NPM 9: Percent of adolescents, ages 12 through 17, who are bullied or who bully others

 

Objective 1: Increase the number of annual trainings provided by MCH staff in evidence-based methods of suicide prevention or positive youth development for individuals that work with adolescents from 1 in 2020 to 10 by 2025.

 

Data:

The suicide death rate among youth 15-19 years old has increased over the last 20 years from 9.6 deaths per 100,000 youth in 2002 to 19.3 in 2021. In 2021, disparities were observed by gender as males had a suicide rate three times that of females at 23.6 and 6.8, respectively. However, data from the 2021 Youth Risk Behavior Survey (YRBS) indicated that females were significantly more likely than males to have:

• Experienced sadness or hopelessness (58% vs 30%)
• Considered attempting suicide (32% vs 15%)
• Made a plan to attempt suicide (25% vs 11%)
• Attempted suicide (13% vs 7%)

 

Successes:

MCH funded nine Adolescent Health Specialists (AHS) for the state-level teen pregnancy prevention project, Oklahoma Healthy YOUth (OHY), across the ten OSDH regional districts. The AHS attended webinars and/or trainings on suicide prevention and engaged in other mental health and suicide prevention activities in their respective coverage areas. See Objective 2 for more detailed information.

 

MCH staff participated in the following webinars, trainings, and/or conferences for professional development:

• Trauma-Informed Care
• Teens Will Call BS: Meeting Teens Where They’re At
• Adolescent Brain Development
• Youth in Crisis: What the Data Is Telling Us
• Youth-Adult Partnerships to Improve School Health
• Motivational Interviewing
• Engaging Youth in Rural Communities
• Exploring the Power of Youth Leadership in Creating Conditions for Health Equity

 

MCH staff continued to highlight adolescent health topics on the Oklahoma Maternal and Child Health Facebook page. Staff created content and used existing content created by other entities for mental health, suicide prevention, bullying prevention, teen dating violence, child-adult communication, physical activity, and STI prevention. The majority of the content aligned with Let’s Talk Month in October, Teen Dating Violence Awareness Month (TDVAM) in February, National Adolescent Health Month (NAHM) in May, National Minority Mental Health Awareness Month in July, and Suicide Prevention Awareness Month in September.

 

The Adolescent Health Coordinator collaborated with the Sexual Risk Avoidance Education (SRAE) Coordinator for Let's Talk Month 2022; the team redesigned the existing tip sheet for parents/caregivers and bookmarks; created consent postcards that were age-appropriate for children, pre-teens, and teens; and created a social media kit with sample posts and graphics. All materials were distributed in October 2022. The materials can be viewed by going to the OSDH Box address accessible by clicking here https://healthokgov.app.box.com/v/lets-talk-toolkit/folder/174928361399. 

 

MCH continued to partner with the Oklahoma Department of Mental Health and Substance Abuse (ODMHSAS) and the OSDH Injury Prevention Service (IPS), participating on coalitions and committees. The School Health Consultant served on the Oklahoma Suicide Prevention Coalition and attended the coalition meetings regularly, which were conducted virtually by ODMHSAS. The Adolescent Health Coordinator regularly attended the Oklahoma Prevention Leadership Committee (OPLC) quarterly meetings, participated in bi-weekly subcommittee meetings, and served on the Advisory Board. OPLC activities focused on adolescent intimate partner violence, teen pregnancy prevention, and suicide prevention.

 

Challenges:

The MCH Adolescent Health Coordinator resigned in October 2021 and the position remained vacant until February 2022 at which point it was merged with the Healthy Youth Consultant position. There was also a shift in duties between the Adolescent Health Coordinator and the School Health Consultant, primarily related to suicide prevention work, which led to a need for additional training for staff and reduced capacity to provide trainings for others.

 

Objective 2: Conduct youth-informed public health activities with youth across the state regarding adolescent health issues, including teen pregnancy prevention, suicide prevention and bullying by 2024.

 

Data:

MCH recruited one adolescent to serve as a MCH Youth Consultant; participation occurred between February and August 2022.

