The area of Clinical Preventive Services is important for NAHIC faculty and staff because it provides a unique view of adolescent health issues.
One of the larger projects currently underway involves assessing the adequacy of preventive services provided to adolescents in California through a regional survey and an intensive assessment of a major staff-model HMO system. In the first phase of the project, supported by The California Wellness Foundation, an adolescent preventive services intervention was implemented and evaluated at 3 of the HMO’s sites. The intervention aimed to increase the delivery of preventive services in five areas: helmet and seatbelt use, sexual behavior, tobacco, and alcohol. The first phase included provider training, a customized adolescent screening questionnaire, a provider charting tool, and a health educator. The evaluation showed substantial increases in adolescent screening and counseling rates by pediatric primary care providers. With support from the Agency for Healthcare Research and Quality, the project has focused on assessing a revised model of the intervention without a health educator. This project has led to a number of articles, listed above.
NAHIC also has produced a short monograph examining the delivery of clinical preventive services for adolescents entitled Investing in Clinical Preventive Health Services for Adolescents.
NAHIC faculty have contributed their expertise to numerous local, state and federal initiatives to promote clinical preventive services for adolescents. Examples include:
- Drs. Brindis and Ozer collaborated with Children Now, a California child health advocacy group, to assess how managed care plans are serving young people nationally – a project that led to the publication of Partners in Transition: Adolescents and Managed Care.
- Dr. Ozer serves on the Child and Adolescent Health Measurement Initiative of the Foundation for Accountability and The National Committee for Quality Assurance on a project to develop standardized measures that address adolescent consumer-relevant categories of quality of care for healthplan, medical group, and community-wide application.
- Drs. Brindis and Ozer serve on the Adolescent Technical Advisory Committee for the California Health Interview Survey (CHIS).
TOPIC(S)
Adolescents, Clinical Preventive Services, Guidelines, Health Care, State Data
DATE POSTED
December 30, 2004
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Marijuana: Use Among Young Males and Health Outcomes
This 2009 article reviews relevant literature, including trends in young males’ marijuana use and health effects of marijuana use.
Trends in Private and Public Health Insurance for Adolescents
This article presents data on health insurance coverage for adolescents, including trends from 1984-2002.
Adolescents | Health Care | Health Insurance | Policy | Trends
Health Care for Adolescents and Young Adults Leaving Foster Care
This 2006 issue brief describes the young people who are aging out of foster care, their health status, and the barriers they face when leaving foster care.
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Health Insurance Across Vulnerable Ages: Patterns and Disparities from Adolescence to the Early 30s
his 2007 article presents an analysis of patterns of health insurance, both public and privately funded, among young people from early adolescence through their early 30s.
Adolescents | Disparities | Health Care | Health Insurance | Lifespan | Medicaid | Transitions | Young Adults
Original Article Are Adolescents Being Screened for Emotional Distress in Primary Care?
This 2009 paper assesses primary care providers’ rates of screening for emotional distress among adolescent patients and argues that primary care clinicians/systems need to better utilize the primary care visit to screen adolescents for emotional health.
Adolescents | Clinical Preventive Services | Health Care | Mental Health