Appendix A
Community Forum Agenda and Participants

AGENDA

A National Community Forum on Adolescent Health Care

November 6, 2006

Keck Center of The National Academies

Washington, DC


Forum Goal:


Identify the organizational and contextual factors that should enhance the delivery of adolescent health care services.


Engage in presentations and discussion around the following questions:

  1. What are the strengths of current adolescent health care services and settings?

  2. What are the weaknesses in current adolescent health care services and settings?

  3. Where are the opportunities to enhance and improve adolescent health care services and settings?

  4. What are the threats to adolescent health care services and settings?

  5. What vulnerable populations are not particularly well served through the current health care services and settings?



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Challenges in Adolescent Health Care: Workshop Report Appendix A Community Forum Agenda and Participants AGENDA A National Community Forum on Adolescent Health Care November 6, 2006 Keck Center of The National Academies Washington, DC Forum Goal: Identify the organizational and contextual factors that should enhance the delivery of adolescent health care services. Engage in presentations and discussion around the following questions: What are the strengths of current adolescent health care services and settings? What are the weaknesses in current adolescent health care services and settings? Where are the opportunities to enhance and improve adolescent health care services and settings? What are the threats to adolescent health care services and settings? What vulnerable populations are not particularly well served through the current health care services and settings?

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Challenges in Adolescent Health Care: Workshop Report PROGRAM Welcome, Introduction, and Overview Moderator: Robert Lawrence, MD, Committee Chair Background and Overview of Forum Shay Bilchik, JD, Committee Member SESSION 1: VULNERABLE POPULATIONS PERSPECTIVE Moderator: Eduardo Ochoa, MD, Committee Member Session 1 Goals: What is the size/make-up of this adolescent population? What is the state of access and use of health care services for this adolescent population? What key changes have occurred over time? What are the gaps in services for this adolescent population? How can these gaps be filled? What special training issues require attention for health care providers? What outcomes should be measured to monitor access and use of health care for this adolescent population? What are the promising initiatives for the access and use of health care services? PANEL 1 Health Care Experiences in Foster Care Matthew Morton, Stetson University, Florida Health Care Experiences of Uninsured Youth Shawn Semelsberger, Traverse City, Michigan Health Care Experiences of Youth with Disabilities Paul Fogle, Middletown, Pennsylvania Discussion of Panel 1 PANEL 2 Health Care of Youth with Border Health Issues Salvador Balcorta, Centro de Salud Familiar La Fe Inc., El Paso Health Care of Unattached/Homeless Youth Alan Shapiro, MD, South Bronx Children and Family Health Center

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Challenges in Adolescent Health Care: Workshop Report Health Care of Low-Income Youth Coleen DeFlorimonte, MSN, CPNP, Woodson High School Adolescent Wellness Center, Washington, DC Discussion of Panel 2 SESSION 2: SYSTEMS PERSPECTIVE Moderator: Sarah Brown, Committee Member Session 2 Goals: What are the particular health needs of the populations served by the setting? What health care services are routinely covered in their programs? What are areas of significant challenge or gaps? How consistent or intermittent is insurance coverage for adolescents and what are the associated problems? What arrangements would help strengthen the services provided or address the gaps that now occur? Do significant opportunities exist to create public/private partnerships that could enhance the capacity? How does the system seek to coordinate its services? Who manages the referral systems and how are case management services financed? Identify significant policy, organizational, financial, legal, and training issues (gaps, promising initiatives, barriers) with health care services to adolescents and the coordination of care with other providers. PANEL 1 Nongovernmental Settings Kristin Adams, PhD, Girls Inc. Rural Settings Kathaleen Perkins, MD, West Virginia University Urban Settings Rhonda Braxton, The Door, New York Schools Linda Juszczak, DNS, National Assembly on School-Based Health Care Discussion of Panel 1

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Challenges in Adolescent Health Care: Workshop Report PANEL 2 Managed Care Provider Charles Wibbelsman, MD, Kaiser Permanente, San Francisco Publicly Financed Institutions (juvenile justice/foster care) Dianne Ewashko, New York State Office of Children and Family Services Local Government Josh Sharfstein, MD, Baltimore City Health Department, Maryland Discussion of Panel 2 PUBLIC FORUM Moderator: Shay Bilchik, JD, Committee Member CLOSING

