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Amy Lewis Gilbert - One of the best experts on this subject based on the ideXlab platform.
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clinical conversations about health the impact of confidentiality in preventive Adolescent Care
Journal of Adolescent Health, 2014Co-Authors: Amy Lewis Gilbert, Vaughn I Rickert, Matthew C AalsmaAbstract:Abstract Purpose To better understand how confidentiality impacts the delivery of preventive Adolescent health Care by examining Adolescent and parent beliefs and the relationship between confidentiality and the number and subject matter of health topics discussed at the last visit. Methods This study represents a secondary analysis of nationally representative online survey data collected from Adolescents aged 13–17 years (N = 504) and parents of Adolescents aged 13–17 years (N = 500). Descriptive statistics were conducted on confidentiality variables of interest. Analysis of variance and Scheffe post hoc tests were computed to determine whether the mean number of topics discussed varied by level of confidential consultation provided. Associations between confidential consultation and health topics discussed at the last visit were examined using multivariate logistic regression. Results Approximately, half of both samples reported provision of confidential consultation. Eighty-nine percent of parents believed Adolescents should be able to speak with providers alone, yet 61% preferred to be in examination room for the entire visit. Nearly half of all Adolescents believed parental presence impacted conversation. Mean number of topics discussed was significantly higher when a visit was partially confidential (4.11 ± 3.05; p = 0) versus when a visit was not confidential (2.76 ± 2.68; p = 0). There were significant associations between confidential consultation and discussions about 8 of 11 health topics. Conclusions Confidential consultation significantly impacts the number and subject matter of health topics discussed. A split-visit confidentiality model for Adolescent preventive Care visits may result in clinical conversations that address more topics. This arrangement may also appeal to parents who have mixed feelings about confidentiality.
Matthew C Aalsma - One of the best experts on this subject based on the ideXlab platform.
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clinical conversations about health the impact of confidentiality in preventive Adolescent Care
Journal of Adolescent Health, 2014Co-Authors: Amy Lewis Gilbert, Vaughn I Rickert, Matthew C AalsmaAbstract:Abstract Purpose To better understand how confidentiality impacts the delivery of preventive Adolescent health Care by examining Adolescent and parent beliefs and the relationship between confidentiality and the number and subject matter of health topics discussed at the last visit. Methods This study represents a secondary analysis of nationally representative online survey data collected from Adolescents aged 13–17 years (N = 504) and parents of Adolescents aged 13–17 years (N = 500). Descriptive statistics were conducted on confidentiality variables of interest. Analysis of variance and Scheffe post hoc tests were computed to determine whether the mean number of topics discussed varied by level of confidential consultation provided. Associations between confidential consultation and health topics discussed at the last visit were examined using multivariate logistic regression. Results Approximately, half of both samples reported provision of confidential consultation. Eighty-nine percent of parents believed Adolescents should be able to speak with providers alone, yet 61% preferred to be in examination room for the entire visit. Nearly half of all Adolescents believed parental presence impacted conversation. Mean number of topics discussed was significantly higher when a visit was partially confidential (4.11 ± 3.05; p = 0) versus when a visit was not confidential (2.76 ± 2.68; p = 0). There were significant associations between confidential consultation and discussions about 8 of 11 health topics. Conclusions Confidential consultation significantly impacts the number and subject matter of health topics discussed. A split-visit confidentiality model for Adolescent preventive Care visits may result in clinical conversations that address more topics. This arrangement may also appeal to parents who have mixed feelings about confidentiality.
Rodríguez Oliveros, Sara Lilibeth - One of the best experts on this subject based on the ideXlab platform.
