P222 Multidisciplinary and multiagency working in a metropolitan young people's sexual health clinic. (18th May 2015)
- Record Type:
- Journal Article
- Title:
- P222 Multidisciplinary and multiagency working in a metropolitan young people's sexual health clinic. (18th May 2015)
- Main Title:
- P222 Multidisciplinary and multiagency working in a metropolitan young people's sexual health clinic
- Authors:
- Lindner, Nasiha
Strachan, Katrina
Darvishijazi, Mahasti
Richardson-Jones, Alisa
Edwards, Petal
Phillips, David
Pakianathan, Mark - Abstract:
- Abstract : Background/introduction: A weekly multidisciplinary team meeting (MDTM) was introduced to discuss clinically or psychosocially complex cases, facilitate multiagency (MA) working and ensure safeguarding of vulnerable young people accessing services. Aim(s)/objectives: To describe characteristics of young people accessing the service and compare those warranting MDTM or MA input to those in whom this was not required. Methods: Retrospective review of electronic patient records of new patients accessing a young people's clinic (≤18 years) from January to June 2014. Demographics, clinical and psychosocial details, MDTM case note entries or liaison with other agencies including social services, voluntary sector, mental and other health were analysed. Significance calculation: fisher's exact test. Results: 159 cases reviewed. Median age 16 years: female 80%, locally resident 80%, self-referral 77%, white British 22%, black Caribbean 22%. 67(42%) required MA/MDTM working. (45%, n = 30 had MA referral/liaison). MA/MDTM patients were more likely to have health adviser input: 57% vs 21% p = 0.0001, report mental health problems: 33% vs 3% p = 0.0001, have a social worker: 27% vs 7% p = 0.0003 or if female, not on contraception: 60% vs 39% p = 0.005. Amongst those requiring MA/MDTM input 12% (n = 8) had a safeguarding concern and 7% (n = 5) were identified as at risk of sexual exploitation. Discussion/conclusion: MDTMs effectively enabled discussion of complex patients.Abstract : Background/introduction: A weekly multidisciplinary team meeting (MDTM) was introduced to discuss clinically or psychosocially complex cases, facilitate multiagency (MA) working and ensure safeguarding of vulnerable young people accessing services. Aim(s)/objectives: To describe characteristics of young people accessing the service and compare those warranting MDTM or MA input to those in whom this was not required. Methods: Retrospective review of electronic patient records of new patients accessing a young people's clinic (≤18 years) from January to June 2014. Demographics, clinical and psychosocial details, MDTM case note entries or liaison with other agencies including social services, voluntary sector, mental and other health were analysed. Significance calculation: fisher's exact test. Results: 159 cases reviewed. Median age 16 years: female 80%, locally resident 80%, self-referral 77%, white British 22%, black Caribbean 22%. 67(42%) required MA/MDTM working. (45%, n = 30 had MA referral/liaison). MA/MDTM patients were more likely to have health adviser input: 57% vs 21% p = 0.0001, report mental health problems: 33% vs 3% p = 0.0001, have a social worker: 27% vs 7% p = 0.0003 or if female, not on contraception: 60% vs 39% p = 0.005. Amongst those requiring MA/MDTM input 12% (n = 8) had a safeguarding concern and 7% (n = 5) were identified as at risk of sexual exploitation. Discussion/conclusion: MDTMs effectively enabled discussion of complex patients. MDTM/MA working was common and such cases were more likely to: lack contraception, need health adviser input, have a social worker and mental health problems highlighting an opportunity for closer working with mental health services. … (more)
- Is Part Of:
- Sexually transmitted infections. Volume 91(2015)Supplement 1
- Journal:
- Sexually transmitted infections
- Issue:
- Volume 91(2015)Supplement 1
- Issue Display:
- Volume 91, Issue 1 (2015)
- Year:
- 2015
- Volume:
- 91
- Issue:
- 1
- Issue Sort Value:
- 2015-0091-0001-0000
- Page Start:
- A89
- Page End:
- A90
- Publication Date:
- 2015-05-18
- Subjects:
- Sexually transmitted diseases -- Periodicals
HIV infections -- Periodicals
616.951005 - Journal URLs:
- http://sti.bmj.com/ ↗
http://www.ncbi.nlm.nih.gov/pmc/journals/176/ ↗
http://www.bmj.com/archive ↗ - DOI:
- 10.1136/sextrans-2015-052126.266 ↗
- Languages:
- English
- ISSNs:
- 1368-4973
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 21608.xml