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Washington State – Juvenile Detention National STD Prevention Conference -2006. 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
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.
slide3

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

Benton

Asotin

5

Asotin

Cowlitz

Walla Walla

Skamania

Klickitat

Clark

Washington State Department of Health

STD/TB Services

who are in juvenile detention
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.
admittees
“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.
reasons for not testing
Reasons for not testing
  • Refusal
  • Not sexually active
  • Under 14 (needs parents permission)
  • Not in facility long enough
  • Sick or Hostile
  • Experiencing “withdrawal symptoms”
slide7

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who are tested
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
performance measures 2005
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
king county juvenile
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
improvement
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