Gaps in Mental Illness Checks Swallow Juvenile Victims
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The family of 19-year-old Ashley Smith says guards watched and did nothing as the young woman strangled herself to death in an Ontario prison cell. Smith spent her teen years in and out of juvenile custody and, once in the adult system, had her mental illness answered by physical abuse, her family alleges in a legal battle to find out more about their daughter’s death. For youth incarcerated in the United States, the mental care they get — or don’t — varies. “In some places, all of this is really done quite well,” said Preston Elrod, a professor in the Department of Criminal Justice at Eastern Kentucky University and a juvenile justice specialist. “But in other places, none of it is done well.”
About 70 percent of young people who come into an institution have a diagnosable mental health disorder or symptoms of one, according to Gina Vincent, a psychiatry professor from the University of Massachusetts Medical School, in a 2012 report about screening and assessment in juvenile justice systems.
Rules vary by state, though in many places, children will not stay in the juvenile detention system, receiving what juvenile-tailored services exist, as long as Smith did: her 18th birthday.