Click to Swap Windows

Objectives
Dr. Lyons
Improving Adolescent Preventive Care
Newsweek
Newsweek
Major Demographic Trends
Adolescent Population & Proportion of Total U.S. Population: 1980-2050
Major Demographic Trends
Graphic
U.S. Ethnic Mix Changing
Why Do These Trends Matter?
Image
Leading Causes of Death:
Youth Risk Behavior
Youth Risk Behavior
In an average class of 30 students graduating from high school …
Image
Youth Risk Behavior
Adolescent health
Health Status
Health Services Use
Health Services Use
Health Services Use
Reasons for missed care
Percent who report having
Missed opportunities for adolescent prevention
Topics adolescents wanted to and actually discussed with providers
Image
Comprehensive preventive care guidelines
Preventive care guidlines
Best of different guidelines
Guidelines for Adolescent Preventive Services
Bright Futures
Adolescent Preventive
Delivery of health services
AAP Policy, Confidentiality in Adolescent Health Care
Health guidance for parents
Health guidance for adolescents
Screening for adolescents
Immunizations (per ACIP)
Systems and materials to help improve practice
Trigger questionnaires
Trigger Questionnaires
Guideline Implementation:
Guideline Implementation:
Guidelines in practice
Graphic
Graphic
Effective counseling
What is needed for patient behavior change varies across health care targets
Provider Barriers
Changing practice
What is needed to change practice also varies across the spectrum of targets
Adolescent Development
Adolescent Health Profile
Adolescent Health Profile
Implications
Adolescents Search for Meaning
Observable Behaviors
Image
GIMB
Image
Role for Clinical care
Parents
Graphic
The Helping Skill
6 + 4
Trends & Challenges
Implications For Practice
Implications For Youth
A Call to Action
Image

Jonathan Klein, M.D., M.P.H. - University of Rochester, Rochester, N.Y.

Improving Adolescent Preventative Services