Easy _and not-so-easy_ Questions by chenshu


									What’s Planning Got to Do
With It?
Strategies for Advancing an
Adolescent Health Agenda

  Claire Brindis, Dr. P.H.
  University of California, San Francisco
  Professor of Pediatrics and Health Policy, Department of Pediatrics,
  Division of Adolescent Medicine, Department of Pediatrics & Philip
  R. Lee Institute for Health Policy Studies
  March 5, 2009

  Public Policy Analysis & Education Center for
  Middle Childhood, Adolescent & Young Adult Health
               Today’s Presentation
 Why planning is especially important in current
 Rationale for use of data in program planning
 Brief overview of types of data that can be used for
Planning in a Sea of Change
 Economic repercussions
    Infrastructure changes – reductions
    Impacts of change upon the youth and families we care
 Opportunities to raise visibility for Adolescents and
  Young Adults
   State Children’s Health Insurance expansion – including
    children of immigrants
   Stimulus funding opportunities – education, after
    school funding, infrastructure
          Using Data in a Cycle of Effective Planning
Inspire            Identify and Frame
                   Data Concerns
              Core Values,            Develop
              Mission and Roles
                                  Responsive Steps
                                    Produce and
                 Review              Implement
              Progress and              Plan
              Renew Efforts
 Planning is more important than ever
 Given available resources and the variety of health
 issues impacting youth, we need:
   Identification and effective use of data
   Prioritization of actions - aligned with organizational
    values, goals and objectives
   Adoption of evidence-based practices
   Awareness of political and community environment in
    which data is being used
   Once actions adopted, strategic quality-improvement
    efforts to demonstrate short and longer term impacts
Types of Planning Opportunities

 State Adolescent Health Strategic Plans
 State Title V Block grant – 5 years needs assessment
 Other state planning efforts –adolescents represent a
  “sub-group” within a larger planning effort

 Special Challenges:
    Multiple sources of data across divisions need
    Need for specific analyses for different age subgroups
Where do I begin?
 Severity of health issue
 Number of adolescents affected by the problem in our
  state (nation)
 Available/Reliable Data for planning?
   National and State Level Data – Trends
   Quantitative data sources – 21 Critical Health Objectives
   Qualitative data sources – focus groups, regional studies
   Additional Sources of data – sentinel events, media,
    other indicators
Wide Variety of Data

Data – Needs and Assets
 Work with State MCH Epidemiologists to develop an
  adolescent profile – “who, what, where, and when”
 Use primary and secondary data, i.e. hospital discharge
 Gather additional data on 4 levels of influence on
  adolescent behavior:
    Individual/family
    School/peers
    Community
    Policy and Society
Data – Needs and Assets
 Gather information on Youth, Families, and other
  community stakeholders regarding priorities
 Identify community assets – programs, strategies,
  policies and funding in place, as well as potential
 Review current efforts to existing knowledge base—are
  efforts in alignment with what is known to be
 Recommendations for both short and longer term
What do I choose to focus on?
 Likelihood of change in the indicator
 Likelihood of change that your organization and/or
  collaborative can make on the topic.
 Opportunities for assessing what has been done in the
  area in the past and how to use the information for
  future planning.
 Knowledge base regarding potential interventions
 Identification of other concerned
  groups/individuals/champions to work with you (or
  perhaps already working with you and expanding upon
  their role).
Other uses of planning data
  Planning within one’s own section vs. making data
   available for use by other departments – “Behavior
   Health” used our teen substance abuse assessment to
   develop programs in their own unit that we would not
   have been able to implement.
  Raise visibility - Use data to raise awareness and concern
   regarding priority issues that receive focus and
   additional resources
Using Data to Advance an Adolescent
Health Agenda
 Communicating your “story” effectively with
  professionals, stakeholders, media, and others, both in
  terms of need and action taken.
   Who is your data audience?
   What will be compelling to them?
   Who are good communicators?
       Young People Themselves
       Combination of quantitative data; illustrative, vivid examples
What Will It Take?
 Values shape our vision and success
 Commitment to adolescents
 Bold Ideas - Create New/Enhanced Opportunities
 Use of technology -- greater dissemination and diffusion
 Collaborations – New partners, building on established ones

 “We have to come up with innovative solutions to old economic
  problems, and the best way to do that is to form community
  networks to help one another”---
    Danielle Lawrence, San Francisco Art Teacher
 National Initiative to Improve Adolescent Health
   Materials available at http://nahic.ucsf.edu
   Improving the Health of Adolescents and Young Adults: A
    Guide for States and Communities
   Other materials available on this site include data and
    program resources by the 21 Critical Health Objectives
  National Adolescent Health Information Center and
  Public Policy Analysis & Education Center for Middle
     Childhood, Adolescent & Young Adult Health

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