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TABLE OF CONTENTS
KEY FINDINGS AND RECOMMENDATIONS
Recommendation 1: Increased Funding
Recommendation 2: Partnerships with Social Research Bodies
Recommendation 3: Resourcing
Recommendation 4: Research in the Social Determinants of Health
Recommendation 5: Developing Prevention Initiatives
Recommendation 6: Training
SECTION A - HISTORY AND INFLUENCES
Chapter 1: Theoretical and historical background to the youth health movement in NSW
SECTION B - PROCESSES OF BETTER PRACTICE AND THEIR COMPONENTS
Chapter 2: Addressing inequalities
- 1.1 Youth health services
- 1.2 Health promotion and the community health model
- 1.3 Social context
- 1.4 The move away from individuals
- 1.5 The WHO declaration on health
- 1.6 Social class and poverty
- 1.7 Social class and issues of control
- 1.8 Gender
- 1.9 Youth and issues of control over one's life
- 1.10 Health issues are political issues
- 1.11 Role of youth health services
Checklist (Chapter 2): Addressing Inequalities
Chapter 3: Access and participation
- 2.1 Social class and inequality
- 2.2 "Disadvantaged groups" and inequality
- 2.3 Inequality - who's responsible?
- 2.4 Individual responsibility
- 2.5 Deficit theory
- 2.6 Freire's theories
- 2.7 Problems with seeing social disadvantage as originating within the individual - "Blaming the victim"
- 2.8 Problems with seeing social disadvantage as originating within the individual - "Changing their mentality"
- 2.9 Problems with seeing social disadvantage as originating within the individual - "Saving them" and cultivating dependency
- 2.10 Problems with seeing social disadvantage as originating within the individual - "Keeping them off the streets"
- 2.11 Implications for practice
- 2.12 Some approaches to addressing inequality - advocacy
- 2.13 Does advocacy foster dependency and "welfarism?"
- 2.14 Advocating for groups
- 2.15 Empowerment - Concepts of personal empowerment
- 2.16 Concepts of collective empowerment
- 2.17 A synthesis
- 2.18 Social connectedness
- 2.19 Community participation and competency
Checklist (Chapter 3): Access and Participation
Chapter 4: Building supportive environments
- 3.1 Who participates and how?
- 3.2 Making the service accessible
- 3.3 Achieving "youth-friendliness"
- 3.4 Premises
- 3.5 Physical access and outreach
- 3.6 Making the centre look "youth-friendly"
- 3.7 First impressions are important
- 3.8 Programs and services that can enhance access
- 3.9 Developing access through diversity, cultural understanding and sensitivity
- 3.10 Confidentiality
- 3.11 Promoting health literacy to increase access and participation
- 3.12 Monitoring of young people's views about the service
- 3.13 Complaints procedures
- 3.14 Establishing participation in a youth health service
- 3.15 Countering misinformation can challenge prejudice and increase access and participation
- 3.16 Building a profile in the community
- 3.17 Types of participation in management
- 3.18 Participation in health programs - peer programs
- 3.19 Why peer education?
- 3.20 Developing a peer program
Checklist (Chapter 4): Building Supportive Environments
Chapter 5: A balanced approach
- 4.1 What is a supportive environments approach?
- 4.2 A supportive environments approach to prevention
- 4.3 Supportive environments in road safety
- 4.4 The Haddon Matrix
- 4.5 Passive interventions
- 4.6 Building a supportive environment for addressing Injecting Drug Use, (IDU) issues
- 4.7 Legislative change
- 4.8 A supportive environment is multi-faceted
- 4.9 The need to lobby
Checklist (Chapter 5): A Balanced Approach
Chapter 6: Coordination
- 5.1 The Ottawa Charter
- 5.2 Balancing individual and population approaches
- 5.3 What is a population-based approach?
- 5.4 The population approach to suicide prevention
- 5.5 Balance between an individual and group focus and a population focus
- 5.6 Needs and requirements
Checklist (Chapter 6): Coordination
Chapter 7: Collaboration
- 6.1 Multi-dimensional nature of youth health
- 6.2 Joint programs and promotions
- 6.3 "Spelling it out"
- 6.4 Teamwork
- 6.5 Multi-disciplines - A team is an entity that is more than its individual parts
- 6.6 Referrals
- 6.7 Need for network development
- 6.8 Regular representation on and contact with important networks around a core of issues
- 6.9 Working with other parts of the health system
- 6.10 Promotion of the service
Checklist (Chapter 7): Collaboration
Chapter 8: Building the infrastructure
- 7.1 What is collaboration?
- 7.2 "Getting them in" - accessing young people
- 7.3 "Going into their territory"
- 7.4 The good, the bad and the youth health workers!
- 7.5 Co-location
- 7.6 Approaches to working with schools
- 7.7 Clinical services
- 7.8 Issues-based services - health education
- 7.9 Issues with information-based health education
- 7.10 A rationale for health education sessions in schools - health educators do it better?!
- 7.11 Another rationale for health education sessions in schools - "promoting the service"
- 7.12 Settings-based school programs
Checklist (Chapter 8): Building the infrastructure
LIST OF ABBREVIATIONS
APPENDIX 1 - PROFILE OF YOUTH HEALTH SERVICES
APPENDIX 2 - THE AUGUST CONSULTATION MATERIAL
- 8.1 Need for linkages between research and practice
- 8.2 Resourcing services to take time out from direct work
- 8.3 Training
- 8.4 Planning
- 8.5 Youth health work is high stress
- 8.6 Policy development and documentation