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Healthcare 2017, 5(4), 69;

What Else? The Basics and Beyond for Effective Consultations with Youth with Special Healthcare Needs

Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada
Department of Psychiatry, University of Calgary, Calgary, AB T2N 1N4, Canada
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 11 July 2017 / Revised: 25 September 2017 / Accepted: 25 September 2017 / Published: 1 October 2017
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Youth with special healthcare needs (YSHCN) require medical support for disease management and equally require that providers be responsive to their ever-changing and sometimes unique psychosocial and developmental needs. This paper reviews the fundamentals of adolescent consultation reminding the reader that YSHCN are, after all, still youth with the same basic needs as their healthy peers. Beyond the basics, consultations with this population are characterized by complexities which are best managed by providers who can nimbly adjust their clinical stance. In non-urgent clinical scenarios, clinicians can adopt a coaching stance which we introduce and expand upon in this paper. Characterized by the five elements of non-judgment, curiosity, empathy, openness, and flexibility, the coaching stance can be adopted without specific training. We demonstrate its application using TGROW (Topic, Goal, Reality, Options and Wrap Up), a coaching framework that holds promise for use in clinical settings. Consultants may consider incorporating the coaching stance and TGROW into their practice repertoire, as both may be particularly helpful when consulting with adolescents with chronic illness. View Full-Text
Keywords: adolescent; chronic illness; consultation; coaching adolescent; chronic illness; consultation; coaching
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Elliott, A.S.; Jericho, M.C. What Else? The Basics and Beyond for Effective Consultations with Youth with Special Healthcare Needs. Healthcare 2017, 5, 69.

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