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Issues associated with adolescents
More adolescents than ever before are smoking using alcohol and other drugs , beyond simple experimentation,engaging sexual activity and in violent behavior
Emergency
A serious situation or occurrence that happens unexpectedly and demands immediate action
Urgent
Compelling immediate action or attention; pressing
Routine
A prescribed , detail course of action to be followed regularly; a standard procedure
Historical background and health standards
Prior to the 1970s there was no legally established right to heath care.
Health care was provided at the prerogative of the warden/Facility director and varied from facility to facility
Professional organization & standards
•National Commission on correctional health care (NCCHC)
•American Public Health Association (APHA)
•American Correctional Association (ACA)
Example of standard
•All residents must be screened for serious medical conditions.
•Licensed professional must be employed
•Access provides for emergency services
Health services provided by DJJ
•Receive initial screening
•physical Exam
•Enrollment in a medical treatment plan if needed
•Pregnancy test
Admissions
Does the youth have obvious pain or bleeding or other symptoms that suggest the need for emergency care?
Is the youth sweating anxious or shaky ?
Is the youth disorderly , not making sense or. It able to walk or stand
Is the youth lethargic or not alert
Is the youth having difficulty breathing
Question for the youth
Do you have any medical problems
•Have you been hospitalized in last month
•Are you presently taking any medication
•Have your symptoms change since you First started to feel sick
•Are you taking medication for emotional psychological behaviors or attention problems or have you been been on these in the last month ?
•Are you allergic to any drugs food or other substances
•Have you ever been raped or in danger of being
•Had an adult or someone else touched your private areas against your will
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