Access to Reproductive Health Care in Juvenile Justice Facilities.J Pediatr Adolesc Gynecol 2019JP
The juvenile justice system houses adolescents with unique and unmet reproductive needs, including family planning. The purpose of this study was to identify access to contraceptive counseling and methods for females in the juvenile justice system.
We administered a cross sectional survey that examined services related to reproductive health care, including contraceptive counseling, and ability to initiate or continue contraceptive methods in custody.
Juvenile justice systems in the United States.
State level health care administrators in juvenile justice systems.
INTERVENTIONS AND MAIN OUTCOME MEASURES
We analyzed responses to determine ability of females in custody to continue or initiate specific contraceptive methods, in addition to other measures of reproductive health access.
Twenty-one respondents representing systems in 20 US states were included in analysis. All participating sites provided contraceptive counseling and all allowed at least one form of pre-incarceration contraception to be continued. Eighty-one percent of systems enabled females to initiate contraception while in custody, with the most common method available on site being birth control pills. Twenty percent of sites provided long active reversible contraceptive methods.
This survey demonstrates that it is feasible to provide contraception in this setting. However, there exists considerable variability in availability in methods across the US. Continued work is needed in increasing access to contraception and standardization of care in juvenile justice system.