Outreach youth health service in school setting: a retrospective case study
Karin A. Stanzel34 Brackenbury Street, Warrandyte, Vic. 3113, Australia. Email: karinstanzel@hotmail.com
Australian Journal of Primary Health 22(3) 185-189 https://doi.org/10.1071/PY15121
Submitted: 3 August 2015 Accepted: 25 November 2015 Published: 6 May 2016
Abstract
This case study documents the journey of an outreach youth clinic from its inception to its current practice. It reviews the barriers and enablers to attending the outreach youth clinic as well as determining the health concerns that have prompted young people to access the service. A case study method was applied to review agency evaluation reports and open-ended feedback surveys completed by service users. An ongoing reflective health practitioner’s journal was also kept by the clinicians. The results identify sexual and reproductive health, and mental health, as the main concerns for which young people seek help. Additionally, confidentiality and privacy issues are of concern, while parental and caregiver’s understanding acts as an enabler for young people to obtain better health. Multi-agency collaboration is highlighted while the significance of a robust connection between the collaborating services and leadership from the school is also recognised. The outreach youth clinic is providing a youth-specific service that has had good utilisation. However, a solid collaboration with the school and the community health sector is crucial if a service such as this is to be maintained and sustained.
References
Ammerman A (2010) School based healthcare: why it is common sense. Available at http://www.seenmagazine.us/articles/article-detail/articleid/582/school-based-healthcare.aspx [Verified 6 August 2013]Australian Institute of Family Studies (2013) Age of Consent. Available at https://aifs.gov.au/cfca/publications/age-consent-laws. [Verified 30 August 2013]
Bernard D, Quine S, Kang M, Alperstein G, Usherwood T, Bennett D, Booth M (2004) Access to primary health care for Australian adolescents: how congruent are the perspectives of health service providers and young people, and does it matter? Australian and New Zealand Journal of Public Health 28, 487–492.
| Access to primary health care for Australian adolescents: how congruent are the perspectives of health service providers and young people, and does it matter?Crossref | GoogleScholarGoogle Scholar | 15707193PubMed |
Booth M, Bernard D, Quine S, Kang M, Usherwood T, Alperstein G, Bennett D (2004) Access to health care among Australian adolescents: young people’s perspectives and their sociodemographic distribution. The Journal of Adolescent Health 34, 97–103.
| Access to health care among Australian adolescents: young people’s perspectives and their sociodemographic distribution.Crossref | GoogleScholarGoogle Scholar | 14706412PubMed |
Curtis AC, Water CM, Brindis C (2011) Rural adolescent health: the importance of prevention services in rural community. The Journal of Rural Health 27, 60–71.
| Rural adolescent health: the importance of prevention services in rural community.Crossref | GoogleScholarGoogle Scholar | 21204973PubMed |
Denny S, Robinson E, Lawler C, Bagshaw S, Farrant B, Bell F, Dawson D, Nicholson D, Hart M, Fleming T, Ameratunga S, Clark T, Kekus M, Utter J (2012) Association between availability and quality of health services in schools and reproductive outcomes among students: a multilevel observational study. American Journal of Public Health 102, e14–e20.
| Association between availability and quality of health services in schools and reproductive outcomes among students: a multilevel observational study.Crossref | GoogleScholarGoogle Scholar | 22897539PubMed |
Department of Education and Early Childhood (2013) Secondary School Nursing Program. Available at http://www.education.vic.gov.au/school/parents/health/pages/secnursing.aspx [Verified 31 July 2013]
Forrest CB, Starfield B (1998) Entry into primary care and continuity: the effects of access. American Journal of Public Health 88, 1330–1336.
| Entry into primary care and continuity: the effects of access.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1cvgvVSkuw%3D%3D&md5=ae6697e1343aad64bef4fc83f0a83387CAS | 9736872PubMed |
Ginsburg KR, Menapace AS, Slap GB (1997) Factors affecting the decision to seek health care: the voice of adolescents. Pediatrics 100, 922–930.
| Factors affecting the decision to seek health care: the voice of adolescents.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1c%2FkvFSntw%3D%3D&md5=2a78fcdfa7cb0a18f280bc1a6fcfe2a1CAS | 9374558PubMed |
Kang M, Bernard D, Booth M, Quine S, Alperstein G, Usherwood T, Bennett D (2003) Access to primary health care for Australian young people: service provider perspectives. The British Journal of General Practice 53, 947–952.
Oppong-Odiseng ACK, Heycock EG (1997) Adolescent health services – through their eyes. Archives of Disease in Childhood 77, 115–119.
| Adolescent health services – through their eyes.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2svks1yqtQ%3D%3D&md5=2545262a0383a9081c11b4fbfeb57f22CAS |
Quine S, Bernard D, Booth M, Kang M, Usherwood T, Alperstein G, Bennett D (2003) Health and access issues among Australian adolescents: a rural-urban comparison. Rural and Remote Health 3, 245
Ricketts S, Guernsey BP (2006) School-based health centers and the decline in black teen fertility during the 1990s in Denver, Colorado. American Journal of Public Health 96, 1588–1592.
| School-based health centers and the decline in black teen fertility during the 1990s in Denver, Colorado.Crossref | GoogleScholarGoogle Scholar | 16873755PubMed |
Sanci LA, Kang MSL, Ferguson JB (2005) Improving adolescents’ access to primary health care. The Medical Journal of Australia 183, 416–417.
Sidebottom A, Birnbaum A, Stoddard-Nafstad S (2003) Decreasing barrier for teens: evaluation of a teenage pregnancy prevention strategy in school-based clinics. American Journal of Public Health 93, 1890–1892.
| Decreasing barrier for teens: evaluation of a teenage pregnancy prevention strategy in school-based clinics.Crossref | GoogleScholarGoogle Scholar | 14600060PubMed |
Velsor-Friedrich B (2001) Adolescent school health. Journal of Pediatric Nursing 16, 194–196.
| Adolescent school health.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3MzjtVWitQ%3D%3D&md5=061e8961172688dbfc48f8f6c38500b9CAS | 11398130PubMed |
Warr D, Hillier L (1997) That’s the problem with living in a small town: privacy and sexual health issues for young rural people. The Australian Journal of Rural Health 5, 132–139.
| That’s the problem with living in a small town: privacy and sexual health issues for young rural people.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1c7gtVKluw%3D%3D&md5=c716b7eee0911875c0fcd30d8b902faeCAS | 9437940PubMed |
