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However, there is limited work to date characterizing the prevalence and determinants of behavioral health concerns among these caregivers. The present study sought to examine among 100 caregivers of youth with juvenile legal system involvement: (a) rates of depression, anxiety, PTSD, and cannabis and alcohol use; (b) frequency of exposure to traumatic events and discrimination; and (c) the association between experiences of traumatic events and discrimination and behavioral health concerns. The results indicated a variety of behavioral health concerns were experienced by caregivers, with an alarming number of caregivers having been exposed to traumatic events and discrimination. Discrimination was most frequently associated with mental health concerns. Our findings indicated that family\u2010based interventions targeting youth with juvenile legal system involvement should continue to focus on caregiver wellbeing and emphasize reducing the impact of experiences of discrimination.<\/jats:p>","DOI":"10.1111\/jmft.70023","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:09:49Z","timestamp":1745885389000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mental Health, Substance Use, Trauma Exposure, and Experiences of Discrimination Among Caregivers of Youth With Juvenile Legal System Involvement"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0462-3566","authenticated-orcid":false,"given":"Kaitlin M.","family":"Sheerin","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Human Behavior Brown University Providence Rhode Island USA"},{"name":"Bradley\u2010Hasbro Children's Research Center, Rhode Island Hospital Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlin","family":"Piper","sequence":"additional","affiliation":[{"name":"Rollins School of Public Health Emory University Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crosby","family":"Modrowski","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Brown University Providence Rhode Island USA"},{"name":"Bradley\u2010Hasbro Children's Research Center, Rhode Island Hospital Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen A.","family":"Kemp","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Brown University Providence Rhode Island USA"},{"name":"Bradley\u2010Hasbro Children's Research Center, Rhode Island Hospital Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2010.02.017"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2021.106888"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-017-0923-1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/fare.12788"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700048017"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000183"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1745-9133.12520"},{"issue":"4","key":"e_1_2_9_9_1","first-page":"19","article-title":"Psychometric Properties of the Turkish Version of The National Stressful Events Survey for PTSD\u2010Short Scale in a Sample of Inpatients With Alcohol Use Disorder","volume":"18","author":"Evren C.","year":"2016","journal-title":"Heroin Addiction and Related Clinical Problems"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000655"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2008.02057.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191104269954"},{"key":"e_1_2_9_13_1","volume-title":"Massachusetts Youth Screening Instrument\u2010Version 2: User's Manual and Technical Report","author":"Grisso T.","year":"2003"},{"key":"e_1_2_9_14_1","volume-title":"Problem\u2010Solving Therapy","author":"Haley J.","year":"1992"},{"key":"e_1_2_9_15_1","volume-title":"Multisystemic Therapy for Antisocial Behavior in Children and Adolescents","author":"Henggeler S. 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