Transcript ADOLESCENT HEALTH STRATEGIC PLAN Austin/Travis County Health and Human Services Department BWA Bernard Warren Associates Technical Assistance Planning - Training.

ADOLESCENT HEALTH
STRATEGIC PLAN
Austin/Travis County
Health and Human Services Department
BWA
Bernard Warren Associates
Technical Assistance Planning - Training
Table of Contents
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Executive Summary
Timeline
Stakeholders
NACCHO Requirements
Our Intent
Strategic Planning Process
Guidance
Key Factors
Common Core Strategy
Environmental Assessment
SWOT Analysis
Planning Factors
Environmental Factors
Data Factors
Survey Monkey Results
Planning Priorities and Services
Top 5 Priorities and Services
Youth Requested Services
Goals and Activities
– Goal I Collaboration
– Goal II Health Care
– Goal III Health Education
– Goal IV Messaging
– Goal V Sustainability
Lessons Learned
Where are we now
Where are we going
Pages 3-4
Page 5
Page 6
Page 7
Page 8
Page 9-10
Page 11
Page 12
Pages 13-14
Page 15
Pages 16-21
Page 22
Page 23
Page 24
Page 25-30
Page 31
Page 32
Page 33
Pages 34-35
Pages 36-37
Pages 38-39
Page 40-41
Page 42
Page 43
Page 44
Page 45
Page 46
Austin/Travis County
HHSD
2
Executive Summary
In the fall of 2006, the National Association of County and City
Health Officials (NACCHO), in cooperation with the Centers for
Disease Control and Prevention, Division of Adolescent and
School Health (CDC/DASH) challenged local health
departments to collaboratively develop a 2-3 year strategic plan
to promote adolescent health, particularly in the area of HIV,
STD, and unintended pregnancy prevention.
The Austin/Travis County Health and Human Services
Department (A/TC HHSD) was selected to develop a 2-3 year
strategic plan that will outline ways to improve adolescent
health in Austin by:








Improving collaboration between stakeholders.
Finding ways to increase coordination of services.
Identifying unmet needs.
Recommending actions that impact but don’t require new
funding.
Not reinventing or duplicating past efforts.
Educating the community about healthy behavior and
working to prevent health disparities for youth.
Increasing the level health literacy in the community.
Finding ways to facilitate changes that will promote healthy
adolescent behavior.
Austin/Travis County
HHSD
3
Executive Summary
The Adolescent Health planning group
recommended the following strategic
planning goals:
•
Goal I: To improve adolescent health through
increased collaboration with stakeholders.
•
Goal II: Educate and engage the community in
healthy behavior.
•
Goal III: To link and promote culturally competent
health care services for adolescents.
•
Goal IV: Promote consistent and positive messages
for the adolescent community.
•
Goal V: To develop resources that will sustain
programs that promote healthy adolescent
behaviors particularly in the area of HIV, STD and
pregnancy prevention.
Austin/Travis County
HHSD
4
Timeline
•
Adolescent Health Strategic Planning Meetings
were held March – May 2007 formulated to
collaborate with adolescent-serving agencies.
•
The Adolescent Health Strategic Planning
Retreat was held August 15, 2007 to gain further
input on the plan.
•
The plan was completed and shared with the
community partners in November 2007.
•
An Adolescent Health breakout session, through
Ready By 21, is set to began implementing the
plan in January 2008.
Austin/Travis County
HHSD
5
Stakeholders
The following organizations contributed to the Progressto-Date for the Strategic Plan:


























African-American Quality of Life
Austin Area Comprehensive HIV Planning Council
A/TC HHSD Family Health Program
A/TC HHSD Youth Services Program
A/TC HHSD Communicable Disease Unit
Communities in Schools (CIS)
Family Connections Resource Center
Gardner-Betts Juvenile Detention Facility
Girl Scouts – Lone Star Council
Health Institute
Helping Hand Home
Latinitas
Lifeworks
Health Institute
Office of the Attorney General – Strengthening Families
Paso Adelante Mentoring Program
Phoenix House
Planned Parenthood
Rosewood-Zaragosa Neighborhood Center
SafePlace
St. David’s Community Health Foundation
Travis County Underage Drinking Prevention Program
Travis County HHS Veterans Service – Healthy Families
Wright House Wellness Center
XYZone Male Involvement Program
YouthLaunch
Austin/Travis County
HHSD
6
NACCHO
Requirements
The strategic plan must:








Be a collaborative effort, with broad community representation.
