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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 – Juvenile DetentionNational 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.
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? • 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” • 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 • 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
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 • 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 • 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