SERVICES IN JUVENILE - JDCAP

1 LSTANDARDS FOR HEALTHSERVICES IN JUVENILEDETENTION ANDCONFINEMENTFACILITIESNATIONAL COMMISSION ONICORRECTIONAL HEALTH CAREALAN P. TEZAK1755 TEMBY DRIVEHERSHEY~ PA 17033 STANDARDSFORHEALTHSERVICESINJUVENILEDETE NTIONAND CONFINEMENT FACILITIES1995 These standards represent the official position of the National Commission onCorrectional Health Care with respect to minimum requirements for healthservices in JUVENILE detention and confinement do notnecessarily represent the position of individuals represented on the Board ofDirectors or of any supporting organization of the National Commission onCorrectional Health Care.@ 1995 National Commission on Correctional Health CareNational Commission on Correctional Health Care2105 N. Southport, Chicago, IL 60614-4017(312) 528-0818 ISBN O-92956 l-05-80 1995 National Commission on Correctional Health CareTABLE OF to Use This Made Since the Last Standards Were A - ADMINISTRATION.

2 1 Essential StandardsY-01 Responsible Health Medical Policies and Administrative Meetings and Internal Quality Disaster StandardsY-07 Support Sharing of Access to Diagnostic Notification of Next of 1 Grievance B - MANAGING A SAFE AND HEALTHY ENVIRONMENT ..11 Important StandardsY-12 First-Aid Use of Tobacco Health Promotion and Disease Ectoparasite Infection Control Communicable Disease and C - PERSONNEL ..17 Essential StandardsY-18 Job Liaison Health Staff Orientation and Inservice Basic Training of Child Care Medication Administration JUVENILE Communication on Special Needs StandardY-26 Food Service Workers: Health and Hygiene Requirements ..23 SECTION D - CARE AND TREATMENT ..25 Essential StandardsY-27 Initial Health Access to Intoxication and Medical Daily Handling of Medical Sick Health Emergency Direct Skilled Nursing and Infirmary Suicide Pregnant Health Evaluation: Juveniles in Use of Pharmaceutical Special Handling:Patients with Acute Sexually Transmitted Disease and Bloodborne Disease StandardsY-45 Treatment Hospital Special Medical Standing Orders or Treatment Continuity of Chemically Dependent Care of the Physically or Mentally Disabled Dietary Dental Outside Personal Family Planning E - HEALTH RECORDS.

3 53 Essential StandardsY-59 Health Record Format and Confidentiality of the Health StandardsY-61 Transfer of Health Records and Record F - MEDICAL-LEGAL ISSUES ..59 Essential StandardsY-63 Informed Consent..61Y-64 Right to Refuse ..62 Important StandardsY-65 Medical Research..62Y-66 Forensic Information..63..111 APPENDIX A - SAMPLE POLICIES AND PROCEDURES..65 Development of a Manual of Policies and Policy B - SAMPLE FORMS ..73 Medication Administration - Medication Health Screening Form - Long Health Screening Form - Short History Screening Dentist s Status/Transfer Call C - AGE CHARTS FOR PERIODIC HEALTH EXAMINATION.. 7 - 12 19 - 39 D - SUICIDE PREVENTION GUIDELINES .. 105 Suicide Assessment and Prevention Mental Status Assessment Suicide Precaution E - NUTRITION.

4 113 Food Guide Food Service Patterns for F - POSITION STATEMENTS.. Management -of HIV in Health Care and the Prevention of s Health Care in Correctional G - GUIDELINES ON BLOODBORNE PATHOGENS .. 135 Guidelines on Bloodborne Pathogens .. 137 APPENDIX H - STANDING ORDERS VS. TREATMENT PROTOCOLS .. 147 Standing Orders vs. Treatment Protocols .. 149 APPENDIX I - INFORMATION ON THE CERTIFIED CORRECTIONAL HEALTH/PROFESSIONAL (CCHP) PROGRAM.. 151 About the CCHP Program .. 153 APPENDIX J - HEALTH CARE ACCREDITATION INFORMATION .. 157 About Health Service Sheet - NCCHC s Accreditation for Accreditation of Correctional Health SERVICES Accreditation Maintenance 1 GLOSSARY .. 181 INDEX .. 187 ACKNOWLEDGEMENTSMany individuals have contributed to this, the fourth revision of the Standards for HealthServices in JUVENILE Detention and Confinement Facilities.

