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Sexual Initiation - Jorge Pelaez P.42 APAUSE - Claire Lewis and Nathan Curry P.47 Effective School-Based Sex Education - John Rees - APAUSE P.51

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Sexual Initiation - Jorge Pelaez P.42 APAUSE - Claire Lewis and Nathan Curry P.47 Effective School-Based Sex Education - John Rees - APAUSE P.51 Proceedings of the Second International Conference on Adolescent Health and Welfare ‘Youth - Conserving Our Resource for the Future’ ‘Youth - Conserving Our Resource for the Future’ Proceedings of the Second International Conference on Adolescent Health and Welfare Editor - Diana M.L. Birch First Edition June 1999 Published by Youth Support. 13 Crescent Road London BR3 2NF All proceeds in aid of disadvantaged children and families. Web site http://www.youthsupport.org And http://www.youthsupport.com 2 Proceedings of the Second International Conference on Adolescent Health and Welfare ‘Youth - Conserving Our Resource for the Future’ October 1998 at The Royal College of Physicians, London. Editor - Dr Diana Birch, Director Youth Support 3 4 Contents Preface p.7 Day One - Thursday 22nd October 1998 Opening Address - Diana Birch p.9 Keynote Address: Adolescent Reproductive Health –Lessons Learned and New Directions - Gail Slap p.13 Plenary 1: Adolescent Sexuality –Chaired by Chris Wilkinson and Pierre-Paul Tellier STIs - The Issues for Young People - Diane Noble and Gillian VanHegan p.23 Sexual Exploitation of Youth in Japan - Yuko Matsuhashi p.30 Teenage Abortion - Lars Holmberg p.35 Sexual Practices in Adolescence – Sexual Initiation - Jorge Pelaez p.42 APAUSE - Claire Lewis and Nathan Curry p.47 Effective School-based Sex Education - John Rees - APAUSE p.51 Plenary P2 Health and Physical Challenge -Chaired Gerben Sinnema and Simon Clarke Primary Care and the Adolescent - Ann McPherson p.58 Does School Health Have A Future? - Leon Polnay p.65 Adolescents with chronic conditions - Joan-Carles Suris p.70 Use of Health Care Resources by Adolescents - Jeanine Pommier p.76 Transition From Paediatric To Adult Care - Marcelle de Sousa p.83 Workshop Presentations and Special Seminars Psychological Issues in Teenage Pregnancy - Diana ML Birch p.87 Communicating with Adolescents- Daniel Hardoff p.96 Youth & the Media - Victor Strasburger p.105 Sexual Education - Training in Family Life Education - Barbara Huberman p.377 Plenary P3 - Teenage Pregnancy - Chaired by Pamela McNeil and Christine Ferron Adolescent Fathers - Diana Birch p.123 Teenage Mothers and their Children - Nona Dawson p.129 Pregnancy, Parenting and Playtime - Muriel O’Driscoll p.133 Adolescent Pregnancy: The Nepean Experience - Kaaren Dudley p.138 The Prevention of Teenage Pregnancies - Ellen Rome p.142 Adolescent Pregnancy, Sexuality and the Welfare Debate - Peter Selman p.150 Plenary P4 - Disability,Education & Employment – Chair Anne McCarthy, Richard Brown Adolescents With Cystic Fibrosis, Transition Issues - Ueli Buhlman p.156 Chronic Ill Health In Adolescents - Gerben Sinnema p.160 Chronic Illness And Youth - Helena Fonseca p.164 Job Retention - Anne McCarthy p.169 The Power of Positive Peers - Mark Boyce and Daniella Forer p.178 Establishing Young People’s Health Sessions - Gillian Turner p.187 Keynote Lecture chaired by Diana Birch Protecting Youth from Harm-Lessons Learned from Adolescent Health-Robert Blum p.194 Youth in a Multicultural Society - Pamela McNeil p.209 5 Day Two - Friday 23rd October 1998 Keynote Address – Chair Richard MacKenzie p.213 Youth - Conserving our Resource For the Future - Diana Birch p.215 Plenary P5 - Mental Health - Chaired by Eric Taylor and Daniel Hardoff Teenage Suicide - Richard Brown p.223 Attention Deficit Disorder - Simon Clarke p.230 Chronic Fatigue - Russell Viner p.236 Traumatically Bereaved Adolescents - Dora Black p.245 Young People, Homophobia and Mental Health - Joy Trotter p.252 Plenary P6 - Social and Behavioural Issues – Chair Joan-Carles Suris and David Baum The Care System - Keith Drinkwater p.256 Epilepsy in Adolescence - Frank Besag p.259 Working with Young Men in Rural Communities - Simon Blake p.264 Health Education For Adolescents - Does it Modify Behaviour? -Christine Ferron p.269 Deprived Youth in Russia - Andrei Smirnov p.274 Educating the Carers-Helen Russell-Johnson:Rosemary Blunden:Michelle Charles p.280 Plenary Session P7 - Youth and the Family - Chair Gail Slap and Neville Butler p.285 Women’s Centres of Jamaica Foundation Programmes - Pamela McNeil p.286 Working With Families Where There Has Been Abuse - Fiona Subotsky p.294 Youth and the Family - Deprivation and Cultural Issues - Aggrey Burke p.299 When the Going Gets Tough - Sharon Pettle p.305 The Importance of Family in Leaving Care - Kathy McAuley p.312 Plenary Session P8 - Abuse and Self Harm - Chaired by Robert Blum and Ann Sutton Transitional Care in Adolescents with Eating Disorders - Rod McClymont p.318 Admission and Initial Therapy of Severely Ill Anorexics - Ueli Buhlmann p.323 Sexually Abused Adolescents with History of Prior Victimisation - Elaine Yordan p.327 Youth Suicide