a screening tool to assess risks that can be used for all adolescents. HEADSS assessment unless the adolescent specifically gives permission, or asks for it. HEADSS Adolescent Psychosocial Assessment. Scope (Staff): School health. Scope (Area): CACH, WACHS. This document should be read in conjunction with . HEADSSS ASSESSMENT: RISK AND PROTECTIVE FACTORS. Page 1 of 1. Decision suPPort for clinicians the recommendations in this publication do not.
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Having assessmet a psychosocial history, consider adolescent health concerns in terms of risk and protective factors. Give positive feedback for the things that are going well, as positive reinforcement goes a long way toward improving self esteem and cementing a positive, trusting relationship with the young person. For young people who engage in significant health risk behaviours express concern and then ask them if they are willing to change their lives or are interested in learning more about ways to deal with their problems.
This then leads to a discussion of potential follow up and therapeutic interventions. Where possible the main focus of management should be on short term goals.
Encourage young people over the age of 15 to obtain their own Medicare card by filling out the requisite paperwork from a Medicare office. The Royal Children’s Hospital Melbourne. Engaging with and assessing the adolescent patient. Engaging with and assessing the adolescent patient See also Inpatient Consultation form Adolescent Medicine PDF Transition to adult healthcare provider Adolescent Gynaecology- lower abdominal pain Adolescent gynaecology- menorrhagia Anorexia nervosa Background Adolescent health care recognises sasessment young person’s growing autonomy coupled with the diminishing role of the parent in promoting health and well being.
Clinical Practice Guidelines : Engaging with and assessing the adolescent patient
Not all young people are at the same stage of development in the key areas of physical, cognitive and psychosocial development, despite being similarly aged. Whilst adolescents are generally healthy, psychosocial issues and risk-taking behaviour figure prominently as causes of morbidity and mortality. Physical complaints are commonly connected to psychosocial issues.
This group of patients rarely access routine health care, so any visit to a healthcare provider gives an opportunity to assess and explore a broad range of issues.
Whilst it is important to gain trust and empathy, be vigilant of professional boundaries. Where new problems present in patients aged 17 years and over the patient should be guided to seek alternative adult services. A respectful and non assessmebt approach should be used. Introduce yourself and explain your role.
Get the young person to introduce who they have come with. Explain that the consultation will involve some time with the parent s and young person and some time with the young person alone. Young people have the legal right to confidential health care unless:. It is generally accepted that most young people over 16 are capable of giving their own informed consent. Those younger, may sometimes be considered mature minors.
Also ask about how use is financed and about negative consequences. Presence and frequency feeling down or sad as well as current feelings eg. Self-harm- thoughts and actions. Suicide risk- thoughts, attempts, plans, means and hopes for future.
Engaging with and assessing the adolescent patient
State government mental health services in Victoria are region-based. RCH Mental Health Service Intake provides initial triage, referral, case management first appointment and an information service. Monday to Friday, pm: No appointment required, for people aged years. Service for young people between the ages of 12 – 21 Brunswick St, Fitzroy Ph: Monday to Friday 12pm to 5 pm.
Melbourne Sexual Health Centre Free, confidential, anonymous, sexual health service Walk-in system, Monday-Friday, best to arrive between 8.
Eating Disorders Victoria Support, information, community education and advocacy for people with eating disorders and their families in Victoria.
Service for young people between the ages of 12 – Infoxchange Service Seeker To find more Local community support services eg local doctor, dentist, counselling services, drug and alcohol services.