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Healthy
Respect
drop-ins
A guide to accredited status
and how to achieve it.
Contents
Introduction
2
About Healthy Respect
3
Aiming for quality:
all I want-LIVE standards
5
How to apply for Healthy
Respect drop-in status
11
Glossary of documents
15
Application form to become
a Healthy Respect drop-in
16
References and bibliography
18
About this guide
This guide is for organisations that provide (or plan to
provide) a young people’s service and are interested
in becoming a Healthy Respect accredited drop-in. It offers
information about:
• Healthy Respect and current evidence
• the network and its values
• all I want-LIVE standards and information about how
drop-ins operate
• details on how to apply for Healthy Respect drop-in status.
Healthy Respect drop-ins 1 Contents
Help us to achieve this vision by setting up a service
with Healthy Respect in your area.
Read on to find out more…
Introduction
Across Edinburgh and the Lothians
there is a network of young people’s
drop-ins that deliver general and
sexual health information and
services to an agreed set of
standards – the all I want-LIVE
standards.
Young people attending these drop-ins can
expect to be treated with respect, and have
access to free, confidential and accurate
information. Where appropriate, they can
also be offered services such as c:card,
contraception, pregnancy and chlamydia
testing, or if necessary signposted to more
suitable or specialised services.
The all I want-LIVE standards have been
developed with the support of a range of
Lothian-based organisations that work with
young people. They reflect examples of local
good practice and acknowledge the work of
many organisations that aspire to deliver the
best possible young people’s services.
Any Lothian-based young person’s drop-in
operating to these standards can be awarded
Healthy Respect drop-in status. As part of this
network of services for young people, drop-ins
receive training, support and branded material.
Young people are then guaranteed quality
services and information and are more readily
able to access other services within the
network.
Healthy Respect drop-ins 2 Introduction
About Healthy Respect
Healthy Respect would like to see a young people’s
drop-in service in every local area in Lothian - a service
which is young people friendly, respectful and of a
high standard.
About Healthy Respect
Healthy Respect is all about improving the sexual health and
relationships of young people through partnership working. It is currently
Lothian-based, funded by the Scottish Executive, and hosted by NHS
Lothian. It aims to create an environment that will lead to long term
improvements in the sexual health and wellbeing of young people. Healthy
Respect adopts a multifaceted approach linking education, information
and services for young people.
Evidence
Current evidence supports a multifaceted
approach (linking education, information and
services) to addressing the sexual health of
young people in Scotland, which is poor
compared to that of young people in other
European countries. The approach recognises
the economic, social and cultural influences
that can impact on sexual health - in particular
those associated with social disadvantage
(Fraser 2005).
Respect and Responsibility (Scottish Executive
2005), Scotland’s first Sexual Health Strategy,
supports this multifaceted and multi-agency
approach to improving young people’s sexual
health. It advocates comprehensive sex and
relationships education and access for young
people to information and sexual health
services.
The history of Healthy
Respect drop-ins
Healthy Respect drop-ins were initially
developed as part of the Scottish Executive’s
National Health Demonstration project to
improve the sexual health of young people
in Scotland. The evidence and Respect
and Responsibility (Scottish Executive 2005)
support and encourage the continued
development of these drop-in services.
The Phase One evaluation of Healthy Respect
concluded that the delivery of low threshold
services such as the drop-ins broke down
barriers to young people accessing mainstream
services.
What is a Healthy Respect
drop-in?
A Healthy Respect drop-in is a place where
young people aged 13-18 years can access
(as a minimum) free advice, support and
information on all health issues, including
sexual health, in a local setting. These drop-ins
are owned and operated by different statutory
and voluntary sector agencies, and receive
support and input from Healthy Respect. The
drop-in may be a small part of the agency’s
wider services and, while operating, clearly
displays Healthy Respect branded materials.
Healthy Respect drop-ins 3 About Healthy Respect
About Healthy Respect
The drop-in network
and its values
Recognising that no one organisation can meet
all the sexual health and relationship needs of
all young people, the network of drop-ins and
partner organisations exists to facilitate
information, local access and signposting to
other services. Its aims are to provide young
people (aged 13-18) with knowledge about
where to go, and to give young people
assurance that they will be treated with respect
and receive accurate information regardless of
which services they access.
The network helps young people
recognise, move between and access
relevant services. It also facilitates
information sharing and joint working
between professionals. The network
provides agencies with a platform to participate
in Lothian-wide and national activities.
