219922 Psychiatric morbidity in juvenile incarcerated population

Wednesday, November 10, 2010 : 12:45 PM - 1:00 PM

Eugene Yu-Chang Peng, MD, MS , Department of Community Medicine, Taipei City Hospital, Renai Branch, Taipei, Taiwan
Liang-Ting Tsai, MS, PhD , Graduate School of Educational Measurement & Statistics, National Taichung University, Taichung, Taiwan
Shu-Yu Lyu, MPH, PhD , School of Public Health, Taipei Medical University, Taipei, Taiwan
Donald E. Morisky, ScD, MSPH, ScM , Department of Community Health Sciences, School of Public Health, University of California at Los Angeles, Los Angeles, CA
This study explores the prevalence and correlates of psychiatric morbidity among juvenile prisoners. In 2007, data were collected from all juvenile incarcerated population (n=1,505) in 23 correctional institutions using a self-administered, anonymous questionnaire in group settings directed by our interviewers. Psychiatric morbidity was measured using the 5-item Brief Symptom Rating Scale (BSRS-5) in 1,363 participants, which represented a 91% response rate. The Cronbach's alpha of the BSRS-5 in this study population was 0.86. Females comprised 10.6% of the respondents. The prevalence of psychiatric morbidity was 42.3%. A multivariate logistic regression revealed that correlates of the BSRS-5 defined cases included the following: being female (OR=2.73, 95%CI=1.82-4.09), ever joined a gang (OR=1.81, 95%CI=1.29-2.53), experiencing life disturbances prior to current imprisonment (OR=2.55, 95%CI=1.96-3.30), those with a smoking habit (OR=1.69, 95%CI=1.14-2.48), and those without a fixed sexual partner (OR=1.68, 95%CI=1.17-2.43), after controlling for participants' age and their sexual orientation. Our results shows that screening for mental health issues in the juvenile incarcerated population may identify cases with psychological distress in need of further evaluation. Mental health promotion is likely to have greater impact if they are carefully tailored to address the gender sensitive mental health intervention needs of juvenile inmates.

Learning Areas:
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Recognize the prevalence rate of psychiatric morbidity among juvenile incarcerated population. 2. Identify the correlates of psychiatric morbidity among juvenile incarcerated population. 3. Discuss gender sensitive mental health education strategies for juvenile incarcerated population. 4. Explore mental health education needs among juvenile incarcerated population.

Keywords: Mental Health, Jails and Prisons

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-PI of this research project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.