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44 Cards in this Set
- Front
- Back
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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 |
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Emergency |
A serious situation or occurrence that happens unexpectedly and demands immediate action |
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Urgent |
Compelling immediate action or attention; pressing |
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Routine |
A prescribed , detail course of action to be followed regularly; a standard procedure |
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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 |
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Professional organization & standards |
•National Commission on correctional health care (NCCHC) •American Public Health Association (APHA) •American Correctional Association (ACA) |
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Example of standard |
•All residents must be screened for serious medical conditions. •Licensed professional must be employed •Access provides for emergency services |
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Health services provided by DJJ |
•Receive initial screening •physical Exam •Enrollment in a medical treatment plan if needed •Pregnancy test |
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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 |
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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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Current Medications |
•Name of medication •Dosages •How often it is taken •who presided it •when was it last take |
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Physical signs for .... Immediate Referral |
•Abnormal Behavior •Deformity of the bones •Acute illness •Fever •Nausea & Vomiting |
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Indicators for ..... Medical Emergencies |
•Any-condition requiring CPR •Difficulty breathing •Convulsions •Loss of consciousness •Allergic Reaction •Uncontrolled bleeding •intense or unresolved pain •serious burns •Open fractures •If it looks serious to you , report it.
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Emergency medical services |
Emergency will never be delayed in a life threatening situation |
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Recording Information |
Name of youth Nature of the complaint Any first aid measure provided Name of the contact person in medical Response by medical staff Date/Time/Signature of the staff person |
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Urgent medical conditions |
•Chest pain or Asthma •Abdominals pain •Difficulty Breathing •Cough which is present for weeks • abnormal or self destructive behavior |
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Response for ... Urgent medical Conditions |
•Medical staff May come to the location of the offender •The offender may be sent to the medical unit for evaluation or ... •The health care provider may request direct phone contact with the offender to make an assessment |
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Help request form |
•According to the Policy 18.11 Request for service, youth will be instructed to complete a Help REQUEST FORM and place it in the designated collection box to access all types of medical and behavioral health services. |
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Youth in Confinement |
•Youth confinement will be visually check at the irregular intervals at least every 15 minutes in accordance with DJJ Policy 8.20 room checks •Rooms checks will be documented using the electronic monitoring system |
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Three ways of administration of medication |
•Self administration by the offender •Health care provider •Trained Juvenile Correctional Officers |
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Allergic Reaction to medications |
•Skin Rash • Itching •Swelling I gotta of the face and body •Nausea / vomiting •shortness of the breath •rapid heart beat |
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Special medical needs |
•Asthma •Diabetes •Epilepsy •Contagious Diseases •Physical Disabilities •Substance abuse issues |
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Epilepsy |
Gran Mal Seizure Petit Mal seizure psychomotor seizure |
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Hepatitis |
Early symptoms= fatigue Loss of appetite Headache Diarrhea Vomiting Darkening if the urine Jaundice |
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Definition of drugs |
A drug is any substance other than food which alter mood or body function and can be habit forming or addictive |
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Common signs of substance abuse |
Substance taken in larger amounts Persistent desire to cut down Great deal of the time spent trying to obtain Activities given up Psychological or physical problems Tolerance increase |
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Indicators of substance abuse physical clues |
Fatigue Hair thinning Hyperactive Pale in facial hair color Red and glazed eyes Malnourished/Excessive weight loss Respected health complaints Poor hygiene |
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Indicators of substance abuse emotional clues |
Personality changes Sudden mood changes Irritability Irresponsible behavior Low self esteem Poor judgement Depression General lack of interest |
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What is seven challenges |
Substance abuse treatment programs for adolescent Evidence-based programs in the SAMHSA registry Teachers life skills Focuses on the decision making process |
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Stages of change |
Pre-Contemplation Contemplation Preparation Action Maintenance Termination |
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Stages of change |
Pre-Contemplation- These young people don’t think they have a problem; wouldn’t honestly admit to a problem. Contemplation- Youth is beginning to think he/she might have a problem. Know he/She has a problem but not sure if they want or could change.
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Stages of change |
Preparation- Youth is getting ready to make plans for a substantial change and they intend to make within month. Action- Youth is taking decisive action. He/She is doing what an expert says needs to be done to overcome the problem. |
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Stages of change |
Maintenance- after six months of successful actions; and avoiding any backsliding Termination-Youth is done with the problem they can be exposed to high risk situation but will not repeat a problem behavior. |
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Early stages of change |
Don’t think they have a problem don’t think their life will be better without drugs don’t know what it takes to overcome a drug problem don’t feel they could succeed Not prepared to succeed |
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Mad Rush for abstinence |
The mad rush is an attempt to convince youth that drugs are dangerous that they personally has been harmed by drugs in a quit. |
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Bad outcome from the mad rush for abstinence |
Fakers Fighter Fleers Followers |
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Challenge one |
Allowing the client to share what they want and not judging them or pushing them in this process this is were building the trust relationship with the youth is paramount |
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Challenge two |
Reasons to encourage discussion about drug benefit. |
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Challenge three |
The harm and potential harm from our drug use Not only harm to themselves but others |
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Challenge four |
Responsibility and share responsibilities is it all their fault how can looking at orders responsibilities help them explore family issues |
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Challenge five |
Contemplating where they are now and where they want to go. What would success look like for you ? |
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Challenge six |
Make it out for decisions this is the challenge we start to ask you what changes they want to make in the lives this is where kids have to weigh the harm and the benefits and make an honest decisions |
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Challenge seven |
Following through on our decisions The us the most difficult challenge of them all |
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Roles for staff |
Make the seven challenges part of every day conversation. help youth with the reader and journals Protection of confidentiality |