As a network, Healthy Respect
has four core values: respect,
responsibility, inclusiveness and
partnership. These values are central
concepts that define how Healthy Respect and
accredited drop-ins aspire to interact.
By respect we mean effective communication;
the acceptance of difference;
acknowledgement of the rights and feelings
of self and others; and the unacceptability
of abuse.
By responsibility we mean planned and owned
decision making; and the recognition that ‘I am
part of a whole’ (i.e. part of this community,
family, school, neighbourhood, country, world).
By inclusiveness we mean equitable access
for all young people to sexual health
information, education and services.
By partnership we mean young people,
parents and organisations co-operating in the
exchange of specialist resources* to achieve
the best possible wellbeing of young people.
* Resources include expertise, products,
literature, access to the network, time
and/or money.
Healthy Respect drop-ins 4 About Healthy Respect
Aiming for quality:
all I want-LIVE standards
All services, education and information delivered in association with
Healthy Respect aspire to reflect these values of respect, responsibility,
inclusiveness and partnership. To ensure that services for young people
are of consistently good quality all I want-LIVE standards have been
developed in close consultation with young people as well as a wide
range of professionals. (See all I want, Healthy Respect 2003).
By operating according to these seven
standards, any service offering general
(including sexual) health advice and services for
young people can be awarded Healthy Respect
drop-in status and become part of a wider,
recognisable network which includes access to
continuing professional development (CPD) for
staff and promotional materials for the drop-in.
Affirming good practice
The wide range and high quality of services
already on offer in the Lothians (and beyond)
has been at the heart of the process of
developing a set of standards. Healthy Respect
recognises and affirms the tremendous work
and commitment to excellence demonstrated
by so many professionals who work with young
people. The standards reflect this commitment,
and in addition provide an objective measuring
tool to support the ongoing and necessary
process of improvement. By implementing
them in partnership, we can work towards
the shared goal of providing the best possible
service for young people, and hope to effect
lasting improvements to their sexual health
and wellbeing.
Implementing the standards
To support drop-ins in delivering the standards,
an all I want-LIVE operating manual has been
developed which contains information about
the seven standards, how to implement them
in your drop-in, and available resources
and support.
There are some aspects of the standards that
must be in place before drop-in status can be
awarded. Rather than being merely a ‘tick list’
of achievements, however, these standards
provide a living framework for ongoing
improvement and delivery of quality young
people’s services.
Healthy Respect drop-ins 5 Our Standards
Our Standards
1
Consult with
young people
• consult with young people in setting up a service
2
Be young
people friendly
• ensure the drop-in is welcoming, inclusive, friendly
and non-judgemental
3
Have appropriately • encourage staff to attend multi-disciplinary training and
shared-learning opportunities
trained staff
• encourage young people to give regular feedback in discussion,
a comments box and an annual satisfaction survey.
• ensure rights and responsibilities within the drop-in are clearly
communicated and understood.
• maintain continuity of staff wherever possible
• develop staff mix within the drop-in.
• ensure staff receive training and the support to implement
child protection and confidentiality policies and guidelines
4
Adhere to child
protection and
confidentiality
guidelines
5
Provide accessible, • ensure services are local and open at appropriate times
• ensure services provide age appropriate and up to date
appropriate
information on general health, relationships and sexual
services
• ensure relevant, up to date policies are consistently
implemented in the drop-in.
health issues
• where appropriate, ensure services include c:card,
contraception, pregnancy and chlamydia testing.
6
7
Be effectively
promoted and
linked with local
networks
• distribute promotional materials and ensure drop-in is clearly
signposted as part of the Healthy Respect network
Improve services
based on
feedback
and review
• maintain an ongoing assessment process
• link with schools and other local organisations
• operate in a way that demonstrates Healthy Respect values.
• improve and enhance the service based on feedback from
young people and assessments
• complete and submit recording sheets
• work with Healthy Respect’s evaluation initiatives.
Healthy Respect drop-ins 6 Our Standards
Balancing the pursuit of excellence
with the day-to-day realities of
different organisations, Healthy
Respect is keen to explore
opportunities with you.
Where and when are
drop-ins open?
Venues and opening times are agreed in
consultation with young people wherever
possible. It is important that part or all of the
service offered by the agency is operated
using a ‘drop-in’ system (i.e. without an
appointment system) to make it easily accessible
to young people.
