Polysubstance Use among Minority Adolescent Males Incarcerated for Serious Offenses.

BACKGROUND: Adolescent juvenile offenders are at high risk for problems associated with drug use, including polysubstance use (i.e., use of a variety of drugs). The combination of juvenile offending and polysubstance use presents a significant public and child health concern. OBJECTIVE: This study explored polysubstance use among a sample of youth incarcerated for serious offenses. We examined several risk factors for substance use and delinquency (i.e., early and frequent substance use, prior history of arrests, school expulsion, Black ethnicity), as well as the association between aggression and polysubstance use. METHODS: Data were collected via questionnaires from 373 serious male juvenile offenders upon intake into a secure locked facility. Youth were on average 16 years old, and minority youth were overrepresented (28.1% Black, 53.1% Latino). Poisson regressions were used to assess the associations between the risk factors, aggression, and polysubstance use. RESULTS: Consistent with the literature, Black youth reported less polysubstance use and later age of drug use onset than White and Latino youth. Findings suggest that Latino juvenile offenders and those with an early and problematic pattern of substance use are at heightened risk for polysubstance use. Aggression was not significantly related to polysubstance use, over and above the risk factors. CONCLUSIONS: Given that Latino youth experience low rates of treatment for substance use, the development of culturally-sensitive interventions for these youth is needed. Interventions should also be multifaceted to address the multitude of risk factors associated with polysubstance use among juvenile offenders.

California College and University Collaborations: Facilitators, Challenges, and Impact on Student Mental Health.

This article reports on an evaluation of student mental health collaboration activities among California higher education systems, community agencies, and county mental health.

California K-12 and Community Collaborations: Facilitators, Challenges, and Impact on Student Mental Health.

This article reports on an evaluation of student mental health collaboration activities among California K-12 school districts, counties, and regions.

Mental Health Trainings in California's K-12 System Are Associated with Increased Confidence and Likelihood to Intervene with and Refer Students.

This article reports on an evaluation of California mental health trainings offered to staff in California's K-12 system.

Callous-unemotional traits in incarcerated adolescents.

The presence of callous-unemotional (CU) traits designates a subgroup of antisocial youth at risk for severe, aggressive, and stable conduct problems. As a result, these traits should be considered as part of the criteria for conduct disorder. The present study tests 2 possible symptom sets (4- and 9-item criteria sets) of CU traits that could be used in diagnostic classification, assessed using self-report with a sample of 643 incarcerated adolescent (M age = 16.50, SD = 1.63 years) boys (n = 493) and girls (n = 150). Item response theory analysis was employed to examine the unique characteristics of each criterion comprising the 2 sets to determine their clinical utility. Results indicated that most items comprising the measure of CU traits demonstrated adequate psychometric properties. Whereas the 9-item criteria set provided more information and was internally consistent, the briefer 4-item set was equally effective at identifying youth at-risk for poor outcomes associated with the broader CU construct. Supporting the clinical utility of the criteria sets, incarcerated boys and girls who endorsed high levels of CU symptoms across criteria sets were particularly at-risk for proactive aggression and violent delinquency.

Peer Status Among Incarcerated Female Offenders: Associations With Social Behavior and Adjustment.

Peers are a powerful socializing force, especially during adolescence. Whether peer status holds the same meaning, correlates, and consequences for female offenders remains unknown. Using a peer nomination technique in a sample of incarcerated females (N = 86, age 15-24 years), our study is the first to examine the association between peer status and psychopathology in a correctional facility. Results indicated that a key indicator of likeability was prosocial behavior; popularity was related to leadership; and social impact was associated with aggression. Popularity might serve as a buffer against, and social impact as a risk factor for, psychosocial problems. Findings shed light on peer status as a mechanism underpinning female offenders' problem behaviors and an entry point for targeted interventions.

California K-12 Schools and Communities Collaborate to Support Student Mental Health.

This article evaluates the development, quality, and effectiveness of collaboration activities among California K-12 Student Mental Health program partners.

Examining the link between forms of bullying behaviors and perceptions of safety and belonging among secondary school students.

