1-5 days;

55, or 15%, drank 6 or more days; 17, or 5%, reported drinking daily.

Conclusion: 20% of detention center residents in the sample meet commonly accepted criteria for alcohol abuse, dependence, or addiction.

Question 7: In the 30 days before you came into the detention center, how many days did you use illegal or illicit drugs?

Answers: 150, or 42%, denied any drug use; 80, or 22%, used drugs 1-5 days; 38, or 11%, used drugs 6 or more days; 90, or 25%, reported daily drug use.

Conclusion: 36% of detention center residents in the sample meet commonly accepted criteria for drug abuse, dependence, or addiction.

Question 8: Have you ever been drunk or under the influence of drugs while committing a crime?

Answers: 171, or 48%, answered Yes.

Conclusion: Nearly half of detention center residents in the sample committed crimes while under the influence of alcohol or other drugs.

Question 9: Have you ever been drunk or under the influence of drugs while at school?

Answers: 203, or 57%, answered Yes.

Conclusion: A majority of detention center residents in the sample have compromised their ability to function in an educational setting due to being under the influence of alcohol or other drugs.

Question 11: Have you ever carried a gun while you were drunk or under the influence of drugs?

Answers: 97, or 27%, answered Yes.

Conclusion: More than a quarter of detention center residents in the sample have carried a lethal weapon while under the influence of alcohol or other drugs.

Question 20: If you used alcohol or drugs regularly, how much money did you spend every week on alcohol or drugs?

Answers: 95, or 26%, stated that they never spent money, but got drugs from friends; 88, or 25%, spent up to $20 per week; 44, or 12%, spent between $20-$50 per week; 59, or 16%, spent $50 or more per week.

Conclusion: More than a quarter of the detention center residents in the sample spent over $20 per week on drugs.

 

 

Question 32: What is your lifetime frequency of marijuana use?

Answers: 58, or 16%, denied ever using marijuana; 84, or 23%, reported using marijuana up to 20 times; 22, or 6%, reported using marijuana from 20 up to 50 times; 84, or 23%, reported using marijuana more than 50 times; 107, or 30%, reported daily use of marijuana for any three month period before coming into detention.

Conclusion: Almost one-quarter of the detention center residents in the sample meet commonly accepted criteria for cannabis abuse, while 30% meet commonly accepted criteria for cannabis dependence.

Question 33: What was your age of first use of marijuana?

Answers: 26, or 7%, reported first use of marijuana by 8 years of age; 51, or 14%, reported first use by age 9 or 10; 78, or 21%, reported first use by age 11 or 12; 109, or 30%, reported first use by age 13 or 14; 37, or 10%, reported first use at age 15 or 16; while only one youth reported first use of marijuana at age 17 or older.

Conclusion: In this sample of detention center residents, first use of marijuana occurred at an early age, with 155 of 309 youth, or 50%, reporting first use in childhood; all residents but one had their first experience with marijuana by age 16.  

Question 36: What is your lifetime experience with cocaine (inc. powder, crack, or freebase)?

Answers: 238, or 66%, denied ever using cocaine; 34, or 9% reported using 1-2 times; 34, or 9%, reported using 3-10 times; 19, or 5%, reported using 10-20 times; 12, or 3%, reported using 21-50 times; 17, or 5%, reported using more than 50 times.

Conclusion: Two-thirds of the sample denied ever having used cocaine; of those who had ever used, 15% had used cocaine more than 50 times. It can be surmised that the frequent cocaine users might meet the commonly accepted criteria for cocaine abuse or dependence.

Question 44: What is your lifetime experience with amphetamines or methamphetamines (inc. speed, crystal, crystal meth, crank, or ice)?

Answers: 251, or 70%, denied ever using amphetamines or methamphetamines;

34, or 9%, reported using 1-2 times; 25, or 7%, reported using 3-10 times; 19, or 5%, reported using 10-20 times; 10, or 3%, reported using 21-50 times; 14, or 4%, reported using more than 50 times.

Conclusion: More than two-thirds of the sample denied ever using amphetamines or methamphetamines; of those who had ever used, 14% had used these drugs more than 50 times. It can be surmised that the frequent users might meet the commonly accepted criteria for amphetamine abuse or dependence.

Question 45: What was your age of first use of amphetamines or methamphetamines?

Answers: Of those who reported use, 1 reported first use at less than 8 years of age; 4 reported first use at age 9 or 10; 7 reported first use at age 11 or 12; 35 reported first use at age 13 or 14; 49 reported first use at age 15 or 16; 4 reported first use at age 17 or older.

Conclusion: In this sample of detention center residents who reported use of amphetamines, 84 out of a hundred, or 84% were introduced to the drug between ages 13 and 16.

Question 48: What is your lifetime experience with “Ecstasy?” (inc. Rohypnol, RHP, or other “date rape” drugs)

Answers: 278, or 77%, denied ever using “Ecstasy” or similar drugs.

Conclusion: 81, or 23% of this sample, reported use of “Ecstasy.” This is compared to an earlier pilot study in Indianadetention centers which nearly resulted in the decision to delete this question due to no positive responses. Within four years, the percent of positive responses rose from none to almost one-quarter of the sample.

