Youth involved in the juvenile justice system are at risk for emotional and behavioral problems. However, research with court-involved adolescents has neglected to examine the mental health of their parents, who may also have significant personal and parenting stress. This sample consisted of 144 parent–adolescent dyads. Adolescents (aged 11–17 years) identified by court officials were referred to the study to receive mental health treatment. Parents and adolescents completed surveys about their mental health diagnoses, treatment, and family relationships. Using the clinical cut-off for the global severity index of the Symptom Checklist-90-Revised, bivariate and multiple logistic regression analyses were performed to examine group differences between parents with and without significant mental health symptoms. Results indicated that 35% of parents endorsed clinically significant mental health symptoms. Parents with clinically significant symptoms, compared to those without, reported significantly greater parenting stress (p < .05), and were more likely to have received prior mental health treatment (54 vs. 25%; p < .05) and a psychiatric diagnosis (52 vs. 19%; p < .05). Our findings revealed that more than one in three parents of court-involved adolescents are currently experiencing significant mental health symptoms. Improved mental health screening and intervention that incorporates the unique needs of families is recommended, including the possible use of family-based approaches as well as individualized treatment for the parents of court-involved youth.
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Achenbach, T. M. (1995). Youth self-report. Burlington: University of Vermont, Research Center for Children, Youth, and Families.
Achenbach, T. M. (2001). Child behavior checklist for ages 6 to 18. Burlington: University of Vermont, Research Center for Children, Youth, and Families.
Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2002). Ten-year comparisons of problems and competencies for national samples of youth: Self, parent, and teacher reports. Journal of Emotional and Behavioral Disorders, 10, 194–203.
Anderson, L. S. (2008). Predictors of parenting stress in a diverse sample of parents and early adolescents in high-risk communities. Nursing Research, 57, 340–350.
Angold, A., Messer, S. C., Stangl, D., Farmer, E. M. Z., Costello, E. J., & Burns, B. J. (1998). Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88, 75–80.
Barylnik, J. (2003). Psychopathology, psychosocial characteristics and family environment in juvenile delinquents. German Journal of Psychiatry, 6, 30–32.
Berg-Nielsen, T. S., Vikan, A., & Dahl, A. A. (2002). Parenting related to child and parental psychopathology: A descriptive review of the literature. Clinical Child Psychology and Psychiatry, 7(4), 529–552.
Brown, L. K., Whiteley, L., Harper, G. W., Nichols, S., & Nieves, A., The ATN 086 Protocol Team for the Adolescent Medicine Trials Network for HIV/AIDS Interventions. (2015). Psychological symptoms among 2032 youth living with HIV: A multisite study. AIDS Patient Care and STDs, 29, 212–219.
Burke, J. D., Mulvey, E. P., & Schubert, C. A. (2015). Prevalence of mental health problems and service use among first-time juvenile offenders. Journal of Child and Family Studies, 24, 3774–3781.
Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M., & Erkanli, A. (1995). Children’s mental health service use across service sectors. Health Affairs, 14, 147–159.
Carswell, K., Maughan, B., Davis, H., Davenport, F., & Goddard, N. (2004). The psychosocial needs of young offenders and adolescents from an inner city area. Journal of Adolescence, 27, 415–428.
Cocozza, J. J., & Skowyra, K. R. (2000). Youth with mental health disorders: Issues and emerging responses. Juvenile Justice, 7, 3–13.
Cocozza, J. J., Veysey, B. M., Chapin, D. A., Dembo, R., Walters, W., & Farina, S. (2005). Diversion from the juvenile justice system: The Miami-Dade juvenile assessment center post-arrest diversion program. Substance Use & Misuse, 40, 935–951.
Dembo, R., Seeberger, W., Shemwell, M., Klein, L., Rollie, M., Pacheco, K., & Wothke, W. (2000). Psychosocial functioning among juvenile offenders 12 months after family empowerment intervention. Journal of Offender Rehabilitation, 32, 1–56.
Dembo, R., Wothke, W., Schmeidler, J., & Brown, C. H. (1992). The role of family factors, physical abuse and sexual victimization experiences in high-risk youths’ alcohol and other drug use and delinquency: a longitudinal model. Violence and Victims, 7, 245–266.
