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Challenges in Adolescent Health Care: Workshop Report (2007)

Chapter: Appendix A: Community Forum Agenda and Participants

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Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
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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?

Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×

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:

  1. What is the size/make-up of this adolescent population?

  2. What is the state of access and use of health care services for this adolescent population? What key changes have occurred over time?

  3. 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?

  4. What outcomes should be measured to monitor access and use of health care for this adolescent population?

  5. 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

Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×

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:

  1. 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?

  2. How consistent or intermittent is insurance coverage for adolescents and what are the associated problems?

  3. 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?

  4. 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

Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×

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

Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×

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

Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×

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

Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×

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

Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×
Page 61
Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×
Page 62
Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×
Page 63
Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×
Page 64
Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×
Page 65
Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×
Page 66
Suggested Citation:"Appendix A: Community Forum Agenda and Participants." National Research Council and Institute of Medicine. 2007. Challenges in Adolescent Health Care: Workshop Report. Washington, DC: The National Academies Press. doi: 10.17226/12031.
×
Page 67
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Several positive and negative lifelong behaviors are established during adolescence including diet and exercise, sexual conduct, practices related to oral health, smoking, drinking, and the use if legal and illegal substances. The complex issues that adolescents deal with on a daily basis can turn into health problems that persist throughout adulthood. Unfortunately the adolescents who are frequently the most disconnected from routine health care services - those who lack insurance and family support - are often those at greatest risk for multiple and chronic health problems. Therefore, those that are responsible for delivering health care services to adolescents must address the health conditions that require immediate attention while preparing young people to adopt practices that can help improve their future health status and prevent unhealthy behaviors.

Challenges in Adolescent Health Care studies adolescent health care in the United States, highlights critical health care needs, and identifies service models and components of care that may strengthen and improve health care services, settings, and systems for adolescents. The book explores the nature of adolescent challenges and how they reflect larger societal issues such as poverty, crime and the prevalence of violence. These issues, in addition to lack of comprehensive health coverage, dysfunctional families and the lack of support systems, make providing adequate health care incredibly challenging.

Challenges in Adolescent Health Care defines high-quality health care, identifies the strengths and weaknesses of various service models and explores various training programs. The book recommends that health care providers must be sensitive to socioeconomic factors and incorporate health care in a broad array of settings including schools, neighborhoods and community centers.

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