Prevention - An Australian Nursing Perspective - Robyn Rosina p.333 Sexual Abuse - Protecting Young Men And Women From Abuse - Pat Cox p.338 Self-Harming Behaviours in Adolescents Residential Settings - Michael Maher p.343 Poster Presentations and Free Papers Renal Function in Adolescents with Eating Disorders - McClymont, Anderson et al p.348 Teen Pregnancy a Motivator for Positive Change -Marcia Nogueira Chiyo Maniwa p.349 Rating scale to assess communication skills with adolescents - R.H. Hearne et al p.350 Physical Abuse of Adolescents in Chile - Does a Problem Exist? – Romero et al p.351 Adolescence:Myth or Reality - Samoan Women’s Perspective. Anne-Marie Tupuola p.353 Adolescents' Sexual Behaviour in School- Ekaterinburg, Russia -Natalia Smirnova p.354 Adolescent Health in Urban India; A Study of Mumbai - Anil Kumar p.357 Promoting Adolescent Health on an Adolescent Ward - G.Anderson et al p.364 Reducing Teenage Pregnancy: Interagency Discussion Document - Helen King p.365 Mortality from Violent Causes: A Challenge for the Americas – T.Zubarew et al p.366 The Development of a Concept of Family Therapy - Sergei Sannikov p.367 Medicinal Herbs in Psychotherapy: Galina Sannikova p.372 ‘Project work’ with Young Drug Abusers– Youth Support Experience - p.374 Keynote Lecture Chair Diana Birch- Runaway and Homeless Youth-Richard Brown p.387 Panel: Dick MacKenzie, Pam McNeil, Irene Adams, Andrei Smirnov Closing Address - Diana Birch p.403 6 Preface This conference was the second international conference held by Youth Support and drew colleagues from all over the world. Youth Support is a charity dedicated to the furtherance of health and welfare for youth and children and their families throughout the world and to that end we have promoted Adolescent Health and the training of professionals in the field for the last thirteen years. Our annual forum meetings and conferences have provided a focus for professional interchange and growth and it is with pride that we announce that following this last conference a consensus was reached that the Youth Support Forum should become the British Society for Adolescent Health and Welfare. We encourage colleagues to join this group which already has a core of distinguished and knowledgeable founder and honorary members. We are very grateful to the number of speakers who attend our conferences and participate in our activities at their own expense and would remind colleagues that as a charity, we do not earn from conferences - in fact they have been highly subsidised and have run at a financial loss - without the generous contribution of time and energy from experts throughout the world we would not be able to continue and we are extremely grateful to all of them - and to all of you who have purchased these proceedings, thus contributing to the overall effort - Thank you. The conference was a vibrant interchange of information and it is in keeping with this spirit that we have kept editorial change to the transcript to a minimum and allowed the presentations to flow in an easy colloquial manner. In this way we hope to engender a feeling of ‘being there’ and reliving the conference to those reading at home or in the office. I hope that you will all enjoy reading the proceedings and that we will see you all at our next meeting. 8 Opening Diana Birch. - Youth Support Welcome all of you to the second International meeting that we have had here at the Royal College. I know a lot of you were here at our tenth anniversary meeting two years ago and it’s really great to see a lot of faces back again especially the people who have come from far afield. I am not going to speak very long at the opening because I’d like to pass over to Gail fairly quickly so she’ll have a little extra time and then we can also take some questions, but I wanted to tell you just a little bit about Youth Support and what we are doing and tell you a little bit about the conference and some of the changes in the programme as well. It’s really exciting at the beginning of a meeting. It’s the first time we’ve tried a two- day conference and made it truly international - we have people here from America, from the West Coast, from the East Coast, from Canada, from Japan, from Chile, South America, all over. And it’s really, really great to think, that back in ’86 Youth Support started as a tiny little committee of people who broke away from the Health Service because we thought that the statutory services particularly the Health Service didn’t really cater for the needs of young people - we just had paediatricians and adult specialists and we didn’t have anybody in adolescent medicine. Everyone thought that I was completely mad because I just wanted to see young people and awkward people, pregnant school girls and I was doing this stupid thing of running Youth Support but it’s just wonderful to see how it’s grown and see all your faces here. We’ve had marvellous support from our American colleagues, particularly. I am really pleased to see a lot of SAM (Society for Adolescent Medicine) members here.
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