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Eficacia de la intervención del centro de formación juvenil ACJ, Colombia, en relación a su contratación con el estado, en la aplicación de la sanción de libertad vigilada en los Adolescentes y jóvenes que fueron atendidos en el año 2012
'Baishideng Publishing Group Inc.', 2021Co-Authors: Rodríguez Oliveros, Sara LilibethAbstract:En el año 2006, el Gobierno Nacional de Colombia, sancionó la ley 1098 correspondiente a la ley de infancia y adolescencia. La nueva ley de infancia, generó a su vez el diseño de la política de atención al Adolescente en conflicto con la ley Sistema de Responsabilidad penal para Adolescentes (S.R.P.A), la cual contempla los lineamientos y rutas indicadas para la atención de los menores de edad que se ven involucrados en delitos. El sistema señala como principales sanciones, la amonestación, la imposición de reglas de conducta, prestación de servicios a la comunidad, libertad asistida, medio semi cerrado y privación de la libertad; todas ellas se han aplicado, pero no han sido suficientes para disminuir el índice de delincuencia en Adolescentes y jóvenes, esto se evidencia en el incremento de Adolescentes vinculados a SRPA, el cual presentó un aumento de 15,1% durante el periodo de 2011- 2012 según cifras del ICBF (2012). A parte de este marco normativo, la Oficina de las Naciones Unidas contra la Droga y el Delito, desarrolló en el año 2011 un manual sobre la aplicación eficaz de las directrices para la prevención de delito, el cual sirve como carta de navegación en este tema. De acuerdo a lo anterior, se planteó una investigación de orden cuanti-cualitativo, para conocer la eficacia de la intervención del Centro de Formación Juvenil ACJ, en relación a su contratación con el Estado para la aplicación de la sanción de libertad vigilada en los Adolescentes y jóvenes que fueron atendidos en el año 2012, para este fin se realizó un investigación mixta de carácter descriptivo, en la cual se aplicó la técnica cuantitativa de la encuesta a 119 jóvenes participantes de Centro de Atención y las técnicas cualitativas como la entrevista y el focus group fueron aplicadas a 8 directivos y profesionales del programa, 16 familias de los jóvenes y un funcionario del ICBF. Los resultados obtenidos, muestran que tanto los jóvenes, sus familias y funcionarios coinciden en que la medida de libertad vigilada si bien es cierto aporta elementos de socialización y contribuye a la reflexión de los jóvenes y familias frente a su problemática, no es suficiente para lograr un inclusión social efectiva y la garantía de no repetición o reincidencia, poniendo en relieve un una situación que va en ascenso, por lo cual se infiere que todos los actores involucrados, es decir, el Estado, la familia, el centro de atención y los mismos jóvenes son responsables de lo ocurrido; tendiendo que generar estrategias conjuntas desde esta mirada para reducir la problemática. De esta manera, el estudio concluye que no basta solo con crear estrategias de afrontamiento de la problemática de delincuencia juvenil, sino también el establecimiento de directrices que lleven hacia la prevención de estas conductas, al interior de las familias, las instituciones educativas, instituciones prestadoras de servicios sociales y sociedad en general. Este tema debe ser abordado desde todas las miradas y no le compete solo a una parte de la sociedad, sino a toda en general, de esta manera, el Estado debe liderar la concentración de diferentes actores sociales que analicen la situación actual de delincuencia juvenil en Colombia y facilite la atención, pero sobre todo la prevención.In the year 2006, the National Government of Colombia, sanctioned the law 1098 corresponding to the law of childhood and adolescence. The new childhood law, in turn, generated the design of the Adolescent Care policy in conflict with the Criminal Responsibility System for Adolescents (SRPA), which includes the guidelines and routes indicated for the Care of minors. Who are involved in crimes. The system indicates as main sanctions, the admonition, the imposition of rules of conduct, provision of services to the community, assisted freedom, semi-closed means and deprivation of liberty; all of them have been applied, but they have not been enough to reduce the delinquency rate in Adolescents and young people, this is evidenced in the increase of Adolescents linked to PACS, which presented an increase of 15.1% during the period of 2011- 2012 according to ICBF figures (2012). Apart from this normative framework, the United Nations Office on Drugs and Crime, developed in 2011 a manual on the effective application of the guidelines for the prevention of crime, which serves as a navigation card in this subject. In accordance with the above, a quantitative-qualitative research was proposed, to know the effectiveness of the intervention of the Youth Training Center ACJ, in relation to its contracting with the State for the application of the probation sanction in Adolescents and young people who were