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NCJ Number: 220948 Find in a Library
Title: Psychiatric and Medical Health Care Policies in Juvenile Detention Facilities
Journal: Journal of the American Academy of Child and Adolescent Psychiatry  Volume:46  Issue:12  Dated:December 2007  Pages:1660-1667
Author(s): Kathleen A. Pajer M.D., M.P.H.; Kelly Kelleher M.D., M.P.H.; Ravindra A. Gupta B.S.; Jennifer Rolls M.P.H.; Williams Gardner Ph.D.
Date Published: December 2007
Page Count: 8
Sponsoring Agency: Children's Research Institute of Columbus Children's Hospital
Columbus, OH 43205
John D. and Catherine T. MacArthur Foundation
Chicago, IL 60603
National Institute of Mental Health
Bethesda, MD 20852
Grant Number: MH66003-01A1
Type: Issue Overview
Format: Article
Language: English
Country: United States of America
Annotation: The purpose of this study was to characterize the current health care policies in United States juvenile detention facilities, particularly regarding mental health care.
Abstract: Study results suggest that detention health care policies for adolescents have significant gaps, particularly for mental health care. Policies for admission health screening existed in 99 percent of facilities and 90 percent included mental health screening. Most sites had policies about psycho-pharmacotherapy and 92 percent had crisis services. Continuation of existing psychotropic medication treatment was provided at 96 percent of facilities. Seventy-three percent of facilities used physicians to manage medications in-house. In 61 percent of the centers, these physicians were psychiatrists. Provisions for discharge psychotropic medication existed at 84 percent of sites; however, there was wide variation in dispensing policies. Many adolescents admitted to detention facilities have serious mental and physical health problems. Little is known about policies for the delivery of mental and physical health care in these settings. Additional research is needed in the area concerning health care needs of youth and the services actually received and identifying the barriers to providing better detention facility health care. The objective of this study was to describe current health care policies in United States detention facilities through telephone interviews with 83 juvenile detention facility administrators from across the United States. Tables, references
Main Term(s): Juvenile health services
Index Term(s): Healthcare; Juvenile detention; Juvenile justice planning; Juvenile mental health services; Juvenile psychological evaluation; Mental health services; Policy
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