Improving the quality of care delivered to adolescents in Europe: a time to invest

Michaud, Pierre‐André; Weber, Martin; Namazova-Baranova, Leyla; Ambresin, Anne‐Emmanuelle

doi:10.1136/archdischild-2017-314429

Cited by 12 publications

(8 citation statements)

References 20 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hence, drug use may play a developmental function that must be taken into consideration in interventions with young people [11][12][13][14][15][16]. Seeing it as an exploratory behaviour gives the opportunity for the adolescent to have a participative role in their social environment [17] encompassing organizations that work with this target group [18,19]. The adolescents' views about institutions and services reveal some obstacles towards their intervention.…”

Section: Introductionmentioning

confidence: 99%

“Drugs are a taboo”: a qualitative and retrospective study on the role of education and harm reduction strategies associated with the use of psychoactive substances under the age of 18

2021

View full text Add to dashboard Cite

Background The use of psychoactive substances frequently starts at a younger age than adulthood. Considering the perspective of young people, this retrospective study tried to provide them with a role in identifying their own needs regarding drug use and interventions focused on it; the obstacles in accessing both general health and harm reduction services; the changes needed for a more effective, congruent and empowering response to the use of psychoactive substances before the age of 18. Methods The study was divided into two parts having both parts a qualitative focus. In the first part of the study, an online questionnaire was sent to all harm reduction teams and two focus groups were carried out with eight harm reduction professionals and six people who use(d) drugs. The second part used an online questionnaire applied to 143 participants aged between the age of 18 and 25 complemented by two semi-structured interviews. Results The need for education about psychoactive substances, namely in the educational context; the lack of information about available services; and the need for confidentiality were the most mentioned issues by the young people. Also, the informal network played a significant role in the participants relationship with psychoactive substances. Conclusions The lack of information was the most highlighted obstacle. Also, there is a confluence of various vulnerabilities such as being under 18, using drugs and the different social situations that they live in. To improve policy and practice regarding drug use among young people, harm reduction interventions must be scaled-up as well as intentionally driven to empower youth to deal with. School environment was chosen by participants as one of the elected environments to implement harm reduction services.

show abstract

Section: Introductionmentioning

confidence: 99%

“Drugs are a taboo”: a qualitative and retrospective study on the role of education and harm reduction strategies associated with the use of psychoactive substances under the age of 18

2021

View full text Add to dashboard Cite

show abstract

“…While it is difficult to assess the impact of such training on the care of adolescents, a recent survey conducted in the USA shows that 43–81% of adolescents received provision of preventive services over the course of a year [1]. In contrast, such an achievement cannot be expected in the European region, given the lack of specific education in adolescent medicine and health within many training institutions [15, 21, 24]. Indeed, only seven out of the 36 surveyed European countries include mandatory stand-alone sessions in the undergraduate training of medical students, while in another seven countries, such sessions exist but are only optional.…”

Section: Discussionmentioning

confidence: 99%

“…Their health and well-being are engines of change in the drive to create healthier, more sustainable societies.” Policymakers and health professionals need to develop the technical capacity for policy, programming, research, and clinical care in all regions of the world. Several documents have recently outlined how high-quality health care can be achieved for adolescents [3, 15, 17, 22], in which the training and competencies of health care providers play a pivotal role [9, 12, 14]. When asked about their training needs in the area of adolescent medicine and health, paediatricians express a wish to acquire a variety of knowledge and skills.…”

Section: Introductionmentioning

confidence: 99%

An exploratory survey on the state of training in adolescent medicine and health in 36 European countries

Michaud¹,

Jansen

Schrier

et al. 2019

Eur J Pediatr

Self Cite

View full text Add to dashboard Cite

The development of adolescent health and medicine as a medical discipline lags behind in Europe compared with other regions of the world. This study aims to evaluate the structure and content of adolescent medicine and health training curricula for medical students, paediatricians, and other primary care physicians in the European region. A questionnaire survey was sent by e-mail to experts in the field from 36 European countries, addressing the content of adolescent health issues. Data was obtained from all 36 countries. At the undergraduate level, seven countries reported some mandatory stand-alone teaching (sessions dealing specifically with adolescents), while seven countries reported optional stand-alone teaching. In only 7 out of 36 countries were issues critical to adolescents covered as stand-alone sessions. At the postgraduate level, 15 countries delivered stand-alone mandatory training sessions to primary, secondary, or tertiary care paediatricians, covering most of the five critical areas listed in the questionnaire. In another 13 countries, such sessions were not mandatory and were inexistent in eight of them. The coverage among school physicians was similar but was much lower among general practitioners.Conclusion: Paediatric associations and academic institutions should advocate for a better coverage of adolescent health and medicine in the training curricula of health care providers. What is known: • In most European countries, adolescent medicine is still poorly represented as a discipline.• Experts have recently published recommendations regarding what form the structure and content of a training curriculum in this field should take. What is new: • This paper gives information on the extent and content of training in adolescent medicine and health as currently offered within under- and postgraduate European training curricula, in terms of stand-alone mandatory (versus optional) sessions.• In many European countries, both medical students and residents are poorly exposed to the basic knowledge and skills pertaining to adolescent health care.

show abstract

“…European countries should not only invest in more SHS professionals but also in adequately trained SHS professionals to robustly address the specific needs of school-aged children and adolescents (Ambresin, Bennett, Patton, Sanci, & Sawyer, 2013;Committee on Adolescence, 2008;Farre et al, 2015;Michaud & Baltag, 2015;Michaud, Weber, Namazova-Baranova, & Ambresin, 2018).…”

Section: Recommendationmentioning

confidence: 99%

School Health Services

Jansen¹,

Vervoort²,

Visser³

et al. 2019

Issues and Opportunities in Primary Health Care for Children in Europe

Self Cite

View full text Add to dashboard Cite

Models of Child Health Appraised (MOCHA) defines school health services (SHSs) as those that exist due to a formal arrangement between educational institutions and primary health care. SHSs are unique in that they are designed exclusively to address the needs of children and adolescents in this age group and setting. We investigated SHSs have been provided to schools and how they contribute to primary healthcare services for school children. We did this by mapping the national school health systems against the standards of the World Health Organization, and against a framework measuring the strength of primary care, adapting this from an existing, adult-focused framework. We found that all but two countries in the European Union and European Economic Area have SHSs. There, however, remains a need for much greater investment in the professional workforce to run the services, including training to ensure appropriateness and acceptability to young people. Greater collaboration between SHSs and primary care services would lead to better coordination and the potential for better health (and educational) outcomes. Involving young people and families in the design of SHSs and as participants in its outputs would also improve school health.

show abstract

Improving the quality of care delivered to adolescents in Europe: a time to invest

Cited by 12 publications

References 20 publications

“Drugs are a taboo”: a qualitative and retrospective study on the role of education and harm reduction strategies associated with the use of psychoactive substances under the age of 18

“Drugs are a taboo”: a qualitative and retrospective study on the role of education and harm reduction strategies associated with the use of psychoactive substances under the age of 18

An exploratory survey on the state of training in adolescent medicine and health in 36 European countries

School Health Services

Contact Info

Product

Resources

About