Medical Interim County Executive Officer Resources at Juvenile Facilities*

weekends during the study year. Agree with the finding. Response: The Grand Jury report implicitly defined a medical emergency on weekends as "a medical condition experienced by a detained minor resulting in the minor being transported to Juvenile Hall at the direction of medical staff for treatment". Of these medical "emergencies" occurring on weekends, approximately 44% were related to recreational injuries or were removals based more on administrative reasons than on the actual need for medical treatment. DPCs are more inclined to transport a minor to Juvenile Hall in a medical emergency 2. when a nurse was not present. Agree with the finding. Response: Transporting minors to routine medical appointments increased demand on staff time, 3. added transportation costs, and lost ADA funds. The total cost savings, cost avoidance, and additional ADA money to OCDE could be approximately $150,000 a year by the addition of a physician visit to remote facilities. Disagree partially with the finding. Response: The County is unable to confirm the cost savings attributed to having a physician visit the remote facilities. While visits by health care providers to the facilities could eliminate some trips, other trips will still be needed. Minors detained in remote camps are routinely transported to Juvenile Hall every day of the week for reasons other than medical. Minors must appear in Juvenile Court, visit with parents, visit with Foster Home staff, visit with relatives, enroll in high school or college prior to release and/or attend job interviews prior to release. Additionally, minors are returned to Juvenile Hall for disciplinary reasons. If a minor must attend a medical appointment, OCDE staff at camps are notified (in advance if possible) of the minor's pending absence and the minor is provided an "excused absence". ADA no longer is collected for excused absences, but this is true of all schools in California. If the absence is only for a portion of the day, then the student returns to school and ADA is collected for the student.