8/12/2019 Adolescent Health Risk Behavior Assessment

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September 2012

Eligible Population Key Components

ADAPT:Create an environment that builds trust

and rapportwith adolescent population

SUPPORT:Identify developmentally appropriate

referrals and resources for at-risk patients in your

community

SCREEN: Use a developmentally appropriate

screening tool to identify risk in your adolescent

patient. This tool should address the domains of

risk identified by the CDC as the leading causes of

adolescent morbidity and mortality.

Existing tools that include assessment of all

domains :

Adolescent Health Review (AHR)1, Bright Futures

2

(pre-visit and supplemental questionnaires),

Guidelines for Adolescent Preventive Services

(GAPS)3

, and Rapid Assessment for AdolescentPreventive Services (RAAPS)

4

Patients at risk ENGAGE:Identify evidence based interventions to

reduce risk

Parents, guardians or

other trusted adults

EMPOWER:

MQIC.ORGAppr oved b y MQIC Medical Direct ors Septemb er 2012

Nearly 75% of adolescent morbidi ty and mortality is related to their risky behaviors. The followi ng guideli ne recommends best practices for assessing adolescent health risk behaviors utilizin g evidence-based risk

assessments and counseling strategies.

Adolescent males and

females 11-20 years of

age, accessing

healthcare in a variety

of settings: PrimaryCare Clinics, School-

Based Health Centers,

STI Clinics, Mental

Health Clinics,

Emergency Centers

Adolescent Health Risk Behavior Assessment

Michigan Quality Improvement Consortium Guideline

Recommendation

Ask qu esti ons i n a way t hat est abli shes t rus t thr oug h di alog ue and b ody l angu age.

Explain confidentiality to youth and parent before assessment is completed.

Ensure separate and private space for survey completion and during visit.

Train health professionals in effective counseling strategies such as motivational interviewing.

Ensure sensitivity to cultural and religious beliefs, sexual orientation and gender identity with every patient.

At least annually, use a brief, validated risk screening tool in all health care settings in which adolescents present for care, addressing the following

categories:

1. Unintentional injuries/violence- weapons, helmet and seat belt use, driving when distracted, bullying, abuse

2. Mental Health - depression, anxiety, self-harm, suicidal ideation/behaviors

3. Tobacco Use - cigarettes, other forms of tobacco

4. Alcohol and other drugs- alcohol, marijuana, prescription/non-prescription drug use, inhalants, other drugs, use prior to sex, driving

under influence

5. Sexual behaviors cont ributi ng to unintended pregnancy, STIs and HIV- sexual activity/involvement, sexual orientation, past pregnancy

and STI, contraception use, and safer sex practices

6. Dietary behaviors- soda intake, fruits/vegetables, dieting behaviors, fast/junk food intake

7. Physical Activity- exercise 60 minutes 3 or more days/week, screen time