Routine Adolescent Health Care
ROUTINE ADOLESCENT HEALTH CARE
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Updated August 2020
- Positive Youth Development and Motivational Interviewing
- Preventive Services
- Cultural Competence and Humility
- Harm Reduction
- Social Determinants of Health
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Positive Youth Development and Motivational Interviewing
Learning objectives:
- Demonstrate how to take a social history using a strength-based approach, while screening for behaviors and risk factors for potential morbidity and mortality (eg: SSHADES model)
- Describe the goals, components, and techniques of motivational interviewing
- Identify the different situations in which motivational interviewing can be used with the adolescent population
- Practice building rapport with adolescents using a strength-based approach
Readings and Videos:
Readings:
- Gold et al. “Motivational Interviewing Strategies to Facilitate Adolescent Behavior Change.” Adolescent Health Update Vol. 20, No. 1 October 2007.
- Rosen, D, Goldenring J. “Getting into Adolescent Heads: An Essential Update” Modern Medicine.
Webinars and Videos:
- M Gold talk via PRH – webinar and handouts available through ACT for Youth – subscribe at http://www.actforyouth.net/adolescence/healthcare/training.cfm
- Abbot Nutrition Health Institute — Motivational Interviewing: An Approach for Addressing Ambivalence for Change – Motivational Interviewing (MI) video series
Materials to Develop Educational Sessions:
Books:
- Douaihy AB, Kelly TM, and Gold MA. Motivational Interviewing: A Guide for Medical Trainees. Oxford University Press 2014
- Ginsburg, K Ed. Reaching Teens: Strength-Based, Trauma-Sensitive, Resilience-Building Communication Strategies Rooted in Positive Youth Development, 2nd Edition. AAP, 2020
Clinical and Community Settings:
- Outpatient (adolescent clinic, primary care clinic, subspecialty clinics)
- Inpatient (wards, PICU)
- Emergency Department
Preventive Services
Learning Objectives:
- Compare and contrast the components of a health maintenance visit for an adolescent at different stages of adolescence
- Identify the different immunizations needed during adolescence for those adolescents who are up to date and those who need catch-up
- List appropriate screening exams and their indications during adolescence: vision, hearing, blood pressure, hematocrit, vitamin D, and cholesterol/ lipids
- Discuss the importance of disease prevention through screening and anticipatory guidance, including healthy lifestyles
- Screen for safety issues and provide counseling on injury prevention
Readings and Videos:
Summary tables:
Materials to Develop Educational Sessions:
Books:
- Ginsburg, K Ed. Reaching Teens: Strength-Based, Trauma-Sensitive, Resilience-Building Communication Strategies Rooted in Positive Youth Development, 2nd Edition. AAP, 2020
Online Resources:
- Tanski et al. Performing Preventive Services. A Bright Futures Handbook (AAP 2010)
PediCases – available at: http://pedicases.org/archives/index.html
- Young, Middle and Late Adolescent Health Screening Cases.
Clinical and Community Settings:
- Outpatient (adolescent clinic, primary care clinic)
Cultural Competence and Humility
Learning Objectives:
- Identify the socio-cultural aspects of young people’s lives that shape their cultural values
- Enhance skills in providing culturally sensitive healthcare for adolescents
- Critically evaluate the effects of racism on the health of children and youth
Readings and Videos:
Books:
- Fadiman, Anne. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. New York: Farrar, Straus, and Giroux, 1997.
- Skloot, Rebecca. The Immortal Life of Henrietta Lacks. New York: Crown, 2010.
Readings:
- Raising Youth of Color in a Complex World. Building Resilience in Children and Teens. AAP 2011 22: 165-172
Articles:
- Rue DS, Xie Y. Disparities in treating culturally diverse children and adolescents. Psychiatr Clin North Am 2009;32(1):153-63.
Videos:
- “Worlds Apart: A Four-Part Series on Cross-Cultural Healthcare” by Maren Grainger-Monsen, MD, and Julia Haslett. Available for purchase or rental ($). Study guide also available.
Materials to Develop Educational Sessions:
Books:
- Ginsburg, K Ed. Reaching Teens: Strength-Based, Trauma-Sensitive, Resilience-Building Communication Strategies Rooted in Positive Youth Development, 2nd Edition. AAP, 2020
HHS Office of Population Affairs Cultural Competence Resources
ARSHEP PowerPoint modules:
Clinical and Community Settings:
- Outpatient (adolescent clinic, primary care clinic, subspecialty clinics)
- Inpatient (wards, PICU)
- Emergency Department
Harm Reduction
Learning Objectives:
- Incorporate principles of harm reduction into primary and secondary prevention strategies for behavior change
Readings and Videos
Readings:
- Harm reduction: An approach to reducing risky health behaviours in adolescents. Paediatr Child Health 2008;13(1):53-60.
- Harm Reduction Principles for Healthcare Settings
Websites and online resources:
Materials to Develop Educational Sessions
Books:
Books:
- Ginsburg, K Ed. Reaching Teens: Strength-Based, Trauma-Sensitive, Resilience-Building Communication Strategies Rooted in Positive Youth Development, 2nd Edition. AAP, 2020
PediCases – available at http://pedicases.org/archives/index.html
- Late Adolescent Health Screening: Amy Goes to College
- Middle Adolescent Health Screening: But All My Friends Do It
- Young Adolescent Health Screening: New World, Old Worries
Clinical and Community Settings
- Outpatient (adolescent clinic, primary care clinic)
Social Determinants of Health
Learning Objectives:
Readings and Videos
Readings:
Videos:
Websites and Online Resources: