ADOLESCENT HEALTH

Current Initiatives

To advance adolescent health in Title V programming, AMCHP serves as a national partner in the Adolescent and Young Adult Health National Resource Center (AYAH Center). With funding support from HRSA’s Maternal and Child Health Bureau, the AYAH-NRC supports MCH investments to promote adolescent and young adult (AYA) health through strengthening State Title V MCH programs to better serve the AYA populations. Key partners include The University of California San Francisco – National Adolescent and Young Adult Health Information Center (NAHIC), The University of Minnesota – State Adolescent Health Resource Center (SAHRC), and the University of Vermont – National Improvement Partnership Network (NIPIN).

AMCHP also supports adolescent health capacity building among its members through technical assistance requests, virtual and in-person trainings, conference sessions/workshops, access to subject matter experts, and product development.

Current Initiatives

Supported by the greater Adolescent and Young Adult Health National Resource Center (AYAH-NRC), AMCHP co-leads the AYA Behavioral Health Collaborative Improvement and Innovation Network (CoIIN), composed of multidisciplinary teams from select states. These teams operate through their public health systems (led by state Title V/maternal and child health programs) and primary care systems (led by clinical partners and practices). The first cohort (2019-2021) included Indiana, Minnesota, South Carolina, Vermont, and Wisconsin. The current cohort (2021-2023) is comprised of teams from Arizona, California, Iowa, Ohio, and Pennsylvania.

To respond to this growing mental health crisis, the AYAH-NRC is mobilizing the CoIIN to improve depression screening and follow-up for young people through 1.) systems-level behavioral health integration in primary care, and 2.) increasing screening rates for Major Depressive Episodes (MDEs) in clinical settings using practice-based quality improvement tools and methods. The goal is to achieve an 80 percent screening rate for MDE in patients ages 12 to 25 using an age-appropriate standardized tool, with documentation of a follow-up plan when screen results are positive.

The teams address key drivers of unmet behavioral health needs for adolescents and young adults. The CoIIN model fosters reciprocal capacity-building in the public health and primary care sectors to improve population health outcomes in primary care settings through the collaboration of state team members and local quality improvement representatives.

Welcome to the #ScreenToInterveneForAYAs Adolescent and Young Adult Behavioral Health Blog.  This is a space for state Title V maternal and child health professionals and their partners to learn about efforts to build better preventive care systems for optimal adolescent and young adult wellbeing across the country. Posts that include food for thought, resources, reflections, and stories related to the work being done by Title V to support optimal emotional wellness among AYAs.  Please feel free to share your reactions, ideas, and feelings by tweeting us (@AMCHP_GrowingUp) and using the hashtag, #ScreenToInterveneForAYAs. To receive updates whenever a new post is published, sign up here: http://bit.ly/2Fzr2JD. If you’d like to submit a post, please contact Anna Corona (acorona@amchp.org) to have your writing featured.

Through the AYAH-NRC, AMCHP offers and guides its partners through a comprehensive online resource, “Transforming Health Care for Adolescents and Young Adults.” This resource is actually a change package—a set of materials and ideas that guide and enable improvement teams to implement change in their settings. “Transforming Health Care for Adolescents and Young Adults” is an interactive module that features three change packages on increasing the receipt of quality preventive visits for adolescents and young adults (AYAs), centered around three National Strategies:

  • 1: Increase Access & Utilization of AYA Preventive Services
  • 2: Improve Quality of AYA Preventive Services (Clinic-Level)
  • 3: Improve State- and Systems-Level Policies and Practice for AYA Preventive Services

The change packages are data-driven and reflect the firsthand experiences of state MCH programs in the AYAH CoIIN focused on improving receipt and quality of the adolescent well-visit. They are organized in a manner that enables efficient spread and adaptation by other states, agencies, and organizations that work towards improving National Performance Measure #10 of the Title V Block Grant (percent of adolescents, ages 12 -17, with a preventive medical visit in the past year), or a similar performance measure related to AYA preventive services. Secondary audiences may include other health care, public health, and/or youth-serving professionals that play a critical role in specific improvement activities related to AYAH. Before using the module, please complete the three-question survey.

ADOLESCENT HEALTH

Recent Resources & Tools