TY - JOUR AB - Purpose Secure Children’s Homes are safe environments where many of the most troubled children in British society are resident. These children are from either a criminal background or referred for protection of themselves and others from harm. There is often a history of drug use and diagnoses of mental health problems before admission. The purpose of this paper is to examine one Secure Children’s Home to determine the level of drug use prior to admission compared to surveys of children not in this environment and to examine the veracity of the mental health diagnoses.Design/methodology/approach This paper is a retrospective examination of case notes for admissions from 2014 to 2015.Findings The study found much higher levels of drug use than in the general population at similar age and a wide diagnosis of mental health problems prior to admission.Research limitations/implications Levels of harm from traumatic childhood events need to be recognised by referrers as maybe leading to attachment disorders and not mental health problems. More research is needed into the outcomes form Secure Children’s Homes in the long term.Practical implications The children in these homes do have as anticipated much higher levels of drug use than in the general population and high levels of mental health diagnoses which are not always borne out during their admission to the children’s home.Originality/value This is an examination of a special population of young people indicating high levels of drug use and mental health problems. VL - 10 IS - 2 SN - 1757-0972 DO - 10.1108/ADD-09-2016-0016 UR - https://doi.org/10.1108/ADD-09-2016-0016 AU - Pates Richard Martin AU - Hooper Kristian PY - 2017 Y1 - 2017/01/01 TI - Drug use and mental health in a Secure Children’s Home T2 - Advances in Dual Diagnosis PB - Emerald Publishing Limited SP - 71 EP - 82 Y2 - 2024/04/19 ER -