Include at least one adolescent representative in the planning
process.
Incorporate a positive youth development approach[1] that
addresses both risk and protective factors.
Establish long-term goals for sustainability of the collaboration and
the implementation of the strategic plan.
Attempt to address individual risk behavior as well as identify and
plan for ways to begin to address policies, institutional practices,
neighborhood conditions, and environmental factors that have the
potential to enhance or threaten adolescent health.[2]
Incorporate a means by which youth at highest risk of HIV, STD
and unintended pregnancy will be targeted, both in terms of direct
interventions on their behalf and work toward addressing some of
the conditions that place them at disproportionate risk.
Involve school, parents, and societal institutions that affect
adolescent health either directly or indirectly as targets of planned
activity.
Be submitted for review as a model practice for possible inclusion
in NACCHO’s Model and Promising Practices database. (See
http://www.naccho.org/topics/modelpractices/index.cfm)
[1] Useful resources on positive youth development might include: Catalano, R.F., Hawkins, D., Berglund, M.L.,
Pollard, J.A., and Arthur, M.W. (2002). Prevention science and positive youth development. Journal of
Adolescent Health, 31(6S), 230-239 and Weissberg, RP, Kumpfer, KL, Seligman, ME. (2003). Prevention
that works for children and youth. American Psychologist, 58(6/7), 425-432.
[2] See “Taking a Broad View of Prevention: Addressing Multiple Levels of Influence on Adolescent Risk Behavior”
for more information.
Austin/Travis County
HHSD
7
Our Intent
Our intent is to…
 Ensure broad community representation through inviting
over 400 youth-serving organizations to participate in the
planning/implementation process.
 Include adolescent representation through surveys, focus
groups and interviews throughout the planning process.
 Incorporate into the plan
 a positive youth development approach
 an attempt to address individual risk behavior as well as
identify and plan for ways to begin to address policies,
institutional practices, neighborhood conditions, and
environmental factors that have the potential to enhance or
threaten adolescent health
 sustainability by using a socio-ecological framework.
 a means by which youth at highest risk of HIV, STD and
unintended pregnancy will be targeted, both in terms of direct
interventions on their behalf and work toward addressing
some of the conditions that place them at disproportionate
risk.
 Involve school, parents, and societal institutions.
 Submit plan for review as a model practice for possible
inclusion in NACCHO’s Model and Promising Practices
database.
Austin/Travis County
HHSD
8
Strategic Planning Process
Summary
1. Invite stakeholders (defined as all interested parties)
2. Obtain commitment from stakeholders for the entire
strategic planning process
3. Clearly define our process and develop goals through a
collaborative community process
4. Assess our environment (SWOT Analysis) each
stakeholder completes a survey or interview identifying
the adolescent community’s strengths, weaknesses,
opportunities and threats. Analysis of the data identifies
trends and common concerns. The analysis is the starting
point of our strategic planning.
5. Develop adolescent health mission and vision statements
6. Gather data from the community and review relevant
research
7. Identify needs and priorities through a collaborative
community process
Austin/Travis County
HHSD
9
Strategic Planning Process
Summary
8.
Prioritize needs
9.
Review data, plans and confer with stakeholders
10. Review the status of community resources and the
capacity of the community to meet the identified needs
11. Develop and implement a community-wide strategic
planning retreat
12. Gather information/data from the retreat and include in
the strategic plan
13. Identify strategic planning Goals and Objectives
14. Draft and review the plan
15. Implement the plan
Austin/Travis County
HHSD
10
Our Guidance
Mission
Our mission is to collaboratively promote
healthy adolescent behavior, particularly in
the area of HIV, STD and pregnancy
prevention.
Vision
Our vision is for adolescents to be
engaged in healthy behaviors and to have
access to comprehensive and culturally
competent services and support.
Austin/Travis County
HHSD
11
Key Factors
For the plan to be successful,
we must:
1.
Partner with the community to coordinate
and deliver quality care to the adolescent
community.
2.
Collaborate with the human services
community to prevent and reduce health
disparities.
Austin/Travis County
HHSD
12
Common Core Values
Defined

The Adolescent Health Planning group
defines Common Core Values as what is
most important to the planning group.

