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2.
Matern Child Health J ; 24(Suppl 2): 171-177, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32889683

RESUMO

INTRODUCTION: Expectant and parenting young people (young parents) require diverse services to support their health, educational success, and family functioning. Rarely can the needs of young parents be met by a single school or service provider. This case study examines how one large school district funded through the pathways to success initiative was able to facilitate systems change to increase young parents' access to and use of supportive services. METHODS: Data sources include a needs and resources assessment, quarterly reports documenting grantee effort, sustainability plans, social network analysis, and capstone interviews. All data sources were systematically reviewed to identify the existing context prior to the start of the initiative, the changes that resulted from the initiative, and efforts that could potentially be maintained beyond the grant period. RESULTS: The community context prior to Pathways implementation was one of disconnected services and missed opportunities. The full-time program coordinator hired by the district focused on systems-level change and facilitated connections between organizations. This greater connectivity contributed to increased collaboration with the goal of producing lasting benefits for young parents. DISCUSSION: Promoting sustainable connections and collaboration at the systems level can help dismantle barriers to service access and benefit young parents.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Poder Familiar/psicologia , Serviços de Saúde Escolar/organização & administração , Apoio Social , Adolescente , Feminino , Humanos , Avaliação de Programas e Projetos de Saúde , Instituições Acadêmicas , Rede Social
3.
Obstet Gynecol ; 136(4): 868-869, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32976376

RESUMO

The primary goal of the initial reproductive health visit is to provide preventive health care services, educational information, and guidance, in addition to problem-focused care. The initial reproductive health visit should take place between the ages of 13 and 15 years. The scope of the initial visit will depend on the patient's concerns, medical history, physical and emotional development, and the level of care the patient is receiving from other health care professionals. All adolescents should have the opportunity to discuss health issues with a health care professional one-on-one, because they may feel uncomfortable talking about these issues in the presence of a parent or guardian, sibling, or intimate partner. Addressing confidentiality concerns is imperative because adolescents in need of health care services are more likely to forego care if there are concerns about confidentiality. Laws regarding confidentiality of care to minors vary by state, and health care professionals should be knowledgeable about current laws for their practice. Taking care to establish secure lines of communication can build trust with the patient and guardian, support continuity of care, ensure adherence to legal statutes, and decrease barriers to services. Obstetrician-gynecologists have the opportunity to serve as educators of parents and guardians about reproductive health issues. Preparing the office environment to include adolescent-friendly and age-appropriate reading materials, intake forms, and educational visual aids can make the general office space more inclusive and accessible. Resources should be provided for both the adolescent patient and the parent or guardian, if possible, at the conclusion of the visit. This Committee Opinion has been updated to include gender neutral terminology throughout the document, counseling topics with direct links to helpful resources, screening tools with direct links, addition of gender and sexuality discussion, and inclusion of trauma-informed care.


Assuntos
Serviços de Saúde do Adolescente , Ginecologia/métodos , Obstetrícia/métodos , Serviços Preventivos de Saúde , Saúde Reprodutiva , Adolescente , Comportamento do Adolescente , Saúde do Adolescente , Serviços de Saúde do Adolescente/ética , Serviços de Saúde do Adolescente/organização & administração , Feminino , Humanos , Serviços Preventivos de Saúde/ética , Serviços Preventivos de Saúde/métodos , Saúde Reprodutiva/educação , Saúde Reprodutiva/ética , Educação Sexual/métodos , Comportamento Sexual , Estados Unidos
4.
Obstet Gynecol ; 136(4): e70-e80, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32976378

RESUMO

The primary goal of the initial reproductive health visit is to provide preventive health care services, educational information, and guidance, in addition to problem-focused care. The initial reproductive health visit should take place between the ages of 13 and 15 years. The scope of the initial visit will depend on the patient's concerns, medical history, physical and emotional development, and the level of care the patient is receiving from other health care professionals. All adolescents should have the opportunity to discuss health issues with a health care professional one-on-one, because they may feel uncomfortable talking about these issues in the presence of a parent or guardian, sibling, or intimate partner. Addressing confidentiality concerns is imperative because adolescents in need of health care services are more likely to forego care if there are concerns about confidentiality. Laws regarding confidentiality of care to minors vary by state, and health care professionals should be knowledgeable about current laws for their practice. Taking care to establish secure lines of communication can build trust with the patient and guardian, support continuity of care, ensure adherence to legal statutes, and decrease barriers to services. Obstetrician-gynecologists have the opportunity to serve as educators of parents and guardians about reproductive health issues. Preparing the office environment to include adolescent-friendly and age-appropriate reading materials, intake forms, and educational visual aids can make the general office space more inclusive and accessible. Resources should be provided for both the adolescent patient and the parent or guardian, if possible, at the conclusion of the visit. This Committee Opinion has been updated to include gender neutral terminology throughout the document, counseling topics with direct links to helpful resources, screening tools with direct links, addition of gender and sexuality discussion, and inclusion of trauma-informed care.


