Paediatr Child Health. 2014 May;19(5):247-50. doi: 10.1093/pch/19.5.247.
A collaborative outreach clinic for pregnant youth and adolescent mothers: Description of a pilot clinic and its patients.
Paediatrics & child health
Megan E Harrison, Hannah Weinstangel, Nancy Dalziel, Katherine A Moreau
Affiliations
Affiliations
- Department of Pediatrics, University of Ottawa, Children's Hospital of Eastern Ontario; ; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario;
- Department of Pediatrics, University of Alberta, Edmonton, Alberta.
- Department of Pediatrics, University of Ottawa, Children's Hospital of Eastern Ontario;
PMID: 24855427
PMCID: PMC4029230 DOI: 10.1093/pch/19.5.247
Abstract
OBJECTIVE: To describe the pregnant youth and adolescent parents seen at an adolescent health outreach clinic in an urban community setting during a two-year pilot project.
METHODS: A retrospective chart review of all adolescents who presented at the monthly half-day clinics from January 2008 through January 2010 (n=36) was performed. Measures extracted from charts included demographic information, reason for referral, social history, mental health history and outcome of assessment.
RESULTS: All participants were female (mean age 17 years). Forty-two percent were pregnant at initial assessment, while the remainder had one or two children, or a recent pregnancy loss. Sixty-one percent had no primary care physician. The primary reason for referral was mental health concerns, most commonly depression. Almost one-half of patients relied on social assistance and almost one-third were living in shelters. At the time of first visit, 42% of patients were not attending school; the highest level of school completed for most patients was grade 8. The majority had a history of mental health issues and previous drug and/or alcohol use.
CONCLUSIONS: Adolescents presenting to the clinic had a history of disadvantage in terms of income, educational attainment, living arrangements and mental health background, and are in need of various health services including primary care practitioners. These findings will help to inform future program development for these vulnerable youth, and have implications for practitioners caring for this population.
Keywords: Adolescent mothers; Community outreach; Health care access; Teenage pregnancy
References
- Arch Womens Ment Health. 2003 Nov;6(4):263-74 - PubMed
- J Am Acad Child Adolesc Psychiatry. 2011 Mar;50(3):232-241.e4 - PubMed
- Matern Child Health J. 2012 Jan;16(1):228-34 - PubMed
- Adolescence. 1994 Spring;29(113):91-103 - PubMed
- J Adolesc Health. 1998 May;22(5):417-23 - PubMed
- J Obstet Gynaecol Can. 2011 Nov;33(11):1105-1115 - PubMed
- Paediatr Child Health. 2008 Jan;13(1):53-60 - PubMed
- Fam Plann Perspect. 2001 Nov-Dec;33(6):251-8, 289 - PubMed
- Arch Pediatr Adolesc Med. 1996 Jan;150(1):64-9 - PubMed
- BMJ. 2009 Nov 12;339:b4254 - PubMed
- J Pediatr Adolesc Gynecol. 2008 Oct;21(5):275-81 - PubMed
- J Appl Dev Psychol. 2006;27(2):165-182 - PubMed
- Fam Plann Perspect. 2001 Nov-Dec;33(6):259-67 - PubMed
- Pediatr Clin North Am. 2003 Aug;50(4):781-800, viii - PubMed
- Matern Child Health J. 2012 Jul;16(5):1063-71 - PubMed
- Int J Epidemiol. 2007 Apr;36(2):368-73 - PubMed
- Am J Epidemiol. 2001 Aug 1;154(3):212-20 - PubMed
- Matern Child Health J. 2012 May;16(4):894-901 - PubMed
- J Obstet Gynaecol Can. 2013 Mar;35(3):234-245 - PubMed
- J Spec Pediatr Nurs. 2008 Oct;13(4):237-48 - PubMed
- J Pediatr Psychol. 2009 May;34(4):366-78 - PubMed
- Infant Ment Health J. 2005 May;26(3):231-249 - PubMed
- Pediatrics. 2012 May;129(5):e1228-37 - PubMed
- Am J Psychiatry. 2011 Jun;168(6):593-602 - PubMed
- Soc Sci Med. 2006 May;62(10):2526-39 - PubMed
- J Obstet Gynaecol Can. 2012 Dec;34(12):1134-1140 - PubMed
- Adolesc Med State Art Rev. 2012 Apr;23(1):123-38, xi - PubMed
- JAMA. 2006 Mar 22;295(12):1389-98 - PubMed
- J Child Psychol Psychiatry. 1984 Apr;25(2):305-13 - PubMed
- J Pediatr Health Care. 2007 Sep-Oct;21(5):289-98 - PubMed
- J Dev Behav Pediatr. 1986 Aug;7(4):230-6 - PubMed
Publication Types