Washington State Juvenile Detention National STD Prevention Conference 2006

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Washington State Juvenile DetentionNational
STD Prevention Conference -2006

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Washington State

• 15 County Juvenile Detention and 5 State
• 4 Juvenile Detention over 500 Females
• King County, Pierce County, Snohomish County and
  Spokane County
• 2005 Activities Established Baseline.

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Washington State
Whatcom
Okanogan
San Juan
Ferry
Pend Oreille
Skagit
Stevens
Island
Clallam
Snohomish
Chelan
Jefferson
Douglas
Spokane
Kitsap
Lincoln
King
Grays Harbor
Mason
Kittitas
Grant
Pierce
Adams
Whitman
Thurston
Pacific
Lewis
Yakima
Franklin
Garfield
Columbia
Wahkiakum
Asotin 5
Benton
Asotin
Cowlitz
Walla Walla
Skamania
Klickitat
Clark
Washington State Department of Health STD/TB
Services
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Who are in Juvenile Detention?

• Youth may be detained for the following reasons
  an arrest for allegedly committing an offense, on
  a warrant, remanded from court, to serve a
  sentence, or as part of an order sanctioning the
  youth for violating the terms of probation,
  truant.

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Admittees

• Juvenile Detention Calls them
• Detained youth never inmates or prisoners
• At Risk Youth warrants, Bench warrants,
  preadjudicated youth, youth corrections,
  probation.
• Non Offenders such as truants, at-risk youth,
  children in need of services.

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Reasons for not testing

• Refusal
• Not sexually active
• Under 14 (needs parents permission)
• Not in facility long enough
• Sick or Hostile
• Experiencing withdrawal symptoms

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Who are tested?

• Incarcerated long enough to give results and
  initiate therapy (Spokane)
• All youth receive who are booked are offered a
  STD urine test and medical assessment to
  determine if there is a need for immediate
  medical or mental health intervention. (SK)
• Medical staff are asked to grab urines on all
  kids as they come in ( Snohomish - 9)
• All females who are in 2 wks get physical (TP

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Performance measures - 2005

• Snohomish 99/1130 9 - IPP Funded
• Spokane 49/438 11 - IPP Funded
• Tacoma Pierce 165/1039 16 -IPP Funded
• Seattle-King 875/1118 77 -Local Funds

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King County Juvenile

• Mature System over 10 years in operation
• Two STD clinicians
• One DIS staff
• 2005 1566 Males tested and 875 Females
• Flagging system for missed kids
• Separate from Detention Staff

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Improvement

• Opt out vs Opt in Do you want a chlamydia
  test vs We are offering chlamydia testing to
  everyone unless you refuse
• Address cultural differences Confidentiality,
  why focus on females only?, STD education, Follow
  up on Positives
• Revolving door unduplicated persons or all
  admittees?
• Top site Seattle has STD clinicians and DIS