A range of drop-in models exist depending on
the venue in which the drop-in is situated.
The type of model is also determined by local
needs, location of the drop-in, staff skills,
available resources and the agreement with the
host organisation. In each model, opening times
and level of service and/or information available
will be different.
Healthy Respect drop-ins 7 Our Standards
Our Standards
What are the main types
of venue?
Who staffs Healthy Respect
drop-ins?
Within a school setting: The main advantage
of a school-based drop-in is that it is accessible
to most of the young people who attend the
school. However it may exclude those who are
not attending, perhaps through illness or
exclusion. Services within schools may be limited
due to current school or local authority policy. A
consultation process with stakeholders including
the local authority, school management, parents
and, importantly, young people, is essential in
setting up this type of service.
Young people benefit from having access to a
mix of staff with different knowledge and skills
about health issues. As a minimum two
(differently trained) members of staff work in a
drop-in (e.g. a nurse and youth worker or a
nurse and a sexual health project worker).
Key skills include good communication and an
up to date knowledge of adolescent health
issues and local youth services. It is important
that all drop-in staff are welcoming, inclusive,
friendly and non-judgmental.
Within a community setting: The main
advantage of this type of service is that it is often
set within an established ‘young person friendly’
environment, and may provide links to other
services such as those offered by youth workers
or counsellors. Additionally, this type of setting
is generally open to all young people and a wider
range of services (such as contraception) may
be offered. The service can provide for those
at greater risk of poor sexual health outcomes
including those not attending or excluded
from school.
Each year Healthy Respect provides three
continuing professional development (CPD)
sessions for drop-in staff. All those working in
drop-ins are encouraged to attend these
sessions which include free training and
opportunities for peer support and networking.
Within an NHS setting: 1. Health centre: The
main advantages of a drop-in based in a health
centre or community healthcare setting are that
more services, such as contraception (including
emergency) can be offered, and that the service
is open to any young person. This service can
also provide for those at greater risk of poor
sexual health outcomes. It may also break
down some of the barriers within primary care
by enabling young people to access other
health care services within the health centre.
Each drop-in assigns a lead who has time to
liaise with the network, collate recording data,
submit evaluation material and complete the
Assessment Workbook as required. The drop-in
lead is also responsible for negotiating, agreeing
and maintaining the space/building aspects of
the drop-in.
At least one member of the drop-in staff team
links in with local schools’ sexual health and
relationships education (SRE) programmes to
enable young people to learn about the service
via school.
2. Specialist sexual health service: The main
advantage of a drop-in within a dedicated sexual
health service is that specialist staff and services
are available, such as in Family Planning and
GUM services. A young person’s drop-in
within the existing service may facilitate young
people’s access to the mainstream service in
the longer term.
Healthy Respect drop-ins 8 Our Standards
Our common goal is the improved
sexual health and relationships of
young people in Lothian.
How are drop-ins resourced?
Healthy Respect does not offer direct funding
for staff but does provide staff training alongside
branded promotional materials for the drop-in.
In addition Healthy Respect is available to offer
information, experience and support to assist an
agency in developing the drop-in and
partnerships to support the service.
What does young people’s
participation involve?
Healthy Respect, alongside many of its partner
agencies, values young people’s rights to
participate in key decisions that affect their lives.
Healthy Respect works with accredited drop-ins
to find ways of inviting young people to
participate in a realistic and meaningful way so
that services are developed in consultation with
them and remain relevant and accessible.
Healthy Respect drop-ins 9 Our Standards
Our Standards
What about promotion and
organisation identity?
As an agency managing a Healthy Respect
accredited drop-in, you remain responsible
for your agency’s visual identity and promotion.
In addition, both your agency and Healthy
Respect should be proactive in promoting the
drop-in as widely as possible within the local
community.
Healthy Respect provides some generic material
for promoting the drop-in. Display of these
materials and promotion of the website allows
young people to become more aware of the
wider network of services available.
It is hoped that the successful branding of
Healthy Respect will continue to offer benefits
to individual organisations in the network and
will attract young people to use the services,
ultimately creating an environment that will lead
to long term improvements in the sexual health
and wellbeing of young people.
How does assessment,
evaluation and improvement
take place?
Being committed to quality services, ongoing
review/assessment and planning for
improvement is part of the overall drop-in
package. To enable effective measuring of
progress, all participating drop-ins commit to
participate in evaluation procedures as outlined
in the drop-in agreement and all I want-LIVE.