The values must be a part of the strategic
plan and any goals, objectives or action
plans.

These values provide the infrastructure of
our group culture and strategic initiatives
and are intended to be the foundation of
this and future plans.
Austin/Travis County
HHSD
13
Common Core
Values
Because we value healthy
behavior for all youth in Austin,
we will:
1.
Promote consistent and positive
messages to the adolescent community.
2.
Educate the community on healthy
behavior.
3.
Prevent and reduce health disparities in
the adolescent community.
Austin/Travis County
HHSD
14
Environmental
Assessment
Strengths, Weaknesses,
Opportunities and Threats (SWOT)
Analysis:
Assessment process of gathering and analyzing the
information needed to make an evaluation of your
organization in its environment.
Analysis Included:
■
Collecting internal and external
perceptions about the organization from
consumers, stakeholders and staff.
■
Evaluating programs, reviewing previous
strategies, defining the organization’s
values needs to be completed.
Austin/Travis County
HHSD
15
SWOT Summary
Overall, highlights include the
following:
Strengths- Austin/Travis County has many resources, ways to reach
youth, knows what areas to focus on, seems to think progressively, and
has a diverse culture.
Weaknesses- With all of the resources, it seems difficult for
adolescent to wade through the information and takes much effort on
their part to gain access to services/ information, many services work in
“silos” and may not know of all the other resources/referral services, and
may be duplicative.
Opportunities- Streamlining access to services, working with other
adolescent-serving organizations/ programs/networks, utilizing best
practice models.
Threats- Money, time, growing adolescent population, growing single
parent homes, competing funds/issues, politics, lack of linkages and
positive messaging, social norm “it’s ok to have sex” increasing.
Note: In the following assessment, boldface indicates a consensus among
stakeholders.
Austin/Travis County
HHSD
16
Strengths
1.
Good at reaching populations of youth (ex. detention
and recreation centers)
2.
Good at identifying problems
3.
Progressive Thinking
4.
Services
5.
Wealth of resources/knowledge
6.
Stakeholders
7.
Foundations
8.
Culture
Austin/Travis County
HHSD
17
Weaknesses
1. Failure to Streamline access services
2. Communication, where do youth get their information?
3. Duplication of services
4. Failure to collaborate strategically
5. Lack of Public Transportation
6. Too narrow-minded
7. Government funding focused on band aids and not the
cure/prevention
8. Crisis-oriented, not prevention-oriented
Austin/Travis County
HHSD
18
Weaknesses
9.
Lack of Involvement of leaders
10. Constraints on message, cannot promote condoms in
church or schools
11. Competing with higher priorities, such as childhood
obesity
12. Health literacy, varying levels of readiness
13. Lack of understanding population and audience
14. Not meeting people where they are
Austin/Travis County
HHSD
19
Opportunities
1.
Streamlining access to services
2.
Partnering with programs such as African American
Quality of Life (AAQOL) Powered by Me Program,
iThrive program Men and Boys Conference, etc.
3.
Utilization of Promotora Model
4.
Partnership with the Hispanic Community
5.
Participation with MCH Coalition, Ready by 21
Coalition, Teen Pregnancy Prvt. Network, Underage
Drinking Prvt. Task Force, etc.
6.
Opportunities to educate council members/policy
makers
7.
Population under 20 years old is increasing
Austin/Travis County
HHSD
20
Threats
1.
Fifty percent dropout rate and higher for minority
students.
2.
Lack of linkages between support-health-mentoringschools programs.
3.
Lack of positive messaging for at risk community
and at large community.
4.
Agencies competing for fewer funding dollars and
opportunities.
5.
Present political climate is focus more crisis
management as oppose to solving systemic problems
and long term investment.
6.
Adolescent use of technology (I pods, computers,
cell phones) has influenced intervention
methodology.
7.
Increase in the number of single female headed
households.
8.
Lack of positive male role models in the community.
Austin/Travis County
HHSD
21
Planning Factors
Below are a list of planning documents that were
reviewed to gain insight on recommendations for the
adolescent population on the national, state and local
levels.

