Transcript HEEADSS and sexual health in Primary Care Settings

Sue Bagshaw
SYHPANZ Clinical Skills Day 2011
HEADSS






Home
Education
Employment
Eating
Exercise
Activities






Drugs
Sexuality
Suicide
Spirituality
Safety
Strengths
Berman, Goldenring and Cohen
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





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


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

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