This includes submitting monthly recording
sheets. Drop-ins are offered support from
Healthy Respect throughout this process.
What is the drop-in
agreement?
As part of the process of being awarded Healthy
Respect drop-in status, Healthy Respect and
the agency committing to the all I want-LIVE
standards negotiate and sign a drop-in
agreement. It highlights roles and responsibilities
and, as described in this document, details the
key contribution of both parties in delivering the
drop-in. This facilitates clear partnership working
and recognises each partner’s unique
contribution.
Healthy Respect drop-ins 10 Our Standards
How to apply for Healthy
Respect drop-in status
1
2
3
Enquire
Prepare for
drop-in status
Sign agreement
If your organisation is
committed to offering quality
services for young people,
and you are interested in
becoming a Healthy Respect
drop-in, we would be
delighted to hear from you!
Contact:
Healthy Respect Programme
Leader (Services)
Healthy.respect@lhb.scot.
nhs.uk or phone:
0131 536 9388 for an
informal discussion.
A copy of the Healthy
Respect Charter is then sent
to you to give a broader
overview of Healthy Respect.
Complete and return the
application form on page 16.
An initial meeting will take
place between Healthy
Respect and your agency
(and the host/location
organisation of the drop-in
if this is different and
appropriate at this point).
This meeting includes more
detail about the
implementation of the
all I want-LIVE standards.
A key contact within Healthy
Respect will liase with your
named drop-in lead.
You ensure that all relevant
parties in your organisation
(including strategic decisionmakers) are familiar with the
Healthy Respect Charter.
There is a reflection and
negotiation period giving the
opportunity for review, further
discussion and visits to other
drop-ins as required.
Together, Healthy Respect
and your agency negotiate
and refine the drop-in
accreditation agreement.
Healthy Respect drop-ins 11 How to apply
All parties sign the agreement
and agree a start date for the
accredited drop-in.
Training on the all I want-LIVE
standards is provided
at a mutually agreed time
and location.
Support is offered for you to
self-complete the Assessment
Workbook in order to identify
any areas where your service
could be improved.
Strategic leads are invited
to the Healthy Respect
networking events and dropin staff to attend CPD events.
How to apply
4
5
Drop-in status
is awarded
Drop-in status
is reviewed
On (or before) the agreed
start date, drop-in status is
awarded and branded
material provided.
One year after opening (and
every two years thereafter)
Healthy Respect organise
an external review of the
drop-in with you (using the
Assessment Workbook).
A three month review meeting
is held where the completed
Assessment Workbook is
discussed and an action
plan for future developments
agreed.
Starter kit of branded
materials for all new Healthy
Respect drop-ins:
• drop-in cards with holders
(minimum x200 cards)
• banner and/or poster
indicating the drop-in is
part of the network
In addition, it is recommended
that the agency managing
a drop-in conduct its own
internal review of the service
in the alternate year.
Ongoing status as a Healthy
Respect drop-in is dependent
on continued delivery of the
service to all I want-LIVE
standards.
Example schedules are
provided overleaf.
• name badges for staff
• template posters
• leaflet racks
• door/window stickers
(indicating the drop-in is part
of the Healthy Respect
network and detailing
opening times)
• rights and responsibilities
cards (x50)
• rights and responsibilites
poster (x2)
• confidentiality poster (x2)
• How confidentiality works
booklet (x25)
• comments/suggestion
box (x1)
• table cloth (x1)
• safe ‘n’ sorted (x50).
Healthy Respect drop-ins 12 How to apply
Example schedules
Becoming a Healthy Respect drop-in
Prepare for
drop-in status
Sign agreement
Drop-in status
awarded
Example date: Pre Dec 07
Example date: Dec 07
• express interest
• agreement negotiated,
agreed and signed
Min one month from
agreement signing date
• submit application form
• hold initial meeting
• read and discuss the charter.
Example date: Jan 08
• determine start date (min
one month from signing date)
• receive branded material
• attend training on the
standards
• receive drop-in status
• order branded materials.
• open drop-in
• begin self-assessment
process.
