Transcript Slide 1

The Role of the Federal Maternal
and Child Health Bureau in
Improving Adolescent Health
May 14, 2009
LEAH/NAS Meeting
Peter van Dyck, MD, MPH
Department of Health and Human Services
Health Resources and Services Administration (HRSA)
Associate Administrator, Maternal and Child Health Bureau
(MCHB)
MCHB and Adolescent Health
• Longstanding interest in adolescent health
• Mission to provide national leadership in
promoting the health, development, safety,
& social and emotional well-being of
school-aged children, adolescents, &
young adults
• Alignment with the recommendations of
NRC/IOM report, Adolescent Health
Services: Missing Opportunities
MCHB Investments
• $5.8 Million Annually
– Office of Adolescent Health $3.2M
– Training Programs $2.6M
Office of Adolescent Health
• Adolescent health
–
–
–
–
Comprehensive approach
Support to State Title V MCH Programs
Leveraging of partnerships
Connections to large Federal efforts addressing youth
issues
• School health
– School mental health
– School-based health centers
– Partnership among health, nutrition and education
organizations
– Connections to other Federal school health efforts
State Title V Programs and Adolescent Health
• Nearly every state has a state adolescent
health coordinator
• Challenges
– Staff turnover
– Varying levels of staffing and seniority of
position
– Categorical funding streams
– Serious budget constraints
State Adolescent Health
Performance Measures
• 75% of states have at least one performance
measure that specifically targets adolescents
• 39% of states have at least 2 such
performance measures
• Most common problems addressed:
–
–
–
–
–
–
Teen pregnancy
Tobacco
Obesity/Nutrition
Substance abuse
Access to care
Unintentional injury
National Initiative to Improve Adolescent Health
• Frames Office of Adolescent Health (OAH) grant
programs
• Grew out of Healthy People 2010
• Stimulates national efforts to improve the health,
safety & well-being of adolescents & young adults
• Co-facilitated by MCHB/OAH & CDC/DASH
• Partnership with close to 30 organizations, largely
grantees
• Leverages efforts beyond those directly supported by
the Office of Adolescent Health
National Initiative to Improve Adolescent Health
5 Goals:
• Elevate national, state, and community
focus on, and commitment
• Increase access to quality services
• Address the influence of social
determinants
• Improve health and safety outcomes
• Eliminate disparities
Adolescent Health Programs
• Adolescent and Young Adult Health National Centers
Program (AYAH)
– National Adolescent Health Information and
Innovation Center
– Public Policy Analysis and Education Center for
Adolescent and Young Adult Health
– Adolescent Health Resource Center for State
Maternal and Child Health
– Partnership to Promote Adolescent Health in
States
• Partners in Program Planning for Adolescent Health
Program (PIPPAH)
School Health Programs
• Mental Health in Schools
Program
• National Center on School-Based
Health Care
• National Coordinating Committee
on School Health and Safety
(NCCSHS)
Adolescent Health Training Programs
• Training first funded in the 1950s, with
Adolescent Medicine Fellowships at 5
sites.
• 1976 - Interdisciplinary Programs train
in Adolescent Medicine, Psychology,
Nursing, Nutrition and Social Work.
Adolescent Health Training Programs
• Prepare Pre- and Post- Doc Fellows to Assume
Leadership Positions in Interdisciplinary Settings.
• Each Year, 848 Individuals Receive Training in LEAH
Programs; 60 are Long-Term; 788 are Short-Term.
• In FY 2008, MCHB Funded Seven LEAH Programs,
with Annual Awards Totaling $2,588,967.
• In FY 08, 28 Fellows Entered into Adolescent
Medicine Fellowships (MCHB and non-MCHB
Supported).
LEAH Collaborations
• Faculty Members of LEAH Participated in
IOM/NRC Report- Adolescent Health
Services: Missing Opportunities.
Collaboration Facilitated Today’s Meeting
to Highlight Training Aspects of Report.
• Seven Programs Work Together to
Develop Training Conference Calls for
State Adolescent Health Coordinators.
http://leah.mchtraining.net
Conclusions
• MCHB’s adolescent health activities align with
Adolescent Health Services: Missing
Opportunities.
• Today’s meeting focuses on workforce
preparation and our LEAH training program
serves as a cornerstone for the Report’s 7th
recommendation.
• Other Bureau adolescent health activities focus
on infrastructure building in adolescent health.
Program Contacts
Trina Anglin, MD, PhD, [email protected]
Madhavi Reddy, MSPH, [email protected]
Laura Kavanagh, MPP, [email protected]
http://www.mchb.hrsa.gov/training
http://leah.mchtraining.net