lies later health problems begin during adolescence. Prevention, early intervention, and timely treatment improve health status for adolescents and prepare them for healthy adulthood; such services also decrease the incidence of many chronic diseases in adulthood (Chapter 2).

  • Context matters. Social context and such factors as income, geography, and cultural norms and values can profoundly affect the health of adolescents and the health services they receive (Chapters 2 and 3).

  • Need matters. Some segments of the adolescent population, defined by both biology and behavior, have health needs that require particular attention in health systems (Chapter 2).

  • Participation matters. Effective health services for young people invite adolescents and their families to engage with clinicians (Chapter 4).

  • Family matters. At the same time that adolescents are growing in their autonomy, families continue to affect adolescents’ health and overall well-being and to influence what health services they use. Young people without adequate family support are particularly vulnerable to risky behavior and poor health and therefore often require additional support in health service settings (Chapter 4).

  • Community matters. Good health services for adolescents include population-focused as well as individual and family services since the environment in which adolescents live, as well as the supports they receive in the community, are important (Chapter 4).

  • Skill matters. Young people are best served by providers who understand the key developmental features, health issues, and overall social environment of adolescents (Chapter 5).

  • Money matters. The availability, nature, and content of health services for adolescents are affected by such financial factors as public and private health insurance, the amount of funding invested in special programs for adolescents, and the support available for adequate training programs for providers of adolescent health services (Chapter 6).

  • Policy matters. Policies, both public and private, can have a profound effect on adolescent health services. Carefully crafted policies are a foundation for strong systems of care that meet a wide variety of individual and community needs (Chapter 6).

Framework 2:
Objectives of Health Services for Adolescents

Research from various sources and the experiences of adolescents and health care providers, health organizations, and research centers suggest the



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