Cutting-Edge Practice

Bringing Adolescent Well- Visits to the Standing Rock Sioux Reservation

State/Jurisdiction: North Dakota
Setting: School
Population: Adolescents & Young Adults
Topic Area: Equity & Anti-Racism Primary & Preventative Care
NPMs: NPM 10: Adolescent Well-Visit

Our goal for this project is to increase adolescent well-visits on the Standing Rock Reservation. We are completing this goal by partnering with the University of North Dakota (UND) Family Medicine Center. They have created a multidisciplinary team that consists of a medical provider (physician), medical residents, nurses, dentists, and virtual mental health providers. This team travels to the high school and middle schools within the reservation to complete the adolescent well-visits on site. This need was identified by recent data from the North Dakota Health and Human Services (NDHHS) Unduplicated Count Report 2021 which indicated that only 23% of Sioux County 11-18-year-olds had a well-check/Health Tracks visit in 2021. These well-visits provide the following: address patient identified questions/concerns, perform anxiety and depression screenings, conduct visual acuity screens, calculate, and discuss weight/height/body mass index measurements, complete nutrition and lifestyle screenings and conduct or collect any other relevant history/physical exam.

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Implementation Handout

North Dakota Department of Health and Human Services
Elizabeth Oestreich

Practice Website