reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 4 Specific Objective #1: Explain ways that the provider can establish trust with the adolescent client CONTENT Knowledge/Attitudes/Skills FEELINGS OF THE ADOLESCENT Understanding the realities and mind-set of the adolescent client will foster better communication and responsiveness to adolescents’ needs. When an adolescent is face-to-face with a provider (or an adult staff member) s/he may feel: • Shy about being in a clinic (especially for RH) and about needing to discuss personal matters. • Embarrassed that s/he is seeking RH care. • Worried that someone s/he knows might see her/him and tell the parents. • Inadequate to describe what is concerning her/him and ill-informed about RH matters in general. • Anxious that s/he has a serious condition that has significant consequences (e.g. STI, pregnancy). • Intimidated by the medical facility and/or the many “authority figures” in the facility. • Defensive about being the subject of the discussion or because s/he was referred against her/his will. • Resistant to receiving help because of overall rebelliousness or other reasons fostering discomfort or fear. Training/Learning Methods (Time Required) TRAINER PRESENTATION (10 MIN.) The trainer should present the content on the left-hand side of the page. ROLE PLAY (20 MIN.) The trainer should: • Explain that the role play is focused on the importance of the non-medical staff of the clinic and how their actions can impact the adolescent client’s experience. • Select 4 Px (or accept volunteers) for the role play. Two role plays will be enacted: 1. An adolescent client and an insensitive receptionist. The adolescent attempts to make sure s/he is in the right place, asks what to do, inquires about procedures, etc. (and is very anxious and uncomfortable). The receptionist is busy, over-worked, believes adolescents should not seek RH care, and is indifferent to the adolescent’s needs and sensitivities. 2. An adolescent client and a trained, sensitive receptionist. The actors perform the same scenario as above, but the receptionist is understanding and wants to help make the overall clinical interaction a positive and effective experience. Pathfinder International 46 Adolescent Curriculum
Module 16/Unit 4 CONTENT Knowledge/Attitudes/Skills ESTABLISHING TRUST WITH THE ADOLESCENT The adolescent is going through dramatic biological and psychological changes in general. Seeking health care may be challenging and difficult for her/him. Training/Learning Methods (Time Required) • Lead a discussion among the Px about what difference each scenario would make in the overall clinical experience of the adolescent. • Encourage the actors to express how they felt assuming roles during the role play. Each staff person who may interact with adolescents must understand these circumstances and feelings and must be prepared to assist in a helpful, nonjudgmental way. The following are tips for good communication: • Be genuinely open to an adolescent’s question or need for information (ranging from “Where is the toilet” to “Should I use birth control”). • Do not use judgmental words or body language that suggest disapproval of adolescents being at the clinic, of their behavior, or of their questions or needs. • Understand that the young person has various feelings of discomfort and uncertainty. Be reassuring in responding to the adolescent, making him or her feel more comfortable and confident. • If sensitive issues are being discussed, help ensure that conversations are not overheard. Source: Vereau, D. 1998. Improving interpersonal communications skills for counseling adolescents on sexual reproductive health. Lima, Peru: Pathfinder International. Pathfinder International 47 Adolescent Curriculum
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