1. 1 The sexual health needs of looked after young people Lorna Watson, Consultant in Public Health Medicine Hannah Dale, Health Psychologist in Training

2. 2 Background Evidence suggests that a strong focus on LAYP is a key factor for success in reducing teenage pregnancy Evidence suggests that a strong focus on LAYP is a key factor for success in reducing teenage pregnancy In Fife teenage pregnancy rates are consistently above the Scottish average In Fife teenage pregnancy rates are consistently above the Scottish average Looked After Young People (LAYP) are reported to have higher pregnancy rates and less knowledge around sexual health services Looked After Young People (LAYP) are reported to have higher pregnancy rates and less knowledge around sexual health services

3. 3 A new approach … Application of health psychology principles to public health issues Application of health psychology principles to public health issues 4 posts initially created in Scotland by NES 4 posts initially created in Scotland by NES Posts support the final two years of health psychology training/chartership Posts support the final two years of health psychology training/chartership Successful collaboration: NES, Clinical Psychology, Public health, Social work, University of St Andrews Successful collaboration: NES, Clinical Psychology, Public health, Social work, University of St Andrews

4. 4 Project development Needs assessment : Needs assessment : –Interviews with those aged 12-19 –Young people from all settings: residential schools, residential homes, foster care, kinship care, and those living with their own parents –Recruitment through social work and private/voluntary agencies –Aimed to examine their current knowledge levels; where they find out about sex and relationships from; their preferences on learning about sex and relationships

5. 5 Findings 10 looked after young people (LAYP) interviewed LAYP learned about sexual health primarily from school, but some did from other sources. LAYP learned about sexual health primarily from school, but some did from other sources. Knowledge gaps around wider sex and relationship issues Knowledge gaps around wider sex and relationship issues Many were not aware of sexual health services Many were not aware of sexual health services Flexible one-to-one approach, not solely aimed at sexual health Flexible one-to-one approach, not solely aimed at sexual health Gap between knowledge and behaviour Gap between knowledge and behaviour

6. 6 Implications & developments LAYP require and desire more input around sexual health and other lifestyle issues LAYP require and desire more input around sexual health and other lifestyle issues Supports the training and support of workers and carers in sexual health, and wider health issues Supports the training and support of workers and carers in sexual health, and wider health issues Development of a Health Consultancy Project offering support to workers/carers around working with LAYP around lifestyle issues- Fairer Fife funding Development of a Health Consultancy Project offering support to workers/carers around working with LAYP around lifestyle issues- Fairer Fife funding 1-to-1 support offered to LAYP in Fife 1-to-1 support offered to LAYP in Fife Health improvement plan for LAC- Fairer Fife funding Health improvement plan for LAC- Fairer Fife funding