Assuntos
Serviços de Saúde do Adolescente , Ginecologia/métodos , Obstetrícia/métodos , Serviços Preventivos de Saúde , Saúde Reprodutiva , Adolescente , Comportamento do Adolescente , Saúde do Adolescente , Serviços de Saúde do Adolescente/ética , Serviços de Saúde do Adolescente/organização & administração , Confidencialidade/normas , Feminino , Humanos , Planejamento de Assistência ao Paciente , Serviços Preventivos de Saúde/ética , Serviços Preventivos de Saúde/métodos , Saúde Reprodutiva/educação , Saúde Reprodutiva/ética , Educação Sexual/métodos , Comportamento Sexual , Estados Unidos
5.
Matern Child Health J ; 24(Suppl 2): 125-131, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32737680

RESUMO

INTRODUCTION: New Heights is a voluntary school-based program that provides a well-defined system of supports for expectant and parenting students in Washington, DC, and was found to be effective at improving educational outcomes. This study explores the program elements and practices that, when used together, improved academic outcomes for New Heights participants and define a possible roadmap for service providers interested in replicating the program's success. METHODS: The study team collected data through site visits, key informant interviews, staff surveys, program observations, case files, and program materials. RESULTS: The core design and implementation elements of the New Heights program are (1) placing a trained staff member in the school to provide advocacy, case management, education, and in-kind incentives; (2) bringing community-based service providers into the school; (3) giving trained staff autonomy and a strong grounding in local context; and (4) using a highly collaborative process to hire and support school-based coordinators. DISCUSSION: Staff and funders interested in improving outcomes for young parents in school could use the experience of New Heights and the key practices that were critical to its success as a guide: (1) ensure that the program is well defined but can be tailored to the needs of schools and students, (2) engage community partners to bring services to participants, (3) hire and train the right staff who are committed to "do whatever it takes," (4) actively cultivate a culture of collaboration among program staff, and (5) develop buy-in with school staff and illustrate program value.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Poder Familiar , Gravidez na Adolescência , Desenvolvimento de Programas , Adolescente , District of Columbia , Feminino , Humanos , Gravidez , Instituições Acadêmicas , Apoio Social , Evasão Escolar
6.
PLoS One ; 15(7): e0236269, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32697791

RESUMO

BACKGROUND: Suicide is one of the most common causes of death among female adolescents. A greater risk is seen among adolescent mothers who become pregnant outside marriage and consider suicide as the solution to unresolved problems. We aimed to investigate the factors associated with suicidal behavior among adolescent pregnant mothers in Kenya. METHODS: A total of 27 Focus Group Discussions (FGDs) and 8 Key Informant Interviews (KIIs) were conducted in a rural setting (Makueni County) in Kenya. The study participants consisted of formal health care workers and informal health care providers (traditional birth attendants and community health workers), adolescent and adult pregnant and post-natal (up to six weeks post-delivery) women including first-time adolescent mothers, and caregivers (husbands and/or mothers-in-law of pregnant women) and local key opinion leaders. The qualitative data was analyzed using Qualitative Solution for Research (QSR) NVivo version 10. RESULTS: Five themes associated with suicidal behavior risk among adolescent mothers emerged from this study. These included: (i) poverty, (ii) intimate partner violence (IPV), (iii) family rejection, (iv) social isolation and stigma from the community, and (v) chronic physical illnesses. Low economic status was associated with hopelessness and suicidal ideation. IPV was related to drug abuse (especially alcohol) by the male partner, predisposing the adolescent mothers to suicidal ideation. Rejection by parents and isolation by peers at school; and diagnosis of a chronic illness such as HIV/AIDS were other contributing factors to suicidal behavior in adolescent mothers. CONCLUSION: Improved social relations, economic and health circumstances of adolescent mothers can lead to reduction of suicidal behaviour. Therefore, concerted efforts by stakeholders including family members, community leaders, health care workers and policy makers should explore ways of addressing IPV, economic empowerment and access to youth friendly health care centers for chronic physical illnesses. Prevention strategies should include monitoring for suicidal behavior risks during pregnancy in both community and health care settings. Additionally, utilizing lay workers in conducting dialogue discussions and early screening could address some of the risk factors and reduce pregnancy- related suicide mortality in LMICs.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Violência por Parceiro Íntimo/psicologia , Gravidez na Adolescência/psicologia , Gestantes/psicologia , Suicídio/prevenção & controle , Adolescente , Serviços de Saúde do Adolescente/economia , Feminino , Grupos Focais , Recursos em Saúde/organização & administração , Humanos , Violência por Parceiro Íntimo/prevenção & controle , Quênia/epidemiologia , Pobreza , Gravidez , Cuidado Pré-Natal/economia , Cuidado Pré-Natal/organização & administração , Pesquisa Qualitativa , Medição de Risco , Fatores de Risco , População Rural/estatística & dados numéricos , Suicídio/psicologia , Suicídio/estatística & dados numéricos , Adulto Jovem
9.
PLoS One ; 15(6): e0233985, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32492055

