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
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
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
THE CITY OF OSLO
Oslo kommune
Oslo kommune
Bydel Gamle Oslo
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
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
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
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
Oslo kommune
Bydel Gamle Oslo
Our vision
Good health,
wellbeing
and growth
for ALL
children
in Gamle Oslo
Various challenges
Illegal immigrants Powerty Forced marriages/ arranged marriages Unemployment Over weight MalnutritionMental health Female genitale mutilation
Upbringing cultures
Family violence Communication Education in Norwegian
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
Oslo kommune
Bydel Gamle Oslo
The health care centre specialists
•Public health nurse(RN)
•Midwife
•Nurse
•Physiotherapist
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)
Oslo kommune
Bydel Gamle Oslo
National guidelines for Public health nurse
– National guidelines for Public health care for childrenand 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
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
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
Various challenges
Illegal immigrants Powerty Forced marriages/ arranged marriages Unemployment Over weight MalnutritionMental health Female genitale mutilation
Upbringing cultures
Family violence Communication Education in Norwegian
Oslo kommune
Bydel Gamle Oslo