{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T17:39:50Z","timestamp":1696527590700},"reference-count":34,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2013,9,19]],"date-time":"2013-09-19T00:00:00Z","timestamp":1379548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To identify the percentage of young people presenting to a primary healthcare service targeting homeless youth, in <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>elbourne, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia, who, based on youth\u2010specific Home, Education, Activities, Drug and alcohol use, Sexuality and Suicide (<jats:styled-content style=\"fixed-case\">HEADSS<\/jats:styled-content>) psychosocial assessment tool, were screened for the sexually transmitted infection <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hlamydia and tested positive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Homeless young people are at high risk of poor health outcomes including sexual health. Chlamydia prevalence is highest in 16\u201324\u00a0years. Youth psychosocial assessment tools such as the <jats:styled-content style=\"fixed-case\">HEADSS<\/jats:styled-content> can engage young people and provide comprehensive health assessment that identifies health risks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A retrospective audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred consecutive client files of youth who presented to a primary healthcare service for the first time were selected. Client data were collected at the health services' inner city drop\u2010in clinic and clinical refuge outreach (<jats:styled-content style=\"fixed-case\">CRO<\/jats:styled-content>). <jats:styled-content style=\"fixed-case\">HEADSS<\/jats:styled-content> assessments were made on new presentations to identify those at risk of <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hlamydia. These young people were then offered screening for <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hlamydia using a first\u2010pass urine sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred <jats:styled-content style=\"fixed-case\">HEADSS<\/jats:styled-content> assessments were audited, of which 15 were incomplete. Of the 85 completed <jats:styled-content style=\"fixed-case\">HEADSS<\/jats:styled-content> assessments, 43 were tested and 11 had <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hlamydia\u2010positive results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Comprehensive youth assessment tools, such as the <jats:styled-content style=\"fixed-case\">HEADSS<\/jats:styled-content>, can provide a valuable resource in identifying sexual health risks such as <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hlamydia. In turn, skilled nursing staff can provide opportunistic screening. Early identification and treatment for <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hlamydia can reduce the spread and sequela of this highly infectious <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Youth health nurses can enhance their nursing practice in working with young people at risk of homelessness and improve their health outcomes by employing youth\u2010specific assessments.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12393","type":"journal-article","created":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T13:57:31Z","timestamp":1381240651000},"page":"3280-3288","source":"Crossref","is-referenced-by-count":4,"title":["Chlamydia screening in young people as an outcome of <scp>a HEADSS; H<\/scp>ome, <scp>E<\/scp>ducation, <scp>A<\/scp>ctivities, <scp>D<\/scp>rug and alcohol use, <scp>S<\/scp>exuality and <scp>S<\/scp>uicide youth psychosocial assessment tool"],"prefix":"10.1111","volume":"22","author":[{"given":"Donna M","family":"Eade","sequence":"first","affiliation":[{"name":"Young People's Health Service Centre for Adolescent Health Royal Children's Hospital Parkville Vic. 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