This is a monthly publication from Jennifer O'Brien, the Adolescent Health Coordinator at the Minnesota Department of Health (see contact information at the end of this publication). This E-Newsletter will cover adolescent health/ youth development related research, data, resources, learning and funding opportunities for interested professionals. Past issues of the newsletter are available online at: http://www.health.state.mn.us/youth/ July 2007 PLEASE NOTE: This will be the final Adolescent Health ENewsletter until November 2007 due to my maternity leave. Have a great summer! Research 1. AUTHORS EXAMINE ASSOCIATIONS BETWEEN CONFIDENTIAL SERVICES AND PARENT-ADOLESCENT COMMUNICATION 2. THE RELATIONSHIP BETWEEN SELF-INJURIOUS BEHAVIOR AND SUICIDE IN A YOUNG ADULT POPULATION 3. ASSOCIATION BETWEEN ADOLESCENT PREGNANCY AND A FAMILY HISTORY OF TEENAGE BIRTHS Resources 4. ADULTS' ABILITY TO RUN THE GOVERNMENT EARNS A C- FROM TEENS 5. BRIEF HIGHLIGHTS COMMUNITY EFFORTS TO PROVIDE CONTINUITY OF MENTAL HEALTH CARE AND DEVELOPMENTALLY APPROPRIATE SUPPORTS TO ADOLESCENTS AND YOUNG ADULTS 6. HRSA'S STOP BULLYING NOW! CAMPAIGN 7. NEW FACTSHEETS from HEALTHY TEEN NETWORK 8. UNDOCUMENTED IMMIGRANT YOUTH: GUIDE FOR ADVOCATES AND SERVICE PROVIDERS 9. LESSONS FROM FAMILY-STRENGTHENING INTERVENTIONS: LEARNING FROM EVIDENCE-BASED PRACTICE Conferences 10. 8TH ANNUAL NATIVE AMERICAN PREVENTION PROGRAM SHARING CONFERENCE July 16 - 18, 2007 11. READY TO WORK? PARTNERS IN YOUTH WORKFORCE DEVELOPMENT, JUNE 2007 Grants 12. 2007 MINNESOTA AFTER-SCHOOL GRANT COMPETITION 13. MAKE IT YOUR OWN AWARDSTM Adolescent Health E Newsletter July 2007 Research 1. AUTHORS EXAMINE ASSOCIATIONS BETWEEN CONFIDENTIAL SERVICES AND PARENT-ADOLESCENT COMMUNICATION (From MCH Alert: http://www.mchlibrary.info/alert/archives.html) Lerand SJ, Ireland M, Boutelle K. 2007. Communication with our teens: Associations between confidential service and parent-teen communication. Journal of Pediatric and Adolescent Gynecology 20():173-178. "This study supports the hypothesis that availability of services is not a barrier to adolescent-parent communication about their health," state the authors of an article published in the June 2007 issue of the Journal of Pediatric and Adolescent Gynecology. Questions remain about the relationship between access to confidential services and whether adolescents communicate with their parents regarding their health care. The article describes a study to examine whether the availability of confidential services was a barrier to adolescents' communication with their parents about heath issues. The researchers also evaluated whether adolescents' comfort with discussing reproductive health issues would impact future communication with parents about potentially serious and sensitive reproductive health care issues. In terms of adolescents' decisions about whether to discuss their reasons for coming to the clinic and their future communication related to serious and sensitive reproductive health care issues with their parents, there was no significant difference between adolescents who came in for confidential vs. non-confidential services. The authors suggest that further research is needed to explore health professionals' role in helping adolescents share information about a serious and sensitive reproductive health problem and assisting them in obtaining support from their parents. The authors add that interventions need to be in place to educate parents about communication with their adolescent and the rights of their adolescent under the minor's consent laws. Adolescent Health E Newsletter July 2007 2. THE RELATIONSHIP BETWEEN SELF-INJURIOUS BEHAVIOR AND SUICIDE IN A YOUNG ADULT POPULATION Whitlock J, Knox KL. 2007. Arch Pediatr Adolesc Med. 161:634-640. “Objective: To test the hypothesis that self-injurious behavior (SIB) signals an attempt to cope with psychological distress that may cooccur or lead to suicidal behaviors in individuals experiencing more duress than they can effectively mitigate. Design: Analysis of a cross-sectional data set of college-age students. Setting: Two universities in the northeastern United States in the spring of 2005. Participants: A random sample of 8300 students was invited to participate in a Web-based survey; 3069 (37.0%) responded. Cases in which a majority of the responses were missing or in which SIB or suicide status was indeterminable were omitted, resulting in 2875 usable cases. Exposure: Self-injurious behavior. Main Outcome Measures: Main outcome was suicidality; adjusted odds ratios (AORs) for suicidality by SIB status when demographic characteristics, history of trauma, distress, informal help-seeking, and attraction to life are considered. Results: One quarter of the sample reported SIB, suicidality, or both; 40.3% of those reporting SIB also report suicidality. Self-injurious behavior status was predictive of suicidality when controlling for demographic variables (AOR, 6.2; 95% confidence interval [CI], 4.97.8). Addition of trauma and distress variables attenuated this relationship (AOR, 3.7; 95% CI, 2.7-4.9). Compared with respondents reporting only suicidality, those also reporting SIB were more likely to report suicide ideation (AOR, 2.8; 95% CI, 2.0-3.8), plan (AOR, 5.6; 95% CI, 3.9-7.9), gesture (AOR, 7.3; 95% CI, 3.4-15.8), and attempt (AOR, 9.6; 95% CI, 5.4-17.1). Lifetime SIB frequency exhibits a curvilinear relationship to suicidality. Conclusions: Since it is well established that SIB is not a suicidal gesture, many clinicians assume that suicide assessment is Adolescent Health E Newsletter July 2007 unnecessary. Our findings suggest that the presence of SIB should trigger suicide assessment.” 