Adolescent Health – Application Year
In this section, South Dakota MCH Title V reports on planned activities in the Adolescent Health Domain for the period October 1, 2023, through September 30th, 2024. Priority needs identified through the 2020 Needs Assessment process in this domain were: mental health, suicide prevention, and healthy relationships.
PRIORITY: Mental Health/Suicide Prevention
NPM 7.2 - Rate of hospitalization for non-fatal injury per 100,000 adolescents, ages 10 to 19.
ESM 7.2.1: Number trained in youth Mental Health First Aid
ESM changed due to no longer providing teen Mental Health First Aid training see paragraph 7.2.1
Objectives
Decrease the adolescent suicide rate among 15 through 19-year-olds from 29.2 per 100,000 in 2018-2020 to 26.3 in 2025 (NVSS).
Decrease the percentage of 9th-12th graders who attempted suicide in the past 12 months from 12.3% in 2019 to 9% in 2025 (YRBS).
Proposed Strategies
7.2.1: Promote evidence-based programs and practices that increase protection from suicide risk.
- Provide Youth Mental Health First Aid Training
Suicide Prevention Trainings
In the previous reporting period, Title V shifted how they were structuring suicide prevention work. Title V is working with School Health Coordinator who oversees the PHER Workforce Crisis Cooperative Agreement funding. Funding will increase the number of facilitators trained and increase the number of youth Mental Health First Aid trainings provided. With multiple state agencies receiving funding for Mental Health and Suicide Prevention, this changed how Title V supported suicide prevention. Combine efforts regarding Suicide Prevention Gatekeeper trainings – currently an RFP for agencies to apply for funding and Title V will not have a separate contract with the Helpline Center to provide these trainings.
In the upcoming grant year, Title V will focus on supporting other state agencies that are taking the lead in suicide prevention activities. In addition, Title V will begin to focus on the following two new activities.
- *NEW* Provide informational training on the 211 and 988 suicide prevention and mental health resource in South Dakota
- *NEW* Partner with the OCFS Southeast Region to enhance their suicide prevention and mental health support and resources.
7.2.2: Create opportunities for Positive Youth Development (PYD) among diverse youth with a health equity lens
- Develop and promote PYD training for organizations working with diverse youth on suicide prevention/mental health.
- Collaborate with Youth Advisory Council to provide activities that emphasize health equity and integrating youth voice
In the previous grant year, Title V partnered with the Lutheran Social Services (LSS) to develop a youth advisory council. The first council meeting was December 2020, council, the council will look at both adolescent MCH priorities - Healthy Relationships and Suicide Prevention/Mental Health. In the current grant year, Title V will continue to partner with LSS to provide Youth Advisory council. With COVID-19 it was difficult start with inconsistency youth attendance and LSS staff turnover. At the end of 2021, Lutheran Social Services partnered with a youth afterschool program, Youth & Family Services. The afterschool program is now the location for the youth action council, they meet monthly and provide activities and incentives for youth participation. In the upcoming grant year, Title V and LSS will continue to grow youth advisory council, plans to coordinate PYD activities and continue striving for the youth voice throughout adolescent programming.
7.2.3: Develop and disseminate equitable and accessible Suicide Prevention education material, resources, and messaging.
- Promote suicide prevention and mental health messaging for Cor Health social media
- 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.
Cor Health + Wellbeing: In the current reporting period, Title V worked with their marketing department to develop suicide prevention, mental health posts for Cor Health Platforms – Facebook, Instagram and Snapchat.
In the upcoming grant year, Title V will continue promoting these prevention messages on the Cor Health platforms.
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
- Continue 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.
PRIORITY: Healthy Relationships
SPM 1 – Improve young peoples’ (10 to 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 58.03% in 2022 to 60.74% by 2025.
Objectives
Decrease the proportion of females aged 15 to 24 years with Chlamydia trachomatis infections attending family planning clinics from 12.1% in 2022 to 11.5% by 2025 (EHR NetSmart).
Decrease the South Dakota teen birth rate, ages 15 through 19, from 17/1000 in 2021 to 16.56/1000 in 2025 (NVSS).
Proposed Strategies
1.1: Promote evidence-based programs and practices that increase healthy relationship skills, STI prevention and pregnancy prevention.
- Provide and promote STI guidelines training to providers serving young people 10 to 24, including vulnerable/underserved youth.
