1. Washington State – Juvenile Detention National STD Prevention Conference -2006

2. Washington State 15 County Juvenile Detention and 5 State 4 Juvenile Detention over 500 Females King County, Pierce County, Snohomish County and Spokane County 2005 Activities – Established Baseline.

3. Washington State Department of Health STD/TB Services Asotin 5 Clark Whatco m Clallam Jefferson Grays Harbor Pacifi c Wahkiakum Cowlitz Lewis Thursto n Mason Island San Juan Skagit Snohomish King Pierce Okanogan Chelan Douglas Kittitas Yakima Skamania Klickitat Benton Walla Franklin Grant Adams Lincoln Ferry Stevens Pend Oreille Spokane Whitman Columbia Garfield Kitsap Asotin Washington State

4. Who are in Juvenile Detention? Youth may be detained for the following reasons: an arrest for allegedly committing an offense, on a warrant, remanded from court, to serve a sentence, or as part of an order sanctioning the youth for violating the terms of probation, truant.

5. “Admittees” Juvenile Detention Calls them: Detained youth – never inmates or prisoners At Risk Youth warrants, Bench warrants, preadjudicated youth, youth corrections, probation. Non Offenders such as truants, at-risk youth, children in need of services.

6. Reasons for not testing Refusal Not sexually active Under 14 (needs parents permission) Not in facility long enough Sick or Hostile Experiencing “withdrawal symptoms”

7. Jail Register FAQ Guide For Women Population Alert Mission, Vision, Goals News and Links Jail Statistics FACE Project Employment Contact Us! DAJD Home Jail Register FAQ Guide For Women Population Alert Mission, Vision, Goals News and Links Jail Statistics FACE Project Employment Contact Us! DAJD Home ! "King County was honored this week for its effort to ensure that county employees retain their benefits and don't lose pay while in active reserve duty with the military." Click here for complete story. Click here for complete story., 2006 King County King County | DAJD Home | News | Services | Comments | Search Links to external sites do not constitute endorsements by King County. By visiting this and other King County web pages, you expressly agree to be bound by terms and conditions of the site. The details.DAJD HomeNewsServicesCommentsSearchThe details. Updated by DAJD Web Master on January 12thDAJD Web Master

8. Who are tested? Incarcerated long enough to give results and initiate therapy (Spokane) All youth receive who are booked are offered a STD urine test and medical assessment to determine if there is a need for immediate medical or mental health intervention. (SK) Medical staff are asked to grab urines on all kids as they come in ( Snohomish - 9%) All females who are in 2 wks get physical (TP

9. Performance measures - 2005 Snohomish 99/1130 = 9% - IPP Funded Spokane 49/438 = 11% - IPP Funded Tacoma Pierce 165/1039 =16% -IPP Funded Seattle-King 875/1118 =77% -Local Funds

10. King County Juvenile Mature System – over 10 years in operation Two STD clinicians One DIS staff 2005 – 1566 Males tested and 875 Females Flagging system for missed kids Separate from Detention Staff

11. Improvement Opt out vs Opt in – “Do you want a chlamydia test” vs “We are offering chlamydia testing to everyone unless you refuse” Address cultural differences – Confidentiality, why focus on females only?, STD education, Follow up on Positives Revolving door – unduplicated persons or all admittees? Top site –Seattle has STD clinicians and DIS