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medRxiv PreprintsInternational10 November 2026

Intersectional Inequalities in Mental Health Need and Youth Justice Contact among Pupils enrolled in Alternative Provision

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Background. Unmet mental health and education needs increase the risk of youth justice contact. Understanding inequalities in alternative provision (AP) and how these relate to school recorded mental health needs or police criminalisation may identify opportunities to intervene. Methods. We analysed population-level linked school and police administrative data for 3.7m pupils (born 1997-2003) who attended state schools in England. We examined differences by racial-ethnic group and gender in rates and timing of AP enrolment and recording patterns of mental health-related provision and youth jus
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