3. ASSOCIATION BETWEEN ADOLESCENT PREGNANCY AND A FAMILY HISTORY OF TEENAGE BIRTHS East PL, Reyes BT, Horn EJ. 2007. Perspectives on Sexual & Reproductive Health, 39:2, 108-115. Abstract “CONTEXT: The extent to which young women’s risk of adolescent pregnancy is associated with having a mother who was a teenage parent, a sister who was a teenage parent or both is not known. METHODS: A sample of 127 Latina and black adolescent females completed in-depth surveys at three time points between 1994 and 2000. Logistic regression analyses were used to examine whether socioeconomic factors, mothers’ parenting characteristics and certain sibling relationship qualities explain the association between a family history of teenage births and young women’s risk of pregnancy. RESULTS: Compared with young women with no family history of teenage births, young women whose sister had had a teenage birth and those whose sister and mother both had had teenage births were significantly more likely to experience a teenage pregnancy (odds ratios, 4.8 and 5.1, respectively). Young women who had only a sister who had had a teenage birth had greater odds of pregnancy than young women who had only a mother who had had a teenage birth (4.5). Having both a mother and a sister who had had teenage births was independently associated with an elevated risk of pregnancy (3.7), even after controlling for socioeconomic and mothers’ parenting characteristics. Frequent companionship with an older sister was associated with increased odds of teenage pregnancy (4.5); frequent conflict with an older sister who had had a teenage birth was marginally associated with decreased odds of the outcome (0.3). CONCLUSION: Pregnancy prevention interventions targeting young women according to maternal and sibling teenage birth histories may be effective.” Adolescent Health E Newsletter July 2007 Resources 4. ADULTS' ABILITY TO RUN THE GOVERNMENT EARNS A CFROM TEENS (From the Child Welfare League of America, http://www.cwla.org/) “Adults received a disappointing report card from the nation's youth last month when CWLA and UCAN of Chicago released the ninth annual UCAN Teen Report Card. The grades indicate teens nationwide are concerned about government actions, the political process, and adult voting patterns. Adults' ability to run the government, in particular, earned a C-, the lowest grade in the survey. The Teen Report Card also revealed that teens continue to show concern about keeping schools safe from violence and crime and protecting kids from gun violence. More than 1,000 American teens, ages 12-19, participated in the survey. They graded parents, teachers, politicians, and other adults for how they affect their lives by using grades "A" through "F." The study evaluates the day-to-day performance of all adults in important areas like honesty, leadership, and safety and provides an outlet for teens to turn the tables and provide grades to the individuals who are traditionally grading them. A full copy of the UCAN Teen Report Card, including all grades and ancillary materials and a teen/adult discussion guide, are available online or below in PDF: http://www.ucanchicago.org/advocacy/pdf/grades_glance.pdf 5. BRIEF HIGHLIGHTS COMMUNITY EFFORTS TO PROVIDE CONTINUITY OF MENTAL HEALTH CARE AND DEVELOPMENTALLY APPROPRIATE SUPPORTS TO ADOLESCENTS AND YOUNG ADULTS (From CMHS Consumer Affairs E-News June 28, 2007 Vol. 07-100) On the MOVE: Helping Young Adults with Serious Mental Health Needs Transition into Adulthood presents findings and future directions from an initiative to develop and implement transition programs for adolescents with mental and emotional difficulties as they enter adulthood. The brief, produced by the Substance Abuse and Mental Health Services Administration's Partnership for Youth Transition (PYT) Initiative, provides a snapshot of five PYT-funded sites in Maine, Adolescent Health E Newsletter July 2007 Minnesota, Pennsylvania, Utah, and Washington. Topics include the unique challenges of moving from adolescence to adulthood for adolescents and young adults diagnosed with a serious emotional disturbance or serious mental illness, matching services to the needs of adolescents and young adults, and the Transition to Independence Process Model. Data and preliminary findings from cross-sectional analyses of the PYT projects are presented. Federal and state policy recommendations and lists of resources and contacts are also included. The report