Group 5: Adolescent Prevention Priorities

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Group 5 Adolescent Prevention Priorities

• Group Members
• Karen Broder, Charles Wibbelsman, Gale Burnstein,
  Amanda Cohn, Carolyn Deal, David Delozier, Martin
  Fisher, Claire Hannan, Allison Mawle, Mary Jean
  Schumann, Laura Shone, Shannon Stokley, Mary
  Vernon-Smiley

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In the Crossfire Martin Fisher, Mary
Vernon-Smiley, and Charles Wibbelsman Moderator
Karen Broder
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Question 1

• There are many recommendations for
• adolescent preventive health services. How
• can an adolescent healthcare provider
• make sense of them?
• Speaker 1 Dr. Wibblesman
• Speaker 2 Dr. Fisher

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Leading Causes of Death Among Adolescents Ages
15-19 2001
National Center for Health Statistics
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Clinical Preventive Services Guidelines for
Adolescents

• Bright Futures
• Guidelines for Adolescent Preventive Services
  (GAPS)
• American Academy of Pediatrics
• U.S. Preventive Services Task Force
• (Agency for Health Care Research and Quality)

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Question 2

• What is the role of the community in
• keeping adolescents healthy?
• Speaker 1 Dr. Vernon-Smiley
• Speaker 2 Dr. Wibblesman

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Adolescent Health Risk Behaviors

• Unintentional injuries (motor vehicle injuries)
• Violence (homicide) and suicide
• Alcohol use
• Sexual risk behaviors that increase risk for HIV
  infection, other STDs, and pregnancy
• Physical inactivity and poor nutrition
• Tobacco use

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The Community and Adolescents
Families
Schools
Healthcare Providers
Non-profit organizations
Friends
Religious Organizations
Local public health programs
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Question 3

• Adolescent healthcare providers often see
• more than 30 patients a day and
• sometimes have less than 10 minutes to
• spend with an adolescent. What are the
• priorities if time is short?
• Speaker 1 Dr. Fisher
• Speaker 2 Dr. Wibblesman

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A Sampling of Issues to Address in a Clinical
Visit

• School concerns
• Behavioral concerns
• Social concerns
• Mental health
• Sexuality
• Substance abuse
• Medical concerns (acne, menstrual problems)

• Weight concerns
• Risk-taking behaviors
• Domestic violence
• Family concerns
• Community violence
• Isolation (rural community)
• Access to healthcare

Adapted from Bright Futures
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Question 4

• How do immunizations fit within the
• context of other adolescent preventive
• priorities?
• Speaker 1 Dr. Wibblesman
• Speaker 2 Dr. Fisher
• Speaker 3 Dr. Vernon-Smiley

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Adolescent Immunizations A Needle and a Hook?

• Needle Vaccines effective at preventing
  morbidity and mortality among adolescents during
• Adolescence
• Adulthood
• Hook Adolescent vaccination may provide an
  opportunity for increased encounters with
  healthcare providers and facilitate broader
  delivery of preventive services

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Acknowledgement

• Amanda Cohn
• Dan Fishbein
• Gale Burnstein
• Carolyn Deal
• David Delozier

• Claire Hannan
• Allison Mawle
• Mary Jean Schumann
• Laura Shone
• Shannon Stokley

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