RESUMO

INTRODUCTION: In sub-Saharan Mozambique, high adolescent fertility rates are a significant public health problem. Understanding the consequences of teenage pregnancies facilitates effective strategies for improving the quality of care of both mother and the newborn. AIMS: To identify the factors associated with adolescent motherhood in Tete (Mozambique). METHODS: This was a cross-sectional study including 821 pregnant women (255 teenagers) admitted to the general maternity ward of the Provincial Hospital between March and October 2016. The survey included clinical data of the mother and newborn. RESULTS: The overall prevalence of adolescent deliveries was 31.8% (95% CI 27.9% - 34.2%). Multivariate analysis showed that independent factors associated with teenage motherhood were: number of pregnancies (OR 0.066; 95% CI 0.040-0.110), pregnancy follow-up (OR 0.29; CI 0.173-0.488) and previous abortions (OR 4.419; 95% CI 1.931-10.112). When the age of the mother was analysed as a continuous variable, positively associated factors were body mass index, arterial hypertension, HIV infection, previous abortions, pregnancy follow-up, and the weight of the newborn. Negatively associated factors were episiotomy and respiratory distress in the newborn. CONCLUSION: Teenage motherhood is a serious public health problem in Mozambique. Intensive sexual and reproductive health planning for adolescents is needed.


Assuntos
Saúde do Adolescente/estatística & dados numéricos , Saúde do Lactente/estatística & dados numéricos , Saúde Materna/estatística & dados numéricos , Gravidez na Adolescência/estatística & dados numéricos , Aborto Induzido/estatística & dados numéricos , Adolescente , Serviços de Saúde do Adolescente/organização & administração , Estudos Transversais , Feminino , Número de Gestações , Planejamento em Saúde/organização & administração , Humanos , Lactente , Mortalidade Infantil , Recém-Nascido , Mortalidade Materna , Moçambique/epidemiologia , Gravidez , Gravidez na Adolescência/prevenção & controle , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
11.
Rev Saude Publica ; 54: 36, 2020.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-32267370

RESUMO

OBJECTIVE: To assess the quality of adolescent friendly health services. METHODS: Qualitative assessment using the simulated user technique in first level clinics of Health Services of Morelos, Mexico, during 2018. Ten out of 17 facilities with non-exclusive adolescent friendly services were randomly selected. An additional facility with exclusive adolescent friendly services was included as an intensive subsample. Four adolescents served as simulated users interpreting different cases in the clinics. The total of 43 semi-structured exit interviews were conducted, and two nominal groups were made to assess the perceived quality from the adolescents' perception of friendliness and experience. Thematic analysis of the data obtained was performed. RESULTS: Staff attitude was highlighted as a key element in the adolescents' experience. Failures were found, such as the existence of bureaucratic barriers to access, lack of signage in clinics, lack of privacy and confidentiality, failure of physical examination during the appointment and lack of monitoring of the reasons for appointment. The exclusive clinic for adolescents offered more appropriate friendly services compared with nonexclusive clinics. CONCLUSION: Although the service is accessible in most of the clinics visited, it is still far from being friendly according to international recommendations. The exclusive clinic for adolescents stood out for having better structured mechanisms that can be implemented in nonexclusive clinics to improve the care process.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Acesso aos Serviços de Saúde , Serviços de Saúde Reprodutiva/organização & administração , Adolescente , Atitude Frente a Saúde , Feminino , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Simulação de Paciente , Serviços Preventivos de Saúde , Relações Profissional-Paciente , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa , Qualidade da Assistência à Saúde
12.
Health Res Policy Syst ; 18(1): 29, 2020 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-32131848

