The purpose of this exercise is to provide medical students an opportunity to practice their skills performing a HEADSS assessment with an adolescent standardized patient through video conferencing. Clinicians were comparatively less accepting, particularly if the visit was not related to sexual health. It is important to conduct adolescent substance use screening in the ED. In an ED survey study by Ranney et al,23 for all risk behavior categories assessed, 73% to 94% of adolescent patients (n = 234) were interested in interventions, even when screen results were negative. Documentation of reproductive health and inpatient delivery of reproductive health services (STI testing and/or treatment, HPV vaccination, and contraceptive provision), Documentation: Fifty-five percent of patients had sexual history documentation. The HEADS-ED: a rapid mental health screening tool for - PubMed Protecting Children and Adolescents From Tobacco and Nicotine In retrospective cohort studies by Riese et al,24 McFadden et al,25 and Stowers and Teelin,26 sexual activity screening rates in the hospital setting are described. Review of instruments used to assess alcohol and other drug use in pediatric patients in the ED (published in 2011; included studies published in 20002009). An MI-based intervention in the ED may be feasible and effective at promoting adolescent sexual health. Most adolescents support suicide risk screening in the ED. Three ED studies described interventions to increase comprehensive risk behavior screening. Tools to aid. Self-administered BHS-ED: computerized survey to assess substance use, PTSD, exposure to violence, SI, and depression, During the implementation period, BHS-ED was offered to 33% of patients by clinical staff. This type of screening can identify children with significant developmental and behavioral challenges early, when they may benefit most from intervention, as . You can find the latest versions of these browsers at https://browsehappy.com. ASQ on a validated self-screening tablet tool. In several studies, researchers found that computerized self-disclosure tools were preferred by adolescent patients, regardless of the presenting chief complaint.34,35 Regarding counseling and interventions, adolescent patients generally valued clinician-patient interactions. Interview, primary question of interest (asked after standardized suicide screening): Do you think ER nurses should ask kids about suicide/thoughts about hurting themselveswhy or why not?. These funders played no role in the study design, analysis, or preparation of this article. We report on a number of successful domain-specific screening tools validated in ED and hospital settings. Forty-six percent of patients were due for the human papillomavirus (HPV) vaccine, and 19% of these received it during admission.25. Written surveys: RADS-2, SIQ-JR, AUDIT-3, POSIT, BHS, and BIS-11; positive suicide risk screen result defined as follows: (1) positive SIQ-JR result or recent suicide attempt or (2) positive AUDIT-3 and RADS-2 results. Forty-six studies were included; most (38 of 46) took place in the ED, and a single risk behavior domain was examined (sexual health [19 of 46], mood and suicidal ideation [12 of 46], substance use [7 of 46], and violence [2 of 46]). Providing decision support to physicians on the basis of survey results led to an increase in intervention (STI testing). Pediatrics. For COVID related questions, please emailcovid-19@aap.org.For Mental Health related questions, please emailmentalhealth@aap.org.Brought to you by AAP Education. Guidance for authors when choosing between a systematic or scoping review approach, PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation, Rayyan-a web and mobile app for systematic reviews, Families experiences with pediatric family-centered rounds: a systematic review, Opportunistic adolescent health screening of surgical inpatients, Reaching adolescents for prevention: the role of pediatric emergency department health promotion advocates, Raising our HEADSS: adolescent psychosocial documentation in the emergency department, Mental health screening among adolescents and young adults in the emergency department. A significant proportion of adolescents were interested in starting contraception in the ED. In this study, the terms hospitalized or hospital setting refer to patients admitted to pediatric units under either inpatient or observation status. Head Injury in Children: How to Know If It's Minor or Serious Studies were excluded if they involved younger children or adults or only included previously identified high-risk adolescents. MI avoids confrontation, and the authors note that both of these evidence-based tools work with a patients readiness to change and build awareness of the problem, resulting in increased self-efficacy for the adolescent.59. Using methods from a study by Rea et al,18 we analyzed risk of bias for each of the included studies and found that only 2of 46 studies had a low risk of bias, 33 of 46 had moderate risk of bias, and 11 of 46 had a high risk of bias. Assessment of Respiratory Function in Infants and Young Children - JAMA In fact, in a study by Miller et al,39 parents were more accepting of sexual activity screening and STI testing than surveyed clinicians. 2003; 122(6):1387-1394; and American Academy of Pediatrics Section of Pediatric Dentistry. The RSQ, a verbal 4-question suicide screening instrument, Twenty-two percent of patients screened positive on the RSQ. If a patient screens positive, MI can be used to assess readiness to change and develop patient-driven brief interventions. Seven studies on substance use screening and intervention were included in our review; all took place in the ED setting (Table 4). Oral health risk assessment timing and establishment of the dental home. More prospective controlled studies are needed to evaluate such interventions in ED and hospital settings. Screening and Counseling Adolescents and Young Adults: A - AAFP
What Happened To Grace Park Golfer, St Joseph's Physicians Fayetteville, Ny, Articles H