OBJECTIVE: In response to several studies suggesting that there is
racial bias in the admission of proportionately more white children and
adolescents to the child and adolescent mental health system than to the
juvenile justice system, the authors tested whether white children and
adolescents would be overrepresented compared with black children and
adolescents in mental health facilities and underrepresented compared with
black children and adolescents in juvenile correctional facilities when
ethnic distribution in the general population was controlled. METHOD:
Ethnicity, age, and sex of all white, black, and Hispanic 10-18-year-olds
admitted in a 1-year period to facilities of the Office of Mental Health
and facilities of the correctional system (the Division for Youth) of New
York State were converted into rates per 100,000 population by using U.S.
census data for the state. Admission rates per 100,000 population for
ethnicity, age, sex, and source of referral were then compared in the two
types of facilities. RESULTS: There were no meaningful differences in
population-corrected admission rates among black, white, and Hispanic
children and adolescents in the state mental health system. In contrast,
there was a vast preponderance of black children and adolescents admitted
to the state juvenile correctional system. The systems have different
points of entry: 100% of the juvenile justice admissions versus 17% of the
mental health admissions were referred by the courts. CONCLUSIONS: Analysis
of demographic variables failed to support an allegation of racial bias in
admission to the child and adolescent public mental health system in New
York State.
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