Bringing juvenile justice and public health systems together to meet the sexual and reproductive health needs of justice-involved youth.
Bringing juvenile justice and public health systems together to meet the sexual and reproductive health needs of justice-involved youth.
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DOI：
10.1037/ort0000604
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发表时间：
2022
影响因子：
3.3
通讯作者：
Nunn, Amy
中科院分区：
文献类型：
--
作者：
Tolou-Shams, Marina;Dauria, Emily F;Rosen, Rochelle K;Clark, Melissa A;Spetz, Joanne;Levine, Andrew;Marshall, Brandon D L;Folk, Johanna B;Gopalakrishnan, Lakshmi;Nunn, Amy
宪法授权要求在惩教环境中获得医疗检测和治疗，包括性健康和生殖健康护理服务。这些同样的任务不适用于社区中受监督的青年，因为他们代表了参与司法的青年中的大多数。等到青年在拘留环境中才提供性保健服务，就错失了改善与该系统有早期接触点的青年的健康状况的机会。这项混合方法研究探索了结构性干预发展和政策，旨在增加法庭参与、非监禁(CINI)青年获得和接受SRH预防、治疗、护理和支持服务的机会。数据来自2015年12月至2017年1月期间对青少年司法和公共卫生系统利益攸关方的全国调查(N=226)和定性访谈(N=18)。结果表明，公共卫生和少年司法利益攸关方都认为，由于缺乏满足这些需求的服务、政策或程序，CINI青年有大量的、基本上未得到满足的SRH护理需求。实施改善对这一群体的SRH服务的方案和政策的障碍包括：资源有限(例如，人员配备、时间)；被认为与少年法庭、缓刑或其他社区监督环境无关；以及对机密性、隐私和信息共享的担忧。有效干预的建议包括共同定位服务、司法到社区的转介和服务联系(例如，通过社区卫生导航器)，以及关于青年SRH保密和信息共享做法的工作人员教育。
Constitutional mandates require access to medical testing and treatment in correctional settings, including sexual and reproductive health (SRH) care services. These same mandates do not apply to youth supervised in the community, who represent the majority of justice-involved youth. Waiting until youth are in detention settings to provide access to SRH services misses an opportunity to improve health outcomes for youth who have earlier points of contact with the system. This mixed-methods study explored structural intervention development and policy geared toward increasing access to and uptake of SRH prevention, treatment, care and support services for court-involved, non-incarcerated (CINI) youth. Data were collected from a nationwide survey (N=226) and qualitative interviews (N=18) with juvenile justice and public health system stakeholders between December 2015 and January 2017. Results suggest both public health and juvenile justice stakeholders perceive CINI youth as having substantial, largely unmet SRH care needs due to a lack of services, policies or procedures to address these needs. Barriers to implementing programs and policies to improve SRH services for this population include: limited resources (e.g., staffing, time); perceived irrelevance for juvenile court, probation or other community supervision settings; and concerns about confidentiality, privacy and information-sharing. Recommendations for effective intervention included co-locating services, justice-to-community referrals and service linkages (e.g., through a community health navigator), and staff education around youth SRH confidentiality and information-sharing practices.