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De Viggiani, N., Daykin, N., Moriarty, Y. and Pilkington, P. and ...

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nationally, a decrease of 553 from 2012 (MoJ 2013a). Two of the sites involved in the research were<br />

undergoing closure in April 2013.<br />

2.2 HEALTH AND CRIMINOGENIC NEED<br />

<strong>De</strong>veloping needs-based interventions for young people in justice settings is challenging, especially<br />

within institutional contexts dominated by compulsory rules, regimes <strong>and</strong> procedures (Johnston<br />

<strong>and</strong> Hewish 2010), where there may be an underlying atmosphere of volatility, threat <strong>and</strong> fear (de<br />

<strong>Viggiani</strong> 2006a; 2006b). Further challenges arise from the complex educational, health <strong>and</strong> social<br />

needs of young people who encounter the criminal justice system (SEU 2002; DH 2005; DH 2007;<br />

DH 2008; Bradley 2009). Young people who enter youth justice commonly exhibit significantly high<br />

levels of educational underachievement, learning disability, school truancy <strong>and</strong> exclusion compared<br />

with their peers, with approximately one half having under-achieved at school <strong>and</strong> around 15%<br />

having special educational needs (YJB 2005). The majority present with disproportionately high<br />

levels of complex health <strong>and</strong> social need, relative to the general population, often linked with<br />

traumatic <strong>and</strong> unstable childhoods <strong>and</strong> family experiences (Lader et al 2000; Hagell 2002;<br />

Chitsabesan et al 2006; Farrington 2006; Nurse 2006; Arnull, et al 2007; HMIP 2007; NAO 2010).<br />

Moreover, young people in the justice system show higher relative levels of psychiatric morbidity<br />

(mental illness), emotional, behavioural <strong>and</strong> social difficulties, <strong>and</strong> drug <strong>and</strong> alcohol misuse<br />

(Farrington 2006; Nurse 2006; HMIP 2007). Newman et al (2013) recently identified that a<br />

significant proportion will have mental health, social care <strong>and</strong> educational problems. Their research<br />

found that around one quarter of the population have very low IQs (less than 70), while significant<br />

proportions have health, social care <strong>and</strong> education needs. Specifically, 43% of those on community<br />

orders have emotional <strong>and</strong> mental health needs, with a much higher proportion among those in<br />

custody. Two thirds have communication difficulties, half of whom have poor or very poor<br />

communication skills. The youth justice system refers around one third of all those who need to<br />

access substance misuse services. Finally, on ending their period of youth justice supervision,<br />

around one quarter are not in full time education, training or employment (Newman et al 2013:1).<br />

It is also suggested that girls <strong>and</strong> young women are the most vulnerable subgroup of this<br />

population (Batchelor <strong>and</strong> McNeill 2005; Chesney-Lind <strong>and</strong> Pasco 2003; HMIP 2004; Howard League<br />

1997; Tye 2009), exhibiting high levels of psychiatric disturbance, self-harm <strong>and</strong> substance misuse<br />

(Plugge <strong>and</strong> Douglas 2006).<br />

Commonly, youth offending behaviour is associated with social exclusion, deprivation <strong>and</strong> health<br />

inequality (SEU 2002; YJB 2005; Farrington 2006; Nurse 2006; HMIP 2007). These factors increase<br />

the likelihood that young people who have offended will re-offend (MoJ 2008). Thus, given the<br />

often complex needs <strong>and</strong> vulnerabilities of this population, interventions are required that aim to<br />

improve health <strong>and</strong> well-being, reduce likelihood of re-offending, foster social re-integration <strong>and</strong><br />

equip them with life skills, competencies <strong>and</strong> emotional resilience so that they may begin to realise<br />

their potential. While the proportion entering youth justice has fallen significantly (YJB/MoJ 2013),<br />

10 | P a g e

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