NPM 10 - Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year
For the Adolescent Health domain, Hawaii selected NPM 10 Adolescent Preventive medical visits as a continuing priority based on the 2020 five-year needs assessment. By July 2025, the state seeks to increase the percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year to 84%. Plans to address this objective are discussed below.
Moving forward, the Adolescent Health Unit (AHU) strategies will continue as:
- Collaboration. Develop partnerships with youth service providers to promote adolescent health and annual wellness visits (AWV).
- Engagement. Establish working relationships with service providers with access to adolescents and young adult groups to inform the development of relevant information tools, services, and resources needed; provide insight on the ways information is sought and received; assist in promoting self-care; and accessing adolescent preventive health services.
- Workforce Development. Provide resources, training, and learning opportunities for youth service providers and community health workers to promote adolescent health and wellness visits.
In addition, a new strategy has been added to address health equity.
Strategy 1: Collaboration. Develop partnerships with community health and youth service providers to promote adolescent health and annual wellness visits
The Title V AHU will continue to build partnerships with community health and youth service providers that work with groups of teens and/or young adults on a routine basis to promote adolescent health and wellness visits.
AHU will continue work with providers funded through its federal Personal Responsibility and Education Program (PREP) and Perinatal Support Services (PSS) programs to reach high-risk youth. Although the PSS program has been revised to integrate reproductive health services, the established PSS provider partnerships will continue. Activities include working with outreach workers to promote AWV and adolescent health through school and community venues depending on COVID-related circumstances.
Collaboration will continue with other youth-serving programs, including the Title V CSHN, Department of Health Chronic Disease School Health Program, DOE’s health education resource teachers, and other community-based organizations.
Specific activities planned to promote adolescent health and wellness visits for the coming fiscal year include:
- Develop partnership opportunities to broaden access to youth-serving programs/organizations and health clinics, especially on the neighbor islands.
- Update the listserv of adolescent health stakeholders to share staff development training opportunities, and resource materials that may also be incorporated into the TeenLink Hawaii one-stop website and continue the support and promotion of the adolescent resources and tools.
- Develop and maintain a list of online training, certifications, and other professional development classes available to the community on issues affecting adolescent behaviors.
Strategy 2: Engagement. Work with adolescents and youth service providers to develop and disseminate to promote access to preventive health services
The Title V AHU will continue to partner with adolescent-serving organizations to develop innovative outreach methods with input from teens and young adults. The CDFH teen leadership groups will use findings from their peer survey research to develop and maintain the teen-driven TeenLink Hawaii website and the Health and Wellness Toolkit (HWT) formerly known as ART. The teen groups will also identify the effective media platforms, designs, and tools to engage peers on health matters and disseminate information on AWVs. This input will be critical given the continued social distancing/isolation resulting from COVID-19 restrictions.
The teen groups will also assist with presenting HWT information to peers, families, and other youth organizations. HWT information will be included on CDFH’s TeenLink Hawaii website that already contains national and local online information, service resources, and a variety of teen-centered materials.
Other activities planned for the coming fiscal year include:
- Engaging other youth groups to utilize and share the CDFH HWT materials through other community-based agencies and organizations and include the HWT in PREP program sites.
- Collect evaluation comments on HWT from both adolescents and service providers.
- Develop a young adult section on the TLH website for those 18 to 24 years of age.
AHU will also work with the CSHN Branch to engage Youth with Special Health Needs and their families to provide input on the new HWT. Possible avenues for input include a virtual townhall meeting for CSHN program’s Transition to Adulthood stakeholders as determined by the CSHN/AHU adolescent health team.
Strategy 3: Workforce Development. Provide resources, training, and learning opportunities for youth service providers and community health workers to promote adolescent health and wellness visits
AHU will continue to provide adolescent health training and other technical assistance to PREP grant sub-awardees that facilitate the TOP curriculum at the Hawaii National Guard’s Youth Challenge Academy (YCA), the Kawailoa Youth and Family Wellness Center (KYFWC), RYSE (Residential Youth Services and Employment), and to the neighbor island health center outreach workers. Adolescent health training youth-serving providers will include topics that support healthy relationships; adult-to-teen communication skills such as motivational interviewing techniques; gender identification and orientation; and trauma-informed care.
