Family Factors Associated With Delinquency Outcomes in Court-Involved Youth in Mental Health Treatment.

Objective: To examine the impact of baseline family functioning and parental monitoring on engagement in and severity of delinquent acts of court-involved youth (CIY) after 6 months of mental health treatment. Method: Adolescent (mean age Results: In initial analyses, baseline alcohol use, cannabis use, parental monitoring, and family functioning were associated with 6-month delinquency engagement and severity ( Conclusion: In CIY enrolled in mental health treatment, youth with substance use and less parental monitoring at baseline were more likely to have higher engagement in and severity of delinquency at 6 months. This suggests that clinical interventions that target these factors could reduce delinquency. Future directions for this research include improving our understanding of the biopsychosocial factors in this population and better tailoring of existing family-based interventions that target substance use for CIY in mental health treatment. Clinical Trial Registration Information: Integrated Mental Health Treatment & HIV Prevention for Court-Involved Youth (ITP); https://clinicaltrials.gov/study/NCT01421485. Diversity & Inclusion Statement: We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science.