Adolescent health in 2012: The view from Primary Care. Dr Jane H Roberts Clinical Senior Lecturer and GP, Chair RCGP Adolescent Health Group. Background. Historically the data set is patchy RCGP AHG welcomes the beacons of light shone by the Key Data
Dr Jane H Roberts
Clinical Senior Lecturer and GP, Chair RCGP
Adolescent Health Group
49% polled: “YP are ‘violent, angry, abusive’ “
No consideration of YP’s own experiences or ‘why’
Such narratives influence PHC workers
Toolkit available from Oct 2011.
Available on RCGP website:CIRC
YP at the centre, MDT working, leadership, planning and regular review.
Plurality: Targeted & Universal services
Creativity to reach the most marginalized: inverse care law remains with us
[RCT Walker et al, BMJ, 2002: 1516 14-15 yr olds; ‘change in behaviour slight but encouraging’, 97% would recommend to friend; ‘cheap’]
Develop from word of mouth. Marketing expensive, time consuming. Over lap with school nurses role.
PCT training provided-youth workers. Communication skills.
YP wanted better access to mainstream services, not ‘youth clinic’
Unsure of what was available/what PCC could cover
Role of PSHE in school?
Needs a multi-layered approach:
Education and training for practitioners,
Structural barriers-organization; payment,
Research –under resourced & under -prioritized
Commitment at Government level
Need to be more creative: working with schools, youth services
Biddle, L et al. (2006). Young adults' perceptions of GPs as a help source for mental distress: a qualitative study. Br J Gen Pract, 56(533), 924-931.
Churchill RD, et al(2000).Do the attitudes and beliefs of young teengers towards general practice influence actual consultation behaviour? The British Journal of General Practice 50,953-57
Jacobson L, et al (1994) Is the Potential of Teenage Consultations Being Missed? : A study of consultation times in primary care. Family Practice ; 11: 296-299.
Jacobson L, et al (2002). Tackling teenage turmoil: primary care recognition and management of mental health during adolescence. Family Practice 19,No.4 401-409.
Martinez, R et al. (2006). Factors that influence the detection of psychological problems in adolescents attending general practices. Br J Gen Pract, 56(529), 594-599.