Technical Assistance Partnership for Child and Family Mental Health |
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Primary Care and Systems of Care
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SEPTEMBER2002 What types of health care services should adolescents who are involved in the juvenile justice system receive? Adolescents who are involved in the juvenile justice system should be provided with all the preventive, diagnostic, and treatment services that their counterparts in the community should receive. For many years, the American Academy of Pediatrics (AAP) has issued guidelines for preventive, diagnostic, and treatment services, most recently in March 2000 (Recommendations for Preventive Pediatric Health Care, www.aap.org/policy/re9939.html). These recommendations are extensive and include a complete health history, a physical examination, a developmental assessment, a behavioral assessment, immunizations, laboratory tests, dental care, and health education. In addition, the AAP has recommended screening for sexually transmitted diseases and HIV/AIDS; gynecological examinations for females, including testing for pregnancy; and screening and referral when necessary for mental health issues. The adolescents should also be assessed for neglect, abuse, mental retardation, and learning disorders. The youngsters should also be counseled about handgun ownership and substance use and be referred for services when found to have these concerns. (Health Care for Children and Adolescents in the Juvenile Correctional Care System, Pediatrics, 107(4), 799-803, April 2001, www.aap.org/policy/re0021.html). The AAP is one of more than 30 organization represented on the Board of Directors of the National Commission on Correctional Health Care (Commission), which publishes standards for health care. An updated Standards of Services in Juvenile Detention and Confinement Facilities can be obtained from the Commission. The contact information for the Commission is www.ncchc.org and the telephone number is 773-880-1460.
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