2012 Mental Health Gap

Transcription

1 2012 Mental Health Gap Survey Results MISSION: To protect the public and reduce crime by holding youth offenders accountable and providing opportunities for reformation in safe environments About the OYA Mental Health Gap Survey... 3 Highlights from the 2012 Survey... 4 Visual Summary of the 2012 Survey... 7 Data Tables Results by Location Type and Sex: All OYA Youth Results by OYA Facility: Youth in OYA Facilities Results by Survey Year and Sex ( ) - All OYA Youth Youth in OYA Facilities Youth under OYA Community Supervision Prepared by Research and Evaluation July 2012 Oregon Youth Authority

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3 ABOUT THE OYA MENTAL HEALTH GAP SURVEY The Oregon Youth Authority has conducted the Mental Health Gap Survey every other year beginning in the year Data are collected about all youth in OYA custody on April 1 of the survey year. The survey allows the agency to make a comprehensive assessment of the mental health and other treatment services needed by youth in OYA custody. Survey results are analyzed to identify youth service gaps and to advocate for funding for important services during the budget process. Typically, Juvenile Parole and Probation Officers complete the survey on OYA youth in the community. Treatment managers and mental health professionals generally complete of the surveys on youth in OYA correctional facilities. Information for the survey comes from youth assessments such as mental health, substance use, and other evaluations in the youth s case file. There are only a few changes from year to year in the survey, which makes it possible to look for trends in the results for many of the survey questions. The survey response rate is very high. In 2012, over 99% of eligible youth had a completed survey. 3

4 HIGHLIGHTS FROM THE 2012 SURVEY 2012 Snapshot with Comparison to 2010 Results s in OYA facilities. While the majority of youth in OYA custody face significant mental health or substance use challenges, one pattern clear from the data is the high proportion of females in OYA facilities who were reported to have these issues. As in past years, this population was frequently the most negatively affected group compared to OYA-supervised males in facilities, females in the community, and males in the community. Table 1 below demonstrates this point with some results from the current and prior Mental Health Gap Surveys. Table 1: Survey items illustrating high proportion of negative results among females in OYA facilities Survey Question Survey year Facility Community Both Both All OYA Completed surveys (#) One or more suicide attempts in past 3 years (1.1) Currently taking psychotropic medications (1.2) Documented history of sexual abuse (1.6.1) Documented history of physical abuse (1.6.2) Documented history of emotional abuse (1.6.3) Axis I diagnosis, excluding conduct disorder (1.1)* Axis I: Mood Disorders (1.12.2)* Axis I: Anxiety Disorders (1.12.3)* Axis II Diagnosis (1.14)* % 8% 10% 15% 4% 5% 7% % 8% 9% 15% 4% 6% 7% % 35% 37% 38% 21% 24% 29% % 38% 40% 30% 23% 24% 32% % 16% 18% 33% 13% 16% 17% % 17% 20% 33% 17% 20% 20% % 23% 25% 31% 20% 21% 23% % 24% 26% 32% 24% 25% 25% % 22% 24% 28% 26% 26% 25% % 15% 17% 43% 30% 32% 25% % 57% 59% 56% 26% 30% 43% % 69% 70% 70% 56% 58% 64% % 27% 28% 27% 8% 10% 18% % 19% 21% 28% 15% 17% 19% % 12% 14% 31% 8% 11% 13% % 16% 19% 35% 16% 19% 19% % 16% 18% 11% 5% 6% 11%

5 Table 1 (cont.) Survey Question Survey year Facility Community Both Both All OYA Abuse/dependence on drugs and/or alcohol (2.2) Drug of Choice: methamphetamine (2.3.8) Axis I Diagnosis and Substance Abuse/ Dependence % 67% 68% 60% 53% 54% 60% % 67% 69% 70% 53% 55% 61% % 12% 15% 24% 14% 15% 15% % 7% 10% 23% 8% 10% 10% % 41% 43% 43% 17% 21% 30% % 46% 48% 52% 29% 32% 39% * In 2012, all items related to an Axis I, Axis II, or Axis III condition required diagnosis within the past 12 months. In prior years, no time frame was specified for the mental health diagnosis. Family issues of OYA youth. There is ample evidence that youth raised in dysfunctional homes are more likely to engage in criminal behaviors, and results from the 2012 Mental Health Gap Survey corroborate this finding (Table 2). Survey questions relating to a youth s biological parents showed that many OYA youth have had exposure to significant mental health and substance abuse issues in their home environments. Furthermore, one in seven youth under OYA supervision already had a child of his or her own. This underscores the importance of effective interventions and services addressing mental health and addiction issues so that OYA youth do not perpetuate the cycle of dysfunction in raising their own children. Table 2: Questions related to the youth s family Survey Question Survey year All Both Both OYA Completed surveys (#) Biological parents have a psychiatric history (1.4) Biological parents have a history of drug and/or alcohol abuse (2.6) Youth documented as the biological parent of a child (4.1) % 20% 22% 31% 22% 23% 23% % 21% 22% 29% 27% 27% 25% % 56% 58% 69% 58% 60% 59% % 59% 60% 78% 65% 67% 64% % 17% 16% 10% 13% 12% 14% % 10% 10% 18% 14% 15% 13% Charts in Visual Summary of the 2012 Survey provide a more complete overview of what the most recent survey revealed. Counts and percentages for all items on the 2012 Mental Health Gap Survey are available in the tabled data. 5

6 Trends Intelligence Quotient (IQ). The 2012 results for youth IQ are not directly comparable to the results in prior years because of a change in the phrasing. Nonetheless, OYA is managing a number of youth with lower IQs, specifically IQ scores of 80 or below. Furthermore, as Table 3 shows, the trend seems to hold true for youth in OYA facilities as well as OYA-supervised youth in the community. See question 1.9 Full Scale IQ Intelligence Quotient in the set of tables Results by Survey Year and Sex: Mental Health Gap Surveys. Table 3: IQ 80 or below (1.9)* Survey Population Surveys completed * Percent Surveys completed Percent Surveys completed Percent Surveys completed Percent Surveys eligible All OYA % % % % % Facility 871 6% % % % % Community % % % % % * In 2012, IQ results were collected only for youth with a documented full-scale IQ score available. In prior years, if there was no IQ documentation, the youth s IQ was presumed to be above 80. In 2012, youth with no IQ documentation available were excluded from the IQ results, which is why the survey count dropped so dramatically. Percent History of suicide attempts females. Results from several Mental Health Gap Surveys have consistently shown that females in facilities are more likely than females under community supervision to have a history of one or more suicide attempts within the prior three years. Table 4 summarizes this data. While there has been an uptrend in the percentage of females in facilities with a history of suicide attempts, the size of this population has varied widely, which can make the percentages somewhat misleading. For example, 18 females accounted for 38% of this facility population in the 2012 survey but 25 females counted for a smaller 30% in the 2010 survey. Table 4: One or more suicide attempts females (1.1) Survey Population Surveys completed Percent Surveys completed Percent Surveys completed Percent Surveys completed Percent Surveys completed All OYA % % % % % Facility 72 24% 57 28% 77 29% 81 31% 47 38% Community % % % % % Percent The set of tables titled Results by Survey Year and Sex ( ) summarize responses for all OYA youth, OYA facility youth, and OYA community youth across the last five surveys. 6

