BPS Referral Manual Adolescent Focused Sexual Health Services Boston Children’s Hospital Children’s Hospital Boston has multiple points of service for adolescents and young adults, between it’s Longwood Hospital campus and it’s affiliate health center at Martha Eliot. Program name: Boston HAPPENS program at Boston Children’s Hospital free HIV and STI screening, and comprehensive HIV care and support Contact person: Administrative: o Program Coordinator: Heather Kough (Heather.Kough@childrens.harvard.edu; 617-355-2735) Other: (nurse, social worker, etc.) o Program Director: Cathryn Samples MD, MPH (Cathryn.Samples@childrens.harvard.edu) o Clinical Social Worker: Quinn Garahan, LICSW (Quinn.Garahan@childrens.harvard.edu) Website: www.childrenshospital.org/happens Accessing your clinic: Transportation routes o Our program is located on the 5th floor of 333 Longwood Avenue, a large brick building across the street from the main BCH building. o We are a 5-minute walk from the MBTA green line’s D train (Longwood station) and E train (Longwood Medical Area stop). Bus stops are also directly outside our office for the 8, 9, 19, 47, CT2, and CT3; around the corner for the 60 and 65; and a 5-minute walk down Longwood for the 39. o Discounted parking is available with validation in the Boston Children’s Hospital garage on Blackfan Street as well, for a flat rate of $9.00 (please note that we cannot validate parking for the garage at 333 Longwood Avenue). Hours (by appointment or walk-in*) o Mon, Wed, Fri – 9:00 AM to 5:00 PM, last appointment 4:30 PM o Tue, Thu – 10:00 AM to 7:00 PM, last appointment 6:30 PM o *see walki in and nurse consultation below BPS Referral Manual Adolescent Focused Sexual Health Services Brochures to keep in school nurse’s office? o Any nurse who would like Boston HAPPENS brochures to display in their office can contact our Program Coordinator Heather Kough at 617-355-2735, heather.kough@childrens.harvard.edu to request some. Please include the mailing address and name of the person to whom the brochures should be sent. Insurance coverage o Although we are based in an Adolescent clinic, Health education and HIV, STI and Hepatitis C screening and referral services through Boston HAPPENS are not charged to the client nor to their insurance; the Boston HAPPENS counseling and testing program is free and confidential – this means no copays, no bills, and no letters from insurance. o Our team of clinicians in the Division of Adolescent Medicine (where we are located) accepts most health insurance plans, so if a client needs to be linked to care or treatment, we can bill the visit to health insurance, or assist the client in getting a referral from or urgent confidential appointment with their PCC . o If a Boston HAPPENS client experiences symptoms or has a positive test result and has concerns about being billed for medical care, our team will work with them to make sure these concerns do not become barriers to getting treatment and care. Walk in/ School Nurse Consultation o accept referrals from BPS nurses for any patient 13 or older who needs STI treatment, HIV/Hepatitis C/STI testing, HIV care, or other primary/urgent care services at our clinic in the Longwood medical area. These types of visits can be set up by speaking with our Program Coordinator Heather Kough at 617-355-2735, heather.kough@childrens.harvard.edu. o As well, we are pleased to collaborate with BPS schools to provide on-site HIV/STI health education and testing and other services to youth 13 and older, all of which can be set up by contacting Heather at either the phone number or email address above. o If there is an urgent medical issue, such as a teen with a reactive HIV test at a school, our HAPPENS physician, social worker and nurse practitioner are readily available onsite or by beeper, and Ms. Kough or our screeners can arrange an intake visit for newly diagnosed HIV+ youth within 1-7 days. Anything that distinguishes from other programs o Free and confidential testing for HIV and Hepatitis C to people 13 and older. o Free chlamydia, gonorrhea, and syphilis testing for anyone 13-24 years old as well as all patients of Children’s Hospital who are 13 or older and the partners of clients who have a positive STI test (supported referrals to other nearby testing sites for people >24). o Free, comprehensive sexual health education, counseling, and partner services. o Free risk reduction supplies like condoms, lube, dental dams, and finger cots, plus brochures and informational materials. BPS Referral Manual Adolescent Focused Sexual Health Services o o o o o o Quick and easy referral to on-site care for treatment of STIs, primary and urgent care, women’s health care, family planning, and other medical services. Follow-up testing and medical care/support for young people with a recent HIV exposure who are prescribed post-exposure prophylaxis (“nPEP”) to prevent infection. Information about and access to PrEP (pre-exposure prophylaxis) for youth (particular young MSM and youth with an HIV+ partner) at high risk of HIV exposure Prompt access to specialty HIV care, medical case management services, and mental health support for young people 12-24 years old