A Study of Interactions Emerging Issues in the Science of Adolescence: Workshop Summary (2006) / Chapter Skim
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4 A Time of Opportunity
4 A Time of Opportunity
Pages 27-35
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From page 27... ...
become passionate about a sport, or music or literature or dance or changing the world." Thus adolescence is a time to capture and channel kids' passions and emotions toward constructive activities and relationships. This perspective on adolescents has been the guiding principle for many programs designed to engage teenagers, head off problems, build skills, and create settings that connect youth with caring adults who can help them cope with stresses that pose risks to their health and well-being.
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From page 28... ...
Lerner grounded his discussion of phases in thinking about adolescence in the context of changing theoretical paradigms regarding human development over the entire life span. He pointed to the work of William Overton, who moved the field from a focus on the "nature versus nurture" dichotomy to the current conception of development as a process in which multiple levels of organization -- ranging from the inner biological through the psychological to the physical, ecological, sociocultural, and historical -- all play a role.
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From page 29... ...
This emphasis on diversity provides the basis for examining the circumstances in which the potential exists for change and for positive inter 1The 50 percent figure is subject to some dispute. A summary of Centers for Disease Control and Prevention data on adolescent health risks provides additional information on the statistical prevalence of a range of risks, supporting the general observation that many youth experience a variety of risks (Centers for Disease Control and Prevention, 2004)
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From page 30... ...
Sinai Adolescent Health Center in New York City, a program that uses the positive youth development approach in serving the health needs of 15,000 adolescents annually. A SAFETY NET FOR NEW YORK CITY'S YOUTH The population of New York City includes large numbers of lowincome young people who lack adequate health insurance and who face the
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From page 31... ...
Sinai Hospital in Manhattan provides this population with physical, mental health, and reproductive health care in a way that integrates prevention and positive youth development. As Diaz explained, it would be easy to focus exclusively on prevention when working with these young people: 98 percent of them are poor, and 76 percent have no health insurance.
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From page 32... ...
Sinai's program for adolescents provided an important reminder of the immediate need for strategies that work with young people by influencing their decision-making processes, their selection of friends and social networks, and their engagement with health care professionals, teachers, and other service providers (see Box 4-1 for an illustrated example focusing on the development of a vaccine for the human papillomavirus)
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From page 33... ...
For the vaccine to have the maximum benefit -- and it, together with Pap testing and HPV screening, could prevent virtually all cervical cancer deaths -- adolescents, parents, and health care providers will all need education that is develop mentally, linguistically, and culturally suitable. Theoretical ap proaches to adolescent decision making, as well as further explora tions of additional contextual factors -- such as individual, organizational, cultural, and socioeconomic factors -- could all as sist public health professionals in supporting the successful adop tion of the vaccine.
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From page 34... ...
Flay links the major causes of risky behaviors to the three primary streams of influence, and in turn reasons for changing behavior, and intervention strategies, as shown in Table 4-1. He identified a number of implications from this model for intervention and prevention strategies.
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From page 35... ...
. Examples include limits on the sales and advertising of alcohol and tobacco products to minors and other measures such as the placement of social marketing, prevention, and health promotion strategies in the environments of youth.2 2One recent report that has advocated a comprehensive strategy to address underage drinking is the study Reducing Underage Drinking: A Collective Responsibility (National Research Council and Institute of Medicine, 2004)
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