Citation

Lau KS, Aalsma MC, Holloway ED, Wiehe SE, Vachon DD. Am. J. Orthopsychiatry 2015; 85(5): 421-430.

Affiliation

Department of Psychology, University of Minnesota.

Copyright

(Copyright © 2015, American Orthopsychiatric Association, Publisher Wiley Blackwell)

DOI

10.1037/ort0000100

PMID

26460702

Abstract

A majority of detained adolescents experience mental health and substance use problems. Limited research has examined the interaction between the race/ethnicity of an individual youth and county-level racial heterogeneity on adolescent mental health outcomes. Participants were identified through a statewide mental health screening project that took place in detention centers across 11 different counties in a Midwestern state during January 1, 2008, to May 10, 2010. A total of 23,831 detained youth (ages 11-18 years), identified as non-Hispanic White (46.6%), Black (43.5%), or Hispanic (9.8%), completed a mental health screener that assessed problems in alcohol/drug use, depression-anxiety, anger-irritability, trauma, somatic complaints, and suicide ideation. Census data were gathered to determine the racial heterogeneity of each county and other county-level variables. Hierarchical linear regression analyses were used to test the independent and interactive effects of youth race/ethnicity and county-level variables (including racial heterogeneity of the county) on adolescent mental health. Independent of other community characteristics, as county-level racial heterogeneity increased, mental health problems among detained youth decreased. In future research on the development and persistence of mental health problems in detained youth, both community and individual-level factors should be considered. (PsycINFO Database Record

Language: en