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NCJ Number: 228771 Find in a Library
Title: Community Determinants of Substance Abuse Treatment Referrals From Juveniles Courts: Do Rural Youths Have Equal Access?
Journal: Journal of Child and Adolescent Substance Abuse  Volume:18  Issue:4  Dated:2009  Pages:359-378
Author(s): Michael D. Pullmann; Craig Anne Heflinger
Date Published: October 2009
Page Count: 20
Sponsoring Agency: National Institute of Mental Health
Bethesda, MD 20852
National Institute on Drug Abuse
Bethesda, MD 20892-9561
Grant Number: RO1 MH-70680;R21 DA017682
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This study examined the ecological factors related to substance use service referrals made through Tennessee’s juvenile courts.
Abstract: The study lends support to the hypothesis that some factors associated with rural populations (density of service networks, average county socioeconomic status (SES), and contact between the courts and mental health providers) are related to a decreased probability of referral to substance abuse treatment. Results indicate that rates of referral to substance abuse treatment were shown to vary widely among the juvenile courts across the State, ranging from 0 to 28 percent with an average of 4.4 percent. This rate was much lower than the estimated 42 percent of detained youths in Tennessee with a known substance use problem. This is likely reflective of the fact that Tennessee lacks systematic, formal, consistent mental health and substance use screening in juvenile facilities, and that some officials believe that substance abuse services are completely unavailable in some counties. This study highlights that juvenile courts and treatment personnel, as well as policymakers concerned with publicly funded substance abuse services, should monitor referral and access patterns for these vulnerable groups and launch coordinated efforts to improve access to substance abuse treatment for female and minority adolescents. Data were collected from 39,054 individuals; 3 databases were used that corresponded with the different levels of interest: youth, court, and county. Tables and references
Main Term(s): Environmental influences; Juvenile drug treatment
Index Term(s): Juvenile court intake; Mental health services; Referral services; Rural; Youth development
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