Modern approaches to assessing the health of juvenile delinquents based on the use of the international classification of functioning, disability and health

Authors:

Karpatenkova Oksana Vladimirovna, head of the medical department of the Center for the temporary detention of juvenile offenders at the Main Directorate of the Ministry of Internal Affairs for St. Petersburg and the Leningrad Region, st. Sedova, 54, building 3, St. Petersburg, 192148, Russian Federation; e-mail: karpat-08@mail.ru; https://orcid.org/0000-0001-5311-5950.

Annotation:

Introduction. Children and adolescents who have committed offenses, by court order, are in temporary detention centers for juvenile offenders from 24 hours to 30 days. The International Classification of Functioning, Disability and Health (ICF) can serve as a universal tool for assessing the health status of children, which provides in a short time the primary diagnosis of vital signs and a clear logistics of providing medical, social and psychological assistance to this contingent of the population.

Aim of the study: to study the profiles of juvenile delinquents admitted to the Temporary Detention Center in the “Activity and Participation” category of the International Classification of Functioning, Disabilities and Health.

Materials and methods. The profiles of restrictions on activity and participation in the life of society of 52 people were studied and evaluated. juvenile offenders between the ages of 14 and 17 through the use of the ICF. The evaluation was carried out by specialists of a multidisciplinary team based on clinical data, results of psychodiagnostics and self-assessment analysis.

Results. The most common limitations were the ability to overcome stress (100.0%) — d240, problem solving (72.7%) — d175, decision making (81.8%) — d177, taking care of one’s health (72.7%) — d570 , leisure activities (100.0%) — d920, maintaining a daily routine (54.5%) — d230, family relations (81.8%) — d760. Less common limitations in the ability to perceive oral (36.3%) — d310 — and gestural (27.7%) — d315 — speech, expressive speech (27.7%) — d330, limitations in formal (27.2%) — d740, informal (27.2%) — d750 relationships.

Discussion. The most common restrictions on activity and participation are related to the peculiarities of living and raising in the family and the need for premature autonomy of the child, for which he is not prepared by family education. various limitations of communicative competences associated with insufficient socialization of children are also common.

Conclusion. The resulting profile of the functioning of minors made it possible to develop individually-oriented recommendations for the organization of rehabilitation and medical and social assistance.

List of cited literature:

1. Grazhdanskij kodeks Rossijskoj Federacii (chast’ pervaya). [Civil Code of the Russian Federation (part one)]. Available at: https://suvorov.legal/statya-28-deesposobnost-
maloletnih/. (accessed 16.03.2023). (In Russian).

2. Prikaz MVD RF ot 1 sentyabrya 2012 g. N 839 «O sovershenstvovanii deyatel’nosti centrov vremennogo soderzhaniya dlya nesovershennoletnih pravonarushitelej». [Order of the Ministry of Internal Affairs of the Russian Federation of September 1, 2012 N 839 «On improvingthe activities oftemporary detention centers for juvenile offenders»]. Available at: https://base. garant.ru/7027654616.03.2023. (accessed 16.03.2023) . (In Russian).

3. Federal’nyj zakon ot 24 iyunya 1999 g. N 120-FZ «Ob osnovah sistemy profilaktiki beznadzornosti i pravonarushenij nesovershennoletnih» (s izmeneniyami i dopolneniyami)». [Federal Law N 120-FZ of June 24, 1999 «On the Fundamentals of the System for the Prevention of Neglect and Juvenile Delinquency» (with amendments and additions)]. Available at: http://ivo. garant.ru/#/document/12116087/paragraph/471:2. (accessed 16.03.2023). (In Russian).

4. Mezhdunarodnaya klassifikaciya funkcionirovaniya. ogranichenij zhiznedeyatel’nosti i zdorov’ya [International Classification of Functioning, Disability and Health]. Available at: https://apps.who.int/ classifications/icfbrowser/. (accessed 16.03.2023). (In Russian).