WVDHHR/OMCFH
ADOLESCENT HEALTH
INITIATIVE
Patty McGrew, Director Adolescent Health Initiative
12/09/2015
Adolescent Health Initiative
•
FORMAL WORK BEGAN IN 1988
•
EXTENSIVE RESEARCH INTO THE CONCEPT OF POSITIVE YOUTH DEVELOPMENT
AND SEARCH INSTITUTE’S 40 DEVELOPMENTAL ASSETS STEERED THE
PROGRAM TO A MORE COMPREHENSIVE APPROACH IN 1993
•
WEST VIRGINIA HAS OFTEN BEEN USED AS A MODEL FOR STATE ADOLESCENT
HEALTH PROGRAMMING
•
THE ADOLESCENT HEALTH INITIATIVE (AHI) MAINTAINS A COMPREHENSIVE
AND HOLISTIC VIEW OF AN ADOLESCENT'S HEALTH AND WELL-BEING. THE AHI
LOOKS BEYOND INDIVIDUAL RISK BEHAVIORS TO FOCUS ON THE OVERLAP
BETWEEN BEHAVIORS, THEIR UNDERLYING COMMON CAUSES, AND
SUCCESSFUL INTERVENTIONS.
•
THE TITLE V MATERNAL AND CHILD HEALTH BLOCK GRANT FUNDS A
DEDICATED NETWORK OF 8 REGIONAL ADOLESCENT HEALTH COORDINATORS
TO ENGAGE INDIVIDUALS, ORGANIZATIONS, INSTITUTIONS AND THE
COMMUNITY AT-LARGE TO ADDRESS NEGATIVE IMPACTS AND CREATE A
SUPPORTIVE ENVIRONMENT IN WHICH ADOLESCENTS CAN ACHIEVE THEIR
FULL POTENTIAL
1
Performance Measures
REDUCE THE PERCENTAGE OF STUDENTS WHO HAD EVER BEEN BULLIED ON
SCHOOL PROPERTY DURING THE LAST 12 MONTHS
REDUCE THE PERCENTAGE OF STUDENTS WHO HAD EVEN BEEN ELECTRONICALLY
BULLIED DURING THE PAST 12 MONTHS
REDUCE THE PERCENTAGE OF STUDENTS WHO SERIOUSLY CONSIDER, ATTEMPT,
OR COMPLETE SUICIDE.
INCREASE THE PROPORTION OF ADOLESCENTS WHO ARE CONNECTED TO A
PARENT OR OTHER ADULT CARE GIVER.
INCREASE THE PERCENTAGE OF ADOLESCENTS AGES 12-17 RECEIVING PREVENTIVE
MEDICAL CARE SUCH AS A PHYSICAL EXAM OR WELL-CHILD CHECKUP DURING THE
LAST 12 MONTHS.
INCREASE ANNUALLY THE PERCENT OF ADOLESCENTS, AGES 13 THROUGH 17,
WHO HAVE RECEIVED AT LEAST ONE DOSE OF THE HPV, TDAP AND
MENINGOCOCCAL VACCINES.
2
Performance Measures
• 2015-2016 HAS BEEN FOCUSED ON LEARNING AND
DEVELOPING THE PROGRAM
• NOT A LOT OF EVIDENCE-BASED INFORMATION IS AVAILABLE
• DATA WAS NEEDED
• To steer the work of the program moving forward
• Identify needs specific to our population versus the
nationally available information
• Provide evidence to support strategies to address our needs
3
Adolescent Well Visit Surveys
• TWO SURVEY TOOLS WERE DEVELOPED
• Youth
• Parents
• SURVEYS WERE DESIGNED TO BE USED ON SURVEY MONKEY
• Multiple Choice
• “Other”
• SIMPLE AND EASY, WITH A COMPLETION TIME OF UNDER A
MINUTE
• YOUTH “TEST” GROUPS FOR FEEDBACK
4
Adolescent Well Visit Surveys
• YOUTH AND PARENTS WERE SURVEYED STATEWIDE
• Forum/focus group discussions---most in conjunction with
other meetings or events, some stand alone
• Handed out at health fairs, community events, meetings,
etc.
• Links distributed via social media and email
• LOTS OF RESPONSES!!
• 1420 Youth
• 704 Parents
5
Youth Survey
6
Parent Survey
7
Q2: Your (your child’s) Age
YOUTH:
PARENTS:
8
Q3: Your (your child’s ) Race
YOUTH:
PARENT:
9
Q4: Do you have medical coverage (insurance, Medicaid, CHIP, etc.) ?
YOUTH:
PARENT:
10
Q5: Do you (your child) have a regular family doctor or pediatrician?
• BOTH YOUTH AND PARENTS OVERWHELMINGLY SAY THEY DO
HAVE A REGULAR FAMILY DOCTOR:
• Youth
85.83%
• Parents
90%
• OF THOSE WHO RESPONDED NO:
• Youth chose “I haven’t found a doctor that’s convenient for
me” most often (30.89%)
• Parents chose “I haven’t found a doctor that I’m
comfortable with” most often (26.98%)
11
Q6: Do you (your child) have a yearly well-visit (annual check-up)
with your doctor?