Derogatis, L. (1975). Symptom Checklist-90-Revised (SCL-90-R). Pearson.
Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.
Derogatis, L. R., & Unger, R. (2010). Symptom Checklist‐90‐Revised. John Wiley & Sons, Inc.
Duchovic, C. A., Gerkensmeyer, J. E., & Wu, J. (2009). Factors associated with parental distress. Journal of Child and Adolescent Psychiatric Nursing, 22, 40–48.
Dutra, L., Campbell, L., & Westen, D. (2004). Quantifying clinical judgment in the assessment of adolescent psychopathology: reliability, validity, and factor structure of the child behavior checklist for clinician report. Journal of Clinical Psychology, 60, 65–85.
Hadley, W., Barker, D. H., Brown, L. K., Almy, B., Donenberg, G., & DiClemente, R. J., Project STYLE Study Group. (2015). The moderating role of parental psychopathology on response to a family-based HIV prevention intervention among youth in psychiatric treatment. Journal of Family Studies, 21, 178–194.
Hazen, A. L., Hough, R. L., Landsverk, J. A., & Wood, P. A. (2004). Use of mental health services by youths in public sectors of care. Mental Health Services Research, 6, 213–226.
Hiller, M. L., & Saum, C. A. (2014). Juvenile drug courts, juvenile mental health courts, and teen courts. In A. R. Roberts., W. T. Church & D. W. Springer (Eds.), Juvenile justice source book: Past, present and future(2nd ed.). New York, NY: Oxford University Press.
Hockenberry, S., & Puzzanchera, C. (2015). Juvenile Court Statistics 2013. Pittsburgh, PA: National Center for Juvenile Justice.
Huey, Jr., S. J., Henggeler, S. W., Brondino, M. J., & Pickrel, S. G. (2000). Mechanisms of change in multisystemic therapy: reducing delinquent behavior through therapist adherence and improved family and peer functioning. Journal of Counseling and Clinical Psychology, 68, 451–467.
Ivanova, M. Y., Achenbach, T. M., Dumenci, L., Bilenberg, N., Broberg, A. G., Döpfner, M., & Verhulst, F. C. (2007). The generalizability of the youth self-report syndrome structure in 23 societies. Journal of Counseling and Clinical Psychology, 75, 729–738.
Kaslow, N. J., Deering, C. G., & Racusin, G. R. (1994). Depressed children and their families. Clinical Psychology Review, 14, 39–59.
Kim, H. K., Viner-Brown, S. L., & Garcia, J. (2007). Children’s mental health and family functioning in Rhode Island. Pediatrics, 119, S22–S28.
Kutcher, S., & Marton, P. (1991). Affective disorders in first-degree relatives of adolescent onset bipolars, unipolars, and normal controls. Journal of the American Academy of Child & Adolescent Psychiatry, 30, 75–78.
Lahey, B. B., Piacentini, J. C., McBurnett, K., Stone, P., Hartdaghn, S., & Hynd, G. (1988). Psychopathology in the parents of children with conduct disorder and hyperactivity. Journal of the American Academy of Child & Adolescent Psychiatry, 27, 163–170.
Lam, P. K., Naar-King, S., & Wright, K. (2007). Social support and disclosure as predictors of mental health in HIV—positive youth. AIDS Patient Care, 21, 20–29.
Lederman, C. S., Dakof, G. A., Larrea, M. A., & Li, H. (2004). Characteristics of adolescent females in juvenile detention. International Journal of Law and Psychiatry, 27, 321–337.
Livingston, R., Nugent, H., Rader, L., & Smith, G. R. (1985). Family histories of depressed and severely anxious children. The American Journal of Psychiatry, 142, 1497–1499.
Maschi, T., Hatcher, S. S., Scwalbe, C. S., & Rosato, N. S. (2008). Mapping the social service pathways of youth to and through the juvenile justice system: A comprehensive review. Children and Youth Services Review, 30, 1376–1385.
Mitchell, J., McCauley, E., Burke, P., Calderon, R., & Schloredt, K. (1989). Psychopathology in parents of depressed children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 28, 352–357.
Mulvey, E. P. (2011). Highlights from pathways to desistance: a longitudinal study of serious adolescent offenders. Washington, DC: US Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention.
