Meynard Anne, Haller Dagmar M, Navarro Carol, Narring Françoise
Département de l'enfant et de l'adolescent, HUG, Genève.
Rev Med Suisse. 2008 Jun 11;4(161):1451-5.
Meeting adolescents' health needs in primary care implies knowledge of developmental, psycho-social and physical specificities of this age group. Primary care physicians need appropriate communication skills and knowledge of specific adolescent health issues such as the role of families, the need for confidential services and networking with schools, social services and other key individuals in young people's lives. Primary care physicians rarely receive training in adolescent health and are usually interested in practical screening or counselling strategies. HEADSSS is a useful mnemonic to guide the psychosocial interview of an adolescent. It can be used in daily practice to help the physician to focus not only on "risk taking", but also on the personal strengths and protective factors that allow young people to develop harmoniously.
在初级保健中满足青少年的健康需求意味着要了解该年龄组的发育、心理社会和身体特征。初级保健医生需要具备适当的沟通技巧，了解青少年健康的具体问题，如家庭的作用、对保密服务的需求以及与学校、社会服务机构和年轻人生活中的其他关键人物建立联系。初级保健医生很少接受青少年健康方面的培训，通常对实际筛查或咨询策略感兴趣。HEADSSS是一个有用的助记符，可指导对青少年进行心理社会访谈。它可用于日常实践，帮助医生不仅关注“冒险行为”，还关注使年轻人能够和谐发展的个人优势和保护因素。