- Collaborate with South Dakota Family Planning Program, Rape Prevention Education, Title V Sexual Risk Avoidance Education, General Department Sexual Risk Avoidance and Personal Responsibility Program Grants serving diverse populations
- Develop a youth evaluation plan for MCH programs and partners working on healthy relationship grants and activities.
Healthy Relationships Youth Evaluation: In the current reporting period, Title V worked with SDSU Population Health Evaluation to review healthy relationship priorities and also five other healthy relationship grants: Personal Responsibility Education Program (PREP), Title V Sexual Risk Avoidance Education (SRAE), General Departmental Sexual Risk Avoidance Education, Rape Prevention Education, Title X Family Planning Program. In Year 2 of the Healthy Relationship evaluation, SDSU completed a Healthy Relationship Curriculum review and wrote a success story.
In the upcoming grant year, the Healthy Relationship Evaluation will continue with the Common Measure Tool. The common measure tool is a pre and post-survey to inform on any changes in perspectives or attitudes regarding common subject areas across all Healthy Relationship curriculums:
- Acceptance of using prevention/protection methods
- Positive attitudes favoring abstinence
- Perceived consequences of risky behaviors
- Perceived self-efficacy (skills & knowledge on healthy relationships)
- Permissive peer risky behaviors
- Negative attitudes toward dating or peer violence
Plans to start utilizing the common measure tool are for the Fall of 2023.
1.2: Create opportunities for Positive Youth Development (PYD) among diverse youth with a health equity lens.
- Promote and expand PYD conferences and trainings for organizations working with diverse youth on healthy relationships
- Collaborate with Youth Advisory Council to provide activities that emphasize health equity and integrate youth voice throughout Adolescent activities.
- Promote and expand Positive Youth Development assessment tool for PYD activities.
In the current reporting period, Title V and LSS REACH program developed a PYD tool and the tool was presented at the April 2023 Positive Youth Development Conference. In the upcoming grant year, Title V and LSS will continue to develop and utilize the assessment tool for PYD activities. LSS REACH plans to provide one on one assistance to agencies that have filled out the PYD assessment tool survey and will have regular meetings with agencies interested in how they can expand their PYD.
Positive Youth Development: See 7.2.2 paragraph above for more details on PYD efforts.
1.3: Develop and disseminate equitable and accessible healthy relationship, STI prevention and pregnancy prevention materials, resources and messaging.
- Develop and promote Healthy Relationship, STI prevention and pregnancy prevention messaging for Cor Health social media.
- Utilize communication platforms to disseminate trainings and materials accessible to diverse parents and organizations working with young people 10 to 24 including vulnerable/underserved youth.
In the current reporting period, Title V has worked with their communication team to develop posts on Healthy Relationships subjects to target parents and youth. New COR Health + Wellbeing messaging consists of posts on Healthy Relationships, Sexual Violence Prevention, Dating Violence, STD Prevention, and Immunizations. In upcoming grant year, Title V will continue to develop and promote posts on important and emerging Healthy Relationship topics. Messaging will be promoted on Instagram, Facebook and Snapchat.
1.4: Develop partnerships with diverse, multi-sector local and state agencies to address youth healthy relationships, STI prevention and pregnancy prevention among all South Dakota youth.
- Continue to partner with organizations that were involved with the Title V Needs Assessment and build rapport with new organizations working with diverse youth on healthy relationship, STI prevention and pregnancy prevention.
Ongoing Efforts Supported by MCH for the Adolescent Domain:
- Adolescent Health Coordinator and Adolescent Domain leader will continue to participate in South Dakota Suicide Prevention State Interagency Workgroup that recently developed the 2020 to 2025 State Suicide Prevention Plan. Workgroup will meet monthly to look at understanding local data, develop strategies to address suicide prevention and coordinate efforts and resources in suicide prevention.
- Continue to work with Family Planning Program, Rape Prevention Education Program, Department of Social Services and Department of Education to promote adolescent messaging to parents, youth, and young adults.
- Adolescent Health Coordinator who oversees Sexual Risk Avoidance Education grant, General Departmental Sexual Risk Avoidance Education grant, Personal Responsibility Education grant, the Rape Prevention Education grant work collaboratively with the Title V Adolescent Domain to ensure there is ongoing collaboration on all adolescent activities.
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