Statewide Statement of Coordinated Need (SSCN)
- Used in all 50 states to identify health priorities
and support services related to HIV/STD

Healthy People 2010 –US Surgeon General’s
National strategic health services and priorities
planning document

Ready By 21 - Youth Services Survey – Austin
Adolescent Health Services Data

Austin HIV Planning Council –Comprehensive
Services Plan identifies needs of those infected
and affected by HIV/AIDS in the Austin Transitional
Grant Area (TGA)

Texas Department of State Health Services Plan –
Strategic Analysis of Health concerns/disparities in
Texas
Austin/Travis County
HHSD
22
Environmental
Factors
For the purpose of this plan, we define environmental
factors as a intervention or community stressor that
negatively impacts the community almost to the
exclusion of all other factors. From a health and
community standpoint the following environmental
factors severely impact the Austin/Travis County
adolescent community:
1. Adolescent STD/HIV - 73% of Chlamydia cases, 61% of
Gonorrhea cases, 30% of Syphilis cases, and 15% of HIV
cases reported were among young people ages 15-24.
2. Teen Pregnancy - 33.1 per 1,000 of Travis County all
females ages 13 to 17 in 2003 (increased 13.5% from 2002).
The rate among Hispanic teens was at 59.6/1,000 and for
Black teens the rate was 38.9/1,000. Both significantly higher
than the rate among White teens (8.6/1,000).
3. Adolescent Alcohol Use - continues to be the most
widely used substance among Texas youth with 71% reporting
they had used alcohol at some point in their lives. Average age
of first use is 13.
4. School Dropout – 36% of all adolescents do not graduate
high school with 50% or more for Hispanic and African
American adolescents. Teen pregnancy is the #1 reason for
girls to drop out.
Austin/Travis County
HHSD
23
Data Factors
The following sources of information aided
in building a basis for the strategic plan:
• Positive Youth Development Principles
(Castalano, Berglund, et al, 1998)
– http://aspe.hhs.gov/hsp/positiveyouthdev99/
– http://www.search-institute.org/research/
Hdindex.html
• Ecological Model (Bronfenbrenner,1979,1995)
• Ready By 21 - Youth Services Mapping
Database
– http://www.readyby21austin.org/youth-faq.php
• Adolescent Health Strategic Planning
Meetings
• Survey Monkey and Key Informant
Interviews
Austin/Travis County
HHSD
24
SURVEY MONKEY
STRATEGIC PLANNING ONLINE SURVEY
In April 2007, the ATCHHSD e-mailed over 400 youthserving organizations to complete an online survey
to allow broad community input into the strategic
planning process. A total of seven completed the
survey’s following five questions:
1.
2.
3.
4.
5.
What resources do you find most beneficial in promoting
adolescent health, particularly in the area of HIV, STD,
and unintended pregnancy prevention?
What resources do we lack/need in Austin?
How could Austin improve its current services for
adolescents?
In your professional opinion, what initiatives should be
included in the strategic plan that would best promote
adolescent health, particularly in the area of HIV, STD,
and unintended pregnancy prevention?
Other comments, questions, or concerns?
http://www.surveymonkey.com/s.aspx?sm=Bnr87RkaeUgrNGopxwfVbw%3d%3d
Austin/Travis County
HHSD
25
SURVEY MONKEY
RESULTS
What resources do you find most beneficial in promoting
adolescent health, particularly in the area of HIV, STD, and
unintended pregnancy prevention?
1. “After school and summer programs for youth including middle and
high school students. Youth involved in positive active and fun
activities are doing better in school and engaging in less risky
behavior.”
2. “Subject matter experts evidence based programs social marketing
campaigns to change norms, attitudes and ultimately behaviors
collaborative efforts with a strategic plan.”
3. “School presentations, guest speakers, community collaborations
including parents.”
4. “What has been a big help for us are those community
organizations that have been able to come out to us and talk to our
students about teen health. Some examples of these programs are
Youth Launch No Kidding Project and ATTCHHS, Maria Gorham.”
5. “Prevention education, medical resources when needed, activities
that improve self-esteem, mental well being and involving family in
child's well being.”
6. “Planned Parenthood Safe Place's Expect Respect Program.”
7. “I think an encounter with a healthcare provider of the adolescent's
choosing is very powerful. Information given after the healthcare
relationship is formed is more readily received, and followed.”
Austin/Travis County
HHSD
26
SURVEY MONKEY
RESULTS
What resources do we lack/need in Austin?
