delivering youth-friendly primary care dr dick churchill associate professor and director of...
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Delivering youth-friendly primary care
Dr Dick Churchill
Associate Professor and Director of Clinical SkillsUniversity of Nottingham Medical School and Vice Chair of
the RCGP Adolescent Task Group
Delivering Youth Friendly Primary Care
Dick ChurchillGP, Associate Professor of Primary Care, & Acting Chair RCGP Adolescent Task Group
Walk the Talk 19/3/2008
“I would that there were no age between ten and three and twenty, or that youth would sleep out the rest; for there is nothing in the between but getting wenches with child, wronging the ancientry, stealing, and fighting.”
William Shakespeare,
The Winters Tale act iii, scene iii
Walk the Talk 19/3/2008
“….the problems of youth are many-sided and compelling. To their solution medicine has a contribution to make: this is surely, above all, in the sphere of the family doctor”.
Anonymous Editorial
British Medical Journal 1954
Walk the Talk 19/3/2008
We ‘have been slow to give adolescence the same concentrated care that has gone into the study of the baby and the young child’. ‘If as a society we are to understand our adolescents instead of being estranged from them, we have to catch up fast on our ignorance of what life means to adolescents today, and what the world looks like through their eyes’
James Hemming (1960)
Walk the Talk 19/3/2008
The 1980s: Research beginsUnmet needs
The public health agenda The young persons agenda
Perceived barriers to care Access issues Confidentiality Communication breakdown
Mixed results from interventions
Walk the Talk 19/3/2008
““It’s not that he It’s not that he doesn’t doesn’t
listen..sometimes he listen..sometimes he doesn’t fully doesn’t fully
comprehend that comprehend that he’s talking in a way he’s talking in a way you can’t understand you can’t understand
..”..”
Walk the Talk 19/3/2008
The 1990s: Changing practice
The RCGP Adolescent Working Party Raising awareness Changing attitudes Training resources:
Getting It Right Confidentiality Toolkit Trust HEAR
Walk the Talk 19/3/2008
Walk the Talk 19/3/2008
The 2000s: Making a difference
National Policy & InitiativesWalk the Talk‘You’re Welcome’ StandardsTeenage Health Demonstration SitesNational Service FrameworkAssociation for Young People’s HealthE-Learning Package for Adolescent Health
Walk the Talk 19/3/2008
Amy’s Story
Walk the Talk 19/3/2008
What Works? ACT
Appropriate access, awareness & attitudes
Communication
Trust & training
Walk the Talk 19/3/2008
The 2010s: Changing society Today’s adolescents will be
tomorrow’s adults. Healthy young people will be
healthier adults. Health gains can multiply. Practices that look after their
young people well look after all of their patients better
Walk the Talk 19/3/2008
ACT now Check out ‘Walk the Talk’ resources Join the Association for Young People’s Health:
www.youngpeopleshealth.org.uk Watch out for the RCPCH E-Learning package
on Adolescent Health Visit www.youngpeopleshealth.org.uk Get a copy of the HEAR DVD (
[email protected]) Review your practice and make a change