Can We Get There From Here Can We Get There From Here? Improving Chlamydia Screening in Juvenile Justice Centers J Miller, T Cox, M Aubin, B Butler, T Lane, P Davies, D Peyton, A Robertson

Why Focus on Juvenile Detainees? Adolescents in juvenile detention are at particularly high risk for STDs, especially CT Detainees have many risk factors: Early sexual debut Multiple sex partners Inconsistent use of condoms Substance abuse problems Victims of physical and sexual abuse High risk sexual networks

The National Picture Status of STD Testing or Screening in Juvenile Justice Facilities 1994 OJJDP Survey Less than half of the juvenile detention facilities in the country offer STD testing or screening for syphilis, gonorrhea, or chlamydia (OJJDP 1994) Limited testing Health assessment (missed opportunity) Sick call

Juvenile Detention and Confinement Medical Services Standards National Commission of Correctional Health Care (NCCHC) STD testing within 7 days (2004) American Correctional Association (ACA) Performance-based

The Performance Measure CDC PM (2004 baseline; 2005 1st report) Measure Proportion of female admittees to large juvenile detention facilities that were tested for chlamydia Reporting Criteria PAs report each county juvenile detention facility 500+ bookings Definition Admittee = female bookings

Purpose of this Workshop To examine the complexities and diversity of juvenile justice systems To present various design and implementation issues regarding chlamydia screening programs To present various methods and tools used to improve chlamydia screening program performance, including contracting for services

What Presenters Will Share 6 Project Areas (WA, CA, UT, MS, CHI, PA) Each presentation will contain: Juvenile justice system/structure How established or improved screening coverage Screening coverage data Next steps