Juvenile Standards

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If a juvenile is already under the care of a community dentist, has seen the dentist recently and then is admitted to a detention center, does the youth still need a dental exam within 60 days?

Yes, an oral examination by a licensed dentist would still be required. The E-06 Oral Care standard for juvenile detention and confinement facilities states that an oral examination is performed by a dentist within 60 days of admission. An oral examination by a licensed dentist includes taking or reviewing the patient’s oral history, an extraoral head and neck examination, charting of teeth and examination of the hard and soft tissue of the oral cavity with a mouth mirror, explorer and adequate illumination.

However, if a juvenile who has received an oral examination in the correctional system within the past year is readmitted, a new exam is not required except as determined by the supervising dentist. The intent of this standard is that juvenile’s serious dental needs are met. Oral care is an important component of an individual’s overall health care. Poor oral health has been linked to numerous systemic diseases.
From CorrectCare Volume 31, Issue 1, Winter 2017

 
 

I work in behavioral health for a state juvenile justice department. Historically, we have used the Juvenile Health Standards book, but we see that there is also a Mental Health Standards book that does not specify adult or juvenile population. Which would be appropriate for us to use?

NCCHC publishes five sets of standards, three of which are specific for health services (2014 manuals for jails and prisons and a 2015 manual for juvenile detention and confinement facilities), one for mental health services (2015) and one for opioid treatment programs (2016). Each set of standards may be used alone or in conjunction with another set of standards. When a jail, prison or juvenile facility is accredited using the Standards for Health Services, mental health is included in the overall accreditation. However, if a facility, including jails, prisons and juvenile facilities, is only interested in accreditation for its mental health program, then the Standards for Mental Health Services in Correctional Facilities manual is used. A dual accreditation may also be achieved by following both the health services standards and the mental health standards or opioid treatment program standards.
— From CorrectCare Volume 30, Issue 3, Summer 2016

 
 

We are ready to jump into the new standards for juvenile facilities, but where do we begin? What’s new? Are there any major changes?

NCCHC is proud of the 2011 Standards for Health Services in Juvenile Detention and Confinement Facilities, the result of the hard work and collaboration of national experts in juvenile justice and health care. Some of the most significant changes are discussed in the Spotlight column, but here’s a quick rundown. We also we will discuss the changes, both significant and subtle, in greater detail in upcoming columns.

Standards Y-B-03 Patient Safety and Y-B-04 Staff Safety are new; both are classified as important. Y-G-01 Chronic Disease Services was classified as important in the previous edition but it is now an essential standard, which means that it must be met in order to achieve accreditation. Please note that Y-G-01 was also updated for 2011.

Be sure to carefully review standards where major changes were made. These include (but are not limited to) Y-A-04 Administrative Meetings and Reports; Y-A-06 Continuous Quality Improvement Program; Y-A-10 Procedure in the Event of a Juvenile Death; Y-C-01 Credentialing; Y-D-01 Pharmaceutical Operations; Y-D-03 Clinic Space, Equipment, and Supplies; Y-E-12 Continuity of Care During Incarceration; Y-G-01 Chronic Disease Services; and Y-G-05 Suicide Prevention Program.

Update: Please note the revised time line for compliance:

  • June 1: All juvenile facilities seeking initial accreditation will be surveyed under the 2011 edition of the Standards.
  • June 1 through September 30: All currently accredited juvenile facilities will be surveyed under the 2004 edition.
  • October 1: All juvenile facilities will be surveyed under the 2011 edition.

— From CorrectCare Volume 25, Issue 2, Spring 2011