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Challenges in Adolescent Health Care: Workshop Report PARTICIPANTS Kristin Adams, Girls Incorporated National Resource Center Trina Anglin, Office of Adolescent Health, Maternal and Child Health Bureau, Health Resources and Services Administration Kelita Bak, Camp Fire USA Salvador Balcorta, Centro de Salud Familiar Le Fe Inc. Brenda Barron, National Assembly on School-Based Health Care Linda H. Bearinger,* School of Nursing, University of Minnesota Shay Bilchik,* Center for Juvenile Justice Reform and Systems Integration, Georgetown University Rhonda Braxton, The Door Sarah Brown,* The National Campaign to Prevent Teen Pregnancy Rosemary Chalk, Board on Children, Youth, and Families Laurie Chassin,* Department of Psychology, Arizona State University Sharron Corle, Association of Maternal and Child Health Programs Coleen DeFlorimonte, Woodson High School Adolescent Wellness Center, Washington, DC Gordon H. DeFriese, The University of North Carolina at Chapel Hill Debra Delgado, The Atlantic Philanthropies Mark Del Monte, Department of Federal Affairs, American Academy of Pediatrics Elise Desjardins, Grantmakers in Health Thomas DeWitt, Cincinnati Children’s Hospital Medical Center Nancy Dubler,* Montefiore Medical Center Burton Edelstein,* College of Dental Medicine, Columbia University Dianne Ewashko, Division of Strategic Planning and Policy Development, New York Office of Children and Family Services Kathleen Ferrier, Girl Scouts of the USA Paul Fogle, Middletown, PA Harriette Fox,* Maternal and Child Health Policy Research Center Michele Gains, University of California, Los Angeles, Martin Luther King/Charles R. Drew Medical Center V.J. Gibbins, Camp Cedar Pauline Ginsberg, Utica College Mark Goldstein, Division of Adolescent Medicine, Massachusetts General Hospital, Harvard Medical School Kathi Grasso, U.S. Department of Justice LaVerne Green, School-Based Health Programs, Health Resources and Services Administration * Committee member

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Challenges in Adolescent Health Care: Workshop Report Bethany Hardy, Institute of Medicine Office of Reports and Communications Lynne Haverkos, Pediatric Behavior and Health Promotion Research, National Institute of Child Health and Human Development, National Institutes of Health Karen Hendricks, Department of Federal Affairs, American Academy of Pediatrics Catherine Hess, National Academy for State Health Policy Elizabeth Hoffman, Subcommittee on Education and Early Childhood Development, Senator Chris Dodd, Ranking Member Charles Irwin, Jr.,* School of Medicine, University of California, San, Francisco Kayla Jackson, National Network for Youth Jennifer Joseph, National Association of County & City Health Officials Linda Juszczak, National Assembly on School-Based Health Care Kelly Kelleher,* Columbus Children’s Research Institute, The Ohio State University Genevieve Kenney,* Urban Institute, Washington, DC Eva Klane, American Bar Association Center Children and the Law Kathryn Kushner, National Institute for Health Care Management Foundation Robert S. Lawrence,* Bloomberg School of Public Health, The Johns Hopkins University Julia Graham Lear,* School of Public Health and Health Services, Department of Prevention and Community Health, The George Washington University Jonathan Lever, YMCA Activate America Susan Lin, Columbia University Keith Loud, Northeast Ohio Universities’ College of Medicine, Adolescent Health Services, Akron Children’s Hospital Jennifer Maehr, Maryland Department of Juvenile Services Arik Marcell, Departments of Pediatrics and Population, Family & Reproductive Health, The Johns Hopkins University School of Medicine, Bloomberg School of Public Health Stephen Mautner, National Academies Press John McInerney, National Academy for State Health Policy Hugh McIntosh, Consultant Elaine McLaughlin, Food and Nutrition Service/USDA, National 4H Headquarters, Families, 4-H and Nutrition, Cooperative, State Research, Education and Extension Service Matthew Morton, Stetson University Eduardo Ochoa, Jr.,* Section of General Pediatrics, Arkansas Children’s Hospital

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Challenges in Adolescent Health Care: Workshop Report Pat Paluzzi, Healthy Teen Network Kathaleen Perkins, West Virginia University Janis Richter, Partnership for Youth Transition Frederick P. Rivara,* Department of Pediatrics, University of Washington, Seattle C. Anita Robinson, The Catholic University of America Jennifer Rogers, American College of Preventive Medicine Vinod K. Sahney,* Blue Cross and Blue Shield of Massachusetts Laura Schiebelhut, Child Welfare League of America Sarah Schulman, Maternal and Child Health Bureau, U.S. Department of Health and Human Services Mark A. Schuster,* RAND and University of California, Los Angeles Shawn Semeslberger, Foster Club, Traverse City, MI Alan Shapiro, Montefiore Medical Group, South Bronx Children and Family Health Center Josh Sharfstein, Baltimore City Health Department Matthew Stagner,* Chapin Hall Center for Children, The University of Chicago Donald Stechschulte Jr., Bucknell University Christina Varmvas, Alliance for Children and Families, United Neighborhood Centers of America Leslie Walker,* Children’s Hospital and Regional Medical Center, Seattle Charles Wibbelsman, Kaiser Permanente Nicole Yohalem, Forum for Youth Investment, Cady-Lee House