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Related Experiment Videos

Incarcerated adolescents in Washington state. Health services and utilization

B Anderson1, J A Farrow

  • 1University of Washington School of Medicine, Seattle 98195-7920, USA.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|May 20, 1998
PubMed
Summary

Health services for incarcerated adolescents in Washington State vary by facility type. County facilities see more acute care needs, while state facilities address chronic conditions, impacting overall healthcare utilization.

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Area of Science:

  • Public Health
  • Adolescent Health
  • Healthcare Management

Background:

  • Understanding healthcare needs of incarcerated youth is crucial for targeted interventions.
  • Juvenile detention facilities provide a unique setting to study adolescent health service utilization.
  • Washington State's juvenile justice system houses a diverse adolescent population with varying health profiles.

Purpose of the Study:

  • To describe and analyze health services and their utilization among incarcerated adolescents in Washington State.
  • To compare healthcare utilization patterns between state (long-term) and county (short-term) juvenile facilities.
  • To identify disparities in healthcare access and needs based on facility type and size.

Main Methods:

  • A descriptive study examining health services and utilization in 12 juvenile detention facilities (6 state, 6 county) in Washington State.

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  • Analysis of healthcare visits categorized by facility type (state vs. county) and facility size.
  • Identification of specific health conditions driving healthcare utilization.

    • Main Results:

    • Youth in county facilities utilized emergency rooms and healthcare services more frequently for acute conditions (e.g., STDs, pregnancy, trauma).
    • Adolescents in county facilities were more likely to be on suicide watch or psychiatric medication.
    • State facilities' healthcare usage focused more on chronic conditions (e.g., dental, dermatologic, respiratory).
    • Smaller facilities reported fewer healthcare visits and nursing hours per inmate.

    Conclusions:

    • Healthcare needs and utilization patterns differ significantly between short-term (county) and long-term (state) juvenile correctional facilities.
    • Facility size impacts healthcare resource allocation and service availability.
    • A notable prevalence of conditions like pregnancy and HIV exists within this incarcerated adolescent population.