attended in 2012, for this purpose a mixed investigation of a descriptive nature was carried out, in which the quantitative technique of the survey was applied to 119 young participants of the Care Center and the qualitative techniques such as the interview and the focus group were applied to 8 managers and professionals of the program, 16 families of the youth and an official of the ICBF. The results obtained show that both young people, their families and officials agree that the measure of supervised freedom, although it is true, contributes elements of socialization and contributes to the reflection of young people and families in the face of their problems, it is not enough to achieve an effective social inclusion and the guarantee of non-repetition or recidivism, highlighting a situation that is on the rise, for which it is inferred that all the actors involved, that is, the State, the family, the center of attention and the young people themselves are responsible for what happened; tending to generate joint strategies from this perspective to reduce the problem. In this way, the study concludes that it is not enough just to create strategies to address the problem of juvenile delinquency, but also the establishment of guidelines that lead to the prevention of these behaviors, within families, educational institutions, lending institutions of social services and society in general. This issue must be approached from all perspectives and not only a part of society, but the whole in general, and in this way, the State must lead the concentration of different social actors that analyze the current situation of juvenile delinquency in Colombia and facilitate the attention, but especially the prevention
Sabra L Katzwise - One of the best experts on this subject based on the ideXlab platform.
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transgender and gender nonconforming Adolescent Care psychosocial and medical considerations
Current Opinion in Pediatrics, 2015Co-Authors: Carly E Guss, Daniel Shumer, Sabra L KatzwiseAbstract:Purpose of review Transgender individuals display incongruence between their assigned birth sex and their current gender identity, and may identify as male, female or elsewhere on the gender spectrum. Gender nonconformity describes an individual whose gender identity, role, or expression are not typical for individuals in a given assigned sex category. This update highlights recent literature pertaining to the psychosocial and medical Care of transgender and gender nonconforming (TGN) Adolescents with applications for the general practitioner.
Audrey Smith Rogers - One of the best experts on this subject based on the ideXlab platform.
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recruitment and retention of Adolescent participants in hiv research findings from the reach reaching for excellence in Adolescent Care and health project
Journal of Adolescent Health, 2003Co-Authors: Paulette D Stanford, Dina Monte, Felecia M Briggs, Patricia M Flynn, Mary Tanney, Jonas H Ellenberg, Kathy L Clingan, Audrey Smith RogersAbstract:Abstract Purpose To evaluate the importance of 13 items in the recruitment and retention of HIV-positive and HIV-negative Adolescent participants in a longitudinal study (REACH study). Methods A confidential, self-administered, visual analog, cross-sectional survey was offered to active participants (November 1999–August 2000) with 438 subjects (86%) participating. Sixty-six percent of the cohort were HIV-positive and 34% were HIV-negative with a mean age of 17 years, and 76% were female. Subjects were asked to recall the importance they placed on 13 items in deciding to join the REACH study (recruitment) and to remain on study (retention). Factors that might explain the judgment placed on the items were analyzed using the nonparametric Wilcoxon Rank–Sum test or the Kruskall–Wallis test. Results The five most important factors for study recruitment were identical to those chosen for retention by participants. The factors were: (a) quality medical Care, (b) caring staff, (c) health education, (d) privacy/confidentiality, and (e) altruism. Items judged least important were social activities, compensation, transportation, and food/meals. Subject characteristics (gender, age, HIV status) were not associated with statistically different mean judgment scores at recruitment and retention, although clinical site showed significant variation. Factors that could render subjects vulnerable (health insurance, family finances) were not associated with related items. Conclusions Adolescents found quality health Care and Care team characteristics critically important in considering research participation. Attention to privacy and the opportunity to be altruistic were also important. Compensation for participation was not a significant factor for recruitment and retention of this Adolescent cohort. This study demonstrates that Adolescents apply sound criteria in evaluating research participation and do not appear to be unduly affected by compensation.