The patients The patients and how that may impact the - PDF document

Disclosures  I have no relevant financial relationships with any companies related to the content of this course. Treating the Millennial A Generationally-Minded Approach to Transition-Aged Patients Taryn Shappell, LCSW 2 9/7/2018 Learning Objectives Outline  Develop an understanding of generational differences between birth cohorts The patients The patients and how that may impact the provider/patient relationship  Identify four generational considerations for practice with patients <35 yrs  Discuss practical ways to address these generational differences in the The challenge The challenge clinic setting to foster an engaged working relationship  Identify the core tenets of the UCSF Transition Clinic Approach to develop health care management skills in young adults The approach The approach 1 9/7/2018

The Patients (why are Millennials so different ?) Dr. Jean Twenge (UCSD) 6 9/7/2018 2 9/7/2018

Our Challenges (what gets in the way?) Boomers iGen Gen X Millennials Generational Considerations Generational Considerations  Technology fluency Acquired Native language TECHNOLOGY FLUENCY proficiency/fluency  Information sources  Locus of self-control Multiple sources, A few known, trusted INFORMATION sources trusted & not  Values Self-assured and CONFIDENCE Anxious capable Individuality Time and achievement VALUES 3 9/7/2018

Generational Considerations Generational Considerations Acquired TECHNOLOGY FLUENCY Native language proficiency/fluency Multiple sources, A few known, trusted INFORMATION sources trusted & not Self-assured and Anxious CONFIDENCE capable VALUES Individuality Time and achievement 13 9/7/2018 So What Helps? Generational Considerations  Acknowledge the difference Acquired Native language TECHNOLOGY FLUENCY proficiency/fluency  Ask “given that I’m unable to text medical information, what is the next best way for us to communicate outside of visits?” Multiple sources, A few known, trusted  Have them save your phone number as a contact during your visit INFORMATION sources trusted & not Self-assured and CONFIDENCE Anxious capable Individuality Time and achievement VALUES 15 9/7/2018 4 9/7/2018

So What Helps? Generational Considerations  Assume they’ve Googled it Acquired TECHNOLOGY FLUENCY Native language proficiency/fluency  Ask, “where have you looked for information on this already?”  Offer reputable information resources Multiple sources, A few known, trusted INFORMATION sources trusted & not External Internal LOCUS OF SELF-CONTROL VALUES Individuality Time and achievement 17 9/7/2018 So What Helps? Generational Considerations  Honest, straightforward expectation Acquired Native language TECHNOLOGY FLUENCY proficiency/fluency  No assumptions or scare tactics!  Empower them to use what they know to make an informed choice Multiple sources, A few known, trusted INFORMATION sources trusted & not LOCUS OF SELF-CONTROL External Internal Individuality Time and achievement VALUES 19 9/7/2018 5 9/7/2018

So What Helps? Our Approach (so what do we do? )  Affirm their uniqueness 21 9/7/2018 Our Approach Our Approach  Skills-focused  Skills-focused  Individually-tailored • Build skills before giving responsibility  DBT-informed • Concrete list of skills 6 9/7/2018

Our Approach  Individually tailored • Developmentally appropriate • Considerate of knowledge & culture Our Approach  DBT-informed • Support-oriented • Cognitive-based • Collaborative taryn.shappell@ucsf.edu 7 9/7/2018