ROUTINE ADOLESCENT HEALTH CARE - (click  to jump to specific module section)

Updated August 2020

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Positive Youth Development and Motivational Interviewing


Learning objectives:

  1. 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)
  2. Describe the goals, components, and techniques of motivational interviewing
  3. Identify the different situations in which motivational interviewing can be used with the adolescent population
  4. Practice building rapport with adolescents using a strength-based approach
 
Readings and Videos:

Readings:
  1. Gold et al. “Motivational Interviewing Strategies to Facilitate Adolescent Behavior Change.” Adolescent Health Update Vol. 20, No. 1 October 2007. 
  2. Rosen, D, Goldenring J. “Getting into Adolescent Heads: An Essential Update” Modern Medicine. 

Webinars and Videos:

  1. M Gold talk via PRH - webinar and handouts available through ACT for Youth – subscribe at http://www.actforyouth.net/adolescence/healthcare/training.cfm  
  2. Abbot Nutrition Health Institute -- Motivational Interviewing: An Approach for Addressing Ambivalence for Change - Motivational Interviewing (MI) video series


Materials to Develop Educational Sessions:

Books:
  1. Douaihy AB, Kelly TM, and Gold MA. Motivational Interviewing: A Guide for Medical Trainees. Oxford University Press 2014
  2. 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:
  1. Compare and contrast the components of a health maintenance visit for an adolescent at different stages of adolescence
  2. Identify the different immunizations needed during adolescence for those adolescents who are up to date and those who need catch-up
  3. List appropriate screening exams and their indications during adolescence: vision, hearing, blood pressure, hematocrit, vitamin D, and cholesterol/ lipids
  4. Discuss the importance of disease prevention through screening and anticipatory guidance, including healthy lifestyles
  5. Screen for safety issues and provide counseling on injury prevention

Readings and Videos:
 
Summary tables:
  1. Bright Futures Pocket Guide, p 94-106
  2. Bright Futures Guidelines, Priorities, and Screening Tables 

Materials to Develop Educational Sessions:

Books: 
  1. Ginsburg, K Ed. Reaching Teens: Strength-Based, Trauma-Sensitive, Resilience-Building Communication Strategies Rooted in Positive Youth Development, 2nd Edition. AAP, 2020
Online Resources:
  1. Tanski et al. Performing Preventive Services. A Bright Futures Handbook (AAP 2010)

PediCases - available at: http://pedicases.org/archives/index.html
  1. Young, Middle and Late Adolescent Health Screening Cases. 
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic)


Cultural Competence and Humility


Learning Objectives:
  1. Identify the socio-cultural aspects of young people's lives that shape their cultural values
  2. Enhance skills in providing culturally sensitive healthcare for adolescents
  3. Critically evaluate the effects of racism on the health of children and youth

Readings and Videos:
 
Books:
  1. 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.
  2. Skloot, Rebecca. The Immortal Life of Henrietta Lacks. New York: Crown, 2010.

Readings:

  1. Raising Youth of Color in a Complex World. Building Resilience in Children and Teens. AAP 2011 22: 165-172 

Articles:

  1. Rue DS, Xie Y. Disparities in treating culturally diverse children and adolescents. Psychiatr Clin North Am 2009;32(1):153-63.
Videos:
  1. “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: 
  1. Ginsburg, K Ed. Reaching Teens: Strength-Based, Trauma-Sensitive, Resilience-Building Communication Strategies Rooted in Positive Youth Development, 2nd Edition. AAP, 2020
    1. Chapter 42: The Traumatic Impact of Racism and Discrimination on Young People and How to Talk About It 
HHS Office of Population Affairs Cultural Competence Resources

ARSHEP PowerPoint modules
  1. Cultural Competency and Adolescent Health

Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, subspecialty clinics)
  • Inpatient (wards, PICU)
  • Emergency Department

 

Harm Reduction


Learning Objectives:
  1. Incorporate principles of harm reduction into primary and secondary prevention strategies for behavior change
Readings and Videos:
 
Readings:
  1. Harm reduction: An approach to reducing risky health behaviours in adolescents. Paediatr Child Health 2008;13(1):53-60.
  2. Harm Reduction Principles for Healthcare Settings 
     
Websites and online resources:
  1. Harm Reduction in Substance Use

Materials to Develop Educational Sessions:

Books:
  1. 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
  1. Late Adolescent Health Screening: Amy Goes to College
  2. Middle Adolescent Health Screening: But All My Friends Do It
  3. Young Adolescent Health Screening: New World, Old Worries

Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic)  


Social Determinants of Health


Learning Objectives:
  1. To identify the ways in which social determinants of health and toxic stresses impact adolescent and adult health
  2. To discuss strategies for providing trauma-informed care and addressing social determinants of health within adolescent settings

Readings and Videos:

Readings:
  1. Felitti VJ, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med 1998;14(4):245-58.
  2. Flynn AB, et al. Primary Care Interventions to Prevent or Treat Traumatic Stress in Childhood: A Systematic Review. Acad Pediatr 2015;15(5):480-92.
  3. Lucio R, Nelson TL. Effective Practices in the Treatment of Trauma in Children and Adolescents: From Guidelines to Organizational Practices. J Evid Inf Soc Work 2016:1-10.

Videos:
  1. Dr. Nadine Burke Harris. “How childhood trauma affects health across a lifetime.” (TED talk)

Websites and Online Resources:
  1. AAP Resilience Project – We can stop Toxic Stress
  2. Centers for Disease Control and Prevention. Adverse childhood events; Looking at how ACEs affect our lives & society
  3. Promoting Health Equity: A Resource to Help Communities Address Social Determinants of Health

Materials to Develop Educational Sessions:
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, subspecialty clinics)
  • Inpatient (wards, PICU)
  • Emergency Department


Anticipatory Guidance for Parents


Learning Objectives:
  1. Identify opportunities in which anticipatory guidance can be provided to parents around normal adolescent psychosocial development and risk taking, especially during health maintenance visits
  2. Discuss the importance of parents’ communication with and support of their adolescents, and provide hints on how to discuss sensitive issues 
Readings and Videos:

Summary Charts:
  1. American Academy of Child and Adolescent Psychiatry - Facts for Families Guide: Normal Adolescent Development: 
Websites and Online Resources:
  1. Facts for Families Guide: Talking to your Child About Sex 

Materials to Develop Educational Sessions:
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic)

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