Abstract：
The goal of our study was to describe the availability of community child and adolescent mental health services, trauma-informed care, and the geographic accessibility of these services for juvenile justice-involved (JJ) youth who received mental health services while in secure detention. Data collection occurred through direct contact with the child and adolescent outpatient clinics listed on the New York State Office of Mental Health website. Zip codes were collected from the juvenile secure detention census. Of the clinics contacted, 88.5 percent accepted JJ youth; however, 43.5 percent accepted them on a conditional basis. Only 62.1 percent offered trauma-informed care, including evidence-based interventions and unspecified care. Although 84.5 percent of the clinics that would accept this population reported currently accepting new patients, reported wait times were as high as six or more months. When JJ residents\' home zip codes and those of the clinics were geographically mapped, there were few clinics in the zip codes where most residents lived. The clinics that accepted youth on a conditional basis often refused high-risk patients, essentially ruling out a large majority of this population. The geographical inaccessibility of these clinics limits their ability to provide care for this vulnerable population.
摘要：
我们研究的目的是描述社区儿童和青少年心理健康服务的可用性，创伤知情护理，以及在安全拘留期间接受心理健康服务的少年司法参与（JJ）青年的地理可及性。数据收集是通过与纽约州心理健康办公室网站上列出的儿童和青少年门诊诊所直接联系进行的。邮政编码是从青少年安全拘留普查中收集的。在联系的诊所中，88.5％的人接受了JJ青年；但是，43.5％的人有条件地接受了它们。只有62.1%的人提供创伤知情护理，包括基于证据的干预措施和未指定的护理。尽管84.5%接受这一人群的诊所报告目前接受新患者，报告的等待时间高达6个月或更长时间。当JJ居民的家邮政编码和诊所的邮政编码被地理映射时，大多数居民居住的邮政编码中很少有诊所。有条件接受青少年的诊所往往拒绝高危病人,基本上排除了大部分人口。这些诊所在地理上无法进入，限制了它们为这一弱势群体提供护理的能力。