1. “Health centers in public middle and high schools run by the
Health department or a collaboration between the Health
department, schools and private hospitals.“
2. “same as above”
3. “More local programs bring together youth from various
schools“
4. “We need more support for our non-English speaking and
undocumented community. We need to know what Bilingual
counselors are out there in the community and readily
available for crisis support.”
5. “Prevention education Medical services Family Involvement
Positive Self-esteem building activities”
6. “Comprehensive sex education taught throughout grade levels
More opportunities for youth to participate in Expect Respect
support groups at their school”
7. “Routine/opt-out HIV/STD testing in systems/institutions that
bring large numbers of adolescents together, i.e. schools,
corrections, etc. Free pregnancy prevention including longterm or long-acting and reversible birth control.”
Austin/Travis County
HHSD
27
SURVEY MONKEY
RESULTS
How could Austin improve its current
services for adolescents?
1. “Health Centers in the schools Health and fitness components
offered through existing after-school and summer programs. Low
to no-cost after school programs that offer integrated health
education and fun programming.”
2. “Create a strategic plan to address health issues facing
adolescents, finding appropriate partners and resources, and
implementing the plan and measuring its success”
3. “More funding for prevention programs”
4. “We need more literature for our students in Spanish, and other
languages if available. We need more programs IN the schools to
work with students.”
5. “Prevention Education Medical Services for adolescents Services
promoting positive activities in the schools and community
Programs with their objective being family interaction and
involvement”
6. “School-based education on safe and healthy relationships,
counseling, support groups, access to contraception Health care
professionals addressing these issues with youth as standard
procedure”
7. “Offer culturally and linguistically acceptable media messages. Offer
services without parental consent. Offer services in schools.”
Austin/Travis County
HHSD
28
SURVEY MONKEY
RESULTS
In your professional opinion, what initiatives should
be included in the strategic plan that would best
promote adolescent health, particularly in the area of
HIV, STD, and unintended pregnancy prevention?
1. “After school and summer programs for youth including middle and high
school students. A very high percentage of older youth want to work.
We need to build work, internships and service learning into programs
for youth. Youth can be peer health educators (working out of the
school health centers) or devise prevention campaigns or lead fitness
clubs for younger kids. If we can utilize youth as a resource (not viewed
them as a problem), they'll be engaged and engage other youth. Funds
are needed to pay stipends and salaries.”
2. “Social marketing campaign individual level interventions targeting both
males and females culturally appropriate interventions target high risk
populations-African Americans and Hispanics skill-based interventions
multilevel interventions--in multiple settings--schools, after-school
programs, mentoring programs, etc”
3. “Underage drinking prevention which is a root cause of many health
issues.”
4. “We need to provide more accessible support for our non-English
communities.”
5. “Parental involvement in the planning Medical Community involvement”
6.
“Increased awareness materials, structured sexual health education,
school-based counseling and support groups on healthy relationships,
increased access to contraception
7. “School based health delivery. Adolescent responsibility and autonomy
related to sexual health and pregnancy planning. Offer routine
screening.”
Austin/Travis County
HHSD
29
SURVEY MONKEY
RESULTS
Other comments, questions,
or concerns?
1. “I think it would be helpful to pull various stakeholders
(including adolescents from target groups) to get input on
issues, prioritize issues and suggest solutions--this will
from basis of strategic plan for Austin.”
2. “Difficult to achieve in religiously conservative and fiscally
challenged environments. May need to target school and
political leaders for support.”
AUSTIN/TRAVIS COUNTY STRATEGIC PLANNING SURVEY ONLINE
http://www.surveymonkey.com/s.aspx?sm=Bnr87RkaeUgrNGopxwfVbw%3d%3d
Austin/Travis County
HHSD
30
Planning Priorities and
Services
The planning group reviewed survey data, the
SWOT analysis and held a series of brainstorming
sessions that constituted the majority of the strategic
planning process to determine Priorities and Services.
The group reviewed services requested by
adolescents, services requested of providers and what
providers thought were the most important services.
The basic process began with data
recommendations in comparisons with actual service
demands and needs. The group then identified and
prioritize each category.
Austin/Travis County
HHSD
31
Top 5 Priorities and Services
1.
Improve the low self-esteem of adolescents.
2.
Promote consistent messages about Sexual
Health Education.
3.
Promote positive healthy adolescent behavior
messages versus media influence.
4.
Promote positive role models, particularly male
involvement in family life.
5.
Limit the impact of institutions that destabilize
relationships between males and their
children/teen families.