who have HIV or AIDS or have just tested positive. Help signing up for health insurance and other local resources and benefits. We have the capacity for one-time or regular trainings or workshops about screenijng linked to testing,, and can arrange for community outreach and testing services off-site (arranged through Program Coordinator, at least 3 weeks in advance of the requested date/dates) Other information that you think belongs in a referral guide o We are a diverse team with many years of experience helping young people reach their health goals – preventing HIV, Hepatitis C, and STI infection, getting people rapidly into culturally competent care if they are positive, talking with their partners and families about what’s going on with their health, and more. o We have Spanish-speaking staff on our team and have access to interpreter services in many other languages including ASL. o Our team and the clinic where we’re located are LGBTQ-friendly and welcoming to people of all genders and sexual orientations. Come as you are! o Our office is handicap-accessible and welcomes people living with disabilities and mobility impairment. o We have evening hours twice a week; even if someone can’t make it to the office during the daytime because of school or work, we’re still here for them. o We are located within a busy comprehensive Adolescent Clinic, so there is no stigma associated with visiting our site, and the setting is youth-friendly. Free condoms/lube? o Yes – we offer free condoms (latex and non-latex options as well as female condoms), lube, dental dams and other risk reduction supplies. Associations and affiliations with high schools: Describe any current associations with a school(s) including name of school, nature of collaboration o In the spring of 2014, Boston HAPPENS staff provided a workshop about HIV and STIs to ABCD’s Ostiguy High School students, followed by two HIV/STI testing sessions at the BPS Referral Manual Adolescent Focused Sexual Health Services o high school. We hope to do more of this work in order to truly meet youth where they are. As well, Boston HAPPENS as a regular presence at Wheelock College and hopes to expand its reach among Fenway’s schools. Do any of these include Sexual health (describe)? o Boston HAPPENS’ HIV/STI workshops typically cover basic information about these infections like how they are transmitted, identified, and treated; strategies for safer sex and other prevention/risk reduction methods; the importance of testing and where/how to get tested; talking with partners about testing and sexual health history. More specific focuses can be addressed as needed. If you have a collaboration or affiliation with a school, would you want to enhance the existing, add another school, or do both? o We would like to provide on-site testing services wherever needed for local youth. If you do NOT have an existing affiliation, would you be interested in exploring options for creating one? o Yes – please see above. Boston HAPPENS is interested in collaborating further with local schools to offer on-site testing and health education to students. We also have shared our outreach cards with a number of local BPS schools in the Fenway area and are happy to accept referrals from school nurses for students in need of any of the services mentioned above. Can your program accept referrals for sexual health? Yes – sexual health education and HIV/HCV/STI testing are a major focus of our program, and we can link youth with other services such as STI treatment, GYN care, family planning and contraception management, and more through the BCH Adolescent clinic and the BCH Young Parents Program. What are your: Insurance roadblocks? o Our on-site Resource Coordinator in the clinic helps patients connect with services like health insurance, SSI/SSDI, SNAP, WIC and other benefits. o We work closely with any client who needs to receive medical services but does not have insurance, so that this will not be a barrier to accessing much-needed services. o We are not funded by DPH to provide free treatment to uninsured youth or youth , but we will provide directly observed therapy for youth we have screened who test positive for STI regardless of insurance, and offer EPT or confidential treatment visits to their partners.. BPS Referral Manual Adolescent Focused Sexual Health Services Confidentiality issues? o Our program is especially sensitive to the privacy and confidentiality of young people, for whom sexual health and sexual activity are often off-limits subjects. We do not charge for the testing and education services offered by Boston HAPPENS, so clients can rest easy knowing they will not get a bill or insurance statement at home. o Sharing your Boston HAPPENS test results with your regular medical provider is important and encouraged, but not required; we will not send test results to your outside provider without your written permission. Other? Does your program have ABCD capacity? ABCD Family Planning services are available through the Adolescent clinic where we are located; any age-eligible (13-24 years old) client of Boston HAPPENS can register as a patient of the clinic to get connected with ABCD Family