• MOST RESPONDED YES:
• 74.06 of Youth
• 83.51% of Parents
• OF THOSE WHO RESPONDED NO:
• Top 3 reasons for parents: I don’t think it’s important for my
child to see a doctor when he or she isn’t sick (40.38%); I
can’t afford it (16.35%); and Office hours aren’t convenient
(15.38%)
• Top 3 reasons for youth: I don’t think it’s important to see
the doctor when I’m not sick (58.19%); I can’t afford it
(15.82%); and I feel awkward going to a doctor for little kids
(14.2%)
12
Q7: I would be more likely to get a check-up every year if: (check all
that apply)
13
Q7: My child would be more likely to get a check-up every year if:
(check all that apply)
14
Comments and Feedback
• PARENTS: SCHOOL-BASED HEALTH CENTERS!!!
• “We need health clinics at every school”
• “We love school-based health clinics!”
• “I am grateful to my health center so I don’t have to take my
daughter for her well check ups”
• “I did not realize school based health centers offered wellchild check-ups until the Adolescent Health Coordinator
told me so”
• BOTH PARENTS AND YOUTH: TIME AND CONVENIENCE
• Waiting room times are too long
• Too far to travel, lack of (good?) doctors in their area
• Loss of time from work and school
• “After hours appointments/clinics would be helpful”
15
Comments and Feedback
• YOUTH: WAITING ROOMS ARE LAME!!!
• Wi-Fi
• SNACKS!
• More comfortable chairs
• Video Games, tablets, “Nook books”
• Better TV shows
• Teen focused magazines
• Puzzles, games, coloring books, art supplies
• Separate areas from the babies and little kids
• Brighter colors
16
• “The clinic should be less depressing. They need colors and
smiling faces. They should have free snacks and a kid room
with games”
• “If there were tablets that have games and we can download
them and not be bored while waiting on exam”
• “I would like the doctor a lot better if the office had Wi-Fi and
less little kids shows or the waiting room had a TV on
programs for teens---and the center had a more friendly
environment---if the chairs were more comfortable maybe
have bean bag chairs”
17
Comments and Feedback
• “A clinic that has more variety rather than directly towards
little kids or adults. A bit more teen friendly in both
atmosphere in the waiting room and the staff”
• “Doctors could make it at least somewhat decent of a time”
• “In the clinical area/waiting room can they at least play some
music, do not let it just be quiet and awkward and everybody
staring at each other”
18
Comments and Feedback
• BOTH PARENTS AND YOUTH STATED TRANSPORTATION WAS AN
ISSUE
• More public transportation
• Buses specifically for the clinic
• Kids would take themselves if they had a driver’s license
• BOTH PARENTS AND YOUTH EXPRESSED A LACK OF TRUST, LACK OF
COMFORT AND CONFIDENTIALITY CONCERNS
• “We don’t want parents around for personal reasons”
• “Makes me uncomfortable”
• “If I wasn't afraid to see my weight”
• “The doctor is a very scary place I have been afraid of the doctor
since I was little-maybe better kinder attitudes would help”
• “I feel like in a small community you have confidentiality issues,
things can’t be unheard and even though it’s against the law to
discuss health records, providers and more like their staff discuss
with their friends about what goes on in the doctor’s office”
19
Comments and Feedback
• EDUCATION, EDUCATION, EDUCATION!!
• Several parents expressed confusion about what a well-visit
was and how or if it differs from a sports physical
• “I thought I took my child for a well visit, but I learned
today that’s not what it was”
• Lots of questions about insurance coverage
• Youth don’t know if they have insurance or not
• Parents think well-visits aren’t covered
20
Comments and Feedback
• EDUCATION, EDUCATION, EDUCATION!! (CONTINUED)
• Youth felt like it just wasn’t important enough to make time for
• “Why bother? I have things to do”
• “How about a health event for well check-ups and have famous
people there like dirt bike riders or musicians”
• Parents felt like their should be more education about the
importance
• “I do not like fighting with my 17 year old to go. Maybe that
kids that age should be educated on why it’s important”
• “Parents aren’t as invested in their child’s life. Lack of education
and knowledge”
21
Final Thoughts
• YOUTH WERE MORE INTERESTED IN INCENTIVES THAN
PARENTS
• BOTH AND YOUTH AND PARENTS EXPRESSED CONCERNS
ABOUT EXPENSE, BEING UNABLE TO AFFORD CARE, ETC.
• BOTH PARENTS AND YOUTH FELT REMINDERS WERE VERY
IMPORTANT
• IF THEY FELT WELL-CHILD EXAMS WERE IMPORTANT, MANY
PARENTS AND YOUTH STATED THAT ITS JUST HARD TO MAKE
TIME FOR THEM
22
Questions? Comments?
PATTY MCGREW, DIRECTOR
ADOLESCENT HEALTH INITIATIVE
OFFICE OF MATERNAL, CHILD AND FAMILY HEALTH
WV BUREAU FOR PUBLIC HEALTH
WV DEPT OF HEALTH & HUMAN RESOURCES
350 CAPITOL STREET , ROOM 427
CHARLESTON, WV 25301-3714
1-800-642-9704 OR 1-800-642-8522
[email protected]
HTTPS://WWW.FACEBOOK.COM/TAGWV/
23