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A great number of incarcerated youth have diagnosable psychiatric problems and, while in detention, this population experiences events that make them more vulnerable to disorders of mental health. This issue of Child & Adolescent Psychiatric Clinics is edited and authored by psychiatrists expert in working with youth in detention. Topics include Demographics of youth in detention; Mental health screening and assessment; Mental health care of detained youth and solitary confinement and restraint within juvenile detention facilities; Civil and constitutional rights of adjudicated youth; Community based alternatives to incarceration and assessment and community based planning for probation/community based alternatives; The role of the child and adolescent psychiatrist in the adjudicatory assessments; Screening and assessment of detained youth; Quality of education for youth in the juvenile detention system; Variety of out-of-home placements for juvenile offenders; Juvenile sexual offenders; Sexual exploitation of children in detention; Transfer from juvenile to adult court: Which states have the most effective models? ; Competence to stand trial; Firesetting. Clinical vignettes are presented with each topic to exemplify a case of the discussion.