CHAT+

Sehra MehtaFurther Education Outreach Nurse

ShropshireDecember 18th

2013

CHAT+

Success of CHAT lead to FE provision – Teenage Pregnancy Strategy

Started in January 2009 with FE consultation Funded for 1 x Nurse and 1 x part time HCA 5 colleges initially involved

CHAT+ provision

Weekly drop in service on site Registration to the CDS Opportunistic Chlamydia screening Extended sexual health provision

Full range of contraception Contraceptive pills and emergency contraception Contraceptive Implant fitting and removal Injectable contraception

Full STI screening for asymptomatic clients

CHAT+ provision

Signposting to other services FIS Shropshire Substance Misuse Team CBT

Referral to other agencies Teenage Identified Midwives CAMHS Mental health support groups

CHAT+ provision

Registration to SH service both for contraception and GUM

Reminders about general health access GP/Practice Nurse Walk in Centres Out of Hours service

Registration

Demographic details Sexuality and Relationship details Current contraception Assess risks if any

Alcohol Drugs Lifestyle including accommodation Support – leaving care etc

Confidentiality

Same as for any health based service No GP involvement unless absolutely necessary

Reassurance for client that they can talk freely and not be judged

Safeguarding of the client is paramount Opportunity for client to register

comments/compliments/complaints

Health Promotion

Health events calendars College events Tutorials New starters End of term activities

CHAT+ promotion

Moodle Newsletters CHAT development days Housing Associations County Training venues

Data

January – December 2013 479 clients seen 385 CDS registration, distribution and renewal 110 Chlamydia screens 28 hormonal contraception issues 6 STI screens >30 referrals to other agencies

Useful websites www.childline.org.uk www.mind.org.uk www.getconnected.org.uk www.rcpsych.ac.uk Royal College of Psychiatrists www.nshn.co.uk National Self Harm Network www.wellatschool.org www.nhs.uk/conditions/self-injury www.nta.nhs.uk National Treatment Agency www.nice.org.uk/PHI004 Interventions to reduce substance misuse

amoung vulnerable young people