RESUMO

BACKGROUND: Systems transformation for health promotion, involving engagement from multiple disciplines and levels of influence, requires an investment in partnership development. Integrated youth service is a collaborative model that brings organisations together to provide holistic care for youth. Frayme is an international knowledge translation network designed to support the uptake and scaling of integrated youth service. Social network analysis (SNA) is the study of relationships among social units and is useful to better understand how partners collaborate within a network to achieve major objectives. The purpose of this paper is to apply SNA to the Frayme network in order to (1) examine the level and strength of partnerships, (2) identify the strategies being employed to promote the main objectives and (3) apply the findings to current research in youth mental health and system transformation. METHODS: The PARTNER tool includes a validated survey and analysis software designed to examine partner interconnections. This tool was used to perform the SNA and 51 of the 75 partners completed the survey (14 researchers, 2 advisory groups and 35 organisations). A network map was created and descriptive frequencies were calculated. RESULTS: The overall network scores for the Frayme network were 20.6% for density, 81.5% for centralisation and 71.7% for overall trust. The Frayme secretariat received a 3.84 out of a possible 4 for value. In addition, the youth and family advisories each received a value score of 4 and all Leadership Team organisations received a score of 2.97 or above. CONCLUSIONS: The Frayme secretariat links many partners who would otherwise be disconnected and acts as a significant conduit for novel information. Frayme may have the opportunity to enhance value perceptions among broader network members by profiling individual organisations and the potential leveraging opportunities that might exist through their work. These findings increase understanding with respect to the mechanisms of network development and will be helpful to inform partnership development in the future. In addition, they contribute to the literature with respect to knowledge translation practice as well as the scaling of collaborative interventions within youth mental health.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Promoção da Saúde/organização & administração , Agências Internacionais/organização & administração , Cooperação Internacional , Serviços de Saúde Mental/organização & administração , Rede Social , Pesquisa Médica Translacional/organização & administração , Adolescente , Criança , Humanos , Inquéritos e Questionários
13.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 20(1): 61-74, mar. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-196856

RESUMO

This study aimed to apply Emotional Intelligence Therapy (EIT) in a sample of adolescents in residential care and to examine its impact on three outcomes: suicide risk, perceived emotional intelligence (PEI), and basic psychological needs (BPN). Treatment consisted of 16 group sessions held on a weekly basis to develop the emotional skills of perception, facilitation of thinking, understanding and management. A clinical trial of repeated measures was conducted in which the study variables were evaluated at three time points: between three and four months prior to treatment, pre-treatment and post-treatment. Of the initial 65 participants, only 19 (73.68% were boys; Mage= 13.74) completed the three evaluations. The results showed a significant decrease in suicide risk after EIT, especially regarding levels of hopelessness and suicidal ideation. Participants also improved their perception of emotional clarity and of competence. No significant changes were noted in any of the variables when on the waiting list. EIT could be a good tool to prevent the emergence of factors that entail suicide risk among adolescents in residential care


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Suicídio/prevenção & controle , Ideação Suicida , Inteligência Emocional , Psicoterapia/métodos , Maus-Tratos Infantis/psicologia , Fatores de Risco , Comportamento do Adolescente , Serviços de Saúde do Adolescente/organização & administração , Orfanatos/estatística & dados numéricos , Psicometria/instrumentação
14.
AIDS Patient Care STDS ; 34(2): 72-80, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32049557

