Psychiatric and medical health care policies in juvenile detention facilities.
Psychiatric and medical health care policies in juvenile detention facilities.
复制标题
少年拘留设施中的精神科和医疗保健政策。
DOI：
10.1097/chi.0b013e318157d2da
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发表时间：
2007
影响因子：
13.3
通讯作者：
Gardner,William
中科院分区：
文献类型：
--
作者：
Pajer,KathleenA;Kelleher,Kelly;Gupta,RavindraA;Rolls,Jennifer;Gardner,William
OBJECTIVESMany 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. Our objective was to describe current health care policies in U.S. detention facilities.METHODTelephone interviews were requested from 83 juvenile detention facility administrators across the United States.RESULTSThe response rate was 97.6%. Data were collected over 12 months, from 2003-2004. Policies for admission health screening existed in 99% of facilities; 90% included mental health screening. Most sites had policies about psychopharmacotherapy and 92% had crisis services. Continuation of existing psychotropic medication treatment was provided at 96% of facilities. Seventy-three percent of facilities used physicians to manage medications in-house; in 61% of the centers, these physicians were psychiatrists. Medication administration policies most often specified nurses, but 16% of facilities used guards. Provisions for discharge psychotropic medication existed at 84% of sites, but there was wide variation in dispensing policies.CONCLUSIONSDetention health care policies for adolescents have significant gaps, particularly for mental health care. Future research should include an epidemiological study of detained youths, evaluating their health needs and the actual care received.
