Brain Injury in Justice-Involved Youth: Findings and Implications for Juvenile Service Professionals

Abstract

It is well-established that the prevalence of brain injury among justice-involved populations is significantly greater than that of the general population. From 2014-2018, a demonstration project was conducted in two juvenile detention centers in southeastern PA. Its core strategy was to identify youth with history of brain injury; determine their neurocognitive barriers to successful re-entry; and create release plans including connections to appropriate resources. 489 youth participated. They were screened for brain injury utilizing the Ohio State University Traumatic Brain Injury Identification Method, and those who screened positive, were assessed utilizing standardized measures of memory and executive functioning. Results indicated that 49% had history of brain injury, with an average of 2.59 injuries per youth. 62% of injuries did not involve a loss of consciousness, and two-thirds never sought treatment for their injury. A history of repetitive blows to the head was also common, and often caused by violence. 147 youth were subsequently evaluated for cognitive impairment. 57% showed evidence of significant cognitive impairment, with the most common impairments being working memory, behavioral regulation, and delayed recall of novel information. Resources included referrals to brain injury school re-entry programs, vocational rehabilitation, and medical rehabilitation.