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Related Experiment Video

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Improving Adolescent Psychosocial Assessment through Standardized Patient Simulation: An Interdisciplinary Quality

Laura Monahan1, Colleen L Eaves2, Joshua C Watson3

  • 1Department of Population Health Nursing Science, College of Nursing, Rockford Campus, University of Illinois Chicago, 1601 Parkview Avenue, Rockford, IL 61107, USA.

International Journal of Environmental Research and Public Health
|March 28, 2024
PubMed
Summary

Standardized patient (SP) simulations improved healthcare providers' confidence and skills in adolescent mental health assessments. This led to increased use of the HEEADSSS interview and a significant rise in social work referrals for at-risk youth.

Keywords:
adolescentclinical education strategiesinterdisciplinaryinterprofessional educationpatient simulationssuicide

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Area of Science:

  • Medical Education
  • Adolescent Health
  • Psychiatry

Background:

  • Adolescent suicide and mental illness rates are rising, highlighting a gap in healthcare provider training.
  • Limited residency training hinders healthcare professionals' confidence and skills in adolescent history-taking and confidential care.
  • Nursing professional development faces challenges in preparing interdisciplinary teams to effectively assess and intervene with adolescents.

Purpose of the Study:

  • To enhance clinical communication skills and competency in assessing adolescent psychosocial risk factors.
  • To increase the utilization of the Home, Education, Eating, Activities, Drugs, Sexuality, Suicidality, and Safety (HEEADSSS) interviewing technique.
  • To improve the rate of social work referrals for adolescent patients with modifiable risk factors.

Main Methods:

  • A quality improvement (QI) pilot study was conducted at a Texas pediatric tertiary care center.
  • Standardized patient (SP) methodology was used to supplement traditional clinical experiences.
  • Communication-focused education centered on the HEEADSSS interviewing framework was implemented.

Main Results:

  • Confidence in clinical communication skills increased by 13% post-simulation.
  • Clinical competency in psychosocial interviews improved by 11%.
  • Use of the HEEADSSS framework increased by 64%, and social work referrals surged by 89%.

Conclusions:

  • Interdisciplinary SP interviewing simulations effectively improved residents' ability to conduct psychosocial assessments for adolescent suicidality risk.
  • SP methodology is a beneficial tool for enhancing communication skills and clinical competency in adolescent mental health care.
  • The pilot demonstrated a significant positive impact on assessment skills and referral rates, addressing critical needs in adolescent care.