 

The OHY AHS engaged in active recruitment with six schools to recruit youth to participate in planning and conducting public health activities. One Public Health Youth Council (PHYC) was established in District Six; activities were conducted after the time frame of this report.

 

Successes:

The Adolescent Health Coordinator provided a two-part virtual training to the OHY AHS related to positive youth development, youth-adult partnership, and PHYCs; training was conducted in December 2021 and February 2022.

 

MCH piloted its Youth Consultant project in February 2022, which aimed to recruit youth and young adults ages 16-21 to provide input and insight regarding adolescent health issues, policies, and programs. MCH partnered with the Oklahoma Family Network (OFN) to provide stipends to the youth consultants. The Adolescent Health Coordinator recruited one adolescent and held five meetings with them; the consultant gave feedback and input on the Youth Consultant recruitment materials, Child and Adolescent (CAH) website, Adverse Childhood Experiences (ACES), and Prevent Adverse Childhood Experiences (PACES) questions on the Youth Risk Behavior Survey (YRBS).

 

AHS connected with organizations and/or groups that had experience conducting youth groups for additional guidance. The District Two AHS met with a local community health action team to discuss a strategic plan and create flyers for recruitment. The District Three AHS met with a community partner, Amplify Youth Health Collective, to discuss their success with their Youth Leadership Council (YLC) and best practices for recruitment and facilitating meetings.

 

The District Four AHS worked towards getting menstrual products for schools in their district; they learned from students and staff that availability and accessibility of products at school was minimal. The AHS connected with various resources in the state in an attempt to increase access at schools, as well as make the county health departments in their district a distribution site. 

 

The OHY AHS participated in the following trainings/webinars for professional development:

• Trauma-Informed Response in Sex Ed
• Transforming Youth Together: Understanding the Connection between Substance Use, Mental Health, and Student Learning
• Talking with Teens about Sexual Health
• Youth Mental Health First Aid
• Supporting Teen Mental Wellness
• Strengthening Social and Emotional Well-Being for Youth
• Adolescent Brain Development
• Understanding Suicide to Prevent Suicide
• 2 Much 2 Lose: Adolescent Underage Drinking
• Reducing the Risk of Youth Suicide
• Reducing Stigma of Substance Use in Teens

 

The OHY AHS continued to highlight adolescent health topics on their county health department’s social media. They worked with their local Project Information Officer (PIO) to post information related to suicide prevention, bullying prevention, teen dating violence, child-adult communication, and teen pregnancy prevention.

 

Challenges:

MCH did not have staff whose sole job responsibilities were related to the Youth Consultant project; the Adolescent Health Consultant was responsible for recruitment, on-boarding, conducting meetings, and identifying activities and/or projects for the Youth Consultant in addition to core responsibilities. Most times, it was difficult to meet with the Youth Consultant because of their school schedule and after-school activities schedule; this ultimately led to inactivity. Additionally, MCH activities and projects for the Youth Consultant were difficult to identify. After discussion with other states with a similar project, it was learned that there is typically a staff member whose only job responsibility is to oversee the Youth Consultants, which was not feasible for MCH.

 

The OHY project had vacancies in four districts in October 2021, all of which were filled by June 2022, however three AHS resigned between April and September. See NPM 10 Objective 4 for additional information. Turnover had an impact on active projects; new staff spent a lot of time in training, familiarizing themselves with the project and curriculum, and recruiting schools for presentations and curriculum implementation. Staff found it difficult to gain access to youth groups because they did not have a pre-existing relationship with the schools in their communities.

 

Objective 3: Will work with county health departments, Oklahoma State Department of Education, and local school districts to provide OLWEUS training and technical assistance with at least two school districts by December 2024.

 

Data:

In November 2021, the School Health Consultant, in conjunction with the Bullying Prevention Specialist at Oklahoma State Department of Education (OSDE), provided OLWEUS training to Pleasant Grove Public School in Shawnee, OK. Eleven staff members attended the training, to the benefit of the 298 students enrolled through 8th grade in the district.

 

Successes:

The School Health Consultant attended monthly meetings focused on school health such as the Anti-Bullying Coalition in Tulsa, Oklahoma; Oklahoma Whole School, Child, Community (OKWSCC) Coalition; and, the 1801 Evaluation Services work group.

