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Services for Young People: Joint Commissioning Strategy 2012-15 Young People’s Health. Anna-Marie Jones Performance Analyst & Contract Officer. Sexual Health & Substance Misuse Agenda I. Evidence: poor sexual health and substance misuse linked to: Social deprivation Health inequality
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Services for Young People: Joint Commissioning Strategy 2012-15Young People’s Health Anna-Marie Jones Performance Analyst & Contract Officer
Sexual Health & Substance Misuse Agenda I Evidence: poor sexual health and substance misuse linked to: Social deprivation Health inequality Teenage pregnancy Key objectives: to make sure young people have the skills and knowledge to make informed decisions about their health to reduce the harm caused by substances To improve young people’s resilience to enable young people to fulfil their potential and contribute to society
Sexual Health & Substance Misuse Agenda II National data shows Since 1990 first intercourse is at a younger age 28% of under 16s report having sex Large increases in many STIs (greater awareness, more testing, risky behaviour) Chlamydia most common STI and increasing in U25s Teenage mothers and children more likely to experience poor outcomes including higher levels of mental health issues and infant mortality. 16% 10-16 year olds vulnerable to substance misuse 1 in 5 aged 11-15 have ever taken drugs (mostly cannabis)
Sexual Health & Substance Misuse Agenda III Local data shows 1 in 5 young people 14-16 had sex under 16 Young people most concerned about STIs or getting themselves or their partner pregnant Chlamydia screening increased to 12,500 15-24 year olds in 2011/12 (29% of pop – target 35%) 40% of 14-16 year olds know about chlamydia and where to get tested 52% knew where to get condoms from free of charge 4 out of every 100 under 15-17 year women conceive 58% lead to abortion 3000 yp vulnerable to substance misuse 1 in 4 young people 14-16 have tried drugs 4 in 5 have tried alcohol Sources: 2011 Safe and Well at School Survey; Sussex Community Trust 2012; Office for national statistics 2008-10
Sexual Health & Substance Misuse Agenda IV Compared to other areas we are doing well…e.g. U18 conception rate decreased by 27% in last 10 years; 21st largest reduction in a LA Fewer young people consuming alcohol, taking drugs or going into treatment Successes due to: CASH service developments Services are accessible & at better times Available in different locations Young people friendly services Targeted support for the most vulnerable Better support in schools Education in schools well received by pupils
Sexual Health & Substance Misuse Agenda V Need to… Keep up momentum & build on successes Continue to address local inequalities Respond to changing needs e.g. higher level of terminations higher level of complex needs/ambivalence around sexual health smaller number substance miusers but consumption high volume Make more use of opportunities for early identification and intervention in youth & community based settings Both Sexual Health and Substance Misuse Ensure teams have access to training to improve knowledge, understanding and confidence around sexual health and substance misuse services, pregnancy testing, chlamydia testing, EHC, etc
Sexual Health & Substance Misuse Agenda VI Provided with extra funding from PCT to ensure sexual health and substance misuse work is embedded in youth settings Chlamydia screening C-card (free condoms) initial assessment C-card issue and re-issue Pregnancy testing as appropriate Screen for sexual health - You & Sex Tool Screen for substance misuse (drugs and alcohol) – RU-OK age appropriate Tools Ensuring activity data is fed back via SWISH website (for c-card) and aspire (for screens, Chlamydia & pregnancy tests) Ensure staff fully trained using the youth workforce development programme Ensure referrals are made to targeted services
Sexual Health & Substance Misuse Agenda VII Questions?