During Imogene’s assessment, she tells you that many in her neighbourhood are in similar situations and don’t know what to do. You get in touch with the local health department/Department of Justice executives and propose
changes to their current policies to improve out-reach to this population.
What is public policy?
100
SEDoH stands for this.
What are socioecological determinants of health?
100
Imogene’s home life has exposed her to several risk factors for adolescent pregnancy. You encourage her to participate in a targeted program that increases education, promotes healthy lifestyles and teaches the risks of sexual relationships.
What are health services?
100
You contact a social worker to work with Imogene to help her speak to her family about the difficult issues she is dealing with (sexual abuse, possible pregnancy).
What is advocacy?
200
Imogene is unsure of her relationship & experiences with her Uncle Tom. You recommend Imogene talk to a child psychologist who can explain healthy sexual relationships. This will enable Imogene to develop coping skills and an accurate understanding of what constitutes right and wrong, for example in her relationship with Uncle Tom.
What are personal skills?
200
Upon reviewing Imogene's case, you notice that she has no positive role models or close friends. You think that this may be due to insufficient...
What is social support?
200
You notice that the receptionist at the sexual health clinic is speaking in a condescending way to Imogene because she's dressed poorly. You realize that she may be stigmatizing Imogene because of her low…
What is income and social status?
200
You try to increase Imogene’s sense of control over her surroundings through sexual health education, and thereby hope to improve her health.
What is health promotion?
300
Hearing Imogene’s story makes you realize the implications of her unstable family structure. You introduce her to family counseling so she can build her family trust and positive experiences through healthy relationships.
What are supportive environments?
300
After looking at Imogene’s family situation, you notice that there is high conflict and low cohesion. You know these factors affect young girls more than young boys.
What is gender?
300
You notice that Imogene has not been attending school regularly. You are concerned that she does not have the knowledge necessary to prepare for her potential pregnancy, or care for herself and a child.
What is education?
300
There exists a link between sexual abuse and adolescent pregnancy (Francisco et al, 2008). You decide to screen for sexual abuse due to Imogene’s worries of being pregnant.
What is secondary prevention?
400
The community MLA/city alderman contacts you because he recognizes an increase in teen pregnancy in the neighbourhood. Together, you implement a neighbourhood program that provides services to teens to prevent similar issues and to ensure stability in their lives.
What is community action?
400
Because Imogene lives in rural Alberta, you know that she has few resources, such as access to health care, which make her more vulnerable to contracting STIs and becoming pregnant.
What is physical environment?
400
Imogene has mentioned that her father is an alcoholic and addiction runs in the family. Because she may be pregnant and drinking, you give her some information on Fetal Alcohol Spectrum Disorder and addiction.
What is genetics?
400
You help Imogene receive fair and equal health care while being respectful of her human rights (e.g. should she be pregnant, offer her ALL possible options and let
her choose).
What is social justice?
500
Imogene missed her last appointment with her psychologist because her drunken father thought it was a waste of money & time. You get in touch with her psychologist and realize he focused on strengthening Imogene’s weaknesses and allowed her to express her pain through art, which you believe has helped Imogene gain confidence.
What is reorienting health services?
500
You know that roughly half of all teen pregnancies are linked to a history of childhood sexual abuse, including incest. Imogene is at an especially high risk because of her experienced physical, sexual and psychological abuse.
What is healthy child development?
500
You worry that Imogene's risky sexual behavior may be due to depressive symptoms, low self worth and low self efficacy. You think she may not be dealing with her circumstances in a healthy way.
What are coping skills?
500
After meeting with Imogene, you realize Imogene’s community has a low income status. You realize that in order to provide fair health care for this community, more clinics,
education and support concerning sexual health and abuse are needed.