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We describe the case of an adolescent diagnosed with a serious chronic disease during his time in an urban detention center to illustrate how health workers and justice staff must use a team approach in caring for this vulnerable population of children. Barriers to appropriate care, including social and systems-level challenges, are discussed. The lessons learned in this case can be applied more broadly to other vulnerable youth populations, including those in foster care and impoverished communities where the primary care pediatrician (or other assigned pediatric specialist) is both the leader of the medical team and an advocate for quality care.<\/jats:p>","DOI":"10.1542\/pir.2016-0066","type":"journal-article","created":{"date-parts":[[2017,1,2]],"date-time":"2017-01-02T09:40:13Z","timestamp":1483350013000},"page":"35-43","source":"Crossref","is-referenced-by-count":5,"title":["Overcoming Challenges to Care in the Juvenile Justice System: A Case Study and Commentary"],"prefix":"10.1542","volume":"38","author":[{"given":"Rebekah J.","family":"Savage","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine"},{"name":"Department of Family and Community Medicine, Division of Student Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine M.","family":"Reese","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine"},{"name":"Physicians' Primary Care of Southwest Florida, Fort Myers, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephenie","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Traci","family":"Jester","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Lowe","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LaKeshia","family":"Hyndman","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham School of Medicine, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nefertiti","family":"Durant","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2017,1,1]]},"reference":[{"issue":"6","key":"2021120910291733200_B1","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1542\/peds.2011-1757","article-title":"Health care for youth in the juvenile justice system","volume":"128","author":"Committee on Adolescence","year":"2011","journal-title":"Pediatrics"},{"issue":"6","key":"2021120910291733200_B2","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/j.jadohealth.2005.06.008","article-title":"The health status of youth in juvenile detention facilities","volume":"38","author":"Golzari","year":"2006","journal-title":"J Adolesc Health"},{"issue":"2","key":"2021120910291733200_B3","first-page":"150","article-title":"Mental health rehabilitation of detained juveniles: using time wisely","volume":"39","author":"Wills","year":"2011","journal-title":"J Am Acad Psychiatry Law"},{"key":"2021120910291733200_B4","unstructured":"Annie E. 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