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Seattle University Collaborative Projects - International Academy of ...

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Results: In the self-reported data 57% <strong>of</strong> the adolescents showed clinically relevant symptomloads. Girls were significant more impaired in internal characteristics than boys. Ratings fromdifferent sources differed significantly.Conclusion: Higher prevalence <strong>of</strong> mental disorders was reported by juveniles from welfaresettings and their teachers. Compared to this need for treatment, chances for juveniles in welfaresettings are lowered by a number <strong>of</strong> structural risks. Results argue for a stronger integration <strong>of</strong>child and adolescent psychiatry and youth welfare systems. Altogether, adolescents fromstationary youth welfare services comprise a group high-at-risk, as do other groups reported onin this symposium.Psychiatric Disorders <strong>of</strong> German Adolescents in DetentionFrank Häßler, <strong>University</strong> <strong>of</strong> Rostock (frank.haessler@med.uni-rostock.de)Anne Wolter, Gesellschaft für Gesundheit und Pädagogik, Rostock, Germany(a.wolter@ymail.com)Claudia Engel, <strong>University</strong> <strong>of</strong> Rostock (claudia.engel@med.uni-rostock.de)Objective: According to police criminal records in Germany more than two million Germanswere suspected <strong>of</strong> having committed a crime in 2010. Among those were 10.75% juvenile and10.1% young adult suspects. German <strong>of</strong>ficial statistics do not report prevalence <strong>of</strong> psychiatricdisorders, or mental retardation, or a combination <strong>of</strong> both, among <strong>of</strong>fenders in Germany.Juvenile detainees however, are known to be at high risk for (untreated) psychiatric disorder.Method: The data gathered from incarcerated adolescents were analyzed in order to compare thesample with other populations at risk (see other papers at this symposium). 39 boys (aged from14 to 18 years) incarcerated in the juvenile detention center in Neustrelitz were interviewed andassessed by a battery <strong>of</strong> psychological tests (YSR, SDQ, BIS, PSSI, YPI, JTCI and others).Results: 71.8% <strong>of</strong> the juveniles in our sample displayed a conduct disorder (F 91 and 92), 30.8%were diagnosed with ADHD (F 90.0 and F 90.1), 15% suffered from a depression (F 32), and95% abused some kind <strong>of</strong> substance. Prevalence <strong>of</strong> these mental disorders is significant higherthan not only the normal population but also the population <strong>of</strong> stationary youth welfare service.Conclusions: Considering that juvenile prison inmates are burdened by high rates <strong>of</strong>psychopathology and mental disorders, it is essential to develop a structured diagnosticprocedure and adequate treatment strategies according to child and adolescent psychiatryguidelines in imprisoned conditions. Both are hard to find in German prisons. An effectivemultimodal treatment however, is known to prevent criminal relapse. The talk argues for anintegration <strong>of</strong> adolescent psychiatry into regular prison routines.Mental Health Problems in Adolescent Samples <strong>of</strong> Alcohol and Cannabis Abusers259

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