Specific activities planned for the coming fiscal year include:
- Maximize opportunities to collaborate with Title V service providers and community stakeholders regarding AWVs and use of the HWT.
- Continue providing training on positive youth development, teen pregnancy prevention, mental health first aid, gender orientation, and the benefits of AWVs to service providers through webinars and other training opportunities.
- Solicit input from stakeholders on topics of interest and new methods for training delivery.
- Encourage the recruitment of TOP graduates to become facilitators and teen pregnancy prevention supports on their island of residence.
The ESM 10.2 Data Collection Form that lists 10 strategy implementation components will be completed and the indicator reported for next year.
Strategy 4: Develop self-help resources, tools, and services for Pacific Islander teens and young adults and all other Hawaii young adults to address health disparities
AHU will continue partnering with the Domestic Violence Action Center (DVAC) to reach out to their networks of Pacific Islander teens and young adults to assess their health and wellness needs. These young people will also assist in the development of resources, tools, and services (RTS) and will also identify the most effective media platforms, designs, and tools to engage their Pacific Islander peers on health matters and AWVs. This input will be critical given the continued implementation of COVID-19 social distancing guidelines and revised rules pertaining to school openings in the fall.
The DVAC youth groups will also assist with presenting the RTS information to peers, families, and other youth organizations. RTS will be housed on DVAC’s website and digital platforms and will also be included on CDFH’s TeenLink Hawaii website via a link to DVAC.
Title V Adolescent Health Programs
Adolescent Health programs under the Hawaii Title V program include some aspect of adolescent health.
Adolescent Wellness: Spans across the physical, mental, and social emotional aspects of adolescents and young adults 10 to 24 years of age. Concentration on high school graduation, sexual health, positive youth development, and transitioning into adulthood.
Personal Responsibility Education Program (PREP): The purpose of the grant is to fund the implementation of evidence-based positive youth development programs that broadens the cognitive context of abstinence and contraception for the prevention of pregnancy, sexually transmitted infections, and HIV/AIDS, which includes decision-making, self-regulation, and other adulthood preparation subject areas. This program targets services to high-risk, vulnerable, and culturally underrepresented youth populations between the ages of 10 and 24. Hawaii funds are used to implement the Teen Outreach Program (TOP) curriculum at the Youth Challenge Academy residential on facilities on Oahu and Hawaii island, and the Kawailoa Youth and Family Wellness Center (formerly known as the Hawaii Youth Correctional Facility). Both facilities serve higher risk youth.
Child Abuse and Neglect, Domestic, and Sexual Violence Prevention: These programs are committed to the primary prevention of all forms of violence and stopping violence before it begins so that all people, families, and communities are safe, healthy, and free of violence. Together known as the Family Strengthening & Violence Prevention Unit, staff and partners provide programs statewide for the prevention of child abuse and neglect, sexual violence, and domestic violence. Activities also include support for parents and provision of education targeted for teens to prevent sexual violence.
Child Death Review: Statewide surveillance system for deaths among children ages
0-18 years. Aims to reduce preventable deaths to infants, children, and youth through multidisciplinary interagency reviews.
Children and Youth with Special Health Needs: Provides assistance with service coordination, social work, nutrition, and other services for children/youth with special healthcare needs, ages 0-21 years, with chronic medical conditions. It serves children/youth who have or may have long-term or chronic health conditions that require specialized medical care and their families.
Maternal Mortality Review: Statewide maternal mortality surveillance reviews that identify gaps in the healthcare system and social services; challenges with healthcare access and quality (especially prenatal and perinatal care); and ways to improve the health, health behaviors, and healthcare of women before and during pregnancy.
Perinatal Support Services: Community health clinics statewide provide case-managed support services and resources for high-risk pregnant women and teens to increase the likelihood of positive birth outcomes. Objectives include: increasing annual wellness visits; early prenatal care; decreasing incidence of preterm, low, and very low birth infants; and improving the health of participants.
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