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, 2022, through September 30th, 2023. 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 of students trained in teen Mental Health First Aid
Objectives
Decrease the adolescent suicide rate among 15 through 19-year-olds from 34.4 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
- Provide Question Persuade Refer (QPR) trainings for high school staff
- Provide teen Mental Health First Aid Training
- Provide and promote Text4Hope - Teen Crisis Texting Support
Suicide Prevention Trainings: Title V will continue to partner with Helpline Center to provide suicide prevention trainings across the state. Trainings consist of Teen Mental Health First Aid, Youth Mental Health First Aid Training, and Question Persuade Refer.
In the upcoming grant year, Title V plans to work with the School Health Coordinator to expand the reach of Teen Mental Health First Aid and Youth Mental health First Aid trainings. The expansion is provided by to the PHER Workforce Crisis Cooperative Agreement funding. Funding will increase the number of facilitators trained and increase the number Mental Health First Aid trainings provided.
Text4Hope: Title V will continue to partially fund 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. In the upcoming grant year, Title V will continue promoting the program to students and high schools throughout the state.
There have been multiple requests from partners, teachers, and school professionals to expand and promote Text4Hope to the Middle School age group. During the current FY22 reporting period Title V began discussion on expanding the texting program to this age group. At this time, we have put the expansion on hold as we await the release of the new National Suicide Prevention Lifeline Number 988 phone number and texting number in July (2022). We will continue to promote Text4Hope to High School students for at least one more school year 2022-2023 and decide next steps after the 988 texting number and program has time to be set up.
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.
- Develop an assessment tool for Positive Youth Development activities.
In the current reporting period, Title V and LSS began looking at how they will evaluate PYD and youth-focused programming. LSS began researching what current tools were developed to measure youth engagement in youth programming activities. In the upcoming grant year, Title V and LSS will continue to develop an assessment tool for PYD activities.
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
- Promote Suicide Prevention training for parents of young people 10 to 19 years old, including vulnerable/underserved youth.
- 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.
Parent Suicide Prevention Training: In the current reporting period, Title V developed a 4-part Suicide Prevention Video Series for parents. Title V and parents disseminated during the 2021/2022 school year through the following communication platforms school newsletters, Cor Health, Dept of Health You tube, and MCH Newsletters. In the upcoming grant year, Title V will continue to promote this training to parents on the SD DOH website - https://doh.sd.gov/family/Youth/Suicide.aspx and develop a post to promote on 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 50.9% in 2021 to 55.2% by 2025.
Objectives
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).
Decrease the South Dakota teen birth rate, ages 15 through 19, from 18.7/1000 in 2020 to 18.4/1000 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.
In the current grant year, Title V is working with the Office of Disease Prevention (ODP) STD Coordinator to share awareness on the rise in syphilis cases in South Dakota among youth. ODP provided a 3-part training on syphilis for providers and Title V promotea this training to adolescent providers and teen pregnancy prevention facilitators. In April 2022 ODP presented at the PYD Conference on the latest data on STIs including syphilis and how this might affect our youth. In the upcoming grant year, as syphilis and other STI cases continue to rise in South Dakota, Title V will continue to work with the Office of Disease Prevention to partner on developing and sharing resources for adolescent and those that provide services to youth.
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 1 of the Healthy Relationship evaluation SDSU developed and reviewed logic models, success stories; and performance measure data.
In the upcoming grant year, the Healthy Relationship Evaluation will continue with the curriculum review and develop new success stories. New special project areas of focus will be social connectedness and looking at the following questions:
- To what extend has connectedness between youth and trusted adults in the communities served been developed?
- How has connectedness at the individual, community and societal levels impacted youths’ decision making?
1.2: Create opportunities for Positive Youth Development (PYD) among diverse youth with a health equity lens.
- Develop and promote PYD trainings for those working with diverse youth on healthy relationships
- Collaborate with Youth Advisory Council to provide activities that emphasize health equity and integrating youth voice
- Develop an assessment tool for Positive Youth Development activities.
Positive Youth Development: See 7.2.2 paragraph above for more details on PYD efforts.
In the upcoming reporting period, the youth advisory council will be active members in the youth-friendly activity and develop materials for agencies and clinics servicing youth. See strategy 1.3.
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.
- *NEW* Develop youth-friendly service materials for youth, agencies and clinics servicing young people 10 to 24 years old.
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.
A new activity for the upcoming grant year will be to develop youth-friendly materials for youth, agencies and clinics serving youth. The World Health Organization describes youth-friendly services as those that are equitable, accessible, acceptable, appropriate, and effective. Title V, Family Planning program, LSS and the youth advisory council have begun collaborating to assess what has already been developed in Youth-friendly materials and develop a plan how this will look for South Dakota.
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 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.
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