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Commitment to care: managed care and child incarceration.

J Watkins

    Journal of Psychosocial Nursing and Mental Health Services
    |February 19, 1999
    PubMed
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    The 1990s saw psychiatric hospital downsizing, leading to fewer community mental health services for children. Consequently, childhood emotional and behavioral disorders increasingly result in admissions to children's prisons for psychological help.

    Area of Science:

    • Child and Adolescent Psychiatry
    • Forensic Psychology
    • Public Health Policy

    Background:

    • The 1980s experienced psychiatric hospital scandals and closures, leading to downsizing and managed care in the 1990s.
    • Families face increasing challenges in providing care for children with emotional or behavioral disorders.
    • Community
    • zero tolerance
    • policies have amplified the issue.

    Purpose of the Study:

    • To discuss the decreased treatment of childhood psychiatric disorders.
    • To examine the increased admissions to children's prison facilities for psychological help.

    Main Methods:

    • Literature review of psychiatric care trends.
    • Analysis of policy changes impacting child mental health services.

    Related Experiment Videos

  • Examination of the intersection between childhood behavioral disorders and the justice system.

    • Main Results:

    • A decline in accessible psychiatric treatment for children.
    • A rise in the number of children admitted to correctional facilities for behavioral issues.
    • Psychological interventions are being provided within the prison system.

    Conclusions:

    • The shift from psychiatric care to correctional facilities for children with behavioral disorders raises significant concerns.
    • Policy changes have inadvertently created a system where prisons serve as de facto treatment centers.
    • Further research is needed to address the root causes and effective interventions for childhood emotional and behavioral disorders.