Agenda - 11-16-1993 - III-B (2) - Laserfiche WebLink

Browse Search

12 Labs provided by the health department for the adolescent, are hematocrit, urinalysis, urine culture, throat culture, chlamydia culture, gonorrhea culture, wet prep, serum cholesterol, serum glucose, RPR serology, thyroid panel, HIV anonymous and confidential screening, AFP, Rubella and B Strep cervical culture. Reproductive health services available to adolescents are provided at both branches of the OCHD through the family planning and sexually transmitted disease clinic. Services provided are physical examinations, HIV testing and counseling, nutrition counseling, health education on contraception, dispensing of birth control and diagnosis and treatment of sexually transmitted diseases. Services specific to the expectant teen mother in the Northern Orange County branch are prenatal care which includes a series of prenatal education classes, nutrition counseling, WIC services, maternity care coordination by social workers, presumptive eligibility for Medicaid, prenatal medical care, home visitation to each mother after delivery and transportation. For the child of the teen mother, services free of charge include physical exams, immunizations, developmental screening, lead testing, vision and hearing screening, parent education and counseling, home visitation, child service coordinator for children with special needs and sickle cell screening and counseling. These services will continue to be offered to the children of the adolescent mothers when needed. Dental services are provided at both branches of the OCHD which include routine cleanings, extractions and restorations. A free screening examination is provided with the remainder of services on a fee for service sliding scale basis. Dental services are to be increased through the development of an adolescent dental clinic which will provide services at the same time as the adolescent clinic and by direct referrals from the adolescent clinic. This will allow students to access the same transportation source to and from school. Nutrition services are provided through the adolescent clinic in the form of annual physical examinations with measurement of specific growth parameters. Counseling and education is coordinated the by OCHD nutritionist who sees students at school and the home setting if necessary. The school nurse follows students at school with weekly weights and further nutritional education. A service unique to Northern Orange County is the Adolescents-in-Need (AIN) Project of the UNC Division of Community Pediatrics which serves at risk students in the Orange County School system. This project serves as a portal of entry for students when no service exists or service is fragmented. A medical/social work team provides counseling and guidance to students in their homes and at school. The medical person on the team is also the medical provider at the adolescent clinic described above. The medical/social work model integrates with existing county and school services to insure success in school, development of communication in families, health care access, and strong personal relationships among friends and significant others. Services are delivered at school and in the homes of teens, giving the service systems a complete picture of the environmental issues affecting the students' lives. The social work component blends with the medical component to provide linkages to services and resources that enhance the physical well being of adolescents. Linkages to school and service providers produces a model that is designed to insure comprehensive health and social services to students. Mental health services for adolescents are provided by the Orange Person Chatham Mental Health Center (individual and family counseling with sliding scale fee for services), school psychologists (educational testing and counseling), school social workers (counseling and networking), private mental health facilities (admission for life threatening emergencies or