Operating as a Healthy Respect drop-in
Once drop-in status has been awarded, each
drop-in participates in a rolling programme of
CPD and review. This can be summarised as:
Year
Example date: Jan - Dec 2008
Attend CPD sessions (3 per year)
Submit monthly recording sheets
Participate in annual young people’s satisfaction survey
Complete a self-assessment
External assessment by Healthy Respect
Healthy Respect drop-ins 13 How to apply
✔
✔
✔
At three months (example date
April 08) a review meeting with
Healthy Respect will be
arranged to look at the
completed self-assessment,
discuss the action plan and
address any gaps. If all is going
well, the external review date
(example for Jan 09) will be
agreed.
How to apply
Year
Year
Year
Example date: Jan - Dec 2009
Example date: Jan - Dec 2010
Example date: Jan - Dec 2011
✔
✔
✔
✔
✔
✔
✔
✔
✔
Not required.
Optional, but recommended as
good practice.
Not required.
Healthy Respect will organise an
external assessment with you
(using the Assessment
Workbook) (example date Jan
09). A further action plan will be
developed as required.
Two years from the last external
assessment, Healthy Respect
will organise with you another
external review of the drop-in
(example date Jan 11). Action
plans to be updated accordingly.
Healthy Respect drop-ins 14 How to apply
Glossary of documents
Drop-in Agreement
All I want
A customised and signed partners’ agreement
between Healthy Respect and any service
operating as an accredited drop-in. It details
roles, responsibilities and key contributions of
all parties involved in delivering the drop-in.
A review of specialist sexual health services for
young people to determine what would make
services more accessible to young people.
This review along with professional good
practice formed the basis for the standards
detailed in all I want-LIVE.
All I want-LIVE
The Healthy Respect drop-in standards
operating manual providing details of the
standards, how to implement them and
supporting resources.
Healthy Respect Charter
A short document giving a brief and
aspirational overview of the Healthy Respect
brand including the values, products and
services.
Assessment Workbook
A document used to support and assess the
drop-in implementing the all I want-LIVE
standards. This document can be used
internally by drop-ins to facilitate selfassessment, or is used by Healthy Respect
when conducting an external review of the
drop-in (every 2 years).
Healthy Respect drop-ins 15 Glossory of documents
How to apply
Application form to become a
Healthy Respect drop-in
Please complete this form and return to:
Programme Leader (Services) at Healthy Respect,
NHS Lothian, Deaconess House, 148 Pleasance, Edinburgh EH8 9RS.
Name of person applying
Name of agency
Contact details
Can you briefly describe the work of your agency?
We currently run a drop-in service(s) for young people
We are planning to run a drop-in service(s) for young people
Please give details of this service/these services: (description, location, frequency, format)
Can you explain why you want to become a Healthy Respect accredited drop-in?
Who is likely to be the drop-in lead?
Signed
Date
Best form of contact, if different from above
Healthy Respect drop-ins 16 Application form
Healthy Respect drop-ins 17 Application form
References and bibliography
Fraser S (2005) Briefing Paper 2 Promoting a Healthy Respect: What does the evidence support
NHS Health Scotland
Healthy Respect (2003) all I want NHS Lothian www.healthyrespect.co.uk
Healthy Respect (2005) all I want-LIVE NHS Lothian www.healthyrespect.co.uk
Healthy Respect (2006) Healthy Respect Brand Strategy NHS Lothian www.healthyrespect.co.uk
Healthy Respect (2006) Healthy Respect Charter NHS Lothian www.healthyrespect.co.uk
Healthy Respect (2005) Introducing Healthy Respect NHS Lothian
LGBT Youth Scotland (2006) Charter of Rights LGBT Youth Scotland Edinburgh www.lgbtyouth.org.uk
Love Life (2002) The Lovelife Franchise - a manual for franchise holders LoveLife South Africa
www.lovelife.org.za
Scottish Executive (2005) Respect and Responsibility, Strategy and Action Plan for Improving Sexual Health
Scottish Executive
Further information
If you have any queries regarding this document, please contact the services team
at Healthy Respect.
This information is also available as a PDF, in large print and on tape.
Please get in touch with Healthy Respect to receive this information
in an alternative format. Email: healthyrespect@lhb.scot.nhs.uk or
phone on 0131 536 9454
Healthy Respect drop-ins 18 References and bibliography
Healthy Respect
NHS Lothian
Deaconess House, 148 Pleasance
EDINBURGH EH8 9RS
Tel 0131 536 9454
Fax 0131 536 9416
Email healthy.respect@lhb.scot.nhs.uk
Web www.healthyrespect.co.uk
Healthy Respect ® is a registered trademark
© Lothian Health Board (2007)