Half of juvenile offenders are in facilities where inhouse mental health professionals assess all youth

In 5 of 10 facilities, in-house mental health professionals evaluate all youth held

In addition to information on suicide screening, facilities provided information about their procedures for evaluating youth’s mental health needs.

Among facilities that reported mental health evaluation information in 2002, 53% said that in-house mental health professionals evaluate all youth to determine their mental health needs. An additional 34% said in-house mental health professionals evaluate some, but not all youth. The proportion of facilities reporting that a mental health professional inside the facility evaluates all youth was somewhat higher in 2002 than in 2000. Only 13% of facilities did not have an in-house mental health professional evaluate youth.

Evaluation by in-house mental health professional 2000 2002

Total facilities 3,061     2,964    
Facilities reporting mental health evaluation info 2,201     2,287    
All reporting facilities   100%   100%
   All youth evaluated 50 53
   Some youth evaluated 36 34
   No youth evaluated 14 13

Larger facilities were more likely than smaller facilities to have
in-house mental health professionals evaluate all youth for mental
health needs and less likely to not evaluate any youth in 2002
Evaluation by in-house
mental health professional
  Facility size based on resident population
Total 1–10 11–20 21–50 51–100 101–200 200+

Total facilities 2,964    1,003   648  704  350  171  88
Facilities reporting mental health
   evaluation info
2,288     629 503  592   317  160   86
All reporting facilities   100%   100%   100%   100%   100%   100%   100%
   All youth evaluated 53 54 50 51 57 54 60
   Some youth evaluated 34 25 32 39 36 44 40
   No youth evaluated 13 21 18 10   7   3   0

Reception/diagnostic centers and training schools were more likely
than other types of facilities to have in-house mental health professionals
evaluate all youth for mental health needs in 2002
Evaluation by
in-house mental
health professional
Facility type
Detention center Shelter Reception/
diagnostic
center
Group home Boot camp Ranch/
wilderness
camp
Training school

Total facilities 769 289 104 1,136    56 157  389 
Facilities reporting mental
   health evaluation info
591 179  96 825 52 130  372 
All reporting facilities   100%   100%   100%   100%   100%   100%  100%
   All youth evaluated 30 33 66 57 46 45 64
   Some youth evaluated 62 46 34 22 40 35 32
   No youth evaluated  8 21   0 21 13 20   4

Source: Author's analysis of Juvenile Residential Facility Census 2002 [machine-readable data file].

JRFC asks facilities about their mental health evaluation procedures

Mental health professionals conduct evaluations or appraisals to diagnose or identify mental health needs.

Are any young persons evaluated or appraised by a mental health professional (with at least a master’s degree in psychology or social work) at a location inside this facility?

If yes . . . Are all young persons evaluated or appraised by a mental health professional inside this facility?

If not all . . . Which young persons are evaluated or appraised by a mental health professional inside this facility?

When are young persons evaluated or appraised by a mental health professional inside this facility?

A greater proportion of privately operated than publicly operated facilities said in 2002 that in-house mental health professionals evaluated all youth (62% vs. 41% of facilities reporting mental health evaluation information). However, compared with private facilities, public facilities reported a greater proportion of facilities that had at least some youth evaluated by an in-house mental health professional (91% vs. 84% of facilities reporting mental health evaluation information).

Evaluation by
in-house mental
health professional
Facility operation
Public Private

Total reporting facilities 950 1,332    
All reporting facilities    100%   100%
   All youth evaluated 41 62
   Some youth evaluated 50 22
   No youth evaluated 10 16

Facilities also identified themselves according to the type of treatment they provided (if any). Facilities that said they provided mental health treatment inside the facility were more likely than other facilities to have a mental health professional evaluate all youth (64% vs. 32% of those reporting mental health evaluation information). However, not all facilities that said they provided onsite mental health treatment said they had an in-house mental health professional evaluate youth for mental health needs. It may be that youth were evaluated before arriving at these facilities or that outside professionals were contracted to conduct the evaluations.

Evaluation by in-house mental health professional Onsite mental health treatment?
Yes No

Total reporting facilities 1,500     787
All reporting facilities  100%   100%
   All youth evaluated 64 32
   Some youth evaluated 27 47
   No youth evaluated   9 21

The most common approach to mental health evaluation in 2002 was
to screen all youth by the end of their first week at the facility
When youth
are evaluated
Number of juvenile facilities
As a percent of facilities that
evaluated for mental health needs
  Evaluation by
in-house mental health professional
Facilities that evaluated Evaluation by
in-house mental health professional
All
facilities
All
evaluated
Some
evaluated
All
evaluated
Some
evaluated

Total facilities 2,964   1,214   768   100%     61%   39%
   By end of first day 357 298  59 18 15 3
   Day two through
      end of first week
795 597 198 40 30 10 
   After first week 375 229 145 19 12 7
   Other 456   90 366 23   5 18 
   No youth evaluated
   (or not reported)
981 – – – – –

In 2002, 17% of juvenile offenders were in facilities that had in-house mental health
professionals evaluate all youth on the day they arrived at the facility
When youth
are evaluated
Number of juvenile offenders
As a percent of juvenile
offenders in facilities that
evaluated for mental health needs
  Evaluation by
in-house mental
health professional
Facilities
that
evaluated
Evaluation by
in-house mental
health professional
All
facilities
All
evaluated
Some
evaluated
All
evaluated
Some
evaluated

Total juvenile offenders 102,388   50,326 37,237   100%    57%   43%
   By end of first day 17,408 14,531   2,877 20 17   3
   Day two through
      end of first week
34,224 22,120 12,104 39 25 14
   After first week 15,285   8,920   6,365 17 10   7
   Other 20,646   4,755 15,891 24   5 18
   No youth evaluated
      (or not reported)
14,825 – – – – –

  • In 45% of facilities that reported information on their mental health evaluation procedures, all youth were evaluated for mental health needs by an in-house mental health professional by the end of their first week in custody.

  • These facilities held 42% of juvenile offenders who resided in facilities that reported information on their mental health evaluation procedures.

– Not applicable
Source: Author's analysis of Juvenile Residential Facility Census 2002 [machine-readable data file].



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Juvenile Residential Facility Census,
2002: Selected Findings
OJJDP National Report Series Bulletin
June 2006