Chicago Department of Public Health’s Incarcerated Youth STD Screening Initiatives

THE CHICAGO EXPERIENCE

2006 National STD Prevention ConferenceMay 10, 2006

Jacksonville, Florida

Tamara Cox, MPA,CCHPDirector, Special Projects for Correctional and Adolescent Health

Chicago Department of Public HealthSTD/HIV Prevention and Care Programs

Chicago Department of Public HealthSTD/HIV Prevention and Care Programs

Division of STD/HIV/AIDS Policy and Programso Currently have a staff of 204o Operates seven STD/HIV clinics throughout the City of

Chicago.o Operates out of five specialty sites Stroger Hospital of Cook County Provident Hospital of Cook County Jackson Park Hospital Cook County Department of Corrections Cook County Juvenile Temporary Detention Center

Cook County Juvenile Temporary Detention Center

Part of the oldest juvenile justice system in the nation.

Oversight is provided by the Cook County Board of Commissioners

One of the largest adolescent detention centers in the nation

Daily average census of 500

Over 7,000 booked annually through intake.

STD Screening at Cook County Juvenile Temporary Detention Center

Approximately 35 adolescents are booked daily

CDPH staff counsel the adolescents during intake and collects urine specimen for testing

CDPH staff provides HIV counseling and testing

Syphilis screening is conducted once remanded

STD Screening at Cook County Juvenile Temporary Detention Center

Specimen is processed by the state lab.

Treatment is provided during sick call once adolescent is remanded to a housing unit.

Medication is provided free of charge by the Illinois Department of Public Health

STD Section

CDPH staff provides field follow-up services for adolescents that are released prior to disease notification and treatment

Morbidity 2005

Males

5,808 booked through intake

4,634 chlamydia and gonorrhea tests

(79.78% screening rate)

434/135 positive results

10.67%/3.09% positivity rate

Morbidity 2005

Females

730 booked through intake

572 chlamydia and gonorrhea tests

(78.35% screening rate)

127/52 positive results

22.20%/9.92% positivity rate)

Cook County Juvenile Temporary Detention Center

Special Initiatives

CDPH negotiated with the Chicago Public Schools to proved health education for female adolescent detainees. This fulfilled their mandatory health education requirement.

Reproductive health education and services

Hepatitis B education, vaccination and tracking

Health Education and HIV counseling and testing at 2 alternative sentencing programs.

Contact Information

Tamara Cox

530 E. 31st Street

Chicago, IL 60616

(312) 747-0104

tcox.cdc.gov

cox_tamara@cdph.org