AMCHP 2005 Conference

1. AMCHP 2005 Conference System Capacity for Adolescent Health: Public Health Improvement Tool Kristin Teipel, BSN, MPHState Adolescent Health Resource Center, Konopka Institute for Best Practices in Adolescent Health, University of Minnesota Rena Large, M.Ed, CHES Association of Maternal and Child Health Programs Sunday February 20, 2005

2. Improving Adolescent Health… • Is a complex endeavor • Should be the responsibility of a network of organizations, agencies and individuals • Requires collaboration across public/private societal institutions System Capacity for Adolescent Health: Public Health Improvement Tool

3. System Capacity for Adolescent Health: Public Health Improvement Tool Public Health Is Critical to Adolescent Health • Healthy People 2010 - 21 critical objectives for adolescents and young adults • State adolescent health objectives and MCH performance measures • National Initiative to Improve Adolescent Health (NIIAH) • Ten essential public health services

4. System Capacity for Adolescent Health: Public Health Improvement Tool The Role of MCH in Improving Adolescent Health • Provide a focal point for adolescent health within family health framework • Ensure a strong infrastructure to effectively address adolescent health • Forge partnerships with state agencies, other societal institutions, as well as with youth and families

5. System Capacity for Adolescent Health: Public Health Improvement Tool Six Capacity Areas for Strong Adolescent Health-focused Systems Commitment to Adolescent Health • Dedicated resources, including designated adolescent health coordinator • Staff expertise • Adolescent health focal point

6. System Capacity for Adolescent Health: Public Health Improvement Tool Six Capacity Areas for Strong Adolescent Health-focused Systems Partnerships • Partnerships with state agencies, other societal institutions, youth, families • Focused on integration and coordination with other youth-focused efforts

7. System Capacity for Adolescent Health: Public Health Improvement Tool Six Capacity Areas for Strong Adolescent Health-focused Systems Planning & Evaluation • Comprehensive, coordinated planning (needs assessment, strategic planning, prioritization) • Capacity to plan developmentally and culturally appropriate programs • Promotion and development new policies, programs, services • Ability to evaluate and fine-tune efforts

8. System Capacity for Adolescent Health: Public Health Improvement Tool Six Capacity Areas for Strong Adolescent Health-focused Systems Policy & Advocacy • Policy development • Advocating for adolescent health needs • Educating partners

9. System Capacity for Adolescent Health: Public Health Improvement Tool Six Capacity Areas for Strong Adolescent Health-focused Systems Education & Technical Assistance • Education of public • Education and support for professionals

10. Six Capacity Areas for Strong Adolescent Health-focused Systems Surveillance & Data Systems • Dedicated resources, including designated adolescent health coordinator • Staff expertise • Adolescent health focal point System Capacity for Adolescent Health: Public Health Improvement Tool

11. Tool & Assessment Process Designed to assist MCH/FH programs: • Assess capacity to effectively address youth health issues (where you are currently) • Identify areas for improvement (where you want to go) • Develop and implement a reasonable plan of action (how to get there) System Capacity for Adolescent Health: Public Health Improvement Tool

12. Tool & Assessment Process Provides a framework for discussion, review and analysis: • Assumes every state and territory is different in range of capacity and ability • Can be tailored to meet users’ unique needs • Recognizes the range of infrastructure characteristics that must be in place System Capacity for Adolescent Health: Public Health Improvement Tool

13. Tool & Assessment Process Compliments other national and state tools and efforts: • CAST-V • Capacity Assessment Tool for Title V Programs • National Initiative to Improve Adolescent and Young Adult Health by the Year 2010 • Partners and resources to assist states and communities to achieve the Healthy People 21 critical objectives for adolescents System Capacity for Adolescent Health: Public Health Improvement Tool

14. Tool & Assessment Process • Developed over a 2 year period with extensive literature reviews and expert input • Piloted with 3 state MCH programs in 2004 (TN, UT, WI) • Refined and streamlined based on pilot evaluations System Capacity for Adolescent Health: Public Health Improvement Tool

15. Benefits of Assessing System Capacity for Adolescent Health • Documentation of baseline capacity • Identification of best/promising strategies • Input from internal/external partners • Identification of new partners and resources • Definition or refinement of MCH’s role in addressing adolescent health System Capacity for Adolescent Health: Public Health Improvement Tool

16. Overview of Assessment Process:Plan the Process (1) • Identify your purpose for conducting assessment • Define what you are assessing • Identify what you want to get out of the process • Gather baseline information System Capacity for Adolescent Health: Public Health Improvement Tool

17. Overview of Assessment Process: Plan the Process (2) • Gather support of key stakeholders • Identify who needs to be involved and/or supportive of the process • Bring together and orient those who will be involved in the assessment System Capacity for Adolescent Health: Public Health Improvement Tool

18. Overview of Assessment Process: Plan the Process (3) • Identify the best “process” for using the tool • Plan logistical details (e.g. where, when, timeframe) System Capacity for Adolescent Health: Public Health Improvement Tool

19. Overview of Assessment Process: Conduct the Assessment • Discuss each chosen capacity area and conduct a SWOT analysis • Rate each capacity area and identify top issues • Prioritize top issues • Develop a plan of action to address priority areas System Capacity for Adolescent Health: Public Health Improvement Tool

20. Overview of Assessment Process: Implement the Action Plan • Identify specific actions, timelines, staff, resources needed to carry out action plan • Work on priority areas • Reassess outcomes • Celebrate! System Capacity for Adolescent Health: Public Health Improvement Tool

21. Resources Availablehttp://www.amchp.org/syscap • Measurement tools, worksheets, and instructions for assessing capacity in six key areas • Action planning guidance • Evaluation guidance • Links to the Conceptual Framework for Adolescent Health, CAST-V, Healthy People 2010, and other assessment and planning resources. System Capacity for Adolescent Health: Public Health Improvement Tool

22. Technical Assistance & Resource Colleagues To explore the use of this tool in your state or territory, and to be connected with pilot states and others already using these resources, contact: State Adolescent Health Resource CenterKristin Teipel(P) 612-624-0182 teipe001@umn.edu AMCHPRena Large (P) 202-775-0436 x-122 rlarge@amchp.org System Capacity for Adolescent Health: Public Health Improvement Tool