Justice-involved youth are at high risk for HIV and STIs, and justice agencies are uniquely poised to offer HIV/STI testing. However, testing in these settings is not routine and represents a missed opportunity. This study describes a system-level implementation intervention designed to increase access to HIV/STI testing through juvenile justice (JJ) and public health agency collaboration across six counties in six states in the United States. Local change teams, active facilitation, and training were utilized to facilitate agency partnerships and development of HIV/STI practice change protocols. Five counties established health and JJ partnerships and four counties successfully implemented their protocols. Sites with HIV/STI education and testing protocols behaviorally screened 98.5% of youth and tested 41.2% of those youth; 0% were HIV+ and 43.2% had an STI. The intervention provides a feasible, scalable solution, through promoting partnerships between JJ and health agencies, to link youth to testing and treatment services.

中文翻译：

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鼓励青少年司法部门与公共卫生机构之间合作以促进HIV / STI检测的系统级干预

涉及司法的年轻人极易感染艾滋病毒和性传播感染，而且司法机构具有独特的优势，可以提供艾滋病毒/性传播感染检测。但是，在这些设置中进行测试不是常规操作，这意味着错失了机会。这项研究描述了系统级的实施干预措施，旨在通过美国六个州的六个县的青少年司法（JJ）和公共卫生机构的合作来增加获得HIV / STI检测的机会。利用当地的变更团队，积极的协助和培训来促进机构之间的伙伴关系和艾滋病毒/性传播感染实践变更协议的制定。五个县建立了卫生和JJ合作伙伴关系，四个县成功实施了其协议。接受过艾滋病毒/性传播疾病教育和检测协议的场所从行为上筛查了98.5％的年轻人，对41.2％的年轻人进行了测试；0％为HIV +和43％。2％患有性病。通过促进JJ和卫生机构之间的伙伴关系，该干预措施提供了可行，可扩展的解决方案，以将青年与测试和治疗服务联系起来。