Adolescent Health – Annual Report

Adolescent Domain: Annual Report for (October 1, 2021 through September 30th, 2022)

Priorities:

• Suicide Prevention/Mental Health
• Healthy Relationships

NPM 7.2: Rate of hospitalization for non-fatal injury per 100,000 adolescents, ages 10 through 19

ESM 7.2.1: Number of students trained in teen Mental Health First Aid

Data Statement:

South Dakota did not meet the 2020 target rate of 279.3 per 100,000 adolescents with a non-fatal injury hospitalization rate of 316.4 per 100,000 adolescents, ages 10 through 19, in 2020. The new 2021 annual target is 303.9 per 100,000 adolescents, ages 10 through 19. South Dakota ranked 48th in the nation in 2020 with a significantly higher rate than the overall U.S. rate of 210.1 per 100,000 adolescents.  

 

State Objective 1:

Decrease the adolescent suicide rate among 15 through 19-year-olds from 34.4 per 100,000 (2018-2020) to 26.3 per 100,000 in 2025 (NVSS). 

State Objective 1 Data Statement:

South Dakota did not meet the 2019-2021 target rate of 33.6 with an adolescent suicide rate of 37.2 among 15 through 19-year-olds. This is an increase from 34.4 in 2018-2020. The new 2020-2022 annual target rate is 34.5. South Dakota ranked 48th in the nation in 2019-2021 with a significantly higher rate than the overall U.S. rate of 10.6. The change from the base year (2014-2016) is not significant. 

 

State Objective 2:

Decrease the percentage of 9th-12th graders who attempted suicide in the past 12 months from 12.3% in 2019 to 9.0% in 2025 (YRBS).

State Objective 2 Data Statement:

The objective was aligned to the South Dakota suicide workgroup’s target of 9.0% in 2025. The percentage was based on an average rate of 9.4 from 2011-2019. In 2021, 11.9% of 9th-12th graders attempted suicide in the past 12 months.

Strategy 7.2.1. Promote evidence-based programs and practices that increase protection from suicide risk

• Activity: Provide Youth Mental Health First Aid Training
• Activity: Provide Question Persuade Refer trainings for high school staff
• Activity: Provide Teen Mental Health First Aid Training

Title V continued to partner with Helpline Center to provide suicide prevention trainings across the state.

• Youth Mental Health First Aid training – 1 training (6 attendees)
• Question Persuade Refer training – 14 trainings (349 attendees)
• ESM for NPM 7.2.1 - Teen Mental Health First Aid Training – 2 schools (65 attendees)

 

• Activity: Provide and promote Text4Hope - Teen Crisis Texting Support

Text4Hope: Title V partially funds the Text4Hope program. The program provides crisis texting support for all high school students in the state of South Dakota. Students will typically text in to talk about a variety of issues such as suicidal thoughts, anxiety, depression, stress, concerns about a friend, relationship issues, and family issues.

• Number of texts received: 97

 

Text4Hope promotions during this reporting period:

• Cōr Health & Wellbeing Social Media posts to promote Text4Hope

• Partnered with Healthy Relationship grants to promote Text4Hope through a resource card that is shared during class.
• Wrist Key Strap for every High School Student

Title V worked with the Helpline Center to order and distribute a wrist key strap to all 45,667 high school students in South Dakota.

 

The Helpline Center announced the launch of 988 in July 2022, 988 replaced the National Suicide Prevention Lifeline. Along with the 3-digit number, two other ways to communicate with 988 were the options to chat or text.

At the end of this reporting period, Title V and Helpline Center began looking at how to transition from promoting Text4Hope number to promoting 988 number to youth.  This will help illuminate any confusion on what number youth should text and promote a number that is easy to remember but still giving youth the option to text.

 

South Dakota Medical Journal Ad promotion of 988

Title V worked with the Helpline Center and Department of Social Services to develop and promote this ad in the South Dakota Medical Journal for Suicide Prevention Month (September 2022).

 

7.2.2. Create opportunities for Positive Youth Development (PYD) among diverse youth with a health equity lens

• Activity: Develop and promote PYD training for organizations working with diverse youth on suicide prevention/mental health.

 

Positive Youth Development Conference: Title V partnered with Lutheran Social Services REACH program(www.REACH.LssSD.org) to provide the 5th Annual Positive Youth Development Conference. The conference was started to provide an opportunity for those that work with youth to come together and discuss the latest issues affecting them today. The PYD conference was held online and in person (April 2022) due to the transition back to in person meetings due to COVID-19.  

Topics discussed were:

 

• STDs in SD
• Human Trafficking
• Social Media Safety
• Mental Health

 

• Activity: Collaborate with Youth Advisory Council that focuses on adolescent priorities and provide activities that emphasize health equity and integrating youth voice

 

Youth Advisory Council: Title V partnered with LSS of South Dakota to coordinate a youth advisory council. The council will look at both MCH adolescent priorities - Healthy Relationships and Suicide Prevention/Mental Health. In 2021, due to staff turnover and COVID-19, in-person meetings were limited. During 2022, Lutheran Social Services partnered with a youth afterschool program, Youth & Family Services. They meet monthly and participated in activities on Mental Health and Healthy Relationships, incentives for youth participation were provided.