is available at http://www.connectforkids.org/PYT_brief.pdf 6. HRSA'S STOP BULLYING NOW! CAMPAIGN The Children's Safety Network (www.childrenssafetynetwork.org) wants to help you access and use information and materials from HRSA's Stop Bullying Now! Campaign (http://stopbullyingnow.hrsa.gov) If you're not already familiar with the Stop Bullying Now (SBN!) website, please visit:http://stopbullyingnow.hrsa.gov/ Make sure that your State’s schools and health and safety agencies and organizations have these free resources: Resource Kits Activity Guides Tip Sheets for adults and youth A new DVD Tool Kit for use in schools, health and safety organizations and law enforcement/sheriff offices. You can order these resources by calling 1 888 ASK HRSA. Most of them can also be downloaded directly from the website. 7. NEW FACTSHEETS from HEALTHY TEEN NETWORK Sexual and Reproductive Health Needs of Young Men Historically, the sexual and reproductive health needs of young men have taken a back seat to those of women. Healthy Teen Network believes that both men and women need discreet and age-appropriate sexual and reproductive health education in order to reduce unplanned pregnancies, STIs, and to create stronger families. Available online at Adolescent Health E Newsletter July 2007 http://www.healthyteennetwork.org/index.asp?Type=B_BASIC&SEC= {F8660EBE-1AF0-4231-AAAD-798689F83905} 8. UNDOCUMENTED IMMIGRANT YOUTH: GUIDE FOR ADVOCATES AND SERVICE PROVIDERS (From National Collaboration for Youth (NCY) and the National Juvenile Justice Network (NJJN) www.collab4youth.org/ncy/cjj.htm) This brief focuses on undocumented immigrant youth: foreign-born children living in the U.S. without authorization. These youth share similar disadvantages and insecurities, often lacking language fluency, cultural knowledge and access to resources. In order to provide consistent support and protection for these children, juvenile justice advocates, immigration advocates and youth serving agencies must all collaborate. Undocumented Immigrant Youth: Guide for Advocates and Service Providers aims to provide advocates and youth service agencies the background necessary for this collaboration. It outlines the risks and obstacles that undocumented immigrant youth face in both the immigration and juvenile justice systems. The brief also recommends policies and actions that immigration advocates, youth advocates, and service providers could adopt to improve the safety and well-being of immigrant youth. 9. LESSONS FROM FAMILY-STRENGTHENING INTERVENTIONS: LEARNING FROM EVIDENCE-BASED PRACTICE (From Harvard Family Research Project http://www.gse.harvard.edu/hfrp/projects/fine/resources/research/les sons.html A brief that examines how effective family-strengthening interventions can positively impact families and youth in this new, practitionerfriendly brief. It addresses successful components of rigorously evaluated interventions and provides recommendations for creating successful programs and evaluations. Good information for those interested in addressing adolescent health through parenting interventions and those involved in supporting effective parenting among teen parents (e.g. Home Visitation programs). Adolescent Health E Newsletter July 2007 Conferences 10. 8th Annual Native American Prevention Program Sharing Conference July 16 - 18, 2007 Shooting Star Casino Hotel and Event Center, Mahnomen, Minnesota This event begins with a motivational speaker and activities in the evening of July 16. On July 17 and 18, participants will learn about specific prevention programs and strategies in use with Native American youth audiences and about evidence-based programs, principles and practices. There will be opportunities to talk with others who are interested in making prevention programs work, strengthen a good path of life for youth, strengthen connections among prevention programs throughout Native American Nations, prepare youth to become good elders, and learn about wellbriety programs and strategies for Native American Youth. Featured Speakers include: JR Redwater, Clayton Small, Jerome Kills Small. Cost: $30.00 (includes conference materials, refreshments, lunch and, for each paid adult, three youth may attend at no charge provided they attend sessions with their adult chaperone). Click here to see the Native American Prevention Program Sharing Conference agenda. Click here to download a PDF version of the conference brochure. Click here to register online for the conference. Click here for the hotel group rates and directions to Shooting Star Casino, Hotel & Event Center All information above can be found on our conference website: http://captus.samhsa.gov/central/joiningvoices.cfm 11. READY TO WORK? PARTNERS IN YOUTH WORKFORCE DEVELOPMENT, JUNE 2007 Chapin Hall Web Conference http://www.about.chapinhall.org/conferences/charting/jun2007/confer ence.html Many young people, especially those from disadvantaged communities, have not acquired the skills necessary to succeed in the workplace. As Adolescent Health E Newsletter July 2007 a result, many employers