Medical status of adolescents at time of admission to a juvenile detention center

Feinstein, Ronald; Lampkin, Audrey; Lorish, Christopher D.; Klerman, Lorraine V.; Maisiak, Richard; Oh, M. Kim

doi:10.1016/s1054-139x(97)00169-9

Cited by 94 publications

(64 citation statements)

References 16 publications

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“…Their health scores according to the Duke's profile were comparable to the reference values published in 2011 by Baumann et al [19]. Yet some studies regarding prison populations in the USA indicate that 10% of imprisoned minors suffer from chronic diseases that require regular medical attendance (mostly asthma) [20,21]. Several studies regarding the health of minors incarcerated in the United States have demonstrated that, while all of the adolescents were considered healthy by the judicial authorities, in fact nearly half had medical issues.…”

Section: Discussionsupporting

confidence: 76%

“…Some publications in regard to North America suggest that repeat offenders may have a higher prevalence of mental health issues, and they may be more inclined to using psychoactive drugs [23,24]. In our study, a lack of medical attention, similar to what has already been described with minor convicts, can be observed in our population sample, with only one-third of the teenagers stating that they received regular medical attention [20,21,25]. The low level of declared toxic substance use in our study is questionable, and it does not match the results obtained in other studies focusing on teenagers.…”

Section: Discussionsupporting

confidence: 71%

See 1 more Smart Citation

Global Health and Vulnerability Factors of Minors in Police Custody: A Prospective Cohort Study

Lemesle¹,

Vabres²,

Picherot³

et al. 2016

J Child Adolesc Behav

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Study background: There is currently no data available regarding overall health and vulnerability factors for minors (i.e. those aged under 18) who have been placed in police custody in France. The purpose of this study was to define the sociodemographic characteristics of this population. We hypothesized that most of these teenagers can be deemed as being abused or neglected. Methods:We carried out a prospective study that included minors of 13 to 18 years of age who had been placed in custody at the Central Police Station of Nantes (France), from October 2012 to May 2013. The sociodemographic characteristics, scores for quality of life, and the data collected from the social and judiciary services were analysed to identify abused or neglected teenagers.Results: Ninety-nine cases were included. The identified population was mostly comprised of males, most commonly 16 years of age, who had been placed in custody for robbery. Their scores for quality of life were not statistically different from those of the general population. While 50% had already been identified by child protection services, our study shows that 84.8% of this population should nonetheless be considered as being abused or neglected. Conclusion:Compulsory health screening could provide an opportunity to detect abused or neglected teenagers, and consequently to provide them with access to appropriate care, as well as their referral to the relevant social and judiciary services so that the need for deploying specific protection to them can be assessed.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 71%

Global Health and Vulnerability Factors of Minors in Police Custody: A Prospective Cohort Study

Lemesle¹,

Vabres²,

Picherot³

et al. 2016

J Child Adolesc Behav

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“…93 Moreover, delinquent youth are over-represented in groups that are uninsured --including the poor, 94 youth living in central cities, 95 and older adolescents [95][96][97][98] --reducing the likelihood that they will have a primary care physician from whom they could receive primary interventions. [99][100][101] Public clinics and emergency services are often the primary source of health care for high-risk youth. 102,103 As recently recommended by the American Academy of Pediatrics, 104 public clinics should integrate HIV prevention, especially sex education and substance abuse treatment, into primary medical care.…”

Section: Discussionmentioning

confidence: 99%

A Longitudinal Study of the Prevalence, Development, and Persistence of HIV/Sexually Transmitted Infection Risk Behaviors in Delinquent Youth: Implications for Health Care in the Community

