Paediatrics: Adolescent health Communication

Adolescent health

Communication

The primary goal of any consultation with an adolescent, regardless of the presenting complaint, is to establish a relationship of trust. This calls for effective and effi cient communication. However, achieving this is often difficult and challenging, particularly when faced with a personality who is undergoing rapid psychological and social change, and who does not have an adult’s perspective of health issues and society. Young people may be seen by themselves, as well as with their parents. Parents should not be excluded, but it is important to emphasize that the adolescent is the centre of the consultation. Communication of information should be in a manner appropriate for development.

Have a style of communication that is:

•   open;

•   sensitive;

•   empathetic;

•   non-judgemental.

A positive regard and respect for any differing values and practices should be exhibited. At all times there must be reassurances about confidentiality.

•   Use an open-ended questioning style.

•   Avoid medical jargon and inappropriate reassurance of normality.

•   Allay fears and anxieties.

•   Abstract concepts should be avoided.

The HEADSS protocol  is a psychosocial history toolkit specifi-cally designed for adolescent health-related consultations.¹