Challenges in Adolescent Health Care Workshop Report (2007) / Chapter Skim
Currently Skimming:
5 Issues to Address
5 Issues to Address
Pages 51-55
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From page 51... ...
Workshop discussions identified a set of issues that can affect any adolescent: a need for confidentiality and privacy despite continued dependence on parents or guardians; mental health issues that are unlikely to be recognized without screening; the convergence of health issues and other life problems and the stresses of adolescent development; and exposure to substance abuse or other health risk behaviors to which adolescents are particularly prone. Insurance plans generally provide only limited coverage for dental and mental health or substance use disorders, and older adolescents and young adults may have serious difficulty obtaining or maintaining coverage even if they are not in difficult life circumstances.
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From page 52... ...
The committee will return to these issues, but the areas of agreement evident at the workshops will be a valuable foundation for its work. SYSTEM CHALLENGES Gaps in the health care system serving adolescents were mentioned repeatedly at both the community forum and the research workshop.
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From page 53... ...
Adolescents may be particularly reluctant to let their parents know that they are seeking reproductive health care or mental health care or make them aware of problems they are facing, yet the provider may be required to inform parents in certain situations, be restricted to seeing the patient for only a few visits before obtaining parental permission, or worry about itemized billing being sent to the parents. Yet adolescents may not ever seek care for sensitive problems if they believe their parents will be notified (Lehrer et al., 2007)
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From page 54... ...
Participants noted that some persuasive research findings that are available are not being applied widely, for example, in mental health and substance use disorder treatment. In other areas, additional research is urgently needed, for example, to provide best practices for providing services to vulnerable populations of adolescents, such as adolescents who are lesbian, gay, bisexual, transgender, or questioning their sexual orientation; low-income adolescents; adolescents in foster care and the juvenile justice system; and runaway and homeless adolescents.
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From page 55... ...
As researchers and practitioners seek to improve their understanding of adolescence in important areas, such as decision making, risk assessment, and a connectedness, it will be important for them to monitor this blossoming field. However, research centers lack institutional and funding supports for collaboration among specialists in each of the fields for which adolescence is a concern.
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