 

Key Results from the Personality Inventory for Youth (PIY)
(Used with permission of Western Psychological Services)
 
The Personality Inventory for Youth, or PIY, is a widely used instrument to aid in the diagnosis and treatment planning of youth and adolescents. It consists of four internal validity scales and nine clinical scales with 24 subscales.. The four validity scales measure the consistency of the respondent’s answers and assist in determining whether the answers can be considered valid or useful. The nine clinical scales are measured using a statistical test called the T-Score; where an individual respondent’s answers fall on the T-Score scale determines his/her relative degree of dysfunction on a particular clinical scale.  
 
The Clinical Scales and Subscales of the PIY are:
 
 
 

 

 

1) Cognitive Impairment, or COG
***Poor Achievement and Memory
***Inadequate Abilities
***Learning Problems
 
2) Impulsivity and Distractibility, or ADH
 

 

 

            ***Brashness
            ***Distractibility and Over activity
            ***Impulsivity
 
3) Delinquency, or DLQ
 

 

 

            ***Antisocial Behavior
            ***Dyscontrol
            ***Noncompliance
 
4) Family Dysfunction, or FAM
 

 

 

            ***Parent-Child Conflict
            ***Parent Maladjustment
            ***Marital Discord
 
5) Reality Distortion, or RLT
 

 

 

            ***Feelings of Alienation
            ***Hallucinations and Delusions
 
6) Somatic Concern, or SOM
 

 

 

            ***Psychosomatic Syndrome
            ***Muscular Tension and Anxiety
            ***Preoccupation with Disease
 
7) Psychological Discomfort, or DIS
 

 

 

            ***Fear and Worry
            ***Depression
            ***Sleep Disturbance
 
8) Social Withdrawal, or WDL
 

 

 

            ***Social Introversion
            ***Isolation
 
9) Social Skill Deficit, or SSK
            ***Limited Peer Status
            ***Conflict with Peers
                Key Results from the Personality Inventory for Youth (PIY)
(Used with permission of Western Psychological Services)
 
Aggregated Results of the PIY Scales for Residents of 13 Indiana Juvenile Detention Centers
 

 

 

 
Total Number of Respondents = 359
 

 

 

T = 60 or above
 
1) Cognitive Impairment, or COG:
 

 

 

 
90 Residents, or 25%, were positive for Cognitive Impairment
 

 

 

 
2) Impulsivity and Distractibility, or ADH
 

 

 

 
104 Residents, or 29%, were positive for Impulsivity and Distractibility
 

 

 

3) Delinquency, or DLQ
            186 Residents, or 52%, were positive for Delinquency
4) Family Dysfunction, or FAM
            145 Residents, or 40%, were positive for Family Dysfunction
5) Reality Distortion, or RLT
            100 Residents, or 28%, were positive for Reality Distortion
6) Somatic Concern, or SOM
            106 Residents, or 30%, were positive for Somatic Concern
7) Psychological Discomfort, or DIS
            120 Residents, or 33%, were positive for Psychological Discomfort
8) Social Withdrawal, or WDL
            61 Residents, or 17%, were positive for Social Withdrawal
9) Social Skill Deficit, or SSK
            67 Residents, or 19%, were positive for Social Skill Deficit
     Key Results from the Personality Inventory for Youth (PIY)
(Used with permission of Western Psychological Services)
 
Answers to Key Questions from the Personality Inventory for Youth
 
 
Based on a prior sample of 299 detention center residents
 

 

 

All answers are in the "True/False" format
 
Question 12: "I often wonder if my parents love me."
 

 

 

98 of 299 residents, or 33%, answered "True."
 
Question 15: "Talking to others makes me nervous."
 

 

 

41 of 299 residents, or 14%, answered "True."
 
Question21: "Things I do often make others angry."
 

 

 

100 of 299 residents, or 34%, answered "True."
 
Question 22: "It has been a long time since our family has gone out together."
 

 

 

116 of 299 residents answered "True."
 
Question 23: "I often feel lonely."
 

 

 

82 of 299 residents answered "True."
 
Question 28: "I cannot keep my attention on anything."
 

 

 

71 of 299 residents answered "True."
 
*Question 123: "Several times I have said I wanted to kill myself."
 

 

 

75 of 299 residents answered "True."
 
Question 137: "There is a lot of tension in our home."
 

 

 

98 of 299 residents answered "True."
 
**Question 247: "I have been physically abused."
 

 

 

98 of 299 residents answered "True."
 
**Question 252: "I have been sexually abused."
 

 

 

98 of 299 residents answered "True."
 
Notes:
* The high percentage of positive responses to the question regarding repeated suicidal ideations points to the necessity for suicide screening in detention settings. Other states have experienced many instances of suicide attempts or suicides in detention. Although the number of suicide attempts in Indiana detention facilities is not known, Indiana facilities have not experienced a suicide in several years.
 
** The proportion of residents in this sample responding positively to the questions regarding physical and/or sexual abuse is 30 times higher than what would be expected in the general population. Several studies have demonstrated clear links between child maltreatment and later juvenile delinquency.