Research suggests that students who bully may perceive the school climate less favorably. Person-centered analyses were used to identify distinct groupings of bullying behaviors and related social-emotional factors (i.e., victimization, internalizing, and perception of school and bullying climate). Latent class analyses were conducted on a sample of 10,254 middle and 2509 high school students and indicated four classes in middle school (Low Involvement, Verbal, High Physical/High Verbal, and High Involvement) and three classes in high school (Low Involvement, Verbal, and High Involvement). A Low Involvement bullying class characterized most students and was related to positive adjustment, whereas a High Involvement bullying class represented the smallest proportion of the sample (1.6% middle school and 7.3% in high school). Students in the High Involvement class reported increased victimization and internalizing problems, feeling less safe and less belonging, and perceiving the school climate to be more supportive of bullying (i.e., perceiving adults' prevention and intervention efforts as ineffective). In middle school, the High Physical/High Verbal class reported significantly higher levels of victimization as compared to the Verbal class. Findings highlight heterogeneity in bullying behaviors and underscore the importance of prevention and intervention programming that addresses safety and belonging.

Youth aggressive/disruptive behavior trajectories and subsequent gambling among urban male youth.

This study examines the association between aggressive/disruptive behavior development in two distinct developmental periods-childhood (i.e., Grades 1-3) and early adolescence (i.e., Grades 6-10)-and subsequent gambling behavior in late adolescence up to age 20. The sample consists of 310 urban males of predominately minority and low socioeconomic status followed from first grade to late adolescence. Separate general growth mixture models were estimated to explore the heterogeneity in aggressive/disruptive behavior development in the aforementioned two periods. Three distinct behavior trajectories were identified for each period: a chronic high, a moderate increasing, and a low increasing class for childhood, and a chronic high, a moderate increasing, followed by decreasing and a low stable class for early adolescence. There was no association between childhood behavior trajectories and gambling involvement. Males with a moderate behavior trajectory in adolescence where two times more likely to gamble compared to those in the low stable class (OR = 1.89, 95% CI = 1.11, 3.24). Those with chronic high trajectories during either childhood or early adolescence (OR = 2.60, 95% CI = 1.06, 6.38; OR = 3.19, 95% CI = 1.18, 8.64, respectively) were more likely to be at-risk/problem gamblers than those in the low class. Aggressive/disruptive behavior development in childhood and early adolescence is associated with gambling and gambling problems in late adolescence among urban male youth. Preventing childhood and youth aggressive/disruptive behavior may be effective to prevent youth problem gambling.

Adolescent criminal justice involvement and adulthood sexually transmitted infection in a nationally representative US sample.

Criminal justice involvement (CJI) disrupts social and sexual networks, and sexually transmitted infections (STIs) thrive on network disruption. Adolescent CJI may be a particularly important determinant of STI because experiences during adolescence influence risk trajectories into adulthood. We used Wave III (2001-2002: young adulthood) of the National Longitudinal Study of Adolescent Health (N = 14,322) to estimate associations between history of adolescent (younger than 18 years) CJI and adult STI risk. Respondents who reported a history of repeat arrest in adolescence, adolescent conviction, and arrest both as an adolescent and an adult (persistent arrest) had between two to seven times the odds of STI (biologically confirmed infection with chlamydia, gonorrhea, or trichomoniasis) in adulthood and between two to three times the odds of multiple partnerships and inconsistent condom use in the past year in adulthood. In analyses adjusting for sociodemographic and behavioral factors, history of having six or more adolescent arrests was associated with more than five times the odds of STI (adjusted odds ratio (AOR) 5.44, 95 % confidence interval (CI) 1.74-17.1). Both adolescent conviction and persistent CJI appeared to remain independent correlates of STI (conviction: AOR 1.90, 95 % CI 1.02-3.55; persistent CJI: AOR 1.60, 95 % CI 0.99-2.57). Adolescents who have repeat arrests, juvenile convictions, and persist as offenders into adulthood constitute priority populations for STI treatment and prevention. The disruptive effect of adolescent CJI may contribute to a trajectory associated with STI in adulthood.

Examining associations between race, urbanicity, and patterns of bullying involvement.

Research on the role of race and urbanicity in bullying involvement has been limited. The present study examined bullying involvement subgroups that relate to race, urbanicity, and the perceived reason for the bullying. Self-report data were collected from 10,254 middle school youth (49.8 % female; 62.4 % Caucasian, 19.0 % African American, and 5.6 % Hispanic) and latent class analyses were used to identify three subtypes of bullying involvement: low involvement (50 %), victim (31.3 %), and bully-victim (18.7 %). Irrespective of urbanicity (urban vs. non-urban), African American youth were more likely to be members of either the victim or bully-victim classes than the low involvement class. Further exploration of the community context suggested that urbanicity was associated with the increased likelihood of having been racially bullied. Urban bully-victims were also more likely to have been bullied about money than non-urban bully-victims. Findings underscore the importance of addressing both race and urbanicity for culturally sensitive prevention programming.

Bullies, gangs, drugs, and school: understanding the overlap and the role of ethnicity and urbanicity.