7 2012 Visual Summary VISUAL SUMMARY OF THE 2012 SURVEY Charts based on selected items from the table Results by Location Type and Sex: All OYA Youth Chart titles followed with one asterisk (*) represent new questions or answer options in the 2012 survey. Chart titles followed by two asterisks (**) represent items similar but not identical to items in the 2010 survey. In particular, item 1.9 required documentation of IQ; there was no presumption of an IQ > 80 for youth without documentation. Also note that items related to an Axis I, Axis II, or Axis III condition required diagnosis within the past 12 months (not simply a prior diagnosis). 1.0 MENTAL HEALTH Suicide Attempt History in Past 3 Years (1.1) OYA females were more likely to have a history of attempted suicide than males. Thirty-eight percent of females in OYA facilities had at least one attempted suicide in the past three years compared with 15% of females under community supervision. Multiple 6% Mult 4% Mult 1% One 3% One 5% One Attempt 9% Multiple Attempts 21% One Attempt 17% NOTE: axis max is 50% Community Both Multiple Attempts 6% 1% 1% One Attempt 9% 3% 4% None (not shown) 85% 96% 95% Facility Both Multiple Attempts 21% 4% 5% One Attempt 17% 5% 5% None (not shown) 62% 92% 90% 0% 10% 20% 30% 40% 50% Currently Taking Psychotropic Medications (1.2) Biological Parents have a Psychiatric History (1.4) In OYA facilities, the majority of females were taking psychotropic More than half of females in OYA facilities and nearly one third of medications. those in the community had a parent with a psychiatric history. 21% 38% 35% 68% 22% 20% 31% 64% Documented History of Sexual Abuse (1.6.1) Documented History of Physical Abuse (1.6.2) A third of females in the community and half of those in OYA Sixty-two percent of females in OYA facilities and 31% of those in facilities had a history of sexual abuse victimization. the community had a history of physical abuse victimization. 13% 16% 33% 51% 20% 23% 31% 62% This page created or printed on 10/10/2012 7

8 2012 Visual Summary 1.0 MENTAL HEALTH (continued) Documented History of Emotional Abuse (1.6.3) Documented History of Neglect (1.6.4) s in OYA facilities were the most likely to have a s were considerably more likely than males to have a documented history of emotional abuse victimization. documented history of neglect. 22% 26% 28% 60% 20% 28% 40% 57% Documented history of a head injury (1.7)* Full Scale IQ documentation available (1.8)* One in eight males in OYA facilities had a documented history of a IQ documentation was available for about one quarter of youth head injury. Childhood head injuries may trigger persistent under community supervision. The rate was lower among youth in behavioral, emotional, or cognitive problems. OYA facilities. 7% 4% 12% 4% 9% 15% 26% 25% IQ - Intelligence Quotient (1.9)** Of youth with available IQ documentation, 27% of the overall OYA population had a full-scale IQ of 80 or less. < 70 6% < 70 6% < 70 5% IQ % IQ % IQ % Insufficient cases with documented IQ to plot separately NOTE: axis max is 80% Community Both Below 70 6% 6% 6% % 19% 21% Over 80 (not shown) 64% 75% 73% Facility Both Below % 6% % 21% Over 80 (not shown) -- 75% 74% 0% 20% 40% Diagnosed with Conduct Disorder (1.10) Axis I Diagnosis, Excluding Conduct Disorder (1.11)** A diagnosis of Conduct Disorder was common among all OYA Nearly all females and 57% of males in OYA facilities had an Axis I youth, 47% overall. Over half of the males in OYA facilities were diagnosis in the past 12 months. In the community, females were diagnosed with Conduct Disorder. about twice as likely as males to be diagnosed. 42% 37% 55% 49% 26% 56% 57% 94% This page created or printed on 10/10/2012 8

9 2012 Visual Summary 1.0 MENTAL HEALTH (continued) Axis I Type: Mood Disorders (1.12.2)** Axis I Type: Anxiety Disorders (1.12.3)** s were more likely than males to have been diagnosed with Fifty-three percent of females in facilities had been diagnosed with a mood disorder such as Major Depression, Dysthymia, an Axis I disorder such as Post-Traumatic Stress Disorder, Anxiety, Cyclothymia, or a Bipolar Disorder, in the past 12 months. Panic, or Obsessive Compulsive Disorder. 8% 27% 27% 53% 8% 12% 31% 53% Axis I Type: Impulse Control Disorders (1.12.4)* Axis I Type: Disruptive Behavior Disorders (1.12.5)** Impulse control disorders such as Intermittent-Explosive Disorder, Axis I diagnoses such as Oppositional Defiant Disorder and Kleptomania, Pyromania, Pathological Gambling, and Attention Deficit Hyperactivity Disorder were present in over 10% of Trichotillomania were most frequently diagnosed among males in the OYA facility population. This Axis I diagnosis is exclusive of OYA facilities. Conduct Disorder. 4% 5% 10% 0% 4% 10% 10% 13% Axis I (1.11) and Currently Taking Psychotropics (1.2)* Axis II Diagnosis (1.14)* Two thirds of females in OYA facilities and one third in the During the past 12 months, over half of females in OYA facilities community were diagnosed with an Axis I disorder and were also were diagnosed with an Axis II Personality Trait/Disorder. taking psychotropic medications. 12% 30% 36% 66% 5% 11% 16% 55% Axis II Type: Cluster A - Paranoid, Schizoid... (1.15.1)** Axis II Type: Cluster B - Antisocial, Borderline... (1.15.2)* Seventeen percent of females in OYA facilities were diagnosed with Cluster B Personality Traits/Disorders--including Antisocial, a Paranoid, Schizoid, or Schizotypal personality disorder. Borderline, Histrionic, and Narcissistic personality disorders--were diagnosed in 38% of females in OYA facilities. 2% 2% 2% 17% 3% 8% 13% 38% This page created or printed on 10/10/2012 9

