To study the usefulness of CBCL-TRF for assessment and screening of psychiatric morbidity in juvenile delinquent boys in an observation home.

ABSTRACT

Background: Given the growth of juvenile delinquent population, epidemiologic data on their psychiatric evaluation is becoming increasingly important. Rehabilitation for juvenile delinquent children is the key whether addressing healthcare, poverty, population control, unemployment or human rights issues. Therefore, the present study was undertaken to evaluate the usefulness of CBCL (Child Behaviour Checklist – TRF (Teacher Report Form) for assessment and screening of psychiatric morbidity in juvenile delinquent boys in an observation home. Method: The present cross-sectional study was conducted in an Observation Home for Boys. Prior to conducting the study, informed written permission was sought from the Superintendent of Observation Home for Boys. Study sample consisted of 50 boys aged between 6-16 years. The children were recruited through application of inclusion and exclusion criteria and after taking written informed permission from the Observation Home authorities. Results: Significant CBCL total score was found in 22 (44%) juveniles. Eighteen (36%) juveniles had high score on externalizing behaviour, and 14 (28%) on internalizing behaviour. The sensitivity of CBCL significant score was found to be 88.64% and specificity was 100%. This indicates the utility of CBCL in epidemiological studies and screening of juveniles. It is a simple tool for screening and as noted it has high sensitivity and specificity. Conclusion: In conclusion, the CBCL has implications for the training of manpower for strengthening of mental health services for these children. There is immediate need for multidisciplinary mental health services at each juvenile center.