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  1. P A Michaud1
  1. 1Multidisciplinary Unit for Adolescent Health, Departement of Pediatrics, University Hospital/CHUV, Lausanne, Switzerland


Communication with young people within any healthcare structure requires specific skills that will be reviewed in the light of clinical cases. First, the setting has to be set properly, emphasising the adolescents’ rights (confidentiality) as well as how and when the parents/guardians will be involved. Second, as many young patients consult with a “hidden agenda” (the very nature of their problem is not disclosed when they take the appointment), one has to review his/her physical and mental health carefully as well as his/her lifestyles: family and social life; school and professional perspectives; eating patterns; leisure activities; substance use; sexuality; violence and mental health (so-called “HEADSSS” acronym). Third, the adequate response to some specific situations will be reviewed: How to deal with an adolescent who was forced to consult? How to communicate with a young person who doesn’t want to speak? How to transfer a young person with severe mental health problems effectively to psychiatrist colleagues? Finally, the presentation will discuss how to make healthcare settings youth friendly.

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