10 2012 Visual Summary 1.0 MENTAL HEALTH (continued) Axis III Diagnosis (1.16)* Axis III Type: Fetal Alcohol Syndrome/Effects (1.17.3)** Thirty-two percent of females in OYA facilities were diagnosed with Just over one percent of all youth in OYA custody had a confirmed an Axis III disorder in the past 12 months. Most of these diagnoses diagnosis of fetal alcohol syndrome/effects in the past 12 months. were for some type of general medical condition such as obesity, migraines, acne, back pain, etc. 6% 17% 18% 32% 1% 2% 2% 0% 2.0 SUBSTANCE USE Level of Drug and/or Alcohol Use (2.2) The majority of youth under OYA supervision had a history of substance use, and females were more likely to have a history than males. In fact, over 90% of females in OYA facilities had a serious substance history drug or alcohol abuse/dependence. Dependence 19% Dependence 20% Dependence 39% Abuse 33% Dependence 62% Abuse 40% Abuse 28% Use 13% Use 17% Use 6% Abuse 30% Community Both Dependence 20% 19% 19% Abuse 40% 33% 34% Use 17% 13% 13% No History (not shown) 23% 35% 33% Facility Both Dependence 62% 39% 40% Abuse 30% 28% 28% Use 0% 6% 6% No History (not shown) 9% 27% 26% 0% 20% 40% 60% 80% 100% Drugs of Choice The most common drugs of choice were alcohol, cocaine, heroin and other opiates, methamphetamine, marijuana, and prescription drugs. More than one choice was allowed. Drug of Choice: Alcohol (2.3.1) Drug of Choice: Cocaine (2.3.3) Alcohol was the second most popular drug of choice. Facility youth were more likely than community youth to include cocaine as a drug of choice. 42% 45% 49% 64% 4% 7% 9% 15% This page created or printed on 10/10/

11 2012 Visual Summary 2.0 SUBSTANCE USE (continued) Drug of Choice: Heroin or other opiate derivatives (2.3.5) Drug of Choice: Methamphetamine (2.3.8 ) s were more likely to include heroin as a drug of choice than Methamphetamine was a drug of choice for over half of the females males. in facilities and a quarter of those in the community. 3% 6% 9% 17% 14% 12% 24% 53% Drug of Choice: Marijuana (2.3.9) Drug of Choice: Prescription drugs (2.3.10)* Marijuana was the most popular drug of choice. The majority of s under community supervision were most likely to use OYA-supervised youth have used marijuana. prescription drugs without a prescription. 60% 65% 64% 66% 5% 8% 5% 4% Parents have History of Substance Abuse (2.6) Axis I (1.11) and Substance Abuse/Dependence (2.2)** The majority of OYA-supervised youth had biological parents with a The vast majority of OYA-supervised females had a co-occurring documented history of drug and/or alcohol abuse. disorder: Axis I and a serious drug or alcohol problem. 58% 56% 69% 79% 17% 43% 41% 85% 3.0 EDUCATION, TRAINING, AND EMPLOYMENT 0% 20% 40% 60% 80% 100% School Attendance Status (3.1) The majority of youth under OYA supervision were attending school full time. The rates of school attendance were somewhat higher in the facility than in the community population. Full Time 58% Full Time 63% Full Time 70% Full Time 79% PT 6% PT 10% PT 6% PT 9% Community Both Full Time 63% 58% 59% Part Time 10% 6% 7% Not Attending (not shown) 27% 35% 34% Facility Both Full Time 79% 70% 71% Part Time 9% 6% 6% Not Attending (not shown) 13% 24% 23% 0% 20% 40% 60% 80% 100% This page created or printed on 10/10/

12 2012 Visual Summary 3.0 EDUCATION, TRAINING, AND EMPLOYMENT (continued) Working to Achieve a High School Diploma (3.2.1) Working to Achieve a GED (3.2.2) The majority of youth under OYA supervision were working toward One third of the females in OYA facilities were working toward their their high school diploma. GED. 55% 62% 64% 77% 5% 12% 11% 34% Had an Individualized Education Program (3.4) Engaged in Vocational Training (3.5) Overall, nearly one in three OYA-supervised youth had an Over half of the males in the OYA facility population were engaged individualized education program (IEP), a plan for educational in vocational training. services developed for students in special education programs. 26% 31% 31% 45% 14% 17% 15% 56% Completed High School Diploma (3.7.1) Completed GED (3.7.2) Youth in OYA facilities were the most likely to have already Completing a GED was more common among communitysupervised completed their high school diploma. youth than youth in OYA facilities. 8% 14% 15% 31% 4% 2% 14% 12% Employment Status (3.10) The majority of youth under OYA supervision were not employed. s in the community were least likely to have jobs. PT 8% PT 11% PT 13% PT 15% FT 1% FT 8% FT 9% FT 11% NOTE: axis max is 50% Community Both Part Time 8% 11% 11% Full time 1% 8% 7% Not employed 91% 81% 82% Facility Both Part Time 15% 13% 13% Full time 11% 9% 9% Not employed 74% 79% 78% 0% 10% 20% 30% 40% 50% This page created or printed on 10/10/

13 2012 Visual Summary 4.0 OTHER 0% 10% 20% 30% 40% 50% Biological Parent of a Child (4.1) Youth's primary language is English (4.2)* s were more likely to be documented as the biological parent of English was the most common primary language in all OYA a child than females in OYA's community and facility populations. populations. OYA facility youth were more likely to have a Overall, one in seven youth was a biological parent. different primary language than community youth. 13% 10% 17% 11% 94% 98% 84% 91% Youth's primary language is Spanish (4.2)* Spanish was the second most common primary language among youth in OYA custody. 5% 1% 15% 9% DEMOGRAPHICS Race/Ethnicity Although the majority of youth in OYA custody were White, youth of color were over-represented in OYA's facility and community populations. For comparison, in 2010, the race/ethnicity breakout of Oregon's population age was African American (3%), Asian (5%), White (72%), Hispanic (19%), and Native American (2%). White Community Other Other African Amer Asian Hispanic African Amer Native Amer Asian 100% 80% 60% 40% 20% African Amer Hispanic Native Am White African Amer Hispanic Native Am White African Amer Hispanic Native Am White African Amer Hispanic Native Am White Community Both African American 10% 8% 8% Asian 0% 1% 1% Hispanic 21% 22% 22% Native American 9% 4% 5% White 57% 63% 62% Other/Unreported 3% 2% 2% Facility Both African American 9% 13% 12% Asian 0% 2% 2% Hispanic 23% 27% 27% Native American 9% 4% 4% White 60% 53% 54% Other/Unreported 0% 1% 1% Facility White Hispanic Native Amer 0% Other Community Facility This page created or printed on 10/10/