Planning. (See separate template for Adolescent Young Adult Clinic). Pregnancy testing and some methods of contraception are free to uninsured or confidential clients, but insurance may be billed for Family Planning visits. Program name: Adolescent and Young Adult Program at Boston Children’s Hospital Contact person: Administrative: o Front desk team, 617-355-7181 – patient registration; scheduling appointments; medication refills; triage to nursing; paging on-call physician (outside business hours through our 24-hour answering service). Other: (nurse, social worker, etc.) o Donald Surette, Ambulatory Clinical Supervisor – school nurses can reach Donald through the front desk for assistance scheduling sensitive appointments for any BPS student who is new to our practice (i.e. family planning, pregnancy test, urgent care o Nursing line – school nurses can reach the nursing team through the front desk for medical advice concerning any BPS student who is an established patient of our practice Web Site: http://www.childrenshospital.org/centers-and-services/departments-anddivisions/division-of-adolescent-medicine/overview Accessing your clinic: BPS Referral Manual Adolescent Focused Sexual Health Services Transportation routes o Our program is located on the 5th floor of 333 Longwood Avenue, a large brick building across the street from the main BCH building. o We are a 5-minute walk from the MBTA green line’s D train (Longwood station) and E train (Longwood Medical Area stop). Bus stops are also directly outside our office for the 8, 9, 19, 47, CT2, and CT3; around the corner for the 60 and 65; and a 5-minute walk down Longwood for the 39 o Discounted parking is available with validation in the Boston Children’s Hospital garage on Blackfan Street as well, for a flat rate of $9.00 (please note that we cannot validate parking for the garage at 333 Longwood Avenue). Hours o Mon, Wed, Fri – 9:00 AM to 5:00 PM o Tue, Thu – 9:00 AM to 7:00 PM Brochures to keep in school nurse’s office? Available by request (please provide mailing address) Insurance coverage o The following list shows common insurances we accept, though it’s up to the patient/subscriber to call and ensure we are in network and the visit will be covered: Aetna Blue Cross BMC HealthNet Celti-Care Cigna Fallon Community Health Harvard Pilgrim MassHealth Medicare Neighborhood Health Plan Network Health Tri-Care Tufts United Health Care o Our Resource Coordinator and Financial Counselors can help patients sign up for health insurance and other local resources and benefits. o If a patient has concerns about confidentiality or being billed for medical care, our team will work with the patient to make sure these things are not barriers to getting treatment and care. Walkins/School Nurse Consultation BPS Referral Manual Adolescent Focused Sexual Health Services o Yes – we have a large team of providers with flexible scheduling options and can provide same- or next-day appointments to our established patients, along with same-week appointments for new patients. If you are a BPS school nurse with a student who gets his or her medical care in the Adolescent program, nursing triage is available through the front desk to discuss medical questions by phone, and there is always a provider on call after-hours to speak with regarding urgent medical issues. Anything that distinguishes from other programs o Comprehensive primary care for adolescents aged 12-25 and consultative care for a wide variety of congenital and acquired disorders and teen issues including abdominal pain, acne, anemia, asthma, bone health problems, chronic fatigue, chronic headaches, complex medical/psychosocial problems, eating disorders, growth and development, hormonal changes, menstrual problems, nutrition, obesity, polycystic ovary syndrome (PCOS), puberty, reproductive health problems, smoking cessation, STIs and HIV infection, substance abuse, teen pregnancy and weight problems. We provide routine gynecological care. We provide Accutane for acne. o As an ABCD Family Planning site we offer family planning services – free birth control pills, Plan B, and condoms to patients. We counsel patients on all forms of birth control, safe sexual practices, and can refer to the Boston HAPPENS program for free STI and Hepatitis C testing. We also work with our clients to connect them to primary medical care for other services where appropriate to make sure they’re getting the services they request and to avoid fragmented care. o IUD and Nexplanon placement is available at the Adolescent Medicine clinic for primary and referral patients. o Mental health care is embedded within our program with social work and psychology providers available at all times. Our program also will have a part time psychiatrist starting in fall 2014. o The Bone Health Program evaluates children and adolescents who have, or are at risk for, low bone density. o The Boston HAPPENS Program provides clinical care to HIV positive and at-risk youth and offers HIV, Hepatitis C and STI counseling and testing, health education, referral to treatment and care, and risk reduction supplies on site as well as in the community. o The Center for Young Women's Health offers