Young people’s health
Post on 31-Dec-2015
27 Views
Preview:
DESCRIPTION
Transcript
Young people’s
healthAdolescents and General Practice
Based on Maggie Eisner, January 2011,Modified Heather Naylor October 2014
Teenagers!
http://www.bvtv.co.uk/kevin-becomes-a-teenager-bbc-comedy/
Aims of today
1. To recognise the barriers adolescents may face in accessing primary care services
2. To highlight areas of clinical concern in adolescent health
3. To consider issues and challenges around consultations with young people
4. To discuss how GP practices can be made more teenage friendly
Young people in our societyThere are 6 million aged 10-19 in UK
Why is adolescent health important?
Death rates in 15-19 year olds now exceed those in 1-4 year olds. Main causes Accidents Violence Suicide
25% of young people have seen their GP in the last 3 months, but there is evidence that some young people find it difficult to access health services appropriately.
Young people’s point of view
Your teenage experience
Think about when you were a teenager (or a teenager you know well).
What health concerns did you/they have?
What contacts did you/they have with health professionals?
What did the health contacts feel like?
What made/ may make these contacts more difficult than for adults?
Barriers for teenagers in accessing primary care Concern about confidentiality
Embarrassed about symptoms
Lack of information about services
Appointment system
Geography/ transport
Young people’s health agendas
Sexual health – c/c, pregnancy (TOP/parenthood), STDs, sexual orientation
Mental health – self esteem, exam stress, adolescent adjustment, home and school relationships
Appearance – skin, body image, size
Minor illness – not minor to them, not familiar with it
Chronic illness – may express resentment by non compliance
The GP’s point of view
Your medical experience
Think about consultations with teenage patients
In any context – not just GP
What were the issues?
How did the consultations differ from adult or child consultations?
Issues in the consultation
Communication/rapport
Confidentiality
Consent
Access
3 way consultations
Presenting problem vs hidden agenda vs health promotion
In the consultation Relate directly to young children so they’re
used to it by the time they’re teenagers
Extra explanation time for common problems (flu, cystitis)
Be very patient centred esp with non compliant teenagers with chronic diseases
Health promo sensitive to young people’s agendas
Don’t make assumptions
Get their mobile phone number
A scheme for assessing troubled teenagers (HEADSS)
Home – can you talk to your parents?
Education – ask about actual school performance
Activities – what do you like doing? Do you have friends you can trust?
Drugs (incl smoking and alcohol) – explain why you want to know
Sex – ask permission to ask the questions
Suicide risk – if consultation makes you feel you should ask
Contrasting agendasYoung people
Sexual health – c/c, pregnancy (TOP/parenthood), STDs, sexual orientation
Mental health – self esteem, exam stress, adolescent adjustment, home and school relationships
Appearance – skin, body image, size
Minor illness – not minor to them, not familiar with it
Chronic illness – may express resentment by non compliance
Health professionals
Lifestyle issues – smoking, alcohol, drugs, diet, exercise
Sexual health – c/c, STDs, pregnancy
Mental health – suicide prevention, behaviour in school
Consultations with young people
1 Evie
2. Ruth
Organising primary care for young people
Improving access
What can a practice do to provide a service which teenagers will use?
Resources:
RCGP “Getting it right for teenagers in your practice” 2002
In the practice
Confidentiality made clear
Staff trained to be welcoming
Accessibility – advance appts don’t work well for young people
Health promotion sensitive to young people’s concerns
Useful resources
For teenagers:
www.teenagehealthfreak.org
www.brook.org.uk
www.likeitis.org
For parents:
www.familylives.org.uk
(Choose “Advice”,“teenagers”)
top related