14 2012 Visual Summary DEMOGRAPHICS (continued) Age Group Over 60% of OYA-supervised youth in the community are age 17 and younger. In OYA facilities, 64% of youth are age 18 and older to to to to % 80% 18 to & over 21 & over 18 to to & over Community Both 12 to 13 1% 2% 2% 14 to 15 15% 13% 13% 16 to 17 53% 44% 45% 18 to 20 28% 35% 34% 21 & over 2% 6% 6% Community 12 to to to 17 60% 40% 20% 16 to to to to to 17 Facility Both 12 to 13 2% 1% 1% 14 to 15 11% 7% 7% 16 to 17 47% 27% 28% 18 to 20 34% 48% 48% 21 & over 6% 17% 16% Facility 18 to 20 0% 14 to to to to 15 Community Facility Crime Type Approximately one third of male and female youth under OYA supervision were committed for a property offense. Sex offenses were the most serious crime for 32% of males under community supervision and 36% of males in OYA facilities. s were most likely to be committed for non-sexual person crimes, regardless of whether they were supervised in OYA facilities or in the community. Arson Weapon Sex Offense Community Facility Behav Arson Behav Weapon Sex Offense Drugs Person Property Drugs Person Property 100% 80% 60% 40% 20% 0% Behavior Drugs Person Property Behavior Drugs Person Property Sex Offense Arson Behavior Drugs Person Property Behavior Person Property Sex Offense Sex Off Sex Off Weapon Weapon Community Facility Community Both Arson 3% 1% 1% Behavioral 9% 4% 4% Drugs 13% 6% 7% Person 38% 17% 20% Property 33% 35% 35% Sex Offense 5% 32% 28% Weapon 0% 5% 4% Facility Both Arson 6% 1% 1% Behavioral 4% 2% 2% Drugs 17% 3% 4% Person 36% 22% 22% Property 32% 33% 33% Sex Offense 0% 36% 34% Weapon 4% 3% 3% This page created or printed on 10/10/

15 2012 All OYA Youth 1.0 MENTAL HEALTH RESULTS BY LOCATION TYPE AND SEX: ALL OYA YOUTH 2012 Mental Health Gap Survey All OYA Total Total Total N = 47 N = 691 N = 738 N = 144 N = 869 N = 1013 N = 191 N = 1560 N = 1751 Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent 1.1 Suicide attempt history No Suicide Attempts in Last 3 Years 29 62% % % % % % % % % One Suicide Attempt in Last 3 Years 8 17% 32 5% 40 5% 13 9% 27 3% 40 4% 21 11% 59 4% 80 5% Multiple Suicide Attempts in Last 3 Years 10 21% 26 4% 36 5% 9 6% 6 1% 15 1% 19 10% 32 2% 51 3% Total % % % % % % % % % 1.2 Percentage of youth currently taking psychotropic medications Yes 32 68% % % 55 38% % % 87 46% % % 1.3 Previous psychiatric hospitalizations None 28 60% % % % % % % % % Yes - Within Last 12 Months 3 6% 10 1% 13 2% 7 5% 9 1% 16 2% 10 5% 19 1% 29 2% Yes - Within last Months 9 19% 6 1% 15 2% 4 3% 4 0% 8 1% 13 7% 10 1% 23 1% Yes - More than 24 Months Ago 7 15% 16 2% 23 3% 7 5% 32 4% 39 4% 14 7% 48 3% 62 4% Total % % % % % % % % % 1.4 Percentage of youth whose biological parent(s) have a psychiatric history Yes 30 64% % % 45 31% % % 75 39% % % 1.5 Percentage of youth with a documented history of child abuse or neglect Yes 37 79% % % 91 63% % % % % % 1.6 Percentage of youth with a documented history of (multiple selections allowed) Sexual Abuse % % % 47 33% % % 71 37% % % Physical Abuse % % % 44 31% % % 73 38% % % Emotional Abuse % % % 40 28% % % 68 36% % % Neglect % % % 58 40% % % 85 45% % % 1.7 Percentage of youth with documented history of a head injury Yes 2 4% 80 12% 82 11% 6 4% 60 7% 66 7% 8 4% 140 9% 148 8% 1.8 Percentage of youth with documentation of Full Scale IQ available Yes 4 9% % % 36 25% % % 40 21% % % 1.9 Full Scale IQ - Intelligence Quotient (Note: percentages based only on youth with IQ documentation available) IQ Below % 5 5% 6 6% 2 6% 14 6% 16 6% 3 8% 19 6% 22 6% IQ % 20 20% 22 21% 11 31% 43 19% 54 21% 13 33% 63 19% 76 21% IQ Over % 77 75% 78 74% 23 64% % % 24 60% % % Total of those with documented IQ % % % % % % % % % 15

16 2012 All OYA Youth 1.10 Percentage of youth diagnosed with a conduct disorder All OYA Total Total Total N = 47 N = 691 N = 738 N = 144 N = 869 N = 1013 N = 191 N = 1560 N = 1751 Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Yes 23 49% % % 53 37% % % 76 40% % % 1.11 Percentage of youth with an Axis I diagnosis, excluding conduct disorder (diagnosis in past 12 months) Yes 44 94% % % 80 56% % % % % % 1.12 Percentage of youth with Axis I mental health diagnosis (detail, multiple selections allowed) Learning Disorder % 16 2% 20 3% 8 6% 22 3% 30 3% 12 6% 38 2% 50 3% Mood Disorders (e.g., Major Depression, Dysthymia, Bipolar, Cyclothymia) % % % 39 27% 67 8% % 64 34% % % Anxiety Disorders (e.g., Panic or Anxiety, Phobias, OCD, PTSD) % 81 12% % 45 31% 69 8% % 70 37% % % Impulse Control Disorders (e.g., Intermittent-Explosive, Kleptomania, Pyromania, Pathological Gambling) % 67 10% 67 9% 7 5% 33 4% 40 4% 7 4% 100 6% 107 6% Disruptive Behavior Disorders (e.g., ADHD, ODD) % 72 10% 78 11% 14 10% 37 4% 51 5% 20 10% 109 7% 129 7% Thought Disorders (e.g., Schizophrenia, Schizophreniform or Schizoaffective, Delusional, Psychotic) % 4 1% 5 1% 1 1% 3 0% 4 0% 2 1% 7 0% 9 1% Pervasive Developmental Disorders (e.g., Autistic, Asperger's, PDD NOS) % 12 2% 12 2% 2 1% 9 1% 11 1% 2 1% 21 1% 23 1% Eating Disorders (e.g., Anorexia, Bulimia) % 0 0% 1 0% 5 3% 0 0% 5 0% 6 3% 0 0% 6 0% Sleep Disorders (e.g., Insomnia, Narcolepsy, Sleep Terrors, Sleepwalking) % 4 1% 4 1% 2 1% 3 0% 5 0% 2 1% 7 0% 9 1% Tic Disorders (e.g., Tourette's, other Motor or Vocal Tic) Elimination Disorders (e.g., Encopresis, Enuresis) Reactive Attachment Disorder (e.g., Inhibited, Disinhibited) % 2 0% 2 0% 0 0% 1 0% 1 0% 0 0% 3 0% 3 0% 0 0% 4 1% 4 1% 1 1% 1 0% 2 0% 1 1% 5 0% 6 0% 1 2% 8 1% 9 1% 2 1% 7 1% 9 1% 3 2% 15 1% 18 1% Paraphilias (e.g., Exhibitionism, Frotteurism, Pedophilia, Sexual Masochism, Sexual Sadism, Transvestic Fetishism) % 3 0% 3 0% 0 0% 2 0% 2 0% 0 0% 5 0% 5 0% Other Axis 1 mental health diagnosis % % % 20 14% 95 11% % 39 20% % % 1.14 Percentage of youth with an Axis II diagnosis (diagnosis in past 12 months) Yes 26 55% % % 16 11% 40 5% 56 6% 42 22% % % 1.15 Percentage of youth with an Axis II Personality Traits/Disorder mental health diagnosis (detail, multiple selections allowed) Cluster A (e.g., Paranoid, Schizoid, Schizotypal) % 12 2% 20 3% 3 2% 18 2% 21 2% 11 6% 30 2% 41 2% Cluster B (e.g., Antisocial, Borderline, Histrionic, Narcissistic) % 92 13% % 11 8% 23 3% 34 3% 29 15% 115 7% 144 8% Cluster C (e.g., Avoidant, Dependent, Obsessive- Compulsive) % 8 1% 8 1% 2 1% 1 0% 3 0% 2 1% 9 1% 11 1% 16

