These results suggest substantial psychiatric morbidity among juvenile detainees. Youth with psychiatric disorders pose a challenge for the juvenile justice system and, after their release, for the larger mental health system.

16. Young RM, Weissman G, Cohen JB. Assessing risk in the absence of information: HIV risk among women injection-drug users who have sex with women. AIDS Public Policy J. 1992;7:175-183. 17. Case P, Downing M, Ferguson B, Lorvick J, Sanchez L. The social context of AIDS risk behavior among intravenous drug using lesbians in San Francisco. In: Program and abstracts of the IV International al. Prevalence, incidence, and correlates of chlamydia and gonorrhea among young adult injection drug users. J Subst Abuse. 2001;13(1-2):73-88. 23. Kapadia F, Vlahov D, Des Jarlais DC, et al. Does bleach disinfection of syringes protect against hepatitis C infection among young adult injection drug users? Epidemiology. 2002;13:738-741. 24. Diaz T, Vlahov D, Greenberg B, Cuevas Y, Garfein R. Sexual orientation and HIV infection prevalence among young Latino injection drug users in Harlem. NJ. Behavioral risk factors for disease and preventive health practices among lesbians. Am J Public Health. 2001;91:972-975. 26. Cochran BN, Stewart AJ, Ginzler JA, Cauce AM. Challenges faced by homeless sexual minorities. Am J Public Health. 2002;92:773-777. 27. Gilman SE, Cochran SD, Mays VM, Hughes M, Ostrow D, Kessler RC. Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Comorbidity Survey. Am J Public Health. 2001;91:933-939.28. Gruskin EP, Hart S, Gordon N, Ackerson L. Patterns of cigarette smoking and alcohol use among lesbians and bisexual women enrolled in a large health maintenance organization.

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Objectives-This study determined the prevalence of 20

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