 

The School Health Consultant continued training in the research-based OLWEUS Bullying Prevention Program (OBPP) and assisted in the planning and administration of the 2023 YRBS. Contributions to the Agency’s website and social media page were made, including information on school health, bullying prevention, suicide prevention and mental health. Partnerships were strengthened with the OSDE, as well as the Oklahoma City County Health Department (OCCHD), Tulsa Health Department (THD), Healthy Schools of Oklahoma and other community agencies. The School Health Consultant provided training on Adverse Childhood Experiences (ACEs) for partners in December 2021.

 

CAH staff met with the Centers for Disease Control and Prevention (CDC) 1801 Grant administrators virtually each month and with OSDE staff as needed. Staff also attended the virtual meetings with OKWSCC and the OKWSCC Institute Planning Committee at least once every month and met with the 21st Century Program Coordinator to discuss how best to incorporate bullying prevention into afterschool programs.

 

The School Health Coordinator (SHC) continued to provide technical assistance and training throughout the state for MCH-funded school nurses, school nurses in other districts, district administrators, and other school staff. Technical assistance consisted of the development of policies, procedures, district and state required training, and resources using the Whole School, Whole Community, Whole Child (WSCC) framework.

 

MCH continued to fund 11 school nurses in nine districts around the state who facilitated bullying prevention training for their district staff. They provided resources and education for parents and the communities in which they served. The school nurses also provided social emotional learning and bullying prevention trainings to the students in these districts. They used various methods of evidence-based materials and presentations, along with local partners. Many of the districts continued to partner within their communities, with county health departments, and the Cherokee, Choctaw, Creek, and Citizen Potawatomi Tribal Nations to provide evidence-based bullying prevention programs to the students attending those schools.

 

OCCHD served 2,213 students in the 2021-2022 school year within the Oklahoma City Public School District (OKCPS) via their Health at School (HAS) Program. The programs were originally designed to follow the WSCC model and place children in the center as the focus. The programs planned for implementation in elementary schools included Social Emotional Learning (SEL). HAS provided interventions, presentations, and staff wellness challenges for teachers. They also trained new and existing staff members in Employee Wellness Programs, Total Wellness, Motivational Interviewing, Trust Based Relational Intervention, and Making Sense of Your Worth. HAS Health Promotion Specialists implemented six different wellness challenges for school staff and had 356 participants. The HAS Social Services team received 44 referrals from all 9 schools in the program. These services included food assistance, insurance navigation, clothing assistance, SNAP assistance, tax, and utility assistance.

 

THD’s It’s All About Kids (IAK) school health program served 6,891 students during the 2021-2022 school year. IAK provided health education in 51 schools within the Tulsa area throughout the school year. Social emotional learning was part of the curriculum presented, and the WSCC model remained the primary focus. IAK staff provided a variety of health education programs: Bullying Prevention, Class Cohesion, Conflict Resolution, Fitness in the Classroom, Human Growth and Development, Handwashing, Hygiene, Mindfulness, Responsible Decision Making, Stress Management Teambuilding in PE, Tobacco Prevention, and Vaping Prevention. Nutrition in the Classroom included topics of Food Groups, Food Labels, Little Bite Nutrition Breaks, and MyPlate. Staff members continued to provide in-person and virtual lessons for any topic at request.

 

Employee wellness continued and 17 schools participated in IAK School Health Readiness Assessment. The program had six Activity Challenges, eight Recipe Challenges and four Habit Challenges for the 2021-2022 school year. In addition, IAK staff developed two Lunch and Learn lessons: Education-Based and Nutrition Make & Take.

 

IAK social media communication continued to increase with 97 posts on Facebook, 79 posts on Instagram, 68 tweets on Twitter, 36 videos posted on YouTube and 36 links for bit.ly for a total of 316 social media posts/activities. All of the social media platforms combined (excluding YouTube and bit.ly for which that measure is unavailable) reached a total of 21,118 people. YouTube videos posted during the 2021-2022 school year included video lessons on Mindfulness, Responsible Decision Making, Conflict Resolution, Dental Health and Tooth Fairy Assistant, Dairy, Vegetables, Protein, Grains, Fruits and My Plate.