Austin/Travis County
HHSD
32
Services Most Requested
by Youth
1. Jobs
2. Mentoring, particularly male mentors
3. Adolescent health education/care (birth
control/contraception)
4. Health Insurance / Dental
5. Basic needs (food, shelter, clothes)
Austin/Travis County
HHSD
33
Priorities Identified by
Providers
1.
Increase mentors in schools and youth programs,
specifically for males
2.
Teen-friendly health care services, specifically for
males
3.
Expand programming for the XY-Zone
4.
Success sequencing by peers
5.
Educational Programming/Tutoring in academic
subjects
6.
Revising Institutional Policies/ Teaching
professional to empower, not to enable
7.
Counseling for teen/family and preventive health at
a young age
8.
Teen prevention education and skills building
(pregnancy, STD/HIV, alcohol, violence, etc)
9.
Mandated parenting classes
Austin/Travis County
HHSD
34
Recommendations
The following pages (37-44) highlight five goals and key
activities that were identified by the stakeholders who
participated in the Strategic Planning Retreat.
–
–
–
–
–
Collaboration,
Health Education,
Healthcare,
Messaging, and
Sustainability.
The Adolescent Planning Group asked participants to identify
activities, objectives and goals within five program areas
(Collaboration, Health Education, Healthcare, Messaging and
Sustainability).
Participants were asked to identify activities that could be achieved
with little or no funding (green): Activities that required funding (blue):
And activities that required substantial funding and other resources
(blue with $$$).
Measurable objectives are not identified in this plan as the planning
group was focused on goals and activities to establish a strategic plan
that provides a road map/direction.
We expect that committees tasked with the next phase of the
strategic planning process will develop specific and measurable
objectives as part their responsibilities.
Austin/Travis County
HHSD
35
Collaboration
Goal I: To improve adolescent health through increased
collaboration with stakeholders.
Objective: Establish and implement a strategic sustainability
committee by January 2008.
Identified Activities:
1. Bring youth together for a day-long symposium city-wide or
workshops at multiple locations student can pick up info.
2. Involve youth-create teen advisory board
3. School-based health fairs
4. Planning retreats for folks who manage school-based services
to coordinate
5. Research catalogue existing community HIV, STD, and
unintended pregnancy resources:
6. Make sure all community partners are up-to-date on the others
activities
7. Research catalogue existing community HIV, STD, and
unintended pregnancy resources
8. Make sure all community partners are up-to-date on the others
activities
9. Link with community partners that are funded/charged to work
with similar sub-populations of adolescents
Austin/Travis County
HHSD
36
Collaboration
Identified Activities Continued:
10.
Share funding and resources
11.
Seek collaborative funding opportunities
12.
Leverage existing resources among community partners
13.
Assist community partners with proposal writing and
prioritizing larger community needs
14.
Train the trainer – interagency collaborate training so
providers know where to refer messaging
15.
Involve youth in prevention, marketing youth (message
should be developmentally appropriate)
16.
Develop Resource centers in schools $$
17.
Closer ties to AISD
18.
Develop and implement after school programs
19.
Network with outside organizations
Austin/Travis County
HHSD
37
Health Education
Goal II: Educate and engage the community in healthy
behavior.
Objective: Establish and implement a strategic sustainability
committee by January 2008.
Identified Activities:
1. Establish youth advisory board
2. Utilize community partner programs to identify and
involve youth
3. Youth advisory board develops health education
messages and communication venues
4. Develop and implement Austin teen generated &
moderated web sites (Link with existing web sites if
available)
5. Increase the level and presence of peer education in
schools and community
Austin/Travis County
HHSD
38
Health Education
Identified Activities Continued:
6.
Mobile van offering health services such as pregnancy
and STD testing (parked just off campus but in close
proximity to schools)
7.
Use mainstream artist/theatre media to open
discussion on issue
8.
Comprehensive Education $$$
9.
Experiential learning $$
10. Parent education and support $$
11. Establish Community spaces within schools and
neighborhoods
Austin/Travis County
HHSD
39
Health Care
Goal III: To link and promote culturally competent health
care services for adolescents.
Objective: Establish and implement a strategic sustainability
committee by January 2008.
Identified Activities:
1.
Need more focus on males, making teen clinics more
friendly
2.
More Male mentors
3.
Expand the XYZ zone program in schools $$$
4.
