title: [Adolescent medicine in Guglera: a novel approach for unemployed, severely obese adolescents].
abstract: The Center "la Guglera", located in the canton of Fribourg (Switzerland) provides a novel approach to the care of severely obese adolescents who are currently unemployed. These young people, whose BMI is usually higher than 35 to 40 kg/m2 spend a 6 to 12 months long stay in an in-patient institution which also takes care of other unemployed non obese adolescents on an outpatient basis. Besides a nutritional education which is part of the everyday life of the institution, the program includes a generous amount of hours of physical activities and sports. The adolescents also participate in a rehabilitation training program which fosters the future integration in a professional milieu, such as an apprenticeship. The short term results of la Guglera seem very promising. The program is financially co-supported by the Swiss and cantonal administrations, the insurance companies and the parents.
authors.affiliation: Unité multidisciplinaire de santé des adolescents, CHUV, 1011 Lausanne. pierre-andre.michaud@chuv.ch
authors.forename: P-A
authors.initials: PA
authors.lastname: Michaud
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D006760:Hospitalization; D006801:Humans; D009767:Obesity, Morbid / Q000628:therapy*; D013557:Switzerland; D014478:Unemployment