adolescents

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The Oswestry Low Back Pain Questionnaire provides information on how the patient's back pain affects his/her ability to handle everyday activities.
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The Hamilton Depression Index (HAM-D) is an assessment tool used to identify the severity of major depression in patients already diagnosed with the illness.
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The Beck Depression Inventory: purpose, use, administration, and scoring. Also includes psychometric characteristics and evaluation.
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Patient Example: Tamika's Tobacco Assessment Form

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Patient Example: Tamika's Tobacco Assessment Form

Tobacco Use Assessment Form for Children or Teens

Name: Tamika Jones

Date: 6/ 1 /2005

Have you ever smoked cigarettes or used any other tobacco product?
_X_ No
___ Yes, but just a little experimentation, for example, a few puffs of a cigarette
___ Yes, more than just experimenting. If Yes, please answer the following questions:

Have you smoked at least 100 cigarettes in your life?
_X__ No
___ Yes

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Adolescent Screen for Tobacco Dependence: The Hooked on Nicotine Checklist

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This checklist was first described in the Development and Assessment of Nicotine Dependence in Youth study, and was designed to screen adolescents for symptoms of tobacco dependence (DiFranza et al. 2002a). An adolescent answering yes to any of these questions is said to have some dependence on tobacco.

Name: _______________________ Date: _____________________

1. Have you ever tried to quit but couldn’t?   YES   NO

2. Do you smoke now because it’s really hard to quit?   YES   NO

3. Have you ever felt like you were addicted to tobacco?   YES   NO

4. Do you ever have strong cravings to smoke?   YES   NO

5. Have you ever felt like you really needed a cigarette?   YES   NO

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Patient Example: Jennifer's Youth Tobacco Assessment Form

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This is an example of a patient's responses to the Tobacco Use Assessment Form for Children or Teens.

Name: Jennifer Simpson

Date: 6/ 1 /2005

Have you ever smoked cigarettes or used any other tobacco product?
 
X   No
___ Yes, but just a little experimentation, for example, a few puffs of a cigarette
___ Yes, more than just experimenting. If Yes, please answer the following questions (A-C):

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Talking To Your Teenager

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Talking To Your Teenager

Talking to Your Teenager

Talking to your teenager about alcohol can be difficult. You may feel that they won't listen to you or you
may feel uncomfortable talking about this subject with them. Where do you start? How can you be
effective in communicating your message?

The following are tips to help you have a productive conversation:

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Information on the special report of the Florida tobacco settlement in 1998.
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The Truth is a website that provides information on the hazards of smoking for adolescents.
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Complete report by the CDC on preventing tobacco use among young people.
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