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HEEADSS and sexual health in Primary Care Settings

Sue Bagshaw SYHPANZ Clinical Skills Day 2011. HEEADSS and sexual health in Primary Care Settings. A Useful Tool. HEADSS Home Education Employment Eating Exercise Activities. Drugs Sexuality Suicide Spirituality Safety Strengths Berman, Goldenring and Cohen. Screening. Risk Areas

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HEEADSS and sexual health in Primary Care Settings

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  1. Sue Bagshaw SYHPANZ Clinical Skills Day 2011 HEEADSS and sexual health in Primary Care Settings

  2. A Useful Tool HEADSS • Home • Education • Employment • Eating • Exercise • Activities • Drugs • Sexuality • Suicide • Spirituality • Safety • Strengths Berman, Goldenring and Cohen

  3. Screening Risk Areas • Mental health – depression, grief, suicide, anxiety, early psychosis, eating disorders • Alcohol and other drug misuse • Early sexual activity, STIs, Sexual abuse • Unsupported Pregnancy • Driving Resiliency, Protection • People to talk to • Groups belong to • School completion, qualifications • Responsible use of Alcohol and other drugs • Healthy sexuality and relationships • Participation in and contribution to the community

  4. Use of HEADSS • Move from the less sensitive to the more sensitive • Move from the third person approach to the personal • Avoid Dunno (Descriptions) • Be keen to get to know this person • Link Questions • What is important? • What stage of cognitive development – future thinking, concrete/abstract thought, complexity of thought • Where in journey of becoming an adult – home, education, employment

  5. Use of HEADSS • They don’t care what you say until they know you care about what they say Be aware: • Culture • Developmental stage • Sexual orientation • Religious values

  6. Two other helpful tools CRAFFT • Car – drive/drunk • Relax – need it to feel better • Alone – use with no friends • Forget – what you did what happened • Family and Friends tell you to stop • Trouble – use get you into BEARDS • Bite your tongue • Express empathy • Avoid argumentation • Roll with resistance • Deploy discrepancy • Support self-efficacy

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