HealthCheck Training

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Post-Test

Overview

• EPSDT Benefits
• HealthCheck EPSDT
  • Goals
  • Participants/Providers
  • Support Services
  • Coordination

Health Supervision

• Introduction
  • Screens
  • Diagnosis/Treatment/Referral
• Health History
  • Initial History
  • Interval
  • Specific Visits
• Physical Examination
  • Unclothed Exam
  • Body Measurements
  • Specific Visits
• Screening Services
  • Nutrition
  • Vision
  • Speech/Language
  • Hearing
  • Development/Behavior
• Laboratory Tests
  • Metabolic
  • Sickle Cell
  • Lead
  • Anemia
  • Urinalysis
  • Cholesterol
  • Tuberculosis
  • STDs
• Immunizations
  • Schedule
  • Vaccines for Children Program
  • Documentation
  • Precautions/Exceptions/Contraindications
• Health Education
  • Tips for Working with Families
  • Tips for Working with Teens
  • Specific Visits

Special Health Issues

• Introduction
• Dental Health
  • History/Evaluation
  • Guidance/Referrals
  • Dental Services
  • Provider Resources
• Overweight and Obesity
  • Screening
  • Assessment
  • Treatment/Referrals
• HIV Guidelines
• Child Abuse & Neglect
• Language Barriers
  • Resources and HIPAA
  • Interpreter Tips
• Early Intervention

Documentation

• Guidelines
• Reporting
• EMRs and Required Data
• Billing Procedures
• Billing Codes

Go To Resources »

Health Supervision

Anticipatory Guidance: Tips for Working with Teens

Adolescence is one of the most dynamic periods of human development, accompanied by dramatic physical, cognitive, social, and emotional changes.

When working with teens:

• Be sensitive to and respect the changes they are experiencing.

• Develop a partnership with them.

• Nurture self-assurance.

• Encourage healthful choices.

• Provide knowledge about how to meet challenges.

• Understand that they will become increasingly independent over time.

Pregnancy Prevention Education

Sexual activity during adolescence can have serious health consequences, including unintentional pregnancies and sexually transmitted diseases. PCPs have the opportunity to provide counseling on a one-to-one basis and are often trusted by teens as highly reliable sources of information.

Contraceptive Counseling

Teens must be informed about the options available to them before they consent to any form of contraception. When counseling teens about contraception, fully explain the benefits and risks of each of the following contraceptive methods:

Abstinence

• Should be encouraged as the most effective way to prevent pregnancies, AIDS, and other STDs.

Condoms

• Are recommended for all sexually active males and females.

• Describe different types (latex vs. non-latex, lubricated vs. non-lubricated).

• Teach proper use (including how to put them on) to both males and females.

• Can be obtained from participating pharmacies (12 latex condoms at a time) without a prescription to those with a Medicaid card.

Contraceptive foam, suppositories, and sponges

• Are available as nonprescription items in pharmacies and some food chains.

• Contraceptive effectiveness is increased when spermicidal preparations are used with condoms.

Depo-Provera (a progestin-only injection)

• Provides contraceptive efficacy for three months.

• Is becoming the method of choice for teens.

Diaphragms

• Can be effective as contraceptives if the teen is conscientious.

Intrauterine devices (IUDs)

• Are not a primary choice for teens.

• May be chosen by young women who have had a child.

Norplant

• Is a five-year contraceptive system.

• Consists of six matchstick-size capsules implanted in the upper arm.

• May be an option for some female teens.

HIV Prevention Education

When providing HIV prevention education to teens, consider both the maturity level and sexual development of the teen and place strong emphasis on abstinence from sex and drugs.

HIV Risk Reduction Guidance for Sexually Active Teens

• Abstain from sexual intercourse to prevent HIV infection.

• Maintain a mutually monogamous relationship with an uninfected partner.

• Consistently use protective barriers during sex.

• Use latex condoms with water-based lubricant (oil-based lubricants weaken condoms).

• Use lubricants/spermicides containing nonoxynol-9.

HIV Risk Reduction Guidance for Drug-using Teens

• Enter a drug treatment program.

• Avoid sharing any drug-injecting paraphernalia.

• Disinfect needles and syringes using household bleach (twice).

• Draw bleach into syringe and expel (twice).

• Beware of injection “works” sold as clean on the streets.

• Use protective barriers (latex condoms) during sex.

• For information and HIV/AIDS prevention materials for your office, call the HIV/AIDS Administration at (202) 727-2500.