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# Youth-friendly health services for adolescents and young people

- Safe practice

Friendly services make it easy for adolescents and young people to seek care: confidential, respectful, at times they can come and without judgement.

Updated Nov 12, 2026

## Key points

- SSAAJ model: people aged 10 to 29 years.
- Three forms: differentiated consultation, friendly unit and friendly centre.
- Five components: access and timeliness, trained staff, administrative procedures, a wide range of services, and social participation.
- Confidentiality and privacy are what make a service friendly.
- In the route's adolescent consultation, part of the visit is held alone with the adolescent.

## What it is

Youth-friendly health services adapt the way care is given to the needs of adolescents and young people. Colombia's model of Servicios de Salud Amigables para Adolescentes y Jóvenes (SSAAJ), developed by the Ministry with UNFPA, covers people aged 10 to 29 with an emphasis on sexual and reproductive health, and can take three forms: a differentiated consultation, a friendly unit or a friendly centre. WHO's global standards for adolescent health services, updated in 2025 with nine standards, stress adolescent participation, a rights-based and non-discriminatory approach, competent staff, family and community engagement, welcoming settings and data for quality improvement.

## What it requires

- Staff trained and sensitised to care for adolescents and young people.
- Confidentiality and a private, non-judgemental setting.
- Short waits and opening hours that fit school and work.
- Services without discrimination of any kind.
- Participation of adolescents and young people in planning and oversight of the service.

## Components

- Differentiated consultation: a trained professional within the daily consultation schedule, with a referral network.
- Friendly unit: spaces for adolescents and young people inside a health facility, with differentiated hours and signage.
- Friendly centre: an independent space only for adolescents and young people, with services and group, cultural and sports activities.

## How it is applied (and why)

- Welcome the adolescent by name and explain how confidentiality works and its limits — trust is the entry ticket.
- If a parent comes, explain that part of the visit will be alone with the adolescent — this recognises autonomy.
- Use a private room and a calm, non-judgemental tone — adolescents talk when they do not feel judged.
- Ask about home, school, activities, substance use, sexuality, mood and safety with open questions — finds the real reasons for the visit.
- Give clear information on sexual and reproductive health, mental health and the services available — supports informed decisions.
- Agree on a care plan with the adolescent and, when appropriate, with the family — shared plans are more likely to be followed.
- Offer flexible appointments, outreach or group activities — reduces barriers for those who study or work.
- Record and follow up, respecting confidentiality, and refer when needed — continuity within a network of services.

## In nursing practice

- Many visits concern everyday life and sexual and reproductive health, not illness.
- Signs of violence, abuse or suicidal ideas override confidentiality: protect the adolescent and activate the institutional route.
- Groups of young people can help design and oversee the service (youth social oversight).
- Friendly services link with the adolescent and youth consultations of the health promotion and maintenance route.

## Common mistakes

- Talking only to the parent and not to the adolescent.
- Lecturing or moralising instead of listening.
- Breaking confidentiality without a protection reason.
- Opening hours that clash with school, so adolescents never come.
- Using posters and leaflets without asking young people what they need.

## Test yourself

Think of the answer, then tap the question to see it.

## What age range does Colombia's youth-friendly services model (SSAAJ) cover?

People aged 10 to 29 years.

## What are the three forms of a youth-friendly health service in Colombia?

A differentiated consultation, a friendly unit and a friendly centre.

## Why is part of the adolescent consultation held without the parent?

To recognise the adolescent's autonomy and allow them to talk freely in a private, non-judgemental setting.

## How many standards do WHO's updated global standards for adolescent health services (2025) include?

Nine standards.

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## Elsewhere in DurgiPedia

- [Adolescence: development and the HEADSSS interview](https://durgical.com/en/behavioral-science/adolescence-development-and-the-headsss-interview/)

## Connections

## Related 2

- [The life-course approach and its stages in Colombian health policy](https://durgical.com/en/nursing/the-life-course-approach-and-its-stages-in-colombian-health-policy/)
- [Colombia's health promotion and maintenance route (Res. 3280 de 2018) from the nursing side](https://durgical.com/en/nursing/colombia-s-health-promotion-and-maintenance-route-from-the-nursing-side/)

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Educational content for students; it does not replace your institution's protocols, supervised clinical training or a prescriber's order. Dose-calculation examples use made-up numbers: they are educational, not a clinical order.

Sources: [Servicios de salud amigables para adolescentes y jóvenes: un modelo para adecuar las respuestas de los servicios de salud (2.ª ed.)](https://www.minsalud.gov.co/Documentos%20y%20Publicaciones/Modelo%20de%20servicios%20de%20salud%20amigables%20para%20adolescentes%20y%20j%C3%B3venes.pdf) (Ministerio de la Protección Social de Colombia y UNFPA (MinSalud), 2008); [Global standards for quality health care services for adolescents](https://www.who.int/publications/i/item/9789240114012) (World Health Organization, 2025); [Resolución 3280 de 2018: atención en salud por medicina general o familiar y enfermería para la adolescencia](https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/resolucion-3280-de-2018.pdf) (Ministerio de Salud y Protección Social, Colombia, 2018).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/nursing/youth-friendly-health-services-for-adolescents-and-young-people/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/nursing/youth-friendly-health-services-for-adolescents-and-young-people/