Community resources – “all under on roof” (JJ
Pickle) $$$
5.
Improve school-based medical services – $$$
6.
Establish school-based health centers staffed by
medical school residents, and staff volunteers $$$
Austin/Travis County
HHSD
40
Health Care
Identified Activities Continued:
7.
Ensure that staff receive competency training before
working with adolescents $$$
8.
Provide routine opt-out HIV & STD testing is offered
in school-based health centers $$$
9.
Improve teen access to STD clinics/make STD clinics
more adolescents-friendly $$
10. Ensure Routine sexual risk assessment for all adolescents
$$
11. Provide Health Fairs/Testing
12. Lower and reduce PTA (AISD) (Barriers to AISD
regulations)
13. Train and Provide Peer educators
14. Provide Access to Family Planning
Austin/Travis County
HHSD
41
Messaging
Goal IV: Promote consistent and positive messages for
the adolescent community.
Objective: Establish and implement a strategic sustainability
committee by January 2008.
Identified Activities:
1. Develop a forum that sponsors organizational collaboration
(e.g. strategic planning retreat- mechanism should identify
and link groups through commonality of mission/purpose)
2. Utilize more real life info in messaging that adolescents
can relate to
3. Involve youth to voice the needs for change (RB21
community)
4. Online community technology resource centers
5. Online Ads $$$ (utilize technology in delivering
message, podcasts, IM, text messaging, etc.)
6. Empower youth to own their own health/sex/ relationships
$$
Austin/Travis County
HHSD
42
Sustainability
Goal V: To develop resources that will sustain programs that
promote healthy adolescent behaviors particularly in the area of
HIV, STD and pregnancy prevention.
Objective: Establish and implement a strategic sustainability
committee by January 2008.
Identified Activities:
1. Recruit committee members from stakeholders
2. Develop and implement meeting schedule and decision
making process
3. Identify and prioritize sustainability initiatives (target no
less than three)
4. Work to identify link agencies to reduce duplicative
resource development and increase leveraged
opportunities
5. Identify, share, resource opportunities with collaborative
partners
6. Develop and share sustainability strategies
Austin/Travis County
HHSD
43
Lessons Learned
1.
Don’t assume that all team members understand
the concept of the strategic planning effort.
2.
Stay mission focused by utilizing decision making
tools that direct all decisions back to the mission
and funding criterion/requirements.
3.
Spend the appropriate time to orient stakeholders
about “the” undertaking and how it may differ from
their previous strategic planning forays.
4.
Be clear and concise on what you expect to achieve
and how it fits in the overall process for the funder
and your organization. Explain the process in ways
that participants will have a clear understanding of
expectations.
5.
Schedule sufficient time to complete the task but not
so much time that people will lose interest.
6.
Obtain buy-in from the movers and shakers.
7.
Obtain buy-in from those most affected by your
planning.
8.
Use the technology (Microsoft live meeting,
conference calls, email, etc) to share the message
and the thinkwork.
Austin/Travis County
HHSD
44
Where are we now?
Year 1
Finalizing the Plan and Establishing a Home
Base
1. Completing review of existing data and finalizing
plan
– Conducting relevant research on interventions
and reporting to Adolescent Health Group (AHG)
by December 13, 2007.
2. Planning for the sustainability of the Adolescent
Health Group (AHG)
– AHG will begin meeting through breakout
sessions of the monthly Ready By 21 Coalition on
January 10, 2008.
– Meeting to review, provide further input and
develop specific and measurable objectives of the
strategic plan.
– Continually monitoring and updating the plan for
the life of the strategic planning process.
Austin/Travis County
HHSD
45
Where are we going?
Year 2
Develop and Implement Sub-Committees
3.
Develop Program Area Sub-Committees for
each of the identified five program areas to
assist with decision-making policies.
4.
Develop Adolescent/Stakeholder SubCommittee
–
Recruit and form Stakeholder sub-committee to
actively involve adolescents in the strategic planning
process.
–
Involve Adolescents via focus groups, key
informants, youth advisory councils, etc.
5.
Form Sustainability Sub-Committee to identify
funding sources for stakeholders and a
mechanism for distributing information.
6.
Continual monitoring and reporting for the life of
the strategic planning process.
–
Obtain strategic planning, implementation and
evaluation feedback from and share with
stakeholders on an ongoing basis for the life of the
strategic planning process.
Austin/Travis County
HHSD
46