Ensuring that 'hard to reach' young people agree to health assessments

Area of Science:

• Child Health
• Healthcare Engagement
• Public Health Policy

Background:

• Statutory guidance mandates regular health assessments for looked after children (LAC).
• LAC in the care system frequently refuse these essential health assessments.
• Existing healthcare engagement strategies are insufficient for this vulnerable population.

Purpose of the Study:

• To identify barriers preventing LAC from attending health assessments.
• To explore and evaluate alternative strategies for improving engagement and participation in healthcare.
• To enhance the health and wellbeing of LAC through improved assessment uptake.

Main Methods:

• Longitudinal study design to track engagement over time.
• Qualitative exploration of barriers to assessment attendance.
• Development and implementation of a multi-agency, child-centred engagement strategy.

Main Results:

• Key barriers to engagement were identified through the study.
• The implemented multi-agency and child-centred approach significantly improved participation rates.
• Positive outcomes in engaging 'hard to reach' children and young people were observed.

Conclusions:

• A collaborative, child-focused strategy is crucial for overcoming engagement challenges in LAC healthcare.
• Tailored approaches are necessary to meet the specific needs of LAC and ensure access to essential health services.
• Effective engagement strategies can improve health outcomes for children in the care system.