PurposeAdverse childhood experiences (ACEs) are linked to a multitude of deleterious outcomes including, but not limited to, persistent mental and physical health problems, increased justice system involvement, and chronic delinquency. Using a statewide multiyear sample of youth completing long-term juvenile justice residential placement, this study extends prior work by assessing the association between childhood aversity, the prescription of psychotropic medication, and continued delinquency. We additionally explore whether these associations vary across race/ethnicity and sex. MethodsBinary logistic regression and structural equation modeling are used to assess the relationship of cumulative ACEs with psychotropic medication prescription. Logistic regression models are used to assess which covariates, including cumulative ACEs and psychotropic medication, are associated with continued offending. Lastly, we examine the moderating effect of race/ethnicity and sex on the association between the prescription of psychotropic medication and continued delinquency. ResultsACE exposure increases mental health indicators, which then increase the likelihood of psychotropic medication prescription. ACEs increase reoffending; however, psychotropic medication prescription is unrelated to recidivism. The ACE effect and non-significance of psychotropic medication on recidivism was consistent across sex and race/ethnicity. ConclusionACEs are related to both psychotropic medication prescription during placement and subsequent recidivism, yielding juvenile justice policy implications.
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