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Comprehensive health care for high-risk adolescents

An evaluation study

Bibliographic Data

ID11036767
AuthorsFelton J Earls (Washington University in St. Louis), F EARLS, L Robins (0000-0003-2039-6164), L N Robins, Arlene Rubin Stiffman, Jack L Powell, J Powell (0000-0002-9247-7302)
Year1989
Volume79
Issue8
Pages999-1005
Publication date1989-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.79.8.999
PMID2751040
OpenAlexW2071673986
LanguageEN
Citations received10
References cited12

This study was designed to evaluate the effectiveness of a large scale program to improve health care for high-risk adolescents. Seven clinics, funded to provide comprehensive primary care to adolescents, were compared to three non-funded clinics. The majority of the 2,788 adolescent patients sampled in these clinics were female (78 percent) and Black (71 percent). Each patient was initially interviewed at the time of a clinic visit and reinterviewed 12 months later; their medical records were systematically reviewed. As expected, the funded clinics detected and treated a wider range of medical and behavioral problems than the comparison clinics, a finding that was based on the self-reports of patients and confirmed by documentation in the medical records. However, improvements in life-style and in specific medical outcomes were not observed. To build on the limited success of this program, efforts are needed to encourage more males to receive care and to develop more specific interventions for patients in this age group

Documentation · Family medicine · Health care · Medical record · Psychological intervention · Public health · Adolescent and Pediatric Healthcare · Child and Adolescent Health · Childhood Cancer Survivors' Quality of Life · Medicine · Nursing · Gerontology

  • Stressful Life Events and Psychiatric Symptoms in Black Adolescent Females

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  • Youth and Provider Perspectives on Social Service Providers' Roles in Mental Health Services

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Unique citing works10
Citations per year0,27
Citation span1989 - 2008 (20)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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