 

Challenges:

The COVID-19 pandemic still had some effect, but programs continued to innovate and virtual lessons were used when in-person events could not occur. IAK had some cancellations of programs due to mask mandates in schools when COVID-19 numbers would rise. Staff shortages and scheduling conflicts also caused cancellations. OCCHD had many internal changes and program realignment which caused pushback from schools and delays in program implementation.

 

NPM 10: Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year.

 

Objective 1: Increase by 5% annually, the number of adolescents participating in state or federally funded evidence-based teen pregnancy prevention programs (Baseline: 4,856 adolescents for the 2019-2020 school year).

 

Data:

According to a report from the National Center for Health Statistics, in 2021 the birth rate for Oklahoma teens, defined as the number of births per 1,000 adolescent females ages 15-19, was 24.1 and significantly higher than the national average of 13.9. Older teens in Oklahoma, ages 18-19, had the highest birth rate at 48.2, followed by teens ages 15-17 at 8.8. Compared to other states in the nation, including the District of Columbia, Oklahoma had the 4th highest teen birth rate for teens ages 15-19; the 3rd highest teen birth rate for teens ages 18-19; and the 4th highest teen birth rate for teens ages 15-17. Although Oklahoma continued to rank among the top states with the highest teen birth rates, it is important to note the state's teen birth rates were improving.

 

A total of 4,399 students participated in teen pregnancy prevention (TPP) curricula in the Oklahoma City and Tulsa metropolitan statistical areas (MSAs) through the Personal Responsibility and Education Program (PREP) during the time frame of this report. In the same period, 456 students participated in TPP curricula in the rural counties through the OHY project. More information about the OHY activities can be found in NPM 10 Objective 4.

 

Successes:

MCH continued the administration and monitoring of the PREP grant from the Administration of Children, Youth, and Families (ACF) and Family and Youth Services Bureau (FYSB). The federal funds supported the implementation of TPP projects through contractual agreements with the Oklahoma City-County Health Department (OCCHD) and the Tulsa County Health Department (THD). Target populations remained youth 11-19 years of age in the middle, high, and alternative schools in the Oklahoma City and Tulsa MSAs. PREP projects continued to use evidence-based curriculum from the Health and Human Services (HHS) approved list; Making a Difference (MAD), Making Proud Choices (MPC), Love Notes, Positive Prevention PLUS (P3) High School (HS), P3 Middle School (MS), and Power Through Choices.

 

THD PREP renewed their Memorandum of Understanding (MOU) with Tulsa Public Schools (TPS) through the Amplify Youth Health Collective, the lead agency in the county’s collaboration. Many schools in Tulsa County were open for in-person learning and most districts lifted the mask requirement for students and staff. THD PREP delivered the following TPP curriculum virtually and in-person to 13 schools, reaching 2,528 participants: P3 HS, P3 MS, MAD and MPC.  One Teen Pregnancy Prevention Specialist (TPPS) resigned in January 2022, but the position was filled in June 2022; the THD PREP team was fully staffed through the remainder of the time frame for this report.

 

OCCHD PREP renewed their MOUs with schools previously served in the Oklahoma City Public Schools (OKCPS) district. The TPPS delivered the following TPP curriculum in-person to nine schools and one juvenile detention center, reaching 1,871 participants: MAD, MPC, Love Notes, and Power Through Choices.

 

OCCHD and THD PREP staff continued partnership with their county’s respective sexual health and/or health education collaboration and other community partners.

 

MCH staff planned and coordinated the semi-annual meetings for PREP and OHY staff in January and July. For the January meeting, MCH had a contract with an external speaker to present on returning from the pandemic and how to teach teens; the meeting was held virtually. The July meeting was held in-person and staff received Oklahoma updates regarding teen births, YRBS, STIs, and legislation; fidelity and program protocols were also addressed.