Recent media attention has increased interest in behavioral, mental health, and academic correlates of involvement in bullying. Yet, there has not been much interest in investigating the co-occurrence of other health-risk behaviors, such as gang membership, weapon carrying, and substance use. The potential influence of contextual factors, such as youth ethnicity, urbanicity, and school characteristics, also has been overlooked in previous research. The current study examined different subtypes of involvement in bullying-as primarily a victim, as primarily a bully, as both a victim and bully, and no involvement-and the association with significant health-risk behaviors, including engaging in violence and substance use, as well as academic problems. The analyses use self-report data from 16,302 adolescents (50.3 % female, 62.2 % Caucasian, 37.8 % African American) enrolled in 52 high schools. A series of three-level HLM analyses revealed that bullies and bully/victims were generally at greatest of risk of being involved in violence, engaging in multiple types of substance use, and having academic problems. These findings extend prior research by emphasizing a potential link between involvement in bullying and multiple health-risk behaviors, particularly among urban and African American high school youth.

Impulsivity trajectories and gambling in adolescence among urban male youth.

AIM: Building on the recent emerging literature on the impulsivity trajectory-gambling association, this study investigated the association between developmental trajectories of teacher-rated impulsivity in early adolescence (ages 11-15 years) and subsequent gambling and gambling problems (i.e. at-risk and problem gambling) by age 19. DESIGN: Prospective cohort design. SETTING: Urban communities in Baltimore, Maryland. PARTICIPANTS: The sample consists of 310 predominately minority (87%) and low socio-economic status (SES) (70%) males followed from first grade to late adolescence. MEASUREMENTS: Impulsivity was measured using teacher ratings of classroom behavior. Self-reported gambling behavior was assessed using the South Oaks Gambling Screen-Revised for Adolescents (SOGS-RA). FINDINGS: Results from a conventional growth model suggest that the intercept of the impulsivity development (as measured by the repeated assessments of impulsivity across the entire developmental period) was associated significantly with gambling. Results from a general growth mixture model evidenced two distinct trajectories: a high impulsivity trajectory (41% of the sample) and a low impulsivity trajectory (59% of the sample). Despite its non-significant association with any gambling, heterogeneity in impulsivity development was associated significantly with gambling problems. Specifically, being in the high impulsivity trajectory doubled the odds of meeting criteria for at-risk or problem gambling [odds ratio (OR) = 2.09, 95% confidence interval (CI): 1.02, 4.27)] and tripled the odds of meeting criteria for problem gambling (OR = 2.84, 95% CI: 1.02, 7.91). CONCLUSIONS: Development in impulsivity is associated strongly with problem/at-risk gambling in adolescence among urban male youth. Findings highlight the importance of distinguishing gambling problems from any gambling when evaluating programs aimed at reducing youth gambling problems through reducing impulsivity.

Primary and secondary variants of juvenile psychopathy differ in emotional processing.

Accumulating research suggests that psychopathy can be disaggregated into low-anxious primary and high-anxious secondary variants, and this research may be important for understanding antisocial youths with callous-unemotional traits. Using model-based cluster analysis, the present study disaggregated 165 serious male adolescent offenders (M age = 16) with high scores on the Youth Psychopathic Traits Inventory into primary and secondary variants based on the presence of anxiety. The results indicated that the secondary, high-anxious variant was more likely to show a history of abuse and scored higher on measures of emotional and attentional problems. On a picture version of the dot-probe task, the low-anxious primary variant was not engaged by emotionally distressing pictures, whereas the high-anxious secondary variant was more attentive to such stimuli (Cohen d = 0.71). Although the two groups differed as hypothesized from one another, neither differed significantly in their emotional processing from a nonpsychopathic control group of offending youth (n = 208). These results are consistent with the possibility that the two variants of psychopathy, both of which were high on callous-unemotional traits, may have different etiological pathways, with the primary being more related to a deficit in the processing of distress cues in others and the secondary being more related to histories of abuse and emotional problems.

Infusing developmental neuroscience into school-based preventive interventions: implications and future directions.

