Working with teenagers in a diverse inner London...

Chloe Lilley

Children and Young Peoples Dietitian.

Working with teenagers in a

diverse inner London borough

Content

• Challenges and rewards of working in City and

Hackney

• What Dietitians can offer teenagers

• How to improve a working partnership with

young people

Where did you

grow up?

Total Hackney & Charedi Population

Ridley Road Market in Dalston, Hackney

Prevalence of obesity against statistical

neighbours

Mare Street, Central Hackney

What can Dietitians offer teenagers in

City & Hackney?

• 1:1 Dietitian appointment at a dedicated Young

Peoples Health Centre

• Identify support required for the family

• Multicomponent exercise and nutrition programme

How to motivate

a teenager

Motivational Interviewing (OARS)

Step 1: Open questions “What do already you know about healthy eating?”

“Tell me what happens on a really good day?”

Step 2: Affirmations “Tell me what your best friend says you’re really good at?”

Step 3: Reflective listening “When you feel bad, then you feel like eating chocolate”

Step 4: Summarising “On a good day you feel happy and plan your meals after school,

but sometimes you get tempted for a takeaway after school. This is

when get hungry. While you understand 5aDay, sometime it’s difficult

to fit them all in”.

Imagine you have changed.

Who helped you most?

Healthy Living group (13-18years)

Week 1

Nutrition

education &

activities

Introductions

Eatwell Plate

Portion sizes

Food labelling

Goal setting

Week 9

Nutrition &

behaviour change

– why we eat

Mindful eating

Relapses

Eating out

Final assessments &

final evaluations

Certificates!

Week 2-8

1 hour gym with

physical trainer

And unlimited

telephone

review/contact

with Dietitian

5-6pm at Hackney Community College

How do you know if the

intervention improved

health?

The

Dietetic

Outcomes

Model

Patient

focused

measures

Symptom

change

Behaviour

change

Psychological

Biochemical

Physical

“Learn about

healthy living

with peers”

“Knowing

about sugar

in food”

“Learn more

about myself

and how I

feel”

“Exercises to

help weight

loss”

How to improve a working partnership

with young people

• Be creative and adaptable

• Use OARS

• Realistic outcomes

• Be open and honest

• Challenge expectations

Victoria Park, Hackney

Thank you