Inspiring Healthy Adolescent Choices: A Rationale for and Guide to Strength Promotion in Primary Care

Duncan, Paula M.; García, Adolfo Cobo; Frankowski, Barbara L.; Carey, Peggy; Kallock, Emily; Dixon, Rebecca R.; Shaw, Judith S.

doi:10.1016/j.jadohealth.2007.05.024

Cited by 67 publications

(43 citation statements)

References 35 publications

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“…The future planner approach encourages selfmanagement and GPs would benefit from continuing professional development (CPD) that promotes positive youth development, rather than a risk-based model. 35,36 Collaborators have different educational needs. Their tendency to work collaboratively means that they require access to experienced colleagues in CAMHS and, at best, clinical supervision.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

GPs’ responses to adolescents presenting with psychological difficulties: a conceptual model of fixers, future planners, and collaborators

Roberts¹,

Crosland

Fulton

2014

Br J Gen Pract

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BackgroundPsychological difficulties are common in adolescents yet are not often addressed by GPs. Anxiety and uncertainty about professional practice, with a reluctance to medicalise distress, have been found among GPs. GP involvement in this clinical area has been shown to be influenced by how GPs respond to the challenges of the clinical consultation, how they view young people and their perception of their health needs, and a GP's knowledge framework. AimTo explore the relationship between the above three influences to develop an overarching conceptual model. Design and settingQualitative study based in 18 practices in the north east of England. The practices recruited included rural, urban, and mixed populations of patients predominantly living in socioeconomically disadvantaged communities. MethodTheoretical sampling was used to guide recruitment of GP participants continuing until theoretical saturation was reached. Data were analysed using the constant comparative method of grounded theory and situational analysis. ResultsIn total 19 GPs were recruited: 10 were female, the age range was 29-59 years, with a modal range of 40-49 years. Three levels of analysis were undertaken. This study presents the final stage of analysis. GP 'enactment of role' was found to be the key to explaining the relationship between the three influencing factors. Three role archetypes were supported by the data: 'fixers', 'future planners', and 'collaborators'. ConclusionThe role of GPs in managing adolescent psychological difficulties is unclear. Policy advocates a direct role but this is unsupported by education and service delivery. GPs adopt their own position along a continuum, resulting in different educational needs. Better preparation for GPs is required with exploration of new, more collaborative models of care for troubled adolescents. Keywordsadolescent psychological difficulties; GP consultation style; youth mental health.

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Section: Comparison With Existing Literaturementioning

confidence: 99%

GPs’ responses to adolescents presenting with psychological difficulties: a conceptual model of fixers, future planners, and collaborators

Roberts¹,

Crosland

Fulton

2014

Br J Gen Pract

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“…Since the last report of the Healthy Teens Screener, the screener has been enhanced with the addition of validated, 2-question depression and anxiety screens as well as a strength-based section (the latter after consultation with Paula Duncan of the University of Vermont 13 ). The inclusion of strengthbased questions allows determination of the role of protective factors in an adolescent's risk for depression and anxiety.…”

Section: Study Design and Populationmentioning

confidence: 99%

Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents

Dumont¹

2012

The Journal of the American Board of Family Medicine

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“…26 Acknowledging strengths (Ն1 of these intelligences; talents; qualities such as resilience, generosity, courage, tenacity, goal-orientation, focus; social supports such as strong family bonds, extended family support, or good peer relations; healthy behaviors such as regular exercise/sleep routines, participation in extracurricular or spiritual/religious activities; or attitudes such as hope, optimism, and motivation to seek help) can build rapport, provide groundwork for an intervention plan, and facilitate accomplishment of subsequent steps. 27 Diagnosing strengths may also stimulate the family to provide further opportunities for the child's development of competence, serving as a buffer for the challenges and peer pressures of adolescence and offering alternatives to risky activities. …”

Section: A4a: Acknowledge and Reinforce Strengthsmentioning

confidence: 99%

Enhancing Pediatric Mental Health Care: Algorithms for Primary Care

Foy

2010

Pediatrics

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Inspiring Healthy Adolescent Choices: A Rationale for and Guide to Strength Promotion in Primary Care

Cited by 67 publications

References 35 publications

GPs’ responses to adolescents presenting with psychological difficulties: a conceptual model of fixers, future planners, and collaborators

GPs’ responses to adolescents presenting with psychological difficulties: a conceptual model of fixers, future planners, and collaborators

Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents

Enhancing Pediatric Mental Health Care: Algorithms for Primary Care

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