Paeds Cases · adolescent-and-young-adult-medicine
Adolescent risk assessment and harm minimisation OSCE — screening, brief intervention and the harm bundle
Observed structured encounter testing HEADSS, validated screening, motivational-interviewing brief intervention, and assembly of a domain-specific harm-reduction bundle with a safety override.
On this page
Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a private risk assessment with a 16-year-old who vapes daily, has low mood, and uses condoms inconsistently. Station B is an opioid-use disclosure requiring a harm-reduction bundle and a confidentiality decision.
Station objectives
- Secure time alone and state conditional confidentiality with its limits. [1] [7]
- Complete a focused HEADSS assessment and apply validated screens where leads appear. [1] [2]
- Deliver a motivational-interviewing brief intervention matched to readiness. [6]
- Assemble a domain-specific harm-reduction bundle. [3] [5]
References7ShowHide
- [1]Cohen E, Mackenzie RG, Yates GL HEADSS, a psychosocial risk assessment instrument: implications for designing effective intervention programs for runaway youth. Journal of adolescent health : official publication of the Society for Adolescent Medicine, 1991.PMID 1772892
- [2]Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Archives of pediatrics & adolescent medicine, 2002.PMID 12038895
- [3]Kimmel SD, Gaeta JM, Hadland SE, Hallett E, Marshall BDL Principles of Harm Reduction for Young People Who Use Drugs. Pediatrics, 2021.PMID 33386326
- [4]Horowitz LM, Bridge JA, Teach SJ, Ballard E, Klima J, Rosenstein DL Ask Suicide-Screening Questions (ASQ): a brief instrument for the pediatric emergency department. Archives of pediatrics & adolescent medicine, 2012.PMID 23027429
- [5]Chadi N, Hadland SE Youth Access to Naloxone: The Next Frontier? The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2019.PMID 31648752
- [6]Cushing CC, Jensen CD, Miller MB, Leffingwell TR Meta-analysis of motivational interviewing for adolescent health behavior: efficacy beyond substance use. Journal of consulting and clinical psychology, 2014.PMID 24841861
- [7]Levy SJ, Williams JF Substance Use Screening, Brief Intervention, and Referral to Treatment. Pediatrics, 2016.PMID 27325634