 

The Adolescent Health Coordinator continued to provide consultation and technical assistance to the PREP and OHY staff, as well as community partners; this was done via monthly calls (as necessary) with project staff, trainings, and resource sharing. The Adolescent Health Coordinator partnered with AHS from Variety Care Teen Clinic to facilitate a Training of Facilitators (TOF) for Love Notes in March. Fifteen educators, including PREP and OHY staff, from across the state, received certification.

 

MCH, PREP, and OHY staff participated in numerous professional development opportunities related to sexual health, sexuality, relationships, trauma-informed care, and other adolescent health topics. Additionally, the newly hired TPPS for THD PREP participated in TOFs for MAD, MPC, and P3 HS and MS provided by one of Tulsa’s community partners; seasoned THD PREP staff served as trainers.

 

Challenges:

The COVID-19 pandemic still had an impact in the beginning of the 2021-2022 academic year. THD guidelines required that staff and populations they serve wear masks, however this was difficult to enforce as many schools in Tulsa County lifted their mask mandate. This resulted in many schools receiving virtual delivery of TPP curriculum; TPS did not require program participants to attend live Zoom sessions, which created challenges for accurately tracking attendance and completing fidelity logs. Additionally, participants experienced multiple factors related to virtual learning that affected attendance. OKCPS experienced staff shortages and disengaged students as schools re-opened for in-person learning.

 

OCCHD PREP had two TPPS vacancies; one vacancy was pre-existing and the other occurred in July due to the unexpected passing of a TPPS. Neither vacancy was filled during the time frame of this report.

 

See NPM 10 Objective 4 for challenges related to the OHY project.

 

Additionally, a multitude of bills were proposed during the 2022 legislative session, and some later passed, that had either direct or indirect impacts on programming. Four reproductive health bills were passed that prohibited abortion in the state of Oklahoma, which resulted in programs being unable to share abortion information with participants: SB612, SB1503, SB1555, and HB4327. There were also three bills related to gender identity that passed regarding team sports, birth certificates, and restrooms: SB2, SB1100, and SB615. While these bills did not directly impact the TPP programs, communities became increasingly hypersensitive to sexual orientation and gender identity discussions and schools became more hesitant about allowing curriculum.

 

Objective 2: Work with local agencies and healthcare professionals to deliver training on how to provide youth-friendly, high-quality services to expectant and parenting teens by 2024.

 

Data:

According to Oklahoma Vital Statistics, in 2021 there were 3,233 births to females age 19 and younger. Of those births:

• One of every six births (16%) was a subsequent teen pregnancy.
• Nearly 3 out of 5 (58%) of the teens who gave birth were already a parent and had not graduated from high school.
• Among older teens age 18-19 who were already a parent, over half (54%) did not have a high school diploma.

 

Successes:

MCH staff identified a few internal and community partners that could potentially form a workgroup to create an expectant and parenting youth training: Children’s First Program, Variety Care, and Strong Tomorrows. The focus areas for the training were proposed as sexual health education, clinical services, and academic achievement.

 

MCH began planning for the 2023 Adolescent Health Summit and it was decided to include expectant and parenting youth as a topic focus.

 

Challenges:

Staff experienced challenges tracking down the right individual(s) that created the Expectant and Parenting Teens training developed by the Mississippi State Health Department and Teen Health Mississippi. The intention was to review and hopefully adapt the existing training modules to fit the needs of Oklahoma. Other than identifying potential partners for the workgroup, no additional activities were conducted.

 

Objective 3: Consent education will be provided at least once to all participants in the evidence-based teen pregnancy prevention curricula classes, and to at least 14 schools as a stand-alone presentation by December 2023.

 

Data:

Consent education was provided as a stand-alone presentation to 12 schools during the time frame of this report. Additionally, consent education was provided to 7th graders in two counties that attended their respective Wellness Day event.

 

Successes:

Four AHS provided stand-alone sexual consent and/or healthy relationships education to schools in their district. The AHS in District Two created a presentation series, Healthy Relationships 101, for use with teens at a local library; the series was delivered outside the time frame for this report.

