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Young people’s health

Young people’s health. Adolescents 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.

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Young people’s health

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  1. Young people’s health Adolescents and General Practice Based on Maggie Eisner, January 2011, Modified Heather Naylor October 2014

  2. Teenagers! • http://www.bvtv.co.uk/kevin-becomes-a-teenager-bbc-comedy/

  3. 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

  4. Young people in our societyThere are 6 million aged 10-19 in UK

  5. 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.

  6. Young people’s point of view

  7. 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?

  8. Barriers for teenagers in accessing primary care • Concern about confidentiality • Embarrassed about symptoms • Lack of information about services • Appointment system • Geography/ transport

  9. 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

  10. The GP’s point of view

  11. 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?

  12. Issues in the consultation • Communication/rapport • Confidentiality • Consent • Access • 3 way consultations • Presenting problem vs hidden agenda vs health promotion

  13. 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

  14. 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

  15. Contrasting agendas Health professionals Lifestyle issues – smoking, alcohol, drugs, diet, exercise Sexual health – c/c, STDs, pregnancy Mental health – suicide prevention, behaviour in school Young 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

  16. Consultations with young people • 1 Evie • 2. Ruth

  17. Organising primary care for young people

  18. 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

  19. 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

  20. Useful resources • For teenagers: • www.teenagehealthfreak.org • www.brook.org.uk • www.likeitis.org • For parents: • www.familylives.org.uk • (Choose “Advice”,“teenagers”)

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