17 2012 All OYA Youth All OYA Total Total Total N = 47 N = 691 N = 738 N = 144 N = 869 N = 1013 N = 191 N = 1560 N = 1751 Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent 1.16 Percentage of youth with an Axis III diagnosis (diagnosis in past 12 months) Yes 15 32% % % 24 17% 54 6% 78 8% 39 20% % % 1.17 Percentage of youth with an Axis III diagnosis (detail, multiple selections allowed) Cerebral Palsy % 1 0% 1 0% 0 0% 1 0% 1 0% 0 0% 2 0% 2 0% Down's Syndrome % 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% Fetal Alcohol Syndrome/Effects % 13 2% 13 2% 3 2% 7 1% 10 1% 3 2% 20 1% 23 1% Other % % % 22 15% 46 5% 68 7% 37 19% % % Percentage of youth with Axis I diagnosis (excluding conduct disorder) who are currently taking psychotropic medications Yes 31 66% % % 52 36% % % 83 43% % % 2.0 SUBSTANCE USE 2.1 Percentage of youth with a diagnosed drug and/or alcohol history Yes 43 91% % % % % % % % % 2.2 What level of drug and/or alcohol use? No History 4 9% % % 33 23% % % 37 19% % % Drug and/or Alcohol Use 0 0% 42 6% 42 6% 25 17% % % 25 13% % % Drug and/or Alcohol Abuse 14 30% % % 57 40% % % 71 37% % % Drug and/or Alcohol Dependence 29 62% % % 29 20% % % 58 30% % % Total % % % % % % % % % 2.3 Percentage of youth whose drug or drugs of choice include (multiple selections allowed) Alcohol % % % 71 49% % % % % % Barbiturates and OTC sleep sedatives % 4 1% 5 1% 3 2% 10 1% 13 1% 4 2% 14 1% 18 1% Cocaine % 59 9% 66 9% 10 7% 38 4% 48 5% 17 9% 97 6% 114 7% Ecstasy % 25 4% 26 4% 10 7% 29 3% 39 4% 11 6% 54 3% 65 4% Heroin or other opiate derivatives % 39 6% 47 6% 13 9% 27 3% 40 4% 21 11% 66 4% 87 5% Inhalants % 15 2% 17 2% 7 5% 20 2% 27 3% 9 5% 35 2% 44 3% LSD, psilocybin and mescaline % 36 5% 37 5% 6 4% 16 2% 22 2% 7 4% 52 3% 59 3% Methamphetamine % 84 12% % 35 24% % % 60 31% % % Marijuana % % % 93 65% % % % % % Prescription drugs % 35 5% 37 5% 11 8% 41 5% 52 5% 13 7% 76 5% 89 5% Synthetic cannabis (e.g., Spice, K2, bath salts) % 5 1% 5 1% 2 1% 11 1% 13 1% 2 1% 16 1% 18 1% Other % 20 3% 20 3% 0 0% 4 0% 4 0% 0 0% 24 2% 24 1% 2.6 Percentage of youth whose biological parent(s) have a history of drug and/or alcohol abuse Yes 37 79% % % % % % % % % Percentage of youth with co-occurring disorders: AOD diagnosis (alcohol abuse or dependence) and Axis I (excluding conduct disorder) Yes 40 85% % % 62 43% % % % % % 17

18 2012 All OYA Youth All OYA Total Total Total N = 47 N = 691 N = 738 N = 144 N = 869 N = 1013 N = 191 N = 1560 N = 1751 Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent 3.0 EDUCATION, TRAINING, AND EMPLOYMENT 3.1 What is the youth's school attendance status? Attending Full Time 37 79% % % 91 63% % % % % % Attending Part Time 4 9% 41 6% 45 6% 14 10% 56 6% 70 7% 18 9% 97 6% 115 7% Not Attending 6 13% % % 39 27% % % 45 24% % % Total % % % % % % % % % 3.2 Percentage of youth working to achieve (multiple selections allowed) High School Diploma % % % 89 62% % % % % % GED % 38 5% 54 7% 16 11% % % 32 17% 140 9% % College Degree % 64 9% 67 9% 2 1% 24 3% 26 3% 5 3% 88 6% 93 5% Certificate % 8 1% 9 1% 0 0% 5 1% 5 0% 1 1% 13 1% 14 1% 3.4 Percentage of youth with an Individualized Education Program Yes 21 45% % % 45 31% % % 66 35% % % 3.5 Percentage of youth engaged in vocational training Yes 7 15% % % 25 17% % % 32 17% % % 3.6 Percentage of youth who have completed any education or training Yes 8 17% % % 31 22% % % 39 20% % % 3.7 Percentage of youth who have completed (multiple selections allowed) High School Diploma % % % 11 8% % % 18 9% % % GED % 26 4% 27 4% 17 12% % % 18 9% 147 9% 165 9% College Degree % 2 0% 2 0% 0 0% 0 0% 0 0% 0 0% 2 0% 2 0% Vocational Training % 26 4% 29 4% 4 3% 19 2% 23 2% 7 4% 45 3% 52 3% Certificate % 13 2% 14 2% 2 1% 1 0% 3 0% 3 2% 14 1% 17 1% 3.9 Percentage of youth who are employed Yes 12 26% % % 13 9% % % 25 13% % % 3.10 What is the youth's employment level? Not employed 35 74% % % % % % % % % Full time 5 11% 61 9% 66 9% 2 1% 70 8% 72 7% 7 4% 131 8% 138 8% Part Time 7 15% 87 13% 94 13% 11 8% 97 11% % 18 9% % % Total % % % % % % % % % 3.11 Percentage of unemployed youth who are seeking employment Yes 2 4% 31 4% 33 4% 32 22% % % 34 18% % % 18

