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(1)

Children and youth health care service in

Oslo

Youth healthcare service: practice and

experience in Oslo

Oslo kommune

Bydel Gamle Oslo

AnnLouise Gustafsson

Head og section of Healthcare service for children and youth Inger-Lise Wilhelmsen

(2)

Norway – some important facts

• Population: 5 million

• Approx. 60.000 births

• Great parts are

scarcely populated with

long travel distances

• Goal: services of equal

standard wherever you

live

• - 19 counties

(3)

The Norwegian Health Care

System- main characteristics

Oslo kommune

Bydel Gamle Oslo

-Mainly publicly provided and financed

-Accessible to all

-Patient`s Rights Act- regulates the patients right to care, participation in decision making and other issues

-The responsibility of providing health care is

(4)

THE CITY OF OSLO

Oslo kommune

(5)
(6)

Oslo kommune

Bydel Gamle Oslo

(7)

Oslo kommune

Bydel Gamle Oslo

District Director

Department for Health and Social Welfare

Department for Child care and Youth services HR

Departement

Finance & Adm Departement

Department for Health and Welfare

(8)

Oslo kommune

Bydel Gamle Oslo

Department for Child care and Youth services

Fagsenteret – tjenester til barn og unge med

spesielle behov

Kommunale barnehager Forebyggende

tjenester for barn og unge

Health service for children and youth

Barne- og

(9)

Oslo kommune

Bydel Gamle Oslo

Health service for children and youth

Head of Section

AnnLouise Gustafsson

Grønland health care senter

for children 0-5 year

Manager

Ann Kristin Vedeler

Fyrstikktorgets health care senter for

children 0-5 year

Manager

Unni Fadum Moen

Scool health care senter for children and youth

6-24 year

Manager

(10)

Oslo kommune

Bydel Gamle Oslo

The District of Gamle Oslo

• Population: 47 000 • 2012 newborn 1030 • Imigrants: 16 000

- 50 different languages

- largest group: Somalia 1100

• Estimated growt in children and youth population (6-19) 2013-2016 is nearly 30 %

• Fastest growing district in Oslo

age 0-5 6-15 16-19 20-39 40-66 67-79 80-84 85-89 90+ Total Pop 4 478 3 453 1 224 22 856 12 732 1 620 297 234 192 47 086

(11)

Oslo kommune

Bydel Gamle Oslo

Our vision

Good health,

wellbeing

and growth

for ALL

children

in Gamle Oslo

(12)

Various challenges

Illegal immigrants Powerty Forced marriages/ arranged marriages Unemployment Over weight Malnutrition

Mental health Female genitale mutilation

Upbringing cultures

Family violence Communication Education in Norwegian

(13)

Oslo kommune

Bydel Gamle Oslo

Familiehuset ”The Family House”

• Central location in the District

• All main services for children, youth and families •Health care center for children and youth

•Language Groups •Psychologist

(14)

Oslo kommune

Bydel Gamle Oslo

The health care centre specialists

Public health nurse(RN)

Midwife

Nurse

Physiotherapist

(15)

Oslo kommune

Bydel Gamle Oslo

Public health nurse(RN) education

3 years at college

practice as RN for minimum 2 years

1 year at college for public health nurse(PHN)

(16)

Oslo kommune

Bydel Gamle Oslo

National guidelines for Public health nurse

– National guidelines for Public health care for children

and youth

– National guidelines for documentation in healt care in a health journal

– National guidelines for measurement of height and weight

– National guidelines for mesaurement of sight and hearing

(17)

Oslo kommune

Bydel Gamle Oslo

The health centre objectives

Prevent illness and promote good physical and psychic health for coming parents, children and youth 0-24 years

Individual consultations/guidance

Health information

(18)

Oslo kommune

Bydel Gamle Oslo

The pregnency care program

Week 8-12: Consultation, midwife or GP

Week 18: Ultrasound at the hospital

Week 24: Consultation, midwife or GP

Week 28: Consultation, midwife or GP

Week 32: ----”””--- ---””””----•Week 36: ----”””--- ---””””----•Week 38: ----”””--- ---””””----•Week 39: ----”””--- ---””””----•Week 40: ----”””---- ----”””---- Week 41: ----”””---- ----”””---

After week 41: Overtime control at the hospital

(19)

Oslo kommune

Bydel Gamle Oslo

The Norwegian health control program according to national guidelines 0-5 years

8 days: Weight

1-2 weeks: Home visit by public health nurse( PHN)

6 weeks: Health consultation by doctor and PHN Vaccination

2 mth: Group consultation by PHN

3 mth: Consultation by PHN Vaccination

4 mth: ---”””--- ---”””--- .

