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J Correct Health Care. 2013 Oct;19(4):258-68. doi: 10.1177/1078345813499310. Epub 2013 Aug 27.

Screening juvenile justice-involved females for sexually transmitted infection: a pilot intervention for urban females in community supervision.

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  • 11Warren Alpert Medical School of Brown University, Providence, RI, USA.


Little is known about Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) rates in community-supervised juvenile justice-involved (CSJJI) females, or how to best provide screening for sexually transmitted infections in this population. A pilot intervention allowed case managers to offer optional CT/GC screening to CSJJI females during mandated visits. Anonymous satisfaction surveys and discussion groups assessed intervention acceptability. Case managers met with 514 CSJJI females; 102 (20%) agreed to screening and 117 tests were completed. Among those screened, 21 (18%) had CT and 3 (3%) had GC. Intervention feedback from case managers and clients was positive, but there were barriers to recruitment. Lessons learned from this case manager-facilitated intervention may increase the acceptability and effectiveness of future screening methods in this setting.


community-based screening; juvenile justice health care; sexually transmitted infection screening

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