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Medical trainees' knowledge and confidence in using HEEADSSS assessment tool
Aims:
To evaluate trainees' knowledge and confidence in using the HEEADSSS psychosocial assessment tool and any training gaps, confidence using it when interviewing a young person in distress and attitude toward mental health disorders in adolescents.
Methods:
An electronic anonymous survey link was sent to trainees from two different specialties within the Royal College of Physicians of Ireland (RCPI) using a Qualtrics questionnaires tool.
Results:
A total of 65 trainees' responses were recorded, 51 (78%) from Paediatrics and 14 (22%) from Obstetrics and Gynaecology. In total, 50 (77%) knew about the HEEADSSS assessment, but only 37 (57%) felt confident using it. Twenty-four (37%) report feeling uncomfortable when dealing with adolescent patients with behavioural or mental health disorders and 29 (44%) do not feel comfortable doing a psychosocial assessment in adolescents during times of emotional distress. Sixty-five (100%) of participants agreed on the fact that mental health knowledge is important in adolescent health care.
Discussion:
This study reveals a significant gap between trainee awareness of the HEEADSSS psychosocial assessment tool and its clinical implementation. Despite high awareness, trainees reported low confidence and discomfort, particularly with adolescent mental health, indicating a clear need for enhanced training and structured support.