health information to adolescent girls and their parents on site and through the youngwomenshealth.org website. o The Eating Disorders Program provides comprehensive medical and psychological evaluation and treatment to patients with anorexia nervosa, bulimia and related eating disorders such as binge eating and vomiting. o The PREP Clinic is a weight and lifestyle management program that includes the specialties of medicine, nutrition, and behavioral health. BPS Referral Manual Adolescent Focused Sexual Health Services o The Reproductive Endocrine Practice provides diagnostic assessment and management of menstrual problems, polycystic ovary syndrome, and low bone density, as well as educational materials and monthly chats. o The Adolescent Substance Abuse Program (ASAP) at BCH is committed to providing exceptional care to adolescents who use substances and their families. http://www.childrenshospital.org/centers-and-services/programs/a-_e/adolescent-substance-abuse-program Other information that you think belongs in a referral guide o We have Spanish-speaking staff on our team and have access to interpreter services in many other languages including ASL. o Our team and the clinic where we’re located are LGBTQ-friendly and welcoming to people of all genders and sexual orientations. o Our office is handicap-accessible and welcomes people living with disabilities and mobility impairment. o We have evening hours twice a week; even if you can’t make it to the office during the daytime because of school or work, we’re still here for you. Free condoms/lube? o Yes – we offer free condoms (male, female, and latex-free options), lube, dental dams and other risk reduction supplies. Associations and affiliations with high schools: Describe any current associations with a school(s) including name of school, nature of collaboration: We provide care for residential students at the Germaine Lawrence School in Arlington, at Milton Academy and at Framingham State University and Bentley University. We also provide health care through a team of Adolescent nurse practitioners, to incarcerated Boston youth in residential programs of the Department of Youth Services, Metro Region. Do any of these include Sexual health (describe)? We provide all aspects of care at these sites. If you have a collaboration or affiliation with a school, would you want to enhance the existing, add another school, or do both? If you do NOT have an existing affiliation, would you be interested in exploring options for creating one? Yes, we would be interested in collaborations with a school. Can your program accept referrals for sexual health? Yes – sexual health education and HIV/Hepatitis C/STI testing are available through our Boston HAPPENS program, and low- or no-cost birth control and Plan B are available through the ABCD Family Planning counselor. BPS Referral Manual Adolescent Focused Sexual Health Services What are your: Insurance roadblocks? o Our on-site Resource Coordinator in the clinic helps patients connect with services like health insurance, SSI/SSDI, SNAP, WIC and other benefits. o We work closely with any client who needs to receive medical services but does not have insurance, so that this will not be a barrier to accessing much-needed services. Confidentiality issues? o The Adolescent and Young Adult program is a department of Boston Children’s Hospital and is fully compliant with all HIPAA and BCH confidentiality policies. Other? Does your program have ABCD capacity? ABCD Family Planning services are available through the Adolescent clinic; any age-eligible (13-24 years old) client of Boston HAPPENS can register as a patient of the clinic to get connected with ABCD Family Planning. Does your program have the capacity to respond to real time consults as previously defined? Yes – we have a large team of providers with flexible scheduling options and can provide same- or next-day appointments to our established patients, along with same-week appointments for new patients. If you are a BPS school nurse with a student who gets his or her medical care in the Adolescent program, nursing triage is available through the front desk to discuss medical questions by phone, and there is always a provider on call after-hours to speak with regarding urgent medical issues. Program name: Boston Children’s Primary Care at Martha Eliot, Adolescent Clinic Services provided for patients between the ages of 13 and 25 years old. (Pediatric services also available in our clinic as well!) Contact person: Administrative: Brenda Garcia, Supervisor, Monica David, Practice Administrator, 617-971-2100 Other: Adolescent contact: Dana Ostberg RN, Manna Heshe RN, Heidi Pena ABCD Health educator, Adina Koch Manager of Adolescent and Young Adult Resource Center, 617-971-2100 BPS Referral Manual Adolescent Focused Sexual Health Services Web Site: http://www.childrenshospital.org/about-us/locations/boston-childrens-at-martha-eliothealth-center Accessing your clinic: Transportation routes Orange line train to Jackson Square, 41, 22, 29 buses The clinic is adjacent to the Jamaica Plain Stop and Shop, so free parking is available. Hours (after school , weekends): Mon-Wed, Fri 8:30a-5:30p; Thurs 8:30a-7p