Understanding the Influence of Mental Health Diagnosis and Gender on Placement Decisions for Justice-Involved Youth

Justice-involved youth have high rates of psychiatric diagnoses, and these youth are often placed out-of-home, although evidence identifies several negative implications of juvenile confinement, especially for youth with psychopathology. Furthermore, youth in the justice system may be processed differently based on gender. As males and females tend to manifest symptoms differently, the psychopathology of youth may act to moderate the relationship between gender and placement in the juvenile justice system. The present study used a large, diverse sample (n?=?9?851, 19.8?% female) to examine whether youth placed in various types of out-of-home facilities differed in terms of externalizing, internalizing, substance use, or comorbid disorders, and to determine the predictive value of mental health diagnoses in placement decisions. The moderation effect of psychopathology and substance use on the relationship between gender and placement also was explored. The results indicated that each type of disorder differed across placements, with internalizing being most prevalent in non-secure, and externalizing, comorbid, and substance use being most prevalent in secure settings. Mental health diagnoses improved the prediction of placement in each out-of-home placement beyond legal and demographic factors such that externalizing and substance use disorders decreased the likelihood of placement in non-secure settings, and internalizing, externalizing, and substance use disorders increased the likelihood of placement in secure and state-secure facilities. The relationship between internalizing pathology and placement in more secure facilities was moderated by externalizing pathology. The relationship between gender and placement was significantly moderated by mental health such that females with mental health diagnoses receive less secure placements. Implications for policymakers and practitioners are discussed, as well as implications for reforming juvenile justice within a developmental approach.     

Childhood Adversity and Early Initiation of Alcohol Use in Two Representative Samples of Puerto Rican Youth

Early alcohol use is associated with multiple negative outcomes later in life, including substance use disorders. Identification of factors related to this very early risk indicator can help inform early prevention efforts. This study prospectively examined the relationship between childhood adversities and early initiation of alcohol use (by age 14) among Puerto Rican youth, the Latino subgroup at highest risk for alcohol use disorders in adulthood. The data come from the Boricua Youth Study, a longitudinal study of Puerto Rican youth in two sites (South Bronx, New York, and the standard metropolitan area of San Juan, Puerto Rico). We focus on youth who were ages 10 and older at Wave 1 [M _{age at Wave 1} (SE)?=?11.64(0.05), N?=?1259, 48.85?% females]. Twelve childhood adversities were measured at Wave 1 and include 10 adverse childhood experiences commonly studied and two additional ones (exposure to violence and discrimination) that were deemed relevant for this study’s population. Early initiation of alcohol use was determined based on youth report at Waves 1 through 3 (each wave 1 year apart). Cox proportional hazards models showed that, when considered individually, adversities reflecting child maltreatment, parental maladjustment, and sociocultural stressors were related to early initiation of alcohol use. Significant gender interactions were identified for parental emotional problems and exposure to violence, with associations found among girls only. Adversities often co-occurred, and when they were considered jointly, physical and emotional abuse, parental antisocial personality, and exposure to violence had independent associations with early alcohol use, with a stronger influence of exposure to violence in girls compared to boys. The accumulation of adversities, regardless of the specific type of exposure, increased the risk for starting to drink at a young age in a linear way. The associations between childhood adversities and early alcohol use were generally consistent across sociocultural contexts, in spite of differences in the prevalence of exposure to adversity. Our findings highlight the importance of targeting multiple adversities and expanding the notion of adversity to capture the experiences of specific groups more adequately.     

An assessment of sexual health risk behaviors among female youth in juvenile detention

This study investigated the association between risky sexual behavior and drug use among female youth sentenced to a regional juvenile detention center. Preincarceration behavioral health risk data were collected from a modified version of the Youth Risk Behaviors Surveillance Survey completed by respondents. Almost all of the 105 participants had been detained before their current sentence, more than half of them were sexually active before the age of 13, and 70% had smoked marijuana or drank alcohol by age 14. A regression analysis was conducted to determine if preincarceration sexual health risk behaviors were significant enough to predict continued risk behaviors related to pregnancy, disease prevention, and substance use. Findings indicate that youth detention-based prevention programs should emphasize sexual and drug-risk reduction strategies as a means to reduce risky behaviors for this population.     

Single,straight, wants kids: media framing of single,heterosexual fatherhood via assisted reproduction

The new reproductive technologies have made possible various postmodern family forms. I highlight an emerging form that has received little attention: single fathers by choice (SFCs), created by single men using egg donation and surrogacy. I focus on heterosexual SFCs, which have been largely ignored in the scholarly literature even as gay and lesbian parenthood have increasingly become topics of feminist inquiry. This type of fatherhood raises several important questions for gender and family scholars about the ‘traditional’ family, the relationship between masculinity and fatherhood, and men’s own desires for parenthood without a female partner. I analyze US media framing to explore cultural sense-making of SFCs. While media framing cannot tell us about men’s lived experiences as intentional single fathers, it does point to larger discourses that potentially impact these men as they engage in non-normative fathering. I identify three core themes within the media frames: (1) viewing men and women as similar, but ultimately different, (2) addressing the tension between bachelorhood and fatherhood, and (3) representing the gender of paternal desire in multiple, conflicting ways. Overall, I argue that further investigations of SFCs can illuminate issues about men’s desires for children and agency in becoming fathers.     

Measuring subnational democracy: toward improved regime typologies and theories of regime change

Social scientists have been limited in their work by the paucity of global time series data about subnational institutions and practices. Such data could help scholars refine regime typologies, improve theories of democratization and regime change, better understand subnational democracy, and illuminate issues of development, conflict, and governance. This article addresses the lack of data by introducing 22 subnational measures from a new dataset, Varieties of Democracy. Validity tests demonstrate that the measures’ strengths outweigh their weaknesses. The measures excel in covering all subnational levels for most countries, capturing different elements of subnational elections, and including a variety of dimensions of elections and civil liberties. The measures also offer unmatched global and temporal coverage. The article demonstrates how these strengths can provide scholars with the benefits described above.     

International democracy promotion and democratization in the Middle East and North Africa

This article offers an overview of the literature on international democracy promotion in relation to the Middle East and North Africa (MENA). It draws on the criteria of process tracing to evaluate the mechanisms, processes and episodes of democratization associated with international democracy promotion in the region. It finds that the literature lacks a clear account of how international democracy promotion relates to conditions for democratization and could pay greater attention to the role of media in either supporting or counteracting democracy promotion activities which impact democratization processes in the region.