5 The National Commission onCorrectional Health Care (NCCHC) appreciates the efforts of all who have been was particularly gratifying to receive a large number of suggestions and comments inresponse to a mail survey of correctional health professionals, correctional administratorsworking in JUVENILE facilities, and national associations in the health, corrections, and of these comments, through many hours of discussion by members ofa special task force appointed in October 1994 to recommend revisions to these standards,was essential to the publication of this revised standards manual. Members of this specialtask force wereJames W. M. Owens, MD, CCHP (Chair), Medical Director, Washington Departmentof JUVENILE Rehabilitation, Seattle, WashingtonCharles J.

6 Baker, MD, Medical Director, Los Angeles County Health ServicesDepartment, JUVENILE Court Health SERVICES , Los Angeles, CaliforniaRobert T. Brown, MD, Medical Director, Children s Hospital Adolescent Health Center,Columbus, OhioKurt C. Friedenauer, Administrative Director, Idaho Department of Healthand Welfare, Youth SERVICES Center, St. Anthony, IdahoRonald J. Gagne, MD, Manchester Family Health Center, Manchester, New HampshireKrista R. Johns, JD, Director of Curriculum Development, National Council of Juvenileand Family Court Judges, National College of JUVENILE and Family Law, Reno, NevadaLynn Maskel, MD, Director of Forensic Psychiatry, Loyola University Medical Center,Maywood, IllinoisDavid W. Roush, PhD, National JUVENILE Detention Center, Marshall, MichiganGary Shostak, MPH, Director of Health SERVICES , Massachusetts Department of YouthServices, Boston, MassachusettsJerome P.

7 Rosenthal, PhD (Staff Liaison), Director of Accreditation, NationalCommission on Correctional Health Care, Chicago, IllinoisIn addition to the important work of this task force, the revision of the JUVENILE standardsalso benefitted from the special efforts of several organizations and individuals. DianeMiles, MS, RD, LD recommended changes to the dietary standard (Y-53), and the AmericanDietetic Association provided an updated food guide pyramid for Appendix E. Also, thedental form in Appendix B was submitted by Wendell Page, DDS, the Dental Director ofJuvenile Court Health SERVICES under Charles Baker, MD for the Los Angeles CountyDepartment of Health , NCCHC s Policy and Standards Committee reviewed and edited the were Carl Bell, MD, Chair; B.

8 Jaye Anno, PhD, CCHP-A; Samuel Eichold, MD;Gerald P. Ellsworth, MPH, CCHP; John M. Vargo, DO, CCHP; Henry C. Weinstein, MD,CCHP; and Jonathan B. Weisbuch, MD. Many others on the NCCHC Board of Directors,and with special assistance from staff members Jacqueline M. Moore, PhD, CCHP andCarolyn E. Weiland, also provided important contributions to the revision of these National Commission on Correctional Health Care is grateful for all these efforts, sincethe result promises to promote improved health SERVICES for youth in our nation s juveniledetention and confinement A. Harrison, CCHPP residentviiPREFACES tandards for Health SERVICES in JUVENILE Detention and Confinement Facilities representsa revision of standards first published by the American Medical Association in 1979 andsubsequently revised in 1984 and 1992 by National Commission on Correctional HealthCare.

9 NCCHC is a not-for-profit, 501(c)(3) organization working toward improving healthservices provided in our nation s jails, prisons,and JUVENILE detention and s Board of Directors is comprised of individuals named by the followingsupporting organizations:American Academy of Child andAdolescent PsychiatryAmerican Academy of Family PhysiciansAmerican Academy of PediatricsAmerican Academy of Physician AssistantsAmerican Academy of Psychiatry andthe LawAmerican Association of PhysicianSpecialistsAmerican Association of PublicHealth PhysiciansAmerican Bar AssociationAmerican College of EmergencyPhysiciansAmerican College of HealthcareExecutivesAmerican College of NeuropsychiatristsAmerican College of PhysiciansAmerican Correctional Health ServicesAssociationAmerican Counseling AssociationAmerican Dental AssociationAmerican Diabetes AssociationAmerican Dietetic AssociationAmerican Health Information ManagementAssociationAmericanJail AssociationAmericanMedical AssociationAmericanNurses

10 AssociationAmericanOsteopathic AssociationAmericanPharmaceutical AssociationAmericanPsychiatric AssociationAmericanPsychological AssociationAmericanPublic Health AssociationAmericanSociety of Addiction MedicineJohn Howard AssociationNational Association of CountiesNational Association of County HealthOfficialsNational Council of JUVENILE and FamilyCourt JudgesNational District Attorneys AssociationNational JUVENILE Detention AssociationNational Medical AssociationNational Sheriffs AssociationThe Society for Adolescent Medicine..VlllHOW TO USE THIS BOOKT hese standards represent NCCHC s recommended minimum requirements for juvenilehealth SERVICES . They are intended for use as guidelines for short term facilities (such asdetention centers) and long term facilities (such as residential treatment centers and trainingschools).