Romero

Teplin²,

McClelland³

et al. 2007

Pediatrics

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Objective-. To examine the prevalence, development, and persistence of sex and drug behaviors that place delinquent youth at risk for human immunodeficiency virus and other sexually transmitted infections (HIV/STI).Methods-At the baseline interview, HIV/STI drug and sex risk behaviors were assessed in a stratified random sample of 800 juvenile detainees, aged 10 to 18 years. Participants were reinterviewed approximately 3 years later (mean [SD] follow-up, 3.2 [0.3] years; median follow-up, 3.1 years). The final sample in these analyses (n = 724) includes 316 females and 408 males, 393 African Americans, 198 Hispanics, 131 non-Hispanic whites, and 2 participants who self-identified as "other."Results-Nearly three quarters of youth engaged in one or more unprotected sexual risk behaviors at follow-up. Over 60% had engaged in 10 or more risk behaviors at their baseline interview, and nearly two thirds of them persisted in 10 or more risk behaviors at follow-up. Among youth living in the community, many behaviors were more prevalent at follow-up than at baseline. Among incarcerated youth, the opposite pattern prevailed. Development and persistence of HIV/STI risk behaviors differed by gender, race/ethnicity, and age, even after adjusting for incarceration status. Compared with females, males had higher prevalence rates of many HIV/STI risk behaviors and were more likely to persist in some behaviors and develop new ones. Yet, injection risk behaviors were more prevalent among females than males and were also more likely to develop and persist. Compared with persons younger than 18, persons 18 and older had higher prevalence rates of many HIV/STI risk behaviors at follow-up. Overall, there were few racial and ethnic differences in patterns of HIV/STI risk behaviors; most involved the initiation and persistence of substance use among nonHispanic whites and Hispanics.Conclusions-Because detained youth have a median stay of only 2 weeks, HIV/STI risk behaviors in delinquent youth are a community public health problem, not just a problem for the juvenile justice system. Improving the coordination among systems that provide HIV/STI interventions to youth -primary care, education, mental health, and juvenile justice -can reduce the prevalence of risk behaviors and substantially reduce the spread of HIV/STI in young people.Corresponding Author: Linda A. Teplin, PhD, Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, 710 N. Lakeshore Drive, Suite 900, Chicago, IL 60611. . psycholegal@northwestern.edu. NIH Public Access Author ManuscriptPediatrics. Author manuscript; available in PMC 2010 January 29. Published in final edited form as:Pediatrics. 10-14Minorities are also overrepresented in the juvenile justice system, where HIV/STI risk behaviors are prevalent. 15-20 Detained youth report more risk behaviors and initiate them at younger ages than do youth in the community.21 Detained youth are likely to be at continued risk for HIV infection as they age. Adults in p...

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“…Generalization of the data could be limited because they describe the experience of 1 correctional center, but we found our data to be consistent with data from other reports in the literature covering similar areas as this study. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] It should be noted that the health and behavioral information collected from the inmates was self-reported and not independently validated by us. However, the extremely high rates of such behavior reported by the inmates do document extensive problems.…”

Section: Discussionmentioning

confidence: 99%

Self-reported health and prior health behaviors of newly admitted correctional inmates

Conklin¹,

Lincoln²,

Tuthill³

2000

Am J Public Health

173

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. Wechsler H, Dowdall GW, Davenport A, Rimm EB. A gender-specific measure of binge drinking among college students. Am J Public Health. 1995;85:982-985. 22. Buckner JC. The development of an instrument to measure neighborhood cohesion. Am J Community Psychol. 1988;16:771- A B S T R A C TObjectives. This study obtained comprehensive health information from newly admitted correctional inmates.Methods. Interviews were conducted with 1198 inmates on day 3 of their incarceration.Results. Interviewers found a high prevalence of chronic medical and mental health issues, limited access to health care, high rates of infections and sexually transmitted diseases, substantial substance abuse, other unhealthy behaviors and violence, and a strong desire for help with health-related problems.Conclusions. The data document the need to apply the public health approach to correctional health care, including detection and early treatment of disease, education and prevention to facilitate health and behavior change, and continuity of care into the community. (Am J Public Health. 2000;90:1939-1941 Correctional institutions have long been seen as reservoirs of physical and mental illness and of psychosocial problems, all of which flow back into the community as inmates are released.3 However, only more recently have medical and correctional communities begun to recognize the full extent to which mental problems, substance abuse disorders, and communicable diseases are concentrated in the correctional system and the public health opportunity this presents. [4][5][6][7][8][9][10][11] To address these issues, the Hampden County Correctional Center (HCCC) over the past 5 years has been developing a systematic public health model of correctional medical care emphasizing detection, early and effective treatment, patient education, prevention, and continuity of care. A key feature of the system is the sharing of correctional health care with community health agencies through physicians and case managers dually based in the correctional center and in the communities to which inmates return on release. 12HCCC and the University of Massachusetts School of Public Health and Health Sciences in Amherst conducted a baseline health study of the HCCC correctional population to better elucidate the extent of inmate preincarceration health problems, health facility use, and health-related risky behaviors. MethodsHCCC is a medium-security correctional center located in western Massachusetts that houses 1800 inmates, including persons awaiting court appearances and sentenced prisoners. Approximately one third of the inmates remain 3 days or less, one third stay for 4 to 90 days, and one third stay for 91 days to 2 years. Successive inmates newly admitted to HCCC over a 5-month period were interviewed on the third day of their incarceration concurrently with, but separately from, their clinical examination.The interviews were conducted in a private room in the medical facility by trained, ethnically diverse interviewers employed specifically for ...

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Medical status of adolescents at time of admission to a juvenile detention center

Cited by 94 publications

References 16 publications

Global Health and Vulnerability Factors of Minors in Police Custody: A Prospective Cohort Study

Global Health and Vulnerability Factors of Minors in Police Custody: A Prospective Cohort Study

A Longitudinal Study of the Prevalence, Development, and Persistence of HIV/Sexually Transmitted Infection Risk Behaviors in Delinquent Youth: Implications for Health Care in the Community

Self-reported health and prior health behaviors of newly admitted correctional inmates

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