5 mth: Group consultation by PHN

6 mth: Health consultation by doctor and PHN Vaccination

8 mth: Group consultation by PHN

10 mth: Consultation by PHN

1 year: Health consultation by doctor and PHN Vaccination

15 mth: Consultation by PHN Vaccination

18 mth: ---””””---- ----”””----.

2 years: Health consultation by doctor and PHN

(20)

Oslo kommune

Bydel Gamle Oslo

The Norwegian health control program according to national guidelines 5-15 years

1. Grade consultation with Public health nurse and GP - information to families that in there homeland practice female mutilation

2. Grade vaccination (Tetravac)

3. Grade measurement of height and weigh with information about diet

(21)

Oslo kommune

Bydel Gamle Oslo

4. Grade - groups – themes as children with divorced parents, groups of

children according to obesity, wellbeing, self-image, health behavior

5. Grade – puberty information,

-information to families that affect female mutilation

6. Grade -Vaccination MMR

(22)

Oslo kommune

Bydel Gamle Oslo

8. Grade -individual/group with self reported health form, measurement of height and

weigh with information about diet – offer M2 and BCG-vaccination

9. Grade -individual targeted issues -information to girls that affect female mutilation

10. Grade -individual targeted issues – check and vaccination and specially for hep-B for

immigrants – lessons about prevention, sexual transmitted diseases and sex

(23)

Oslo kommune

Bydel Gamle Oslo

Secondery school(High school)

1. year Secondary school(high-school) – information about school nurse and

psychologist, mental health behavior and health care center for youth

2. year – individual targeted issues

3. year – individual targeted issues , informationvacsine meningitis and information about prevention, sexual transmitted diseases and sex

(24)

Modell for Mental health care in OSLO school Indicated level Students with Mental disorder Selected level Students at risks Universal level

The hole school community

Indicated level

•Individual adapted initiatives •Close following-up from collaborative partners

•Close cooperation with the studen and elev and

guardiens •Guidance Initiativs Initiativs level E s c a la tion of th e c ompe tenc ie n - a nd s pes ia li s t initia tiv e s Selected level

•Establish and maintaining the multidisiplinary meetings at scool •Detect and takeaction

•Support conversations •Self help groups

•Guidanse

Universal Level

•Mental healthcareplan •Human resource

development

•Health- and wellfare promoting initiatives •Informasjon til foresatte

Local community

The districtworkers that work with children and youth at risks

(25)

Oslo kommune

Bydel Gamle Oslo

Health care centre for youth in Oslo

15 health care centre for youth (13-24 years)

Open once a week

At 2 p.m. to 6 p.m.

One healthcare centre for homophiles and lesbians, open once a week

Sex og Samfunn (sexual and social-knowledge centre), open 4 days a week at 4 p.m. to 8 p. m.

(26)

Oslo kommune

Bydel Gamle Oslo

“Drop-in” service – no need for appointments – low treshold

Professional confidentiality

Free of charge

HAP- consultations - youth with drug abuse

School drop-out

Is a supplement to school health care

(27)

Oslo kommune

Bydel Gamle Oslo

Knowledge about teens needs and their culture

Themes as: sexuality and contraception, sexual transmitted diseases (STD’s),

different sexual behavior

Contraceptions for youth (16-20year) - PHN

Health care center for hearing impaired youth (Oslo)

Physical and mental health

(28)

Oslo kommune

Bydel Gamle Oslo

Statistics from Bydel Gamle Oslo, Health care center for youth

• 600 youth a year (41 weeks)

• Clamydiatests 2012 total 194 and 22 tested positive • Psychosomatic problems: 50

• Sexual transmitted diseases: 144 • Pregnancy test: 53

• Somatic health : 72 • Prevention: 133

(29)

Oslo kommune

Bydel Gamle Oslo

Youth Democracy in Oslo

Youth Advisory Council

• propositions to the District Council

• plan and arrange the yearly Youth Conference • allocating funds to youth work

The Youth Conference

• yearly conference with over 140 participants from schools in the District

(30)

Oslo kommune

Bydel Gamle Oslo

Availability Low threshhold Cooperation with Teatcher Counsiler Outreach workers and others Same attention -don´t let the student drop Act at the same time Find appropriate inititatives

(31)

Oslo kommune

Bydel Gamle Oslo

Challenges

Socioeconomics differences and they increase

Complex families – different issues

Preventing risks

Promote resources at the individual and the surrounding

Promote healthy lifestyle and activity

(32)

Various challenges

Illegal immigrants Powerty Forced marriages/ arranged marriages Unemployment Over weight Malnutrition

Mental health Female genitale mutilation

Upbringing cultures

Family violence Communication Education in Norwegian

(33)

Oslo kommune

Bydel Gamle Oslo

Everyone has problem during life…..

Life is like a rollercoster

.. It goes up and down

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