 

Four AHS implemented evidence-based programs (EBPs) in their respective coverage area; two schools received Love Notes, two schools received MAD, one school received P3 High School, two schools received P3 Middle School, and one school received MPC. A total of 455 students participated in TPP curriculum and received information about sexual consent.

 

Challenges:

There were no challenges to report for this objective.

 

Objective 4: Expand coverage of state or federally funded, age-appropriate, evidence-based teen pregnancy prevention projects in rural counties with teen birth rates higher than the national average from 12 in 2019 to 56 by 2023.

 

Data:

According to Oklahoma Vital Statistics data, the top 5 counties in Oklahoma with the highest teen birth rates in 2018-2020 were Hughes (55.6), Okfuskee (48.3), Harmon (47.1), Atoka (46.6), and Choctaw (46.4).

 

There was a 142.1% increase in the number of active project areas since the previous report; 8 AHS were active in 46 rural counties in Oklahoma, providing presentations, curriculum, and conducting outreach activities. The AHS coverage areas can be found at the State of Oklahoma web page or by clicking https://www.ok.gov/health2/documents/AHS%20Coverage%20SFY%202023.pdf.

 

TPP curriculum was delivered to 8 schools, reaching 456 students who participated in the program at least one time. A total of 49 sites received stand-alone presentations: 3 higher education institutions and 46 middle and high schools.

 

Successes:

Six AHS were hired between October 2021 and August 2022; a total of nine AHS were on staff for the OHY project during the time frame of this report.

 

Among all AHS on staff, five received certification for Love Notes, four received certification for MAD, five received certification for MPC, and two received certification for P3 HS and MS. New staff also received training on the OHY reporting documents and tools. The Adolescent Health Coordinator continued to provide guidance, oversight, and TA to the OHY project through training, resource sharing, and monthly calls.

 

Four AHS implemented EBPs in their respective coverage area; two schools received Love Notes, two schools received MAD, one school received P3 High School, two schools received P3 Middle School, and one school received MPC. The Adolescent Health Coordinator conducted four curriculum observations during the time frame of this report.

 

AHS delivered HIV and STI presentations to middle and high schools in their counties to help schools fulfill the HIV/AIDS Prevention Education state mandate. Additionally, presentations were provided on sexual consent, contraception, healthy relationships, puberty and hygiene, online safety, and tobacco and vaping prevention/cessation.

 

OHY project staff engaged in numerous professional development activities (webinars, trainings, self-paced modules, and conferences) related to adolescent development, sexual health, relationships, mental health, and inclusivity throughout the period of this report.

 

AHS developed and/or maintained partnerships with local schools, colleges, coalitions, community organizations, and Health Educator (HE)s in their counties to ensure TPP, PYD, suicide prevention, and other adolescent health issues were priorities in their areas.

 

Challenges:

The OHY project experienced turnover in three districts, which impacted activities in those areas. The District Nine AHS was hired at the end of January and resigned mid-April; this position was re-filled in August. The District Eight AHS that had been with the project since January 2020 resigned in May. The District One AHS was hired in June and resigned at the end of September. Both positions in District One and Eight remained vacant through the end of the time frame of this report. Oklahoma still did not have a mandate for comprehensive sexual education, which continued to be a barrier for project implementation as the EBPs used by the OHY project, remained optional for schools. Additionally, a multitude of bills were proposed during the 2022 legislative session related to sexual and reproductive health and gender identity, which caused many schools to become hesitant and/or completely reject programming.

 

Objective 5: Develop and host the 2nd biennial Adolescent Health Summit to provide education and resources for professionals working with youth by 2023.

 

Data:

MCH formed the planning committee for the 2023 Adolescent Health Summit; it was comprised of seven internal staff and partners, six external partners, and three youth.

 

Successes:

The Committee planned the date for the Summit for June 28, 2023, and decided to host it in-person in Oklahoma City. The 2023 theme selected was Strengthening Connections for Adolescent Health Resilience: Mind the Gap, to bring focus to adolescents and adults that are often left out of conversations around adolescent health (i.e., expectant and parenting youth, native youth, grandparents, foster parents, etc.). The purpose of the Summit is to provide professionals and caregivers with interdisciplinary training and tools to improve the health of adolescents in their communities. As an incentive to attend the Summit, registered attendees will be able to receive continuing education (CE) hours for Certified Health Education Specialist (CHES), Master CHES, Certified Public Health (CPH) credentialing and Social Work.

