In this section
Useful references include:
including serious injuries, use of safety gear for sports and seatbelts for cars, riding with an intoxicated driver and exposure to violence at school and in neighbourhood.
For high risk youths ask about carrying or use of weapons and other criminal behaviours/ incarceration of youth or family/ friends.
Having taken a psychosocial history, consider adolescent health concerns in terms of risk and protective factors. Give positive feedback for the things that are going well, as positive reinforcement goes a long way toward improving self esteem and cementing a positive, trusting relationship with the young person.
For young people who engage in significant health risk behaviours express concern and then ask them if they are willing to change their lives or are interested in learning more about ways to deal with their problems. This then leads to a discussion of potential follow up and therapeutic interventions. Where possible the main focus of management should be on short term goals.
Consider opportunistic vaccination including Hepatitis B & HPV.
An RCH policy is available online at
Transition of patients to adult services
Encourage young people over the age of 15 to obtain their own Medicare card by filling out the requisite paperwork from a Medicare office
Urgent referrals from RCH ED to Psychiatry Consultation and Liason:
Less-urgent/ intake/ external referrals:
Young People's Health Service (FRONT YARD)
Monday to Friday 12pm to 5 pm. No appointment required, for people aged 12-22 years.
19 King Street (near Flinders Street)
Phone: 9611 2411, 1800 800 531
580 Swanston street, Carlton VIC 3053.
Ph: 93470244, free call 1800 032 017
Level 1, 94 Elizabeth Street
Ph: (03) 9654 4766, 1800 013 952
Level 2Collingwood Football Club Community Centre
cnr Lulie and Abbot Streets
Abbotsford Vic 3067
Ph: 1300 550 236
14-18 Brunswick St, Fitzroy 3065
Ph: (03) 9415 8860, YSASline 1800 014 446
Kids Help Line (Free call service for those under 18 years)
Lifeline: Counseling, support and Referral
1800 551 800
1300 651 251
Please see our clinical practice guideline Immunisation of Outpatients
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