Opportunistic adolescent health assessment in the child protection unit

Hawkrigg, Sharon; Smith, Leanne; Johnson, Alice; Kennedy, Amy; Payne, Donald

doi:10.1111/jpc.13203

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…In comparison to a group of adolescent surgical inpatients at our institution, the refugee cohort reported a much higher frequency of health risk behaviours requiring intervention (75% vs 30%) 14. In keeping with a study of adolescents seen in a child protection unit, the current data demonstrate that use of the questionnaire leads to the identification of previously unrecognised health concerns 15. Current literature comparisons for individual HEADSS domain findings are discussed below.…”

Section: Discussionsupporting

confidence: 67%

“…In the current study, drug and alcohol use was reported only among males and the overall frequency was low compared with other non-refugee adolescent groups, including those who have experienced abuse/neglect 15. There is however a suggestion regarding increasing rates of drug and alcohol use with prolonged periods of resettlement, reflecting the need for ongoing longitudinal assessment 32…”

Section: Discussionmentioning

confidence: 60%

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Identification of health risk behaviours among adolescent refugees resettling in Western Australia

et al. 2017

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 60%

Identification of health risk behaviours among adolescent refugees resettling in Western Australia

et al. 2017

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“…8 Fourthly, interviewees described improved agency, outlook, validation, sense of self, and confidence, each of which is likely to be important in promoting better mental health. Finally, FASST incorporates concepts that have been shown to be effective in other clinical areas, namely, single-session models, 14 nurse-led care, 15 and Home, Education, Activities, Drugs, Sexuality and Suicide adolescent psychosocial assessments, 16 although the combination of these 3 approaches is, to our knowledge, novel.…”

Section: Figurementioning

confidence: 99%

A Waitlist Intervention for Transgender Young People and Psychosocial Outcomes

et al. 2021

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BACKGROUND: Recent referrals of transgender young people to specialist gender services worldwide have risen exponentially, resulting in wait times of 1-2 years. To manage this demand, we introduced an innovative First Assessment Single-Session Triage (FASST) clinic that provides information and support to young people and their families and triages them onto a secondary waitlist for subsequent multidisciplinary care. Although FASST has been shown to substantially reduce initial wait times, its clinical impact is unknown.METHODS: FASST was evaluated by analysis of clinical surveys and qualitative interviews. A total of 142 patients were surveyed before and after FASST, and comparison was made to a historical control group of 120 patients who did not receive FASST. In-depth interviews were also held with FASST attendees (n 5 14) to explore experiences of FASST, and inductive content analysis was performed.RESULTS: After FASST, there were improvements in depression (standardized mean difference [SMD] 5 À0.24; 95% confidence interval [CI]: À0.36 to À0.11; P < .001), anxiety (SMD 5 À0.14; 95% CI: À0.26 to À0.02; P 5 .025) and quality of life (SMD 5 .39; 95% CI: 0.23 to 0.56; P < .001). Compared with historical controls, those attending FASST showed reduced depression (SMD 5 À0.24; 95% CI: À0.50 to 0.01; P 5 .065) and anxiety (SMD 5 À0.31; 95% CI: À0.57 to À0.05; P 5 .021). FASST attendees qualitatively described an increased sense of agency, which was related to improved outlook, validation, sense of self, and confidence.CONCLUSIONS: Given burgeoning waitlists of pediatric gender services worldwide, this study suggests FASST may prove a useful model of care elsewhere.

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Adolescent Risk Behavior Screening and Interventions in Hospital Settings: A Scoping Review

Pfaff¹,

DaSilva²,

Ozer

et al. 2021

Pediatrics

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CONTEXT: Risky behaviors are the main threats to adolescents’ health; consequently, evidence-based guidelines recommend annual comprehensive risk behavior screening. OBJECTIVE: To review studies of adolescent risk behavior screening and interventions in urgent care, emergency department (ED), and hospital settings. DATA SOURCES: Our data sources included PubMed (1965–2019) and Embase (1947–2019). STUDY SELECTION: Studies were included on the basis of population (adolescents aged 10–25 years), topic (risk behavior screening or intervention), and setting (urgent care, ED, or hospital). Studies were excluded if they involved younger children or adults or only included previously identified high-risk adolescents. DATA EXTRACTION: Data extracted were risk behavior screening rates, screening and intervention tools, and attitudes toward screening and intervention. RESULTS: Forty-six studies were included; most (38 of 46) took place in the ED, and a single risk behavior domain was examined (sexual health [19 of 46], mood and suicidal ideation [12 of 46], substance use [7 of 46], and violence [2 of 46]). In 6 studies, authors examined comprehensive risk behavior screening, demonstrating low rates at baseline (∼10%) but significant increases with clinician reminder implementation. Adolescents and clinicians were highly accepting of risk behavior screening in all settings and preferred electronic screening over a face-to-face interview. Reported barriers were time constraints and limited resources. LIMITATIONS: Only 1 included study was a randomized controlled trial, and there was large heterogeneity of included studies, potentially limiting generalizability. CONCLUSIONS: Rates of adolescent risk behavior screening are low in urgent care, ED, and hospital settings. Our findings outline promising tools for improving screening and intervention, highlighting the critical need for continued development and testing of interventions in these settings to improve adolescent care.

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Opportunistic adolescent health assessment in the child protection unit

Abstract: Adolescents attending a hospital-based CPU report high rates of health-risk behaviours. A standardised questionnaire results in increased identification of such behaviours.

Cited by 3 publications

References 24 publications

Identification of health risk behaviours among adolescent refugees resettling in Western Australia

Identification of health risk behaviours among adolescent refugees resettling in Western Australia

A Waitlist Intervention for Transgender Young People and Psychosocial Outcomes

Adolescent Risk Behavior Screening and Interventions in Hospital Settings: A Scoping Review

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