Adolescent Health

1
Adolescent Health

• Creative Approaches
• Pamela D. Dodge, MSN, RN
• Magee-Womens Hospital
• Pittsburgh, PA

2
Womancare Model

• The woman is at the center of all we do
• Socioeconomic status, education, sexual
  orientation, health status
• Age-specific
• Aspects of health and wellness

3
Care Elements

• Access
• Empowerment
• Respect
• Education
• Integrated comprehensive care
• Affordable
• Quality

4
TeenCenter

• Separate unit
• Nurse practitioner and social worker
• Teen brochures and posters
• Teen music/radio station
• Teen magazines
• Graffiti board
• Teen family planning classes

5
TeenCenter Development

• Teen décor
• Interactive programs
• Peer educators
• Privacy
• Expanded hours
• Staff education

6
Challenges

• Confidentiality
• Follow-up on teens
• Getting the word out on service availability
• Integration of behavioral health services
• School-based services
• Funding

7
How do you know what teens want?

• Go where they go
• Community centers
• Teen groups
• Schools
• Community fairs
• Bring Pizza and Pop
• Outreach
• Work in partnerships

8
Atmosphere

• Prefer female providers
• Staff who want to work with teens
• After school hours
• Privacy
• Teen pamphlets
• Bulletin boards

9
Education

• Not just the teens
• Provider education
• Parent education
• Teacher education
• Community-based programs
• School-based programs

10
Curriculum

• Teens Then and Now
• Applying past experience to present practice
• Normal adolescent growth and development
• High risk and special needs
• Assessment and intervention practices
• Teen speakers

11
What Do Teens Want?

• Privacy
• Confidentiality
• Someone who will ask the hard questions
• Someone who will listen
• Acceptance
• Access
• Respect