CORRECTIONS

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CORRECTIONS!

• (Or,the not so wonderful
• world of lock up)
• Yolanda L. Valdez RNC
• Clinic Supervisor, DHCS-Juvenile

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• Bexar County
• Detention Centers
• In San Antonio Texas

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Bexar County Juvenile Detention Center

• Photo of JDC

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Photo of youths walking
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JDC Population

• Incarcerated youths arrested in Bexar Countymany
  from out of state
• Age group 10-16
• 192 beds population often gt200
• Approximately 70 male, 30 female
• Another 100 beds to be added in 2007
• Crimes vary from runaway to murder but mainly
  violent offenses in JDC

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JDC population

• Significant lack of support supervision
• Many with distorted sense of right and
  wrongoften not taught
• Many with poor social skillsoften not taught
• High percentage with family members in jail or
  prison
• Incarceration often thought to be acceptable or
  even a rite of passage

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Upon admission to JDC

• All youths screened for sexual activity and
  substance usage
• Approximately 99 sexually active
• Approximately 90 use alcohol or MJ
• Often early onset of sexual activity (age 10-12)
• Barrier method or any birth control rarely used
  by boys or girls

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Urine CT GC testing

• Urine collection is a mandatory part of admission
  procedure
• Collection done on every admission, every time a
  youth is detained
• Urine collection done at time of medical
  screening along with height, weight, vital signs
• Youths advised we are not drug testing them

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What happens if they refuse?

• If they refuse, youth is sent to Security (a
  lockdown within a lock up)
• Youths cannot go to General population until they
  cooperate with the complete admission procedure
• Juvenile Detention staff supports us fully with
  this procedure

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Urine CT GC testing cont.

• Youths are told no news is good news
• If () for CT and/or GC, youth brought to medical
  for tx and contact information
• SAMHD faxed all ()s and contact info
• If youth released from JDC, youths name and
  addressed faxed to SAMHD for f/u
• High rate of recidivism in JDC

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Juvenile Detention population

• Many girls report boyfriend 10 years older
• High percentage of coerced or forced sex
• Often girls report being traded for favors or
  drugs
• Many report 10-15 sex partners a month monogamy
  a rarity

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Treatment for ()s

• Patient teaching and risk reduction done at time
  of treatment
• All ()s encouraged to also test for HIV, Hep B,
  and syphilis
• All JDC youths are offered HIV testing while in
  our facility

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Patient education and counseling

• Weekly health classes taught by DHCS-Juvenile
  LVNs
• STD education/prevention frequently taught along
  with contraception
• Outside agencies encouraged to teach youths
• High turnover of youths in JDC

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• All youths screened for sexual/physical abuse
• Teen/high risk pregnancy often seen at JDC or CTK
• Usually little to no prenatal care
• Often girls have unrealistic expectations of
  pregnancy
• Infants placed with family members or in CPS
  custody

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JDC stats () rates CT/GC

• August 200513
• July 2005 13
• June 2005 12
• May 2005 8
• April 200510
• March 2005 13

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Photo of youths
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Cindy T. Krier Secure Juvenile Correctional
Treatment Center
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Bexar County AdultDetention Center

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Bexar County Adult Jail

• Houses incarcerated adults arrested in Bexar
  County
• Age group 17- 81 (and older)
• Houses 14-16 year olds also (youths who are
  certified as adults)
• 4294 bedsaverage daily population is 4200
• 95 male, 5 female (women bailed out more often
  than men)

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Adult Detention Center Population

• ()85 report drug/alcohol abuse
• High with family members also incarcerated
  (siblings, cousins,parent)
• Close to 100 sexually active
• High rate of drug/sex offenses-especially females
• () 85 recidivism

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Adult Jail Population Classification System

• High, Medium high, Medium, Medium Low, Low
• High Protective Custody, Serious crimes, high
  ranking gang members, Administrative Segregation,
  Chains, Death Row
• Homosexuals (males only)
• Mentally ill (Mentals), Suicide Precautions
• Medical Infirmary, blind deaf, wheelchairs
  crutches, pregnant
• Gang segregation (prison gangs only) Mexican
  Mafia, Aryan Brothers, etc.
• Low First time offenders, work release program,
  trustees

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Photo of cell
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Significant Jail Health Problems

• HIV()
• Uncontrolled hypertension, diabetes
• Cancer, renal failure, liver failure
• Lack of any prenatal care, even in 3rd trimester
• Significant health problems are often compounded
  by noncompliance of inmate

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