are reluctant to hire at-risk youth or lack the resources to train them. While program providers support the idea of engaging employers in youth workforce preparation activities, a Chapin Hall study shows that program providers, employers, and schools often work at cross purposes, despite sharing the same fundamental goal. This web conference discussed the challenges faced by policymakers, community groups, and employers who aim to prepare youth for the workplace. It reviewed Chapin Hall research that explores the effect of misalignments between employers and youth program providers on expanding employer involvement. It also highlighted a framework for creating community partnerships among various stakeholders to ensure that youth have access to developmentally appropriate programs that can lead to career opportunities and success. Click the “presentation” tab to access a recording, panelist presentations, a question and answer log and the Chapin Hall report. Grants: (Please note: MDH is NOT a contact for the following opportunities) 12. 2007 MINNESOTA AFTER-SCHOOL GRANT COMPETITION http://education.state.mn.us/mde/MN_Afterschool_Grant_Competition/index.html The Minnesota Department of Education is pleased to announce the 2007 Minnesota After-School Community Learning Program competition for $5.3 million in grants to establish and/or expand opportunities statewide to provide children and youth with enrichment activities during those times when school is not in session. Authorized under Minnesota Statute 124D.2211 during the 2007 legislative session, the program’s specific purposes are to: • Increase school connectedness; support and enhance academic achievement in core academic areas; enhance the capacity of participants to become productive adults; prevent truancy and juvenile crime. • Include collaboration with and leveraging of community resources; outreach to children and youth; and involvement of local government entities when appropriate. Target Population Programs will be expected to target their after-school opportunities to school-aged children and youth between the ages of five and nineteen, especially those children and youth who cannot access quality after-school opportunities. Youth during the Adolescent Health E Newsletter July 2007 transition years from childhood to adolescence or nine to fifteen years of age are a priority for engagement in activities sponsored by this grant. Eligible Applicants Eligible applicant organizations include community or nonprofit organizations, political subdivisions, for-profit or non-profit child care centers and school-based programs that serve youth after-school or during non-school hours. Organizations do not need to have prior experience in providing after-school programs to be eligible to apply for a grant. Grant Awards It is anticipated that grant awards for the two-year period will range from $75,000 $300,000, though applicants are not restricted to this range of grant funds in their application request. Application Timeline • July 9, 2007 Release of application • July 9 – August 3, 2007 Online application workshop available • July 20, 2007 Optional Intent to Apply notification deadline • August 3, 2007 Application due (must be postmarked or received by MDE by this date) • August 8 – 22, 2007 Peer review of grant applications • August 28 – Sept 7, 2007 MDE consideration of peer review scores • September 7, 2007 Notification of applicants on grant award decisions • October 1-15, 2007 Anticipated start dates of grants Additional Information Information relating to the 2007 Minnesota After-School Grant Competition is available online at: http://education.state.mn.us/mde/MN_Afterschool_Grant_Competition/index.html To receive additional information, send an email to: MDE.Prev-Interv@state.mn.us Adolescent Health E Newsletter July 2007 Reviewers Needed Minnesota After-School Community Learning Program grant applications will be reviewed and scored by peer reviewers that reflect the diversity of Minnesota’s communities and will include youth. Individuals interested in reviewing grants can sign-up at the following web address: http://www.zoomerang.com/survey.zgi?p=WEB226LLKK8R2Y 13. MAKE IT YOUR OWN AWARDSTM Do you want to make a difference in your community? We're looking for inspired individuals and passionate teams who are connecting people to discuss what matters, find smart solutions, and take action. And we're awarding grants up to $35,000 to help make it happen. If you're ready to work with others to achieve lasting change, we want to hear from you. Learn more and Apply Today! http://www.casefoundation.org/make-it-your-own/awards?source=partnerNL_YPACTR ************************************************************************ ************************************************************************ For more information on Adolescent Health at MDH, please contact Jennifer O’Brien Adolescent Health Coordinator Minnesota Department of Health P.O. Box 64882 St Paul, MN 55164-0882 651-201-3627 Jennifer.obrien@health.state.mn.us Adolescent Health E Newsletter July 2007