Healthy Women Build Healthy Communities October 14-17, 2007

1. Healthy Women Build Healthy Communities October 14-17, 2007 2007 MCH Federal/State Partnership Meeting Sabrina Matoff-Stepp, M.A. Director U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) Office of Women’s Health

2. HRSA Office of Women’s Health (OWH) Mission HRSA OWH provides a cross-cutting focus to reduce sex and gender-based disparities and improve women’s health and wellness in support of the Agency’s mission to provide national leadership, program resources and services needed to improve access to culturally competent, quality health care.

3. HRSA OWH Functions • Serve in a leadership capacity on women’s health and sex/gender-specific issues and policy. • Coordinate and support disease prevention and health promotion activities at HRSA and with other HHS agencies. • Serve as the liaison with other Federal women’s health and private sector organizations. • Support educational efforts on topics related to women’s health and wellness.

4. FY08 Collaborations • Scientific Workshop on Teen Dating Violence • Minority Faculty Potential in Academic Medicine Five School Partnership • HHS Women’s Health Reference Book • HHS Women’s Health Calendar/Daybooks

5. Other Collaborations • Women’s Health in Health Professions Curricula Reports • Webcasts (www.mchcom.com) • Human Trafficking – April 2005, September 2007 • The Management of Eating Disorders – July 2006 • Teen Dating Violence – February 2006 • GIS Maps of HRSA women’s health investments - http://datawarehouse.hrsa.gov/

6. Women’s Health USA 2007

7. BFWHW Initiative Vision and Mission Statements • Vision Statement – to achieve physical, mental, social, and spiritual health, Bright Futures for Women’s Health and Wellness identifies opportunities for integrating prevention into self-care, culturally competent health care, and community action. • Mission Statement – The mission of the Bright Futures for Women’s Health and Wellness Initiative is to plan, develop, implement, and evaluate a variety of culturally competent consumer, provider, and community-based products to increase awareness and use of preventive health services for all women across their lifespan.

8. BFWHW Initiative Goals • Increase the use of preventive services. • Empower women to share in health care decision-making. • Encourage women to practice prevention in their daily lives. • Increase practitioner utilization of preventive health guidelines. • Support community-wide health promotion.

9. BFWHW Initiative Infrastructure • Purpose – Develop tools for adolescent young women and adult women, clinicians, and communities to promote health and wellness • Funding – HRSA/Maternal and Child Health Bureau • Coordination – HRSA OWH and Division of Healthy Start and Perinatal Services • Organization – inclusive, lifespan approach • Participants – non-Federal and Federal experts (consumer and professional)

10. Bright Futures for Women’s Health and Wellness (BFWHW) • Domains • Physical Activity and Healthy Eating • Mental Health and Wellness • Maternal Wellness

11. Purpose of BFWHW Physical Activity & Healthy Eating Tools • Develop tools to promote healthy physical activity and eating behaviors among women across the lifespan, according to the Dietary Guidelines for Americans 2005. • Encourage shared decision-making and goal-setting with primary care providers; and involve community participation.

12. BFWHW Physical Activity & Healthy Eating Tools • Guide for Adolescent Young Women and Wallet Card (English) • Guide for Adult Women and Reaching My Goal Tip Sheet Set (English and Spanish) • Provider Training Materials • Community Toolkit (English)

13. BFWHW Consumer Guides 4 Main Components • Self-assessment • Clinical Assessment/Conversation Starter • Goal Setting • Resources and Information

14. Tools for Consumers • My Bright Future for Adult Women Guide and Tip Sheets • Available in English and Spanish • My Bright Future for Young Women Guide and Wallet Card • Available in English

15. Tools for Consumers • Rural Adaptation • Adult Women Guide and Tip Sheets • Young Women Guide and Bookmark

16. Tools for Clinicians • Administrator’s Handbook: Training and Implementation of BFWHW Physical Activity and Healthy Eating Guides

17. Tools for Communities • Healthy Women Build Healthy Communities Toolkit

18. Evaluation activities include a one-time data collection effort to: (1) assess how the BFWHW materials can stimulate conversation on physical activity and healthy eating during a well care visit, (2) inform future BFWHW programming, and (3) add to the peer-reviewed literature regarding women’s health and wellness initiatives. BFWHW Intermediate Evaluation

19. BFWHW Intermediate Evaluation(continued) • Target audience includes young and adult women clients and their primary care providers. • Six discrete sites will be selected for the evaluation including school-based health centers, faith-based sites, worksite wellness centers, and Federally Qualified Health Centers.

20. BFWWW Mental Health and Wellness Tools • Extensive background work to define mental wellness from a positive perspective. • Three concepts interwoven throughout family of tools: • Value yourself • Develop sense of balance, meaning and purpose in life • Connect to your community • Tools: • Guide for Adolescent Young Women • Guide for Adult Women • Provider Booklet • Exam or Waiting Room Flyer • Community Idea Kit

21. BFWHW Mental Health and Wellness Tools Characteristics • Gender-specific • Evidence-based • Wellness focused (vs. disease focused) • Address mental wellness constructs and protective factors

22. Evidence Base: Key Findings • Some studies suggest resiliency, hardiness, and optimism can be learned • Coping skills are linked with health outcomes as early as mid-adolescence • Meditations and aerobic exercise have been shown to increase well-being • Happy people tend to • Have high self-esteem, be optimistic, outgoing, & agreeable • Have close friendships or a satisfying marriage • Have work and leisure that engage their skills • Have a meaningful religious faith • Exercise

23. Iterative Definition: Core Elements Elements of psychological wellness developed by the Mental Health Expert Panel: • Identification with/or Connection with Community • Meaningful, Rewarding and Supportive Relationships • Meaningful and Rewarding Activities • Sense of Balance, Meaning and Purpose in Life • Healthy Emotional, Cognitive and Physical Habits • Compassion for Others • Ability to Adapt to Change and Cope Successfully with Adversity • Meaningful Spiritual Beliefs and Practices • Valuing and Appreciation of Self

24. BFWHW Mental Health and Wellness, Primary Care Clinic Flyer

25. BFWHW Mental Health & Wellness Adult Women’s Guide

26. BFWHW Promotion • Semi-annual newsletter • Dedicated website with online tools (coming soon!) • NEW Targeted announcements to Spanish organizations and state health departments • Recognition at 2007 APHA Conference in Washington D.C. • New partnerships always welcome!

27. Develop marketing, promotion, dissemination and evaluation plans early. Use technology wisely. Allow extra time for reviews, clearances, and approvals. Take time to thank people who support your program. Lessons Learned • Develop conceptual and theoretical framework for program planning, including a logic model. • Gather information from a variety of stakeholders. • Gain buy-in from your target audience(s). • Develop ongoing partnerships.

28. For More Information A variety of BFWHW Tools and other publications are available free of charge at the HRSA Information Center 1-888-ASK-HRSA or online at www.hrsa.gov/womenshealth HRSA Office of Women’s Health 5600 Fishers Lane, 18A-44 Rockville, Maryland 20857 (301) 443-8695 (office) (301) 443-8587 (fax)