PURPOSE: Recent advances in developmental neuroscience have the potential to significantly impact the behavioral and academic outcomes of adolescents. By adopting a translational approach, we aim to promote the transfer of knowledge related to neurological, cognitive, and emotion regulatory factors that underlie youth's ability to respond to educational and prevention programming. METHOD: This article synthesizes basic and applied research from the field of developmental neuroscience to highlight the significance of this work for the creation, evaluation, and tailoring of school-based preventive interventions designed to address aggressive behavior problems. We draw on research related to stress, social-cognitive factors, emotional perception and regulation, and executive functioning to identify potential neurodevelopmental mediators and moderators of prevention program impacts. RESULTS: Findings suggest that a high level of brain plasticity characterizes early childhood and adolescent stages of development, providing optimal windows of opportunity for intervention. The available research emphasizes the importance of executive functioning and related emotional regulatory factors as potential mechanisms for change in educational and risk prevention models. CONCLUSIONS: Neuroscience research provides insights into underlying mechanisms that, when appropriately targeted, can help optimize the impact of social-emotional learning curricula. Recommendations are made for how to apply relevant findings from neuroscience and related disciplines to improve behavioral and academic outcomes for school-aged youth. Additional research areas are identified to inform the creation of neurodevelopmentally sensitive preventive interventions targeting aggressive behavior problems which, in turn, are expected to affect academic outcomes.

Examining factors associated with (in)stability in social information processing among urban school children: a latent transition analytic approach.

There is compelling evidence for the role of social information processing (SIP) in aggressive behavior. However, less is known about factors that influence stability versus instability in patterns of SIP over time. Latent transition analysis was used to identify SIP patterns over one year and examine how community violence exposure, aggressive behavior, and behavior regulation relate to (in)stability in SIP. Participants were 429 urban children (ages 7-13, M = 9.58; 86% African American). Latent transition analysis indicated four SIP profiles: stable low, decreasing, increasing, and stable high. Children with consistently high aggressive SIP reported the greatest community violence exposure and aggressive behavior. Compared to children who remained high on aggressive SIP, children whose aggressive SIP declined reported greater behavior regulation, suggesting that individual differences in executive function may account for stability in aggressive SIP during mid- to late childhood.

The effects of visitation on incarcerated juvenile offenders: how contact with the outside impacts adjustment on the inside.

The present study investigates how visitation from parents impacts youths' mental health in the first two months of incarceration in a secure juvenile facility. A diverse sample of 276 male, newly incarcerated serious adolescent offenders (14-17 years) was interviewed over a 60-day period. Results indicate that youth who receive visits from parents report more rapid declines in depressive symptoms over time compared to youth who do not receive parental visits. Moreover, these effects are cumulative, such that the greater number of visits from parents, the greater the decrease in depressive symptoms. Importantly, the protective effect of receiving parental visits during incarceration exists regardless of the quality of the parent-adolescent relationship. Policy changes that facilitate visitation may be key for easing adjustment during the initial period of incarceration.

The development of criminal style in adolescence and young adulthood: separating the lemmings from the loners.

Despite broad consensus that most juvenile crimes are committed with peers, many questions regarding developmental and individual differences in criminal style (i.e., co-offending vs. solo offending) remain unanswered. Using prospective 3-year longitudinal data from 937 14- to 17-year-old serious male offenders, the present study investigates whether youths tend to offend alone, in groups, or a combination of the two; whether these patterns change with age; and whether youths who engage in a particular style share distinguishing characteristics. Trajectory analyses examining criminal styles over age revealed that, while most youth evinced both types of offending, two distinct groups emerged: an increasingly solo offender trajectory (83%); and a mixed style offender trajectory (17%). Alternate analyses revealed (5.5%) exclusively solo offenders (i.e., only committed solo offenses over 3 years). There were no significant differences between groups in individuals' reported number of friends, quality of friendships, or extraversion. However, the increasingly solo and exclusively solo offenders reported more psychosocial maturity, lower rates of anxiety, fewer psychopathic traits, less gang involvement and less self reported offending than mixed style offenders. Findings suggest that increasingly and exclusively solo offenders are not loners, as they are sometimes portrayed, and that exclusively solo offending during adolescence, while rare and previously misunderstood, may not be a risk factor in and of itself.

Bad Boys or Poor Parents: Relations to Female Juvenile Delinquency.

This study examined the interrelations between parental relationships, romantic relationships, and antisocial behavior among female and male juvenile delinquents. Participants from a diverse sample of 1,354 adolescents (14-17 years) adjudicated of a serious (i.e. felony) offense were matched based on age, race, and committing offense, yielding a sample of 184 girls matched with 170 boys. Results indicate that while female offenders are more likely to date boys 2 years their senior, age difference alone is not directly related to self-reported offending. Instead, findings suggest that girls who engage in self-reported delinquent behavior are more likely to experience a high degree of antisocial encouragement exerted on them by their current romantic partner. Interestingly, this relation varies with the quality (warmth) of parental relationships and the romantic partner's level of antisocial encouragement, with the association between partner encouragement and self-reported offending being strongest among youths reporting warm relationships with their opposite-sex parent.