Provision of Youth Health Services in Aotearoa New

Zealand

June 2006

Advantages of one stop shop approach

• Developmental approach

• Avoid barriers of embarrassment, cost, transport, confidentiality

• Same day drop in appointments

• Least referrals possible• Participation,

Connection and Contribution can occur

1. School Health Care is a success story for more than 100 years

2. Inequalities in health during childhood and adolescence are increasing

3. New health priorities are challenging us in the 21st century

4. School health care should be of the highest political priority

5. School health care should be organised without thresholds

6. The school is an ideal setting to reach children and adolescents for health care programmes

7. Evidence-based school health care should be aimed for by supporting scientific research

8. Highly qualified school health professionals are needed

SchoolsHealth & Social Centre

PHO

School

MS

D

ACC

School

Schoo

l

DH

BG.P

Special Education

Social WorkerCommunity Worker

Physio

Guidance Counselor

Health and safety

Registered Nurse

Police

CYFS

Spec. Services- Diabetes

D&A

PHN

SexualSpecialist

WINZYoung people

Dental

CommunityNursesDoctors

medicationYouth workersSocial workers

nutritionYouth support workers

CounselorsAdmin/manager

dentist

Physio

CAMHS

CADS

Alternative EducationSchoolsHospital

SportAdventure

ArtsMentors

TrainingResearch

IV exchange

YouthlineRecreation

Standards of Care

1. Engagement with Community

2. Youth Focus and Participation

3. High Quality Comprehensive Clinical Care and Practice

4. Health Promotion/Public Health Activities

5. Administrative/Clinical Systems to Support Service Provision

Possible alternatives

MOH MOH

DHB DHB

PHO PHO Youth etc

Youth/WomensMaori/PI/aged careetc

Continuum

DHB tertiary (adolescent oncology/)

secondary

primary schoolcommunity

tertiary co-ordinated by 3 Centres of excellence providing

- research - training