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Child Youth Serv Rev. 2011 Oct 01;33(10):2018-2026. doi: 10.1016/j.childyouth.2011.05.031.

Profiles of Systems Involvement in a Sample of High-Risk Urban Adolescents with Unmet Treatment Needs.

Children and youth services review

Sarah Dauber, Aaron Hogue

Affiliations

  1. The National Center on Addiction and Substance Abuse, At Columbia University, 633 Third Avenue, New York, NY 10017, P: 212-841-5207, F: 212-956-8020.

PMID: 21927525 PMCID: PMC3173762 DOI: 10.1016/j.childyouth.2011.05.031

Abstract

This study examined profiles of involvement in four systems (education, child welfare, legal, and treatment) in a sample of 253 high-risk urban adolescents with unmet behavioral health needs. Self-report data were collected on multiple dimensions of involvement within each system, demographics, and DSM-IV diagnoses. Latent class analysis revealed four profiles: Education System: Academic and Disciplinary, Education System: Academic Only, Legal/Juvenile Justice Involved, and Multiple Systems/Child Welfare. Profiles differed based on gender and psychiatric diagnoses. Boys were overrepresented in Education System: Academic and Disciplinary and Legal/Juvenile Justice Involved, and girls were overrepresented in Multiple Systems/Child Welfare. The two education system focused classes were characterized by depressive disorders and ADHD. Youth in Legal/Juvenile Justice Involved and Multiple Systems/Child Welfare were characterized by conduct disorder and substance abuse. Implications for assessment and treatment planning for high-risk youth and for the organization of community-based behavioral health services are discussed.

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