- Structure of Interview: Do an initial assessment with the parent and adolescent, focusing on chief complaint and history. Then speak with the adolescent alone. Start with a confidentiality statement, saying, “Everything is confidential unless I have a concern that you will harm yourself or someone else, or if someone is harming you.”
Who lives at home? Does everyone get along with each other? Do you feel safe at home? Do you eat meals with family?
What grade are you in? Have you ever been held back or skipped a grade? What is your best subject? What kinds of grades do you earn? What do you want to be when you grow up?
What do you do in your spare time? Do you have a best friend? What is your best friend's name? Do you have a job? How many hours each week do you work? How much TV/Video game screen time? How much physical activity?
Do you or your friends go to parties? Do they serve alcohol at these parties? Do you or your friends drink alcohol? Do you know anyone who smokes cigarettes? Do you smoke cigarettes? Do you know anyone who takes any other drugs? Have you tried any other drugs?
Do you eat a balanced diet? How many servings of fruit/vegetables do you eat? Do you eat three meals a day? Are you happy with the way your body looks? Do you want to lose or gain weight? Have you ever tried restricting what you eat? Have you ever taken laxatives, diuretics, or diet pills to lose weight?
Review SIGECAPS (changes in Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor retardation or agitation, Suicide)
How do you cope with stress? Have you ever thought of hurting yourself? Have you ever tried hurting yourself?
Are you attracted to men, women, or both? Have you ever engaged in oral, vaginal, or anal intercourse? If so, do you use protection every time? What kind of protection? Have you ever had an STI? Have you ever been pregnant or been involved in a pregnancy? How many lifetime sexual partners have you had? How many partners have you had in the past 2 months?
Do you wear a seat belt? Helmet during biking? Are there guns in the home? Do you feel safe at home?
Is bullying a problem? Do you know anyone in a gang? Are you in a gang? Are there any guns at home? Have you ever been physically, emotionally, or sexually abused? Did you tell anyone about the abuse?
- Preventive care: Integrate preventive services during routine visits.
- Gather information and identify problems → further assess → identify and prioritize problems together → develop solutions.
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