RESUMO

Justice-involved youth (JIY) are at considerable risk for human immunodeficiency virus (HIV), but are disconnected from treatment and prevention. Juvenile justice agencies providing community supervision (CS) are well positioned to provide HIV prevention, testing, and prompt referral to treatment for JIY. However, we lack an understanding of juvenile CS agency responses to HIV/sexually transmitted infection (STI) needs among JIY. We conducted a nationwide systematic assessment of how juvenile CS agencies identify, refer, and move youth through the HIV care cascade using a nationally representative sample of 195 juvenile CS agencies across 20 states. Two-thirds of CS agencies did not offer any HIV-/STI-related services, and 82% reported no collaboration with health agencies. Screening or referral for HIV risk behaviors was reported by 32% of the CS agencies and 12% for any intervention or prevention for HIV/STI risk behaviors. Between 21% and 30% of agencies were unaware of the location of local HIV/STI services. HIV/STI prevention training was not a priority for directors and was ranked second to last out of 16 training topics. Agencies where staff expressed need for HIV risk training and where specific court programming was available were more likely to provide or refer for HIV/STI screening and/or testing. Agencies were more likely to provide or refer for services if they provided pre-trial/pre-adjudication supervision, parole, or court programming. Considering the low provision of HIV/STI-related services and limited collaboration between health and justice agencies, interventions that promote cross-system collaboration designed to minimize barriers and facilitate identification, referral, and linkage to HIV services for JIY are necessary.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Assistência à Saúde/organização & administração , Infecções por HIV/prevenção & controle , Delinquência Juvenil , Programas de Rastreamento/métodos , Doenças Sexualmente Transmissíveis/prevenção & controle , Adolescente , Criança , Serviços de Saúde Comunitária , Continuidade da Assistência ao Paciente , Feminino , Infecções por HIV/epidemiologia , Infecções por HIV/terapia , Acesso aos Serviços de Saúde , Humanos , Prevalência , Encaminhamento e Consulta , Retenção nos Cuidados , Assunção de Riscos , Comportamento Sexual , Doenças Sexualmente Transmissíveis/epidemiologia , Doenças Sexualmente Transmissíveis/terapia , Estados Unidos , Adulto Jovem
16.
Br J Nurs ; 29(4): 230-235, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32105537

RESUMO

BACKGROUND: Young people with mental illness are at high risk of physical health complications. Physical healthcare on a general adolescent inpatient unit is complex. AIM: To establish a wellbeing clinic to improve efficiency and quality of the physical healthcare offered and increase health promotion. METHODS: Plan, Do, Study, Act (PDSA) cycles were used to drive this quality-improvement project. The authors audited 12 records before establishing the clinic and 12 at three further time points (6, 18 and 30 months post-intervention) to guide changes. RESULTS: Results progressively improved over PDSA cycles. Time taken for initial investigations dropped. Compliance with medication monitoring and management of important physical health domains rose from zero in some cases to 100% in all but one area. CONCLUSIONS: Establishing a dedicated physical health clinic in this setting is feasible and leads to improved performance against local and national standards. Mental health teams need to ensure physical health is prioritised.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Unidades Hospitalares/organização & administração , Padrões de Prática em Enfermagem , Adolescente , Humanos , Transtornos Mentais/enfermagem , Pesquisa em Avaliação de Enfermagem
18.
Ciênc. Saúde Colet ; 25(1): 353-363, jan. 2020. graf
Artigo em Português | LILACS | ID: biblio-1055784

RESUMO

Resumo O cuidado ao adolescente envolvido em situações de "bullying" é necessariamente intersetorial, de tal modo que ultrapassa os limites do cenário escolar e amplia-se para o setor da saúde. Partindo desse princípio, este estudo buscou cartografar a produção do cuidado ofertada a um adolescente em situações de "bullying" pela Estratégia Saúde da Família. Para tal fim, foi utilizado o método da cartografia, através do fluxograma analisador e do diário de campo. Deste modo, mapas do cuidar foram produzidos pelos profissionais de saúde, entretanto esse cuidar mostrou-se descompassado, árido e pouco resolutivo. Apesar disso, através do uso dos instrumentos de pesquisa, foi possível inaugurar outras formas de amparo ao adolescente. A equipe, ao visualizar seu trajeto em busca de suporte, repensou modos engessados de fazer saúde e, assim, tornou-se possível produzir um cuidado com outras possibilidades de vida, para além do aspecto biológico. A atenção à saúde do adolescente envolvido com o "bullying" mostrou-se oscilante na Estratégia Saúde da Família. No entanto, por meio da cartografia, ficou evidente o papel crucial da atenção primária em suportar o adolescente, o que poderia contribuir para a cessação do ciclo da violência.