19 2012 All OYA Youth 4.0 OTHER All OYA Total Total Total N = 47 N = 691 N = 738 N = 144 N = 869 N = 1013 N = 191 N = 1560 N = 1751 Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent 4.1 Percentage of youth documented as the biological parent of a child Yes 5 11% % % 15 10% % % 20 10% % % 4.2 Percentage of youth whose primary language is English 43 91% % % % % % % % % Spanish 4 9% % % 2 1% 41 5% 43 4% 6 3% 144 9% 150 9% Russian 0 0% 1 0% 1 0% 0 0% 4 0% 4 0% 0 0% 5 0% 5 0% American Sign Language 0 0% 1 0% 1 0% 0 0% 0 0% 0 0% 0 0% 1 0% 1 0% Other 0 0% 9 1% 9 1% 1 1% 3 0% 4 0% 1 1% 12 1% 13 1% Total % % % % % % % % % DEMOGRAPHIC, CRIMINOGENIC & RISK/NEED CHARACTERISTICS (matched from other sources) Race/Ethnicity African American 4 9% 87 13% 91 12% 15 10% 68 8% 83 8% 19 10% % % Asian 0 0% 15 2% 15 2% 0 0% 7 1% 7 1% 0 0% 22 1% 22 1% Hispanic 11 23% % % 30 21% % % 41 21% % % Native American 4 9% 26 4% 30 4% 13 9% 36 4% 49 5% 17 9% 62 4% 79 5% White 28 60% % % 82 57% % % % % % Other/Unreported 0 0% 4 1% 4 1% 4 3% 20 2% 24 2% 4 2% 24 2% 28 2% Total % % % % % % % % % Current age 12 thru % 6 1% 7 1% 2 1% 16 2% 18 2% 3 2% 22 1% 25 1% 14 thru % 46 7% 51 7% 22 15% % % 27 14% % % 16 thru % % % 76 53% % % 98 51% % % 18 thru % % % 41 28% % % 57 30% % % 21 and over 3 6% % % 3 2% 53 6% 56 6% 6 3% % % Total % % % % % % % % % Crime type on youth's most intense current commitment Arson 3 6% 8 1% 11 1% 4 3% 11 1% 15 1% 7 4% 19 1% 26 1% Behavioral 2 4% 16 2% 18 2% 13 9% 31 4% 44 4% 15 8% 47 3% 62 4% Drugs 8 17% 22 3% 30 4% 18 13% 53 6% 71 7% 26 14% 75 5% 101 6% Person to Person 17 36% % % 54 38% % % 71 37% % % Property 15 32% % % 48 33% % % 63 33% % % Sex Offense 0 0% % % 7 5% % % 7 4% % % Weapon 2 4% 21 3% 23 3% 0 0% 41 5% 41 4% 2 1% 62 4% 64 4% Other/Unreported 0 0% 0 0% 0 0% 0 0% 6 1% 6 1% 0 0% 6 0% 6 0% Total % % % % % % % % % 19

20 2012 OYA Facility Breakout RESULTS BY OYA FACILITY: YOUTH IN OYA FACILITIES 2012 Mental Health Gap Survey 1.0 MENTAL HEALTH Youth Correctional Facilities Oak Creek YCF Eastern Oregon YCF Hillcrest YCF MacLaren YCF North Coast YCF Rogue Valley YCF Tillamook YCF N = 47 N = 53 N = 156 N = 177 N = 51 N = 105 N = 52 Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent 1.1 Suicide attempt history No Suicide Attempts in Last 3 Years 29 62% 48 91% % % 45 88% 99 94% % One Suicide Attempt in Last 3 Years 8 17% 3 6% 14 9% 6 3% 5 10% 2 2% 0 0% Multiple Suicide Attempts in Last 3 Years 10 21% 2 4% 12 8% 7 4% 1 2% 4 4% 0 0% Total % % % % % % % 1.2 Percentage of youth currently taking psychotropic medications 32 68% 25 47% 66 42% 57 32% 14 27% 29 28% 32 62% 1.3 Previous psychiatric hospitalizations None 28 60% 49 92% % % 49 96% % 49 94% Yes - Within Last 12 Months 3 6% 1 2% 5 3% 2 1% 0 0% 1 1% 0 0% Yes - Within last Months 9 19% 1 2% 2 1% 2 1% 0 0% 0 0% 1 2% Yes - More than 24 Months Ago 7 15% 2 4% 4 3% 3 2% 2 4% 3 3% 2 4% Total % % % % % % % 1.4 Percentage of youth whose biological parent(s) have a psychiatric history 30 64% 39 74% 31 20% 29 16% 10 20% 11 10% 7 13% 1.5 Percentage of youth with a documented history of child abuse or neglect 37 79% 46 87% 58 37% 64 36% 13 25% 45 43% 22 42% 1.6 Percentage of youth with a documented history of (multiple selections allowed) Sexual Abuse % 23 43% 15 10% 25 14% 3 6% 12 11% 10 19% Physical Abuse % 26 49% 37 24% 32 18% 8 16% 26 25% 9 17% Emotional Abuse % 23 43% 34 22% 28 16% 7 14% 27 26% 13 25% Neglect % 29 55% 28 18% 24 14% 5 10% 21 20% 11 21% 1.7 Percentage of youth with documented history of a head injury 1.8 Percentage of youth with documentation of Full Scale IQ available 2 4% 5 9% 22 14% 26 15% 6 12% 8 8% 2 4% 4 9% 10 19% 27 17% 31 18% 1 2% 8 8% 11 21% 1.9 Full Scale IQ - Intelligence Quotient (Note: percentages based only on youth with IQ documentation available) IQ Below % 0 0% 2 7% 3 10% 0 0% 0 0% 0 0% IQ % 0 0% 4 15% 6 19% 1 100% 2 25% 2 18% IQ Over % % 21 78% 22 71% 0 0% 6 75% 9 82% Total of those with documented IQ % % % % 1 100% 8 100% % 20

21 2012 OYA Facility Breakout 1.0 MENTAL HEALTH Transition Programs All Close Custody ( and ) Camp Florence Camp Tillamook River Bend Total N = 23 N = 26 N = 46 N = 738 * Count Percent Count Percent Count Percent Count Percent * Total includes 2 youth in county detention on 4/1/ Suicide attempt history No Suicide Attempts in Last 3 Years % % 44 96% % One Suicide Attempt in Last 3 Years 0 0% 0 0% 2 4% 40 5% Multiple Suicide Attempts in Last 3 Years 0 0% 0 0% 0 0% 36 5% Total % % % % 1.2 Percentage of youth currently taking psychotropic medications 2 9% 11 42% 7 15% % 1.3 Previous psychiatric hospitalizations None % % 45 98% % Yes - Within Last 12 Months 0 0% 0 0% 1 2% 13 2% Yes - Within last Months 0 0% 0 0% 0 0% 15 2% Yes - More than 24 Months Ago 0 0% 0 0% 0 0% 23 3% Total % % % % 1.4 Percentage of youth whose biological parent(s) have a psychiatric history 1 4% 4 15% 4 9% % 1.5 Percentage of youth with a documented history of child abuse or neglect 7 30% 19 73% 16 35% % 1.6 Percentage of youth with a documented history of Sexual Abuse Physical Abuse Emotional Abuse Neglect Percentage of youth with documented history of a head injury 1.8 Percentage of youth with documentation of Full Scale IQ available 4 17% 12 46% 5 11% % 6 26% 6 23% 7 15% % 6 26% 5 19% 5 11% % 2 9% 9 35% 7 15% % 1 4% 7 27% 2 4% 82 11% 3 13% 7 27% 4 9% % 1.9 Full Scale IQ - Intelligence Quotient (Note: percentages based only on youth with IQ documentation available) IQ Below % 0 0% 0 0% 6 6% IQ % 2 29% 2 50% 22 21% IQ Over % 5 71% 2 50% 78 74% Total of those with documented IQ % 7 100% 4 100% % 21

