Child and Teen Checkups (C&TC)
C&TC Components
- Fact sheets on screening component
- Adolescent and Young Adult C&TC
- C&TC Developmental-Social Emotional Screening in the Clinic Setting
- Developmental/Social-emotional Screening
- Fluoride Varnish in the C&TC Setting
- Hearing Screening
- Vision Screening
Training
Information
Child and Teen Checkups for Adolescents and Young Adults, 11-20 Years
Child and Teen Checkups (C&TC) (preventive) care is especially important for adolescents and young adults because this is the time of life when youth often develop behaviors that affect their health across their life span. It can have a significant impact on young people’s immediate and life-long health by:
- Helping youth take charge of their health
- Providing opportunities for youth to talk about health issues important to them
- Supporting healthy behaviors
- Building healthy relationships with health care providers
Evidence-based Care: C&TC Screening Components and Referral
Refer to the C&TC Fact Sheets for screening components specific to AYA well visits: anticipatory guidance, health history, mental health screening, immunization review, hemoglobin, STI risk assessment, HIV screening, hearing screening, oral health, and alcohol, tobacco, and drug use risk assessment.
Youth-Centered Care (YCC)
YCC is an approach of providing high quality health care that meets the needs of young people. It provides a framework that weaves together the standards for health care with the qualities that young people are entitled to and demand (including youth-friendly experiences, settings and services). Through this, health care providers and systems are guided to do the “right thing” (evidence-based care such as C&TC periodicity schedule) the “right way” (care designed for young people).
C&TC providers, staff and clinics are strongly encouraged to provide youth-centered care when working with young people aged 11-20 years.
YCC examples and resources to support adoption in health care settings:
| Topic | Resources |
|---|---|
Youth Development Focused
| Adolescent and Young Adult Development Factsheets |
Welcoming Environment
| Focus on LGTBQ+ youth |
One-to-One Time with Providers
| Implementing One-to-One (1:1) Time (PDF) Parent Confidentiality Letter Template (Word) - Additional languages available Can be adapted and shared with parents/caregivers to explain the importance of one-to-one time |
Confidential Care
| Minor Consent and Confidentiality Laws in Minnesota |
Health Care Literacy
| National resource center improving transition from pediatric to adult health care with strategies for health providers, youth, young adults and families |
Communication
| Use to assess health strengths and risks, start the 1:1 conversation between the clinician and youth, and support young person to raise important questions about their health Offers important considerations for using AYA Questionnaire and implementing 1:1 time as a clinic standard TALK: Toolkit for Adolescent Care |
Youth Engagement in Care
| Motivational Interviewing Strategies to Facilitate Adolescent Behavior Change Routine Adolescent Health Care |
University of Michigan – Adolescent Health Initiative Improving care through customized support to make care more youth-friendly | Offers practical training, consulting, and ready-to-implement strategies to help health centers across the country improve their adolescent-centered care. Provides resources for individuals and interdisciplinary health care teams to dive deep into topic areas on adolescent health to form concrete, realistic plans for sustainable practice change. |
Sports Physicals
Ideally, treat all school-age and adolescent C&TC visits as sports physicals to avoid patients having to return for forms or additional visits.
To make a Sports Qualifying Physical Examination into a complete Child and Teen Checkup for ages 11-20 years, add the following additional C&TC components that are not covered in the sports physical.
| C&TC Component | Age Requirements |
|---|---|
| Anticipatory Guidance | Every visit 11-20 years old |
| Health History: Nutrition, Sleep, Social Determinants of Health | Every visit 11-20 years old |
| Developmental/Mental Health Surveillance | Every visit 11-20 years old |
| Physical Exam: Oral Exam and External Genitalia and Sexual Development | Every visit 11-20 years old |
| Hemoglobin for Youth that are Menstruating | Once 11-20 years old |
| HIV Screening | Once 15-18 years old |
| HIV and STI Risk Assessment | Every visit 11-20 years old |
| Dyslipidemia Risk Assessment | Once 9-11 years old Once 12-16 years old Once 17-20 years old |
| TB Risk Assessment | Every visit 11-20 years old |
| Tobacco, Alcohol, and Drug Use Risk Assessment | Every visit 11-20 years old |
| Hearing and Vision Screening | Once 11-14 years old Once 15-17 years old Once 18-20 years old |
| Verbal Referral to Dentist | Every visit 11-20 years old |
| HIPPA Compliant Referral Code | Every visit 11-20 years old |