Abstract The provision of care to adolescents who are victims of bullying is necessarily intersectoral and, as such, goes beyond the limits of the school context. Underpinned by this principle, this study mapped the care provided to an adolescent victim of bullying by the Family Health Strategy, using cartography to elaborate an analytical flow chart of the pathway taken by the patient through the health service. The care maps produced by the health professionals involved in the process showed that care was out of step, dry and had a low level of resolvability. Despite these findings, the use of this instrument allowed the health team to propose other forms of support for the adolescent. After visualizing the pathway taken by the patient through the care network, the team was able to rethink limiting approaches to health care and discover other care possibilities that go beyond physical dimensions. The care provided by the Family Health Strategy was shown to be inconsistent. However, the mapping activity clearly showed that primary care services play a crucial role in providing appropriate support to adolescent victims of bullying and breaking the cycle of violence.


Assuntos
Humanos , Adolescente , Serviços de Saúde do Adolescente/organização & administração , Bullying , Instituições Acadêmicas , Brasil , Saúde da Família
19.
J Youth Adolesc ; 49(4): 836-848, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31446582

RESUMO

Research has indicated that lesbian, gay, bisexual, and queer/questioning (LGBQ) adolescents have disproportionately high rates of substance use compared to heterosexual peers; yet certain features of schools and communities have been associated with lower substance use rates in this population. To advance this field, research examining multiple levels of influence using measures developed with youth input is needed. With community, school, and student data, this study tested hypotheses that LGBQ students attending high schools and living in communities with more LGBQ-supportive environments (assessed with a novel inventory tool) have lower odds of substance use behaviors (cigarette smoking, alcohol use, marijuana use, prescription drug misuse, and other drug use) than their peers in less supportive LGBQ environments. Multilevel models using data from 2454 LGBQ students (54.0% female, 63.9% non-Hispanic white) in 81 communities and adjusting for student and school covariates found that LGBQ adolescents who lived in areas with more community support had lower odds of frequent substance use, particularly among females. Expanding and strengthening community resources (e.g., LGBQ youth-serving organizations, LGBQ events such as a Pride parade, and LGBQ-friendly services) is recommended to further support LGBQ adolescents and reduce substance use disparities.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Serviços Comunitários de Saúde Mental/organização & administração , Serviços de Saúde Escolar/organização & administração , Minorias Sexuais e de Gênero/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adolescente , Redes Comunitárias/organização & administração , Feminino , Humanos , Masculino , Minnesota , Fatores de Risco , Minorias Sexuais e de Gênero/psicologia , Estudantes/estatística & dados numéricos
20.
Arch Dis Child ; 105(1): 40-46, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31270093

RESUMO

BACKGROUND AND OBJECTIVES: Adolescent sexual and reproductive health and rights (SRHR) are of particular relevance given their potential short-term or long-term health consequences. This study evaluates recommendations and policies regarding access to care in this area in 31 European countries (European Union (EU) plus Iceland, Norway and Switzerland). METHODS: As part of the EU funded Models of Child Health Appraised project, data were gathered using a 43-item questionnaire sent to experts responsible for collecting information in each country. RESULTS: Ten countries have not developed any formal policy or recommendation that guarantee the respect of confidentiality and the possibility of consulting a physician without parents knowing. Nearly half of the countries do not have centres specialised in adolescent healthcare, tackling comprehensive health issues or focusing specifically on SRH. Access to emergency contraception and information regarding pregnancy, including testing, is easy in most countries. However, oral contraception is delivered free of charge in only 10 countries. Twenty-three countries do not meet current standards in terms of providing policy-based pregnancy care, and only 13 have set up special programmes for pregnant adolescents. In only seven countries can adolescents definitely have their pregnancy terminated without their parents knowing (and in another seven countries in selected situations). CONCLUSION: The provision and availability of adolescent-friendly SRHR care are far from optimal in around half of the surveyed countries. These results call for the review and implementation of policies, specialised healthcare centres and training initiatives for primary care providers.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , União Europeia , Necessidades e Demandas de Serviços de Saúde , Saúde Reprodutiva , Saúde Sexual , Aborto Legal , Adolescente , Saúde do Adolescente/ética , Anticoncepção , Feminino , Política de Saúde , Acesso aos Serviços de Saúde/organização & administração , Humanos , Masculino , Direitos do Paciente , Gravidez , Gravidez na Adolescência , Inquéritos e Questionários
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