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Adolescent and Young Adult IUD Delivery in Non-traditional Health Settings

  • Yasmin Z. BaharEmail author
  • Mandy S. Coles
  • Melanie A. Gold
Chapter
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Abstract

Non-traditional health settings have the ability to respond to gaps in adolescent and young adult reproductive healthcare by addressing access barriers that patients may face in traditional health settings, particularly among highly vulnerable youth. While all of the sites discussed in this chapter have the ability to offer same-day IUD placements and meet adolescents and young adults in their communities, programs may not currently exist. For most non-traditional sites, a one-size-fits-all policy approach regarding IUD placement for adolescents and young adults is impractical. It is important to be thoughtful and tailored in planning and implementing IUD provision in non-traditional settings while following existing guidelines and building community partnerships. The Centers for Disease Control and Prevention’s Quality Family Planning Guidelines provide an evidence-based roadmap on how to implement these services. Lastly, maintaining patient confidentiality and preventing contraceptive coercion, especially with adolescents and young adults who are underserved or medically disenfranchised, is of utmost importance. This chapter will describe how to effectively provide IUDs in non-traditional clinic settings, review the nuances of several non-traditional healthcare settings that may be barriers or facilitators to IUD delivery, and discuss planning and implementation needs when initiating or expanding provision of IUDs in non-traditional clinic settings.

Keywords

IUD Adolescent Young adult Emergency department Juvenile justice School-based health center Mobile health Non-traditional settings Homeless Unstably housed Inpatient Vulnerable populations 

Abbreviations

AYA

Adolescent and young adult

CDC

Centers for Disease Control and Prevention

ED

Emergency department

IUD

Intrauterine device

JJC

Juvenile justice center

LARC

Long-acting reversible contraception

LNG

Levonorgestrel

SBHC

School-based health center

STI

Sexually transmitted infections

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Yasmin Z. Bahar
    • 1
    Email author
  • Mandy S. Coles
    • 2
  • Melanie A. Gold
    • 3
  1. 1.Department of PediatricsNew York Presbyterian Columbia University Medical CenterNew YorkUSA
  2. 2.Department of PediatricsBoston University Medical CenterBostonUSA
  3. 3.Department of Pediatrics, Division of Child and Adolescent HealthColumbia University Irving Medical Center/New York–Presbyterian HospitalNew YorkUSA

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