[Delinquent adolescents: health problems and health care guidelines for juvenile correctional facilities]

The aim of this article was to provide an update that would serve to increase knowledge of health problems among juvenile delinquents before and during incarceration in juvenile correctional centers. Recommendations are made for the care of mental and physical health and for the health education of these teenagers that could be useful for health professionals providing health care to these teenagers while in custody as well as for those seeing them in the ambulatory setting. From the literature consulted, 63 % of studies have been performed in the United States, 24 % in Western Europe (Spain, United Kingdom, Holland, Belgium, Sweden, Finland), 8 % in Australia and 5 % in Canada. These studies show no appreciable qualitative differences in the health problems most frequently presented by these teenagers and there is agreement that the areas that should be prioritized are the provision of preventive and/or therapeutic dental care, as well as programs for psychiatric care, immunization, infectious diseases and health education. Failure to identify the health requirements of these teenagers and to provide early interventions can not only adversely effect their quality of life and their future physical, emotional and intellectual development but can also make their rehabilitation and reintegration into society more difficult.