1. CHAT+ Sehra Mehta Further Education Outreach Nurse Shropshire December 18th 2013

2. CHAT+ Success of CHAT lead to FE provision – Teenage Pregnancy Strategy Started in January 2009 with FE consultation Funded for 1 x Nurse and 1 x part time HCA 5 colleges initially involved

3. CHAT+ provision Weekly drop in service on site Registration to the CDS Opportunistic Chlamydia screening Extended sexual health provision Full range of contraception Contraceptive pills and emergency contraception Contraceptive Implant fitting and removal Injectable contraception Full STI screening for asymptomatic clients

4. CHAT+ provision Signposting to other services FIS Shropshire Substance Misuse Team CBT Referral to other agencies Teenage Identified Midwives CAMHS Mental health support groups

5. CHAT+ provision Registration to SH service both for contraception and GUM Reminders about general health access GP/Practice Nurse Walk in Centres Out of Hours service

6. Registration Demographic details Sexuality and Relationship details Current contraception Assess risks if any Alcohol Drugs Lifestyle including accommodation Support – leaving care etc

7. Confidentiality Same as for any health based service No GP involvement unless absolutely necessary Reassurance for client that they can talk freely and not be judged Safeguarding of the client is paramount Opportunity for client to register comments/compliments/complaints

8. Health Promotion Health events calendars College events Tutorials New starters End of term activities

9. CHAT+ promotion Moodle Newsletters CHAT development days Housing Associations County Training venues

10. Data January – December 2013 479 clients seen 385 CDS registration, distribution and renewal 110 Chlamydia screens 28 hormonal contraception issues 6 STI screens >30 referrals to other agencies

11. Useful websites www.childline.org.uk www.mind.org.uk www.getconnected.org.uk www.rcpsych.ac.uk Royal College of Psychiatrists www.rcpsych.ac.uk www.nshn.co.uk National Self Harm Network www.nshn.co.uk www.wellatschool.org www.nhs.uk/conditions/self-injury www.nta.nhs.uk National Treatment Agency www.nta.nhs.uk www.nice.org.uk/PHI004 Interventions to reduce substance misuse amoung vulnerable young people www.nice.org.uk/PHI004