 

7.2.3. Develop and disseminate equitable and accessible suicide prevention education materials, resources, and messaging.

• Activity: Promote suicide prevention and mental health messaging for Cōr Health & Wellbeing social media

Title V continued to develop suicide prevention, mental health posts for Facebook and Instagram.

www.facebook.com/corhealthsd

www.instagram.com/corhealthsd

 

Since Cōr Health & Wellbeing’s launch in December 2019, the primary goal has been to provide resources to South Dakota parents and youth (10 to 24 years old). To accomplish this, we’ve been utilizing Facebook and Instagram carousels to distribute Cōr Health & Wellbeing messages on a variety of different subjects such as mental health, suicide prevention, stress management and injury prevention.

During this reporting period the impact of COVID on youth mental health continued to be a high concern. Title V worked with the communication team to develop posts on Mental Health for both youth and parents.

• Activity: Develop and promote Suicide Prevention training for parents of young people 10 to 19 years old, including vulnerable/underserved youth.

 

At the end of the FY21 reporting period, Title V partnered with USD Center for Disabilities to develop a 4-part Suicide Prevention Video Series. Series focuses on Suicide Prevention, ACEs, Protective Factors, and Mental Health Resources. The video series was developed for parents or those that are working with youth between the ages of 10 to 24 years old. Each part is 5 to 6 minutes long.

During this reporting period, Title V worked on promoting training through partners such as school newsletters, Cōr Health & Wellbeing, MCH newsletter, and SD DOH Youtube which can be found on the SD DOH website under the youth and young adult section: https://doh.sd.gov/family/Youth/Suicide.aspx.

 

• Part 1: Suicide Prevention
• Part 2: ACES Awareness
• Part 3: Protective Factors
• Part 4: Resources

 

 

• Activity: Utilize communication platforms to disseminate trainings and materials accessible to diverse parents and organizations working with young people 10 to 19 including vulnerable/underserved youth.

Title V worked on updating both the South Dakota Mental Health & Suicide Prevention Resources and the Adolescent Depression Rack Card. The SD Mental Health & Suicide Prevention Rack Card was updated to include 988 resource and the Adolescent Depression Rack Card was updated to include recent data and resources.

 

 

 

 

 

 

7.2.4. Develop partnerships with diverse, multi-sector local and state agencies to address youth mental health and suicide prevention among all South Dakota youth

Title V continued to partner with organizations that were involved with the Title V Needs Assessment and build rapport with new organizations working with diverse youth in mental health and suicide prevention.

The MCH NPM #7.2 workgroup includes the following diverse partners:

• Suicide Prevention Director, Helpline Center
• Suicide Prevention Director, Department of Social Services
• Crisis Services Program Specialist, Department of Social Services
• Injury Prevention Coordinator, Department of Health
• Director of REACH, Lutheran Social Services
• Pediatric Clinical Nurse Specialist, Sanford Children’s Hospital
• Pediatrician/DOH Medical Consultant, Dr. Poppinga
• USD Center for Disabilities, Training Specialist/Adjunct Graduate Faculty  
• School Counseling & Student Support Specialist, Department of Education

SPM 1: Improve young peoples’ (10-24 years) relationships by increasing the percentage of 10–19-year-olds who would talk to a trusted adult if someone they were dating or going out with makes them uncomfortable, hurts them, or pressures them to do things they don’t want to do from 50.9% in 2021 to 55.2% by 2025.

 

Data Statement:

In 2022, South Dakota exceeded the 2025 target of 55.2% with 58.03% of 10-19-year-olds reporting they would talk to a trusted adult if someone they were dating or going out with makes them uncomfortable, hurts them, or pressures them to do things they don’t want to do. A new 2025 target has been set at a 10% increase from the previous target. The new 2025 target is 60.74%. The 2023 annual target is 58.9%.

State Objective 1:

Decrease the proportion of females aged 15 to 24 years with Chlamydia trachomatis infections attending family planning clinics from 12.5% in 2021 to 11.52% by 2025 (EHR NetSmart).

State Objective 1 Data Statement:

South Dakota met the 2022 target of 12.3% with 12.12% of females aged 15 to 24 years with Chlamydia trachomatis infections attending family planning clinics in 2022. The new 2023 annual target is 11.9%.

State Objective 2:

Decrease the South Dakota teen birth rate, ages 15 through 19, from 18.7/1000 in 2020 to 18.4/1000 in 2025 (NVSS).

State Objective 2 Data Statement:

South Dakota met the 2025 target rate of 18.4/1000 with a teen birth rate of 17/1000 in 2021. The new 2025 target was set at a 10% decrease from the previous 2025 target. The new 2025 target teen birth rate, ages 15 through 19, is 16.56/1000. The new 2022 annual target is 16.9/1000. South Dakota ranked 37th in the nation in 2021 and has a rate that is significantly higher than the overall U.S. rate of 13.9/1000. The change from the base year (2015) to the current year is significant.

