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E. Michael Foster, PhD, Amir Qaseem, MD, PhD, MHA and Tim Connor, MS

E. Michael Foster and Amir Qaseem are with the Department of Health Policy and Administration, Pennsylvania State University, University Park. Tim Connor is with Opinion Research Corporation (ORC), Atlanta, Ga.

Correspondence: Requests for reprints should be sent to E. Michael Foster, PhD, Department of Health Policy and Administration, Pennsylvania State University, 114 Henderson Bldg, University Park, PA 16801 (e-mail: emfoster{at}psu.edu).

Objectives. We evaluated how improved mental health services affect justice involvement among juveniles treated in the public mental health system.

Methods. Our analyses were based on administrative and interview data collected in 2 communities participating in the evaluation of a national initiative designed to improve mental health services for children and youths.

Results. Results derived from Cox proportional hazard models suggested that better mental health services reduced the risks of initial and subsequent juvenile justice involvement by 31% and 28%, respectively. Effects were somewhat more pronounced for serious offenses.

Conclusions. Our findings suggest that improved mental health services reduce the risk of juvenile justice involvement.

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