Blog: Healthcare

Youth in the juvenile justice system are at high-risk for physical, mental and developmental health issues according to a new policy statement by the American Academy of Pediatrics’ Committee on Adolescence. Despite this, many youths don’t receive the level of health care they need, either in the system or when they get out. The report represents the first update in 10 years to the Health Care for Youth in the Juvenile Justice System.
Nationwide 11 million juveniles were arrested in 2008, according to the report. And while not all arrested youth are placed in some form of detention (either short- or long-term) the median stay in custody in 2006 was 65 days. Eighty percent remained in detention for at least 30 days and 57 percent for at least 90 days. All of those youths require healthcare of some kind.
“We wanted to advocate for these youth to have the same level and standards of care as non-incarcerated youth in the community,” the report’s lead author, Dr. Paula Braverman, Director of Community Programs at the Cincinatti Children’s Hospital Medical Center said in an email. She said the Committee on Adolescence also “outlined specific recommendations which included the training and skill of the health care providers.”
Currently, the National Commission on Correctional Health Care (NCCHC) publishes standards for care in juvenile facilities. At a minimum, the NCCHC says, youth should be screened by health care professionals immediately upon arriving at an intake facility to check for contagious conditions, urgent health needs and suicidal thoughts. Within seven days of intake, youth should be given a hands-on, comprehensive health examination by a doctor. Girls and boys are tested for sexually transmitted diseases and vaccinations are updated. A further mental health screening must be performed within 14 days. A dental examination must be performed within seven days.