 

Strategies:

1.         Promote evidence-based programs and practices that increase healthy relationship skills, STI prevention and pregnancy prevention

 

• Activity: Provide and promote STI guidelines training to providers serving young people 10 to 24-years-old, including vulnerable/underserved youth.
  • Promoted 3-session course on syphilis the Department of Health provided from University of Washington Prevention Training Center.
    • Epidemiologic profile of syphilis in South Dakota
    • Recommendations for screening, treatment and management of syphilis infection

 

• Activity: Collaborate with South Dakota Family Planning Program, Rape Prevention Education (RPE), Title V Sexual Risk Avoidance Education, General Department Sexual Risk Avoidance (SRAE) and Personal Responsibility Program (PREP) Grants serving diverse populations.

At the end of this reporting period Family Planning and PREP grant began looking at partnering to provide a teen pregnancy prevention curriculum within Family Planning Clinics.

•                  Activity: Develop a youth evaluation plan for MCH programs and partners working on healthy relationship grants and activities.

 

Title V will work with the evaluation center, South Dakota State University (SDSU) Population Health to review the MCH healthy relationship priority and five other healthy relationship grants. The five healthy relationship grants are:
 

• Personal Responsibility Education Program (PREP)
• Title V Sexual Risk Avoidance Education (SRAE)
• General Departmental Sexual Rick Avoidance Education (GDSRAE)
• Rape Prevention Education (RPE)
• Title X Family Planning Program

 

The evaluation team and SD DOH Healthy Relationships team developed a survey meant to be given to anyone participating in a Healthy Relationships program (which includes SRAE/PREP programs). This survey, the Common Measures Tool, is a pre and post survey to inform on any changes in perspectives or attitudes regarding common subject areas across all Healthy Relationships curriculums:

1. Acceptance of using prevention/protection methods
2. Positive attitudes favoring abstinence
3. Perceived consequences of risky behaviors
4. Perceived self-efficacy (skills & knowledge on healthy relationships)
5. Permissive peer risky behaviors
6. Negative attitudes towards dating or peer violence

 

 

 

2.         Create opportunities for Positive Youth Development (PYD) among diverse youth with a health equity lens

• Activity: Develop and promote PYD trainings for those working with diverse youth on healthy relationships
• Activity: Collaborate with Youth Advisory Council that focuses on adolescent priorities and provide activities that emphasize health equity and integrating youth voice throughout.

 

See Positive Youth Development Conference and Youth Advisory Council sections above.

 

• Activity: Develop an assessment tool for Positive Youth Development activities.

With the development of youth advisory council and the positive youth development conference – a new activity was developed to evaluate youth-focused programming and will measure youth engagement in healthy relationship programming. Development of this tool will help guide Title V and LSS on their youth programming activities and to see the impact of PYD activities in South Dakota.  

 

3.         Develop and disseminate equitable and accessible healthy relationship, STI prevention and pregnancy prevention materials, resources and messaging.

 

Title V continued to promote STI and pregnancy prevention posts on Cōr Health & Wellbeing Instagram and Facebook. In addition, Title V partnered with the Rape Prevention Grant to develop specialized messaging on Sexual Violence in South Dakota. With South Dakota being the 3rd highest rape rate in United State.

 

 

 

• Activity: Develop youth-friendly services materials for agencies and clinics servicing young people 10 to 24 years old.

During this reporting period Title V and Family Planning began working this activity. Looking at what could be developed for both OCFS Community Health Clinics and Family Planning Clinics. Due to Title V Adolescent Health Coordinator staff time being utilized for other projects and grants this project was put on hold.  

 

4.         Develop partnerships with diverse, multi-sector local and state agencies to address youth healthy relationships, STI prevention and pregnancy prevention among all SD youth

Title V continues to partner with organizations that were involved with the Title V Needs Assessment and build rapport with new organizations working with diverse youth in mental health and suicide prevention.

 

The MCH SPM #1 workgroup includes the following partners:

• Director of REACH, Lutheran Social Services
• REACH Coordinators, Lutheran Social Services
• Pediatrician/Department of Health Medical Consultant, Dr. Poppinga
• Department of Health, Family Planning Manager
• Department of Health, Sexual Violence Prevention Coordinator
• Department of Health, STI Program Coordinator

Other Adolescent Health activities during this reporting period:

South Dakota Suicide Prevention State Interagency Workgroup: Adolescent Health Coordinator continued to participate in South Dakota Suicide Prevention State Interagency Workgroup that developed the 2020 to 2025 State Suicide Prevention Plan. Workgroup meets monthly to look at understanding local data, develop strategies to address suicide prevention and coordinate efforts and resources in suicide prevention.

OCFS Community Health Office: Adolescent Health Coordinator continued to collaborate with 73 OCFS Community Health clinics located in 61 of SD’s 66 counties that provide public health services to the adolescent population such as contracting with local schools for Community Health Nurses to provide preventive health screening and student health education. Education includes growth and development, injury prevention and suicide prevention for middle and high school students.