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			 Researchers followed nearly 1200 boys and girls for 12 years after 
			their detention in Chicago’s Cook County Juvenile Temporary 
			Detention Center. They looked for positive outcomes in eight areas: 
			educational attainment, residential independence, gainful activity, 
			desistance from criminal activity, mental health, abstaining from 
			substance abuse, interpersonal functioning, and parenting 
			responsibility. 
			 
			Twelve years after detention, only 22 percent of boys and 55 percent 
			of girls were successful in more than half of these outcomes, 
			according to a report in JAMA Pediatrics. 
			 
			Dr. Linda A. Teplin from Northwestern University in Chicago and 
			colleagues found that among the boys, 46 percent of non-Hispanic 
			whites had achieved more than half the outcomes, compared with only 
			29 percent of Hispanics and 19 percent of African Americans. Results 
			for girls did not differ by race or ethnicity. 
			 
			As adults, the former delinquent boys fell into five broad 
			categories: 24 percent were unlikely to have positive outcomes in 
			any area; 28 percent were incarcerated; 21 percent were living 
			independently but struggling; 6 percent were struggling family men; 
			and 21 percent were functioning independently with positive outcomes 
			in nearly all domains. 
			  
			More than half of the former delinquent girls were at-home mothers 
			(60 percent); 14.4 percent were unstable mothers with positive 
			outcomes only in parenting responsibility; 10 percent were substance 
			free but struggling; and 16 percent had positive outcomes in every 
			domain except interpersonal functioning. 
			 
			Minority boys were most likely to fall into the worst outcome 
			classes, while there were no racial/ethnic differences among girls. 
			 
			The researchers recommend that services for delinquent youth be 
			expanded, especially for minority males, and they urge support for 
			policies that make it easier for these youth to obey the law and to 
			overcome barriers to social stability and employment. 
			 
			Dr. Robert J. Sampson from Harvard University, Cambridge, 
			Massachusetts, who wrote an editorial related to this report, told 
			Reuters Health by email, “The police and courts alone are ill 
			equipped to handle the needs of adolescents who are falling through 
			the cracks of society’s support system. Constructing positive 
			‘turning points’ is central to breaking the reinforcing cycle of 
			adversities that institutionalization can trigger.” 
			 
			“Meaningful structural change will likely be long in coming, 
			however, so how to prevent delinquency in the first place and how to 
			steer delinquent youth onto a path of success after being involved 
			in the criminal justice system are the immediate, challenging 
			questions,” he writes in his editorial. 
			 
			
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			“At the very least, we should redesign the juvenile system so that 
			it does not exacerbate existing inequalities,” he concludes. 
			“Because juvenile detention has durable consequences for later 
			development, and because today’s children and adolescents are 
			tomorrow’s parents, there is urgency to breaking the stigma of a 
			criminal record and the associated intergenerational cycle of 
			compounded adversity.” 
			 
			“I anticipated that outcomes would be dire,” Teplin told Reuters 
			Health by email. “But I had not realized that so few youth could 
			achieve milestones that are considered quite routine for most young 
			people - - for example, establishing independent residence, being 
			responsible for one’s children, steady employment.” 
			 
			She continued, “People do not realize the impediments and cycle of 
			disadvantage faced by youth who are detained. Once detained, they 
			miss school. When released, they will have fallen behind in school, 
			may become discouraged, and never catch up. Without a proper 
			education, they can never find a job. And if they become involved in 
			the adult justice system, there face great impediments by employers 
			who refuse to hire prior offenders.” 
			 
			“Our educational system is the root cause for many of these 
			problems,” Dr. Teplin said. “Unlike other developed countries 
			(France, the U.K., Australia), our school systems are funded by 
			local tax dollars. Thus, the quality of your school is determined by 
			your zip code. Overall, poor kids receive a much worse education 
			than wealthier kids. Once they get in trouble with the law, they are 
			on a one-way road.” 
			 
			Dr. Teplin added, “There is something called ‘adolescent limited 
			delinquency,’ meaning that kids may engage in delinquent acts, but 
			then ‘grow out of it.’ But for poor kids, who may have fewer people 
			in their lives who can rescue them, delinquency may begin a cycle of 
			disadvantage that lasts throughout adulthood.”  
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