22 2012 OYA Facility Breakout Youth Correctional Facilities Oak Creek YCF Eastern Oregon YCF Hillcrest YCF MacLaren YCF North Coast YCF Rogue Valley YCF Tillamook YCF N = 47 N = 53 N = 156 N = 177 N = 51 N = 105 N = 52 Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent 1.10 Percentage of youth diagnosed with a conduct disorder 23 49% 29 55% % 99 56% 37 73% 54 51% 12 23% 1.11 Percentage of youth with an Axis I diagnosis, excluding conduct disorder (diagnosis in past 12 months) 1.12 Percentage of youth with Axis I mental health diagnosis (detail, multiple selections allowed) Learning Disorder % 49 92% 85 54% % 25 49% 61 58% 42 81% 4 9% 1 2% 8 5% 4 2% 0 0% 0 0% 2 4% Mood Disorders (e.g., Major Depression, Dysthymia, Bipolar, Cyclothymia) % 24 45% 38 24% 52 29% 14 27% 27 26% 19 37% Anxiety Disorders (e.g., Panic or Anxiety, Phobias, OCD, PTSD) % 3 6% 22 14% 31 18% 1 2% 10 10% 11 21% Impulse Control Disorders (e.g., Intermittent-Explosive, Kleptomania, Pyromania, Pathological Gambling) % 21 40% 12 8% 12 7% 5 10% 16 15% 1 2% Disruptive Behavior Disorders (e.g., ADHD, ODD) % 1 2% 16 10% 27 15% 0 0% 3 3% 21 40% Thought Disorders (e.g., Schizophrenia, Schizophreniform or Schizoaffective, Delusional, Psychotic) % 0 0% 3 2% 0 0% 0 0% 0 0% 1 2% Pervasive Developmental Disorders (e.g., Autistic, Asperger's, PDD NOS) % 2 4% 2 1% 2 1% 0 0% 0 0% 4 8% Eating Disorders (e.g., Anorexia, Bulimia) % 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% Sleep Disorders (e.g., Insomnia, Narcolepsy, Sleep Terrors, Sleepwalking) % 0 0% 1 1% 3 2% 0 0% 0 0% 0 0% Tic Disorders (e.g., Tourette's, other Motor or Vocal Tic) Elimination Disorders (e.g., Encopresis, Enuresis) Reactive Attachment Disorder (e.g., Inhibited, Disinhibited) % 0 0% 0 0% 1 1% 0 0% 0 0% 1 2% 0 0% 0 0% 1 1% 2 1% 0 0% 0 0% 1 2% 1 2% 1 2% 2 1% 2 1% 0 0% 3 3% 0 0% Paraphilias (e.g., Exhibitionism, Frotteurism, Pedophilia, Sexual Masochism, Sexual Sadism, Transvestic Fetishism) % 2 4% 1 1% 0 0% 0 0% 0 0% 0 0% Other Axis 1 mental health diagnosis % 45 85% 47 30% 64 36% 7 14% 27 26% 3 6% 1.14 Percentage of youth with an Axis II diagnosis (diagnosis in past 12 months) 1.15 Percentage of youth with an Axis II Personality Traits/Disorder mental health diagnosis (detail, multiple selections allowed) Cluster A (e.g., Paranoid, Schizoid, Schizotypal) Cluster B (e.g., Antisocial, Borderline, Histrionic, Narcissistic) % 18 34% 19 12% 39 22% 5 10% 16 15% 6 12% 8 17% 1 2% 3 2% 5 3% 0 0% 1 1% 2 4% 18 38% 18 34% 13 8% 35 20% 4 8% 12 11% 4 8% Cluster C (e.g., Avoidant, Dependent, Obsessive- Compulsive) % 0 0% 3 2% 1 1% 1 2% 3 3% 0 0% 22

23 2012 OYA Facility Breakout Transition Programs All Close Custody ( and ) Camp Florence Camp Tillamook River Bend Total N = 23 N = 26 N = 46 N = 738 * Count Percent Count Percent Count Percent Count Percent * Total includes 2 youth in county detention on 4/1/ Percentage of youth diagnosed with a conduct disorder 2 9% 15 58% 32 70% % 1.11 Percentage of youth with an Axis I diagnosis, excluding conduct disorder (diagnosis in past 12 months) 1.12 Percentage of youth with Axis I mental health diagnosis (detail) Learning Disorder % 3 12% 15 33% % 0 0% 0 0% 1 2% 20 3% Mood Disorders (e.g., Major Depression, Dysthymia, Bipolar, Cyclothymia) % 3 12% 6 13% % Anxiety Disorders (e.g., Panic or Anxiety, Phobias, OCD, PTSD) % 0 0% 2 4% % Impulse Control Disorders (e.g., Intermittent-Explosive, Kleptomania, Pyromania, Pathological Gambling) % 0 0% 0 0% 67 9% Disruptive Behavior Disorders (e.g., ADHD, ODD) % 1 4% 3 7% 78 11% Thought Disorders (e.g., Schizophrenia, Schizophreniform or Schizoaffective, Delusional, Psychotic) % 0 0% 0 0% 5 1% Pervasive Developmental Disorders (e.g., Autistic, Asperger's, PDD NOS) % 1 4% 1 2% 12 2% Eating Disorders (e.g., Anorexia, Bulimia) % 0 0% 0 0% 1 0% Sleep Disorders (e.g., Insomnia, Narcolepsy, Sleep Terrors, Sleepwalking) % 0 0% 0 0% 4 1% Tic Disorders (e.g., Tourette's, other Motor or Vocal Tic) Elimination Disorders (e.g., Encopresis, Enuresis) Reactive Attachment Disorder (e.g., Inhibited, Disinhibited) % 0 0% 0 0% 2 0% 0 0% 0 0% 0 0% 4 1% 0 0% 0 0% 0 0% 9 1% Paraphilias (e.g., Exhibitionism, Frotteurism, Pedophilia, Sexual Masochism, Sexual Sadism, Transvestic Fetishism) % 0 0% 0 0% 3 0% Other Axis 1 mental health diagnosis % 1 4% 7 15% % 1.14 Percentage of youth with an Axis II diagnosis (diagnosis in past 12 months) 1.15 Percentage of youth with an Axis II Personality Traits/Disorder mental health diagnosis (detail) Cluster A (e.g., Paranoid, Schizoid, Schizotypal) Cluster B (e.g., Antisocial, Borderline, Histrionic, Narcissistic) % 2 8% 4 9% % 0 0% 0 0% 0 0% 20 3% 0 0% 2 8% 4 9% % Cluster C (e.g., Avoidant, Dependent, Obsessive- Compulsive) % 0 0% 0 0% 8 1% 23