Preyde, M., VanDonge, C., Carter, J., Lazure-Valconi, K., White, S., & Ashbourne, G. (2015). Parents of youth in intensive mental health treatment: associations between emotional and behavioral disorders and parental sense of competence. Child and Adolescent Social Work Journal, 32, 317–327.
Puig-Antich, J., Goetz, D., Davies, M., Kaplan, T., Davies, S., Ostrow, L., & Ryan, N. D. (1989). A controlled family history study of prepubertal major depressive disorder. Archives of General Psychiatry, 46, 406–418.
Rosenblatt, J. A., Rosenblatt, A., & Biggs, E. E. (2000). Criminal behavior and emotional disorder: comparing youth served by the mental health and juvenile justice systems. The Journal of Behavioral Health Services & Research, 27, 227–237.
Roustit, C., Campoy, E., Chaix, B., & Chauvin, P. (2010). Exploring mediating factors in the association between parental psychological distress and psychosocial maladjustment in adolescence. European Child and Adolescent Psychiatry, 19, 597–604.
Schwalbe, C. S., Gearing, R. E., MacKenzie, M. J., Brewer, K. B., & Ibrahim, R. (2012). A meta-analysis of experimental studies of diversion programs for juvenile offenders. Clinical Psychology Review, 32, 26–33.
Sheras, P. L., Abidin, R. R., & Konold, T. (1998). Stress index for parents of adolescents. Odessa, FL: Psychological Assessment Resources.
Skowyra, K. R., & Cocozza, J. J. (2007). Blueprint for change: A comprehensive model for the identification and treatment of youth with mental health needs in contact with the juvenile justice system. Delmar, NY: National Center for Mental Health and Juvenile Justice and Policy Research Associates.
Tolou-Shams, M., Rizzo, C. J., Conrad, S. M., Johnson, S., Oliveira, C., & Brown, L. K. (2014). Predictors of detention among juveniles referred for a court clinic forensic evaluation. Journal of the American Academy of Psychiatry and the Law Online, 42, 56–65.
Vermeiren, R., Jespers, I., & Moffitt, T. (2006). Mental health problems in juvenile justice populations. Child and Adolescent Psychiatric Clinics of North America, 15, 333–351.
Whitehead, J. T., & Lab, S. P. (2001). Juvenile justice: An introduction. Cincinnati, OH: Anderson Publication Co.
Wills, T. A., & Dishion, T. J. (2004). Temperament and adolescent substance use: A transactional analysis of emerging self-control. Journal of Clinical Child and Adolescent Psychology, 33, 69–81.
Young, D. W., Dembo, M. S., & Henderson, C. E. (2007). A national survey of substance abuse treatment for juvenile offenders. Journal of Substance Abuse Treatment, 32, 255–266.
L. K. B. designed and executed the study, assisted with data analyses, and wrote the paper. N. T. analyzed the data and wrote the results. M. T. S. and C. E. S. collaborated with the study design and implementation, and contributed to writing and editing the study. M. G. H. wrote the methods, wrote part of the introduction, and collaborated in the writing and editing of the final manuscript. L. C. wrote part of the introduction, collaborated in the writing and editing of the final manuscript.
The study was funded by the National Institutes of Health (grant R01 MH087520); The Lifespan Tufts Brown Center for AIDS Research (P30 AI 042853). Research supported by National Institutes of Health grant R01 MH087520 (PI: Brown); National Institute of Mental Health grant T32 MH078788 (PI: Brown); Lifespan Tufts Brown Center for AIDS Research P30 AI 042853 (PI: Cu-Uvin).
Conflict of Interest
The authors declare that they have no competing interests.
Informed consent was obtained from all individual participants included in the study.
All procedures performed in studies involving human participants were in accordance with the ethical standards of Rhode Island Hospital and George Mason University IRBs, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Brown, L.K., Tarantino, N., Tolou-Shams, M. et al. Mental Health Symptoms and Parenting Stress of Parents of Court-Involved Youth. J Child Fam Stud 27, 843–852 (2018). https://doi.org/10.1007/s10826-017-0923-1
- Juvenile justice
- Mental health
- Parenting stress