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Volume 30, Supplement - Infectious Diseases and Carceral Health

SUPPLEMENT ISSUE
COVID-19

Lessons Learned from Cross-Systems Approach to COVID-19 Pandemic Response in Juvenile Justice System, Colorado, USA

Ashley M. TunstallComments to Author , Shannon C. O’Brien, Deborah M. Monaghan, Alexis Burakoff, and Renée K. Marquardt
Author affiliations: Colorado State University, Fort Collins, Colorado, USA (A.M. Tunstall); Colorado Department of Human Services, Denver, Colorado, USA (A.M. Tunstall, D.M. Monaghan, R.K. Marquardt); Colorado Department of Public Health and Environment, Denver (S.C. OʼBrien, A. Burakoff); University of Colorado, Denver (R.K. Marquardt)

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Table 2

Key lessons learned and recommendations from case study of cross-systems approach to COVID-19 pandemic response in the juvenile justice system, Colorado, USA, 2020–2023

Lessons learned Recommendations
Critical need exists for facility-level advocacy and multidisciplinary collaboration to appropriately consider unique facility-level and individual-level requirements.
 Identify diverse stakeholders to partner in decision-making.
Rapid application of response protocols requires timely communication and consultation with subject matter experts to address barriers as they arise.
 Establish robust communication pathways and infrastructure for real-time expert consultations.
Youth in confinement settings require diverse services and are often more vulnerable to service disruptions.
 Develop juvenile justice–specific response plans.
Risk-benefit analyses can change over time and should use a whole-person health approach.
 Respond to needs by using a dynamic and holistic risk assessment strategy.
Adult staff may have divergent risk profiles and access to vaccination and therapeutics compared with youths. Be aware of vulnerable populations and create plans to mitigate risk by using a hierarchy of controls approach (14).

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References
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Page created: November 21, 2023
Page updated: March 31, 2024
Page reviewed: March 31, 2024
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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