Table 1.

Examples of Structural Change Objectives

By the year 2008, Law 81 will be amended allowing health professionals to offer the services of HIV preventative counseling or to perform HIV/STD testing in the clinic and community to youth under 21 years of age without parental consent.

By December 2008, the Miami-Dade Regional Juvenile Detention Center (DJJ) will have developed and implemented a practice to link HIV infected detainees upon their release to an HIV medical facility, including transfer of medical records.

By June 1, 2009 a new protocol for referring newly identified HIV+ youth to services will be developed by the HIV counseling and testing workgroup of the Los Angeles County HIV Prevention Planning Committee for testing provider trainings in Los Angeles County to be implemented by the Office of AIDS Programs and Policy.

By March 2009, the Department of Juvenile Justice will have implemented a policy that all youth being processed at their facility will be offered free HIV counseling/testing and made aware of locations where they can receive HIV/STI prevention education.

By June 2009, the NYC Department of Health and Mental Hygiene’s District Public Health Offices will expand their current training program to provide a sexual diversity component for public health advisors who staff health resource rooms in NYC high schools.