Noncompliance with family court mandated evaluations in a juvenile justice clinic.
G. Kaplan, D. Pannullo, D. Brodzinsky and J. C. Hitt,
Bull. Amer. Acad. Psychiatry & the Law
22(1): 31-8, 1994.
This study identified factors correlating with noncompliance with family court ordered evaluations.
Ninety charts from a juvenile justice clinic were reviewed. Subject noncompliance was defined as
failure to attend three consecutive appointments. Patient, family, and environmental factors were
analyzed. Forty-two percent of the subjects were noncompliant. Five variables discriminated
compliant from noncompliant subjects: parental cooperation, prior criminal charge, school behavior
problems, treatment at another facility, and disruptive behavior disorder. Utilizing these predictors,
only 13 percent of subjects were misclassified as noncompliant in a discriminant analysis. It is
concluded that a Court order by itself does not guarantee compliance with a mental health evaluation.
However, the findings suggest that the risk for noncompliance may be assessed at the outset of the
evaluation utilizing the above identified factors.