Objectives: This study isolates the effects of mental health, substance use, and co-occurring disorders on three distinct dispositional outcomes: incarceration (i.e., jail/detention), non-incarcerative residential placement (i.e., treatment facility), and community sanctions (i.e., fines/restitution or probation). Methods: Using a sample of juvenile offenders from the Pathways to Desistance study (N = 617), a series of logistic regression models were estimated to test the joint and independent effects of mental health, substance use, and co-occurring disorders on the likelihood of detention versus non-incarcerative sanctions. A series of multinomial logistic regression models were estimated to assess whether these disorders increase the likelihood of out-of-home placement (i.e., non-incarcerative residential placement and incarceration) relative to community sanctions. Results: While having any disorder was associated with out-of-home placement, youth with substance use disorders had the greatest likelihood of receiving an out-of-home placement, including detention. Youth with co-occurring disorders were more likely to receive a non-incarcerative residential placement, whereas mental health disorders did not demonstrate a significant effect on adjudication. Conclusions: Youth with mental health, substance use, and co-occurring disorders are treated differently in juvenile court. Using a composite disorder measure and/or not considering various sanction types could mask the effects of such disorders on court outcomes.

中文翻译：

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检查心理健康、物质使用和同时发生的疾病对少年法庭结果的影响

目的：本研究将心理健康、物质使用和同时发生的疾病对三种不同的处置结果的影响隔离开来：监禁（即监狱/拘留）、非监禁居住安置（即治疗设施）和社区制裁。即罚款/赔偿或缓刑）。方法：使用来自“制止途径”的少年犯样本研究 (N = 617)，估计了一系列逻辑回归模型，以测试心理健康、药物使用和同时发生的疾病对拘留与非监禁制裁的可能性的联合和独立影响。估计了一系列多项逻辑回归模型，以评估这些疾病是否会相对于社区制裁增加离家安置（即非监禁性居住安置和监禁）的可能性。结果：虽然有任何障碍与离家安置有关，患有物质使用障碍的青年最有可能接受离家安置，包括拘留。患有并发疾病的青年更有可能接受非监禁的居住安置，而精神健康障碍并未显示出对裁决的显着影响。结论：有心理健康、物质使用和同时发生的疾病的青少年在少年法庭受到不同的对待。使用综合障碍测量和/或不考虑各种制裁类型可能会掩盖此类障碍对法庭结果的影响。