24 1.16 Percentage of youth with an Axis III diagnosis (diagnosis in past 12 months) 1.17 Percentage of youth with an Axis III diagnosis (detail, multiple selections allowed) Cerebral Palsy Down's Syndrome Fetal Alcohol Syndrome/Effects Other... Percentage of youth with Axis I diagnosis (excluding conduct disorder) who are currently taking psychotropic medications 2.0 SUBSTANCE USE 2.1 Percentage of youth with a diagnosed drug and/or alcohol history 2012 OYA Facility Breakout Youth Correctional Facilities Oak Creek YCF Eastern Oregon YCF Hillcrest YCF MacLaren YCF North Coast YCF Rogue Valley YCF Tillamook YCF N = 47 N = 53 N = 156 N = 177 N = 51 N = 105 N = 52 Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent 15 32% 26 49% 23 15% 33 19% 2 4% 24 23% 3 6% 0 0% 0 0% 0 0% 1 1% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 6 4% 5 3% 0 0% 1 1% 1 2% 15 32% 26 49% 17 11% 29 16% 2 4% 23 22% 2 4% 31 66% 25 47% 53 34% 51 29% 11 22% 27 26% 32 62% Yes 43 91% 31 58% % % 47 92% 82 78% 22 42% 2.2 What level of drug and/or alcohol use? No History 4 9% 22 42% 26 17% 39 22% 4 8% 23 22% 30 58% Drug and/or Alcohol Use 0 0% 0 0% 9 6% 16 9% 0 0% 3 3% 6 12% Drug and/or Alcohol Abuse 14 30% 20 38% 54 35% 40 23% 10 20% 34 32% 10 19% Drug and/or Alcohol Dependence 29 62% 11 21% 67 43% 82 46% 37 73% 45 43% 6 12% Total % % % % % % % 2.3 Percentage of youth whose drug or drugs of choice include (multiple selections allowed) Alcohol Barbiturates and OTC sleep sedatives Cocaine Ecstasy Heroin or other opiate derivatives Inhalants LSD, psilocybin and mescaline Methamphetamine Marijuana Prescription drugs Synthetic cannabis (e.g., Spice, K2, bath salts) Other Percentage of youth whose biological parent(s) have a history of drug and/or alcohol abuse Percentage of youth with co-occurring disorders: AOD diagnosis (alcohol abuse or dependence) and Axis I (excluding conduct disorder) 30 64% 19 36% 72 46% 91 51% 20 39% 58 55% 17 33% 1 2% 0 0% 0 0% 1 1% 2 4% 1 1% 0 0% 7 15% 2 4% 15 10% 25 14% 3 6% 8 8% 2 4% 1 2% 0 0% 4 3% 5 3% 4 8% 7 7% 2 4% 8 17% 1 2% 8 5% 10 6% 8 16% 5 5% 1 2% 2 4% 0 0% 4 3% 5 3% 1 2% 4 4% 0 0% 1 2% 0 0% 7 4% 8 5% 7 14% 9 9% 2 4% 25 53% 1 2% 23 15% 28 16% 10 20% 14 13% 2 4% 31 66% 31 58% % % 41 80% 77 73% 21 40% 2 4% 0 0% 15 10% 4 2% 4 8% 9 9% 1 2% 0 0% 0 0% 3 2% 1 1% 1 2% 0 0% 0 0% 0 0% 0 0% 6 4% 5 3% 0 0% 6 6% 0 0% 37 79% 40 75% 85 54% 95 54% 30 59% 64 61% 24 46% Yes 40 85% 29 55% 72 46% 84 47% 24 47% 44 42% 17 33% 24

25 2012 OYA Facility Breakout 1.16 Percentage of youth with an Axis III diagnosis (diagnosis in past 12 months) 1.17 Percentage of youth with an Axis III diagnosis (detail) Cerebral Palsy Down's Syndrome Fetal Alcohol Syndrome/Effects Other... Transition Programs All Close Custody ( and ) Camp Florence Camp Tillamook River Bend Total N = 23 N = 26 N = 46 N = 738 * Count Percent Count Percent Count Percent Count Percent 0 0% 3 12% 9 20% % 0 0% 0 0% 0 0% 1 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 13 2% 0 0% 3 12% 9 20% % Percentage of youth with Axis I diagnosis (excluding conduct disorder) who are currently taking psychotropic medications 2.0 SUBSTANCE USE 2.1 Percentage of youth with a diagnosed drug and/or alcohol history 0 0% 1 4% 4 9% % Yes 14 61% 12 46% 25 54% % 2.2 What level of drug and/or alcohol use? No History 9 39% 14 54% 21 46% % Drug and/or Alcohol Use 3 13% 5 19% 0 0% 42 6% Drug and/or Alcohol Abuse 8 35% 1 4% 13 28% % Drug and/or Alcohol Dependence 3 13% 6 23% 12 26% % Total % % % % 2.3 Percentage of youth whose drug or drugs of choice include (multiple selections allowed) Alcohol Barbiturates and OTC sleep sedatives Cocaine Ecstasy Heroin or other opiate derivatives Inhalants LSD, psilocybin and mescaline Methamphetamine Marijuana Prescription drugs Synthetic cannabis (e.g., Spice, K2, bath salts) Other Percentage of youth whose biological parent(s) have a history of drug and/or alcohol abuse 12 52% 8 31% 14 30% % 0 0% 0 0% 0 0% 5 1% 1 4% 2 8% 1 2% 66 9% 0 0% 2 8% 1 2% 26 4% 0 0% 2 8% 3 7% 47 6% 0 0% 1 4% 0 0% 17 2% 0 0% 3 12% 0 0% 37 5% 0 0% 2 8% 4 9% % 11 48% 7 27% 20 43% % 0 0% 1 4% 1 2% 37 5% 0 0% 0 0% 0 0% 5 1% 0 0% 1 4% 2 4% 20 3% 11 48% 13 50% 25 54% % Percentage of youth with co-occurring disorders: AOD diagnosis (alcohol abuse or dependence) and Axis I (excluding conduct disorder) Yes 0 0% 0 0% 11 24% % * Total includes 2 youth in county detention on 4/1/