 

MCH started internally planning for the Summit in June, then facilitated regular planning committee meetings virtually. The planning committee was comprised of staff from MCH, OSDH IPS, OFN, OSDE, ODMHSAS, Thrive (now Honestly), Amplify Youth Health Collective, Southern Plains Tribal Health Board (SPTHB), and youth members.

 

The planning committee was divided into three subcommittees led by OSDH staff: program and entertainment, marketing and media, and youth engagement. The program and entertainment subcommittee became responsible for correspondence, coordination, and other tasks associated with the Summit venue, presenters and moderators, exhibitors, attendees, food trucks, volunteers, and sponsors. The marketing and logistics committee was tasked with marketing the event to attendees and exhibitors, as well as creating event materials. The youth engagement subcommittee was led by staff from the OSDH IPS and comprised of youth members. The subcommittee worked on developing a survey to help inform the youth presentation for the Summit. MCH created a Google drive to house all planning materials and tools.

 

Challenges:

Many of the planning committee members were splitting their time between their usual responsibilities and projects, therefore there was a drop in regular attendance of some members at meetings as the process continued.

 

NPM 12: Percent of adolescents with and without special health care needs, ages 12 through 17, who received services to prepare for the transition to adult health care.

 

Objective 1: Collaborate with the Oklahoma Health Care Authority to provide transition information and at least one training to their provider network by December 2023.

 

Objective 2: Develop, in partnership with Sooner SUCCESS, an Adolescent Guide for Transitioning to an Adult Health Care Model and a related presentation for schools, community partners and local medical providers on adolescent transition to adult health care for all youth by 2024.

 

Data:

MCH worked to develop a partnership with Sooner SUCCESS to assist with transition training efforts.

 

Successes:

MCH hired a Child Health Nurse Practitioner Consultant in May of 2022 who assumed responsibilities for Health Care Transition projects after the on-boarding process was completed. The Child Health Nurse Practitioner Consultant successfully completed a Health Care Transition provider training with OUHSC in September of 2022. Preparation for upcoming transition projects and presentations began and presentations were developed for the Transition to Independence (TIP) with Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSA) in October of 2022 and the Oklahoma Transition Institute (OTI) with OFN in November of 2022.

 

Challenges:

Due to Medicaid expansion and the beginning of the unwinding process as a result of the public health emergency ending, OHCA experienced ongoing transition, so this project was placed on hold with them.

 

NPM 10: Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year.

 

Health Equity Objective 1: Increase the number of annual health equity, trauma-informed practices, and inclusivity trainings provided by MCH-funded staff from 1 in 2021 to 3 by 2023.

 

Data:

Five presentations were provided by MCH staff related to health equity, trauma-informed care, and inclusivity.

 

Successes:

MCH provided the following presentations and trainings via Title X meetings:

• Human Trafficking
• Intimate Partner Violence
• Trauma-Informed Work with Children and Youth
• ACES and PACES
• Fatherhood and Male Involvement

 

Additionally, MCH staff disseminated professional development opportunities to staff, contractors, and TPP project staff. MCH-funded staff participated in the following webinars, trainings, and conferences:

• The Equity Paradigm: Foundations to Deliver More Equitable and Inclusive PREP Programs
• Unlocking Hidden Bias: How Our Unrecognized Attitudes Impact How We Treat Others
• Implicit Bias
• Shaping Policy to Reduce Inequality Among LGBTQ Youth
• Creating Safe and Inclusive Spaces for LGBTQ+ Youth
• Community Engagement: Intentionality and Health Equity
• Trauma-Responsive Practices in Sex Education
• Supporting Trans and Non-Binary Students
• Healing-Centered Approach to Adolescent Relationships
• Cultural Humility for Sex Education
• Pursuing Health through Healing
• Adolescent Health Conference hosted by the Adolescent Health Initiative

 

Challenges:

There were no challenges to report for this objective.