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Name: Personal
Name: Personal
Name: Personal
Name: Personal
Name: Personal
Type of Resource: text
Genre (aat): posters
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Note (displayLabel="Scholarly concentration"): Non-Scholarly concentrator
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Abstract: Objectives: There is little knowledge about rates of sleep disruption in incarcerated samples of justice-involved youth with a history of substance use. This study explores the rates of reported sleep disturbance and prescription medication use related to sleep in a sample of incarcerated adolescents with a history of substance use. Findings may be relevant to the development of a targeted sleep hygiene protocol that addresses co-occurring disorders. Methods: This retrospective chart review evaluated adolescents incarcerated at a juvenile detention facility in Rhode Island. Charts of youth that were referred for individual therapy in the clinical treatment program were reviewed as part of this study (n = 83). Those who were still under the age of 19 years at the time of evaluation were included in the analysis. Chart review included nursing intake forms (with presence or absence noted for sleep disturbance and substance use), urine toxicology screen, psychiatric evaluation (including further details regarding sleep patterns), and results of the Adolescent Substance Abuse Subtle Screening Inventory (SASSI-A2). Results: In this sample of incarcerated adolescents, 58.2 percent (n = 39) reported substance use via self-report and denied substance use problems on the SASSI, and 32.8 percent (n = 22) of participants reported both substance use via self-report and substance use problems on the SASSI, but the differences were not significant (Chi square = 0.62, p = 0.74). Additionally, 68.3 percent (n = 56) of participants reported sleep problems and were prescribed sleep medications; 8.5 percent (n = 7) of participants reported having a sleep problem but were not prescribed sleep medications; 12.2 percent (n = 10) of participants denied sleep problems at intake but were later prescribed sleep medications. These overall group differences were statistically significant (Chi square = 12.22, p < 0.001). Conclusions: This review highlights the prevalence of sleep disturbance, prescription of sleep medication, and substance use in this population of incarcerated adolescents in the context of concern for misdiagnosis and potential for medication diversion. The results support the development of a protocol for objectively assessing and managing reported sleep disturbance in the context of treatment of co-occurring disorders in a correctional setting.
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