Brochures to keep in nurse’s office? Boston Children’s Primary Care at Martha Eliot, Adolescent Clinic brochure (Spanish and English) Insurance coverage Most of the major insurance plans will cover care at our clinic. We are an ABCD Family Planning site providing most sexual/reproductive health services available regardless of insurance status with some age restrictions. Anything that distinguishes from other programs Access to our Boston Children’s Hospital network for specialty clinics, asthma education, on-site nutrition, individual and group weight management programs, lactation support, optometry, social work, early childhood mental health services, mental health services, family game nights, Adolescent and Young Adult Resource Center, WIC, , child life, , care coordination for medically high risk patients, Project Protection, family planning services, phlebotomy. The Adolescent clinic is staffed by a team of nurse practitioners and Adolescent Medicine specialist from the Division of Adolescent Medicine at BCH. Other information that you think belongs in a referral guide Our staff speaks English, French, Amharic and/or Spanish. We provide interpreter services (live interpreter or language line by phone) for other languages, including TTY services for deaf patients. Free condoms/lube? We distribute free condoms and lube as well as other safer sex supplies(dental dams, latex free condoms, female condoms) BPS Referral Manual Adolescent Focused Sexual Health Services Associations and affiliations with high schools : Describe any current associations with a school (S) including name of school, nature of collaboration None at this time. Do any of these include Sexual health (describe) ? n/a If you have a collaboration or affiliation with a school , would you want to enhance the existing, add another school , or do both? n/a If you do NOT have an existing affiliation, would you be interested in exploring options for creating one? Yes! Can your program accept referrals for sexual health? Yes Unable to Pay? We are able to offer many types of contraceptives regardless of ability to pay/insurance status, but we do not offer all. We offer: Depo Provera, several types of OCPs, Plan B, CycleBeads, condoms (and other safer sex supplies) regardless of insurance status. Free STI, Hepatitis C and HIV testing is also available on site through our DPH funded screening program, Project Protection (see separate form) Confidentiality issues Adolescents and young adults have a right to confidential sexual health and we do everything to ensure this confidentiality is maintained in our clinic. We are, as all providers are, obligated to report concerns if we suspect patients have been abused or neglected, present a danger to themselves or others, or if their own life is in danger. Other? Does your program have ABCD capacity? Yes, we are an ABCD Family planning site, with the family planning counselor located within the Adolescent clinic. BPS Referral Manual Adolescent Focused Sexual Health Services Other thoughts to include? We value the health of our adolescent and young adult patients and respect their privacy and needs. We welcome your students to participate in the services provided in our clinic. Program name: Boston HAPPENS @Martha Eliot Free and Confidential HIV/STI/Hepatitis C Counseling, Testing and Education program and supported referrals for individuals 13 and up Contact person: Administrative: o Heather Kough (Heather.Kough@childrens.harvard.edu; 617-355-2735) Other: Tamara Prudent, Case Worker, Counselor/Tester 617-919-7215 tamara.prudent@childrens.harvard.edu Accessing your clinic: Transportation routes: Orange line train to Jackson Square, 41, 22, 29 buses We are located adjacent to the Jamaica Plain Stop and Shop 1 block from the T, and free parking is available. Hours (after school , week ends) M-W, F 9am-5pm, Thursday 9am-7pm **have the ability to see patients for drop-in during our open hours. Brochures to keep in school nurses office? Yes, Program brochures in English and Palm cards in English and Spanish Insurance coverage: None needed, free and confidential program Anything that distinguishes from other programs: BPS Referral Manual Adolescent Focused Sexual Health Services We are a free and confidential HIV/STI/Hepatitis C counseling, screening and referral program. We work in conjunction with MEHC’s Adolescent and Young Adult Resource Center and can provide Brochures for that as well. Our staff speak English, Spanish and Haitian Creole and we have access to interpreters for all other languages. Other information that you think belongs in a referral guide: We are a free and confidential HIV/STI testing and counseling program that offers safe sex supplies, education, testing, support and treatment referral for HIV, Hep C, Syphilis, Gonorrhea and Chlamydia. English/Spanish/Haitian Creole competency Free condoms/lube? Yes, as well as other safe sex supplies including specialty supplies (latex free condoms, glycerin free lube) as well as dental dams, finger cots and female condoms Associations and affiliations with high schools : Describe any current associations with a school (S) including name of school, nature of collaboration: We have no collaborations with schools but are in the neighborhood of The Curley, The Hennigan, Madison Park HS, Eggleston Square HS and English HS and have done some work with these schools in the past and are eager to continue in the future. None at this time Do any of these include Sexual health (describe)? n/a If you have a collaboration or affiliation with a school, would you want to enhance the existing, add another school , or do both? N/a If you do NOT have an existing affiliation, would you be interested in exploring options for creating one? Yes, we are identifying schools in the area in order to build partnerships, but would be happy for any school to create affiliations with us; we also travel and can bring testing to a school site Can your program accept referrals for sexual health? BPS Referral Manual Adolescent Focused Sexual Health Services What are your: Insurance roadblocks? None, we are a free and confidential program however, the treatment sites we refer to may have insurance roadblocks Confidentiality issues: Project Protection is a program of Boston Children’s Hospital at Martha Eliot and is fully compliant with all HIPAA and BCH confidentiality policies. Our program services and registration are offered without parental involvement, with exceptions explained before reception of services. Testing and results are not required to be shared with health care providers, but this is encouraged. Our program is especially sensitive to the privacy and confidentiality of young people, for whom sexual health and sexual activity are often off-limits subjects. We do not charge for the testing and education services offered by Project Protection, so clients can rest easy knowing they will not get a bill or insurance statement at home. Sharing your Project Protection test results with your regular medical provider is important and encouraged, but not required; we will not send test results to your outside provider without your written permission. Does your program have ABCD capacity? Not in our program, but in the building we have an ABCD family planning services specifically for teens and young adults and can refer clients needing these services. BPS Referral Manual Adolescent Focused Sexual Health Services Boston Medical Center Program name: Adolescent Center at BMC Contact person: Administrative: Contact nurses: -Kelly Toli 617 414 5085 -Regina Connors 617 414 2592 Other: 617 414 4086 for appointment Accessing your clinic: Transportation routes: near Mass Ave station/orange line. On a number of bus routes Hours (after school , week ends): 9-5 M-F Brochures to keep in nurses office? Available on request for STI’s , contraception Insurance coverage: all insurances accepted as well as no insurnace. If someone is seeking confidential services and has private insurance, we can get them signed up for Mass Health Confidential very quickly – usually same day as apt Anything that distinguishes from other programs: we have providers that speak Spanish, French, and Haitian Creole. We offer on-site LARC including same day insertion options. ABCD family planner available. We offer care for transgender youth. Free condoms/lube? YES… Associations and affiliations with high schools : Describe any current associations with a school (S) including name of school, nature of collaboration: SBHCs that are run by the BPHC – available to nurses for referrals or clinical questions. BMC is the clinical back up for these programs. Do any of these include Sexual health (describe) ? Yes – often referrals are for contraceptive starts or follow-ups Can your program accept referrals for sexual health? YES What are your: BPS Referral Manual Adolescent Focused Sexual Health Services insurance roadblocks? Would need referrals for patients not currently in the BMC system or those with insurances that require a referral (depends of specific insurance) Confidentiality issues: It is sometimes difficult to figure out how to get confidential services for a young women 18 years and older who is on private insurance – however we have been having more luck working directly with the insurance companies. Does your program have ABCD capacity? Yes Sidney Borum Health Center 75 Kneeland Street, Suite 201 Boston, MA 02111 Contact person: 617-457-8140 Administrative – Doreen Clark Other: (nurse , social worker, et.): Sue Tapia, LPN Accessing your clinic: Transportation routes: o Orange Line, Tufts Medical Center; o Red Line, South Station; o Silver Line, South Station and Tufts Medical Center. Hours (after school , week ends) Monday: 11:00AM to 7:00PM Tuesday, Wednesday, Thursday: 9:00AM to 7:00PM Friday: 9:00AM to 5:00PM. Brochures to keep in nurses office? Yes. BPS Referral Manual Adolescent Focused Sexual Health Services Insurance coverage: All Anything that distinguishes from other programs: Adolescent and youth focus; LGBT youth; homeless youth; DCF/DYS involved youth. Other information that you think belongs in a referral guide: STD screening and treatment without parental consent; grant coverage available to pay for STD and birth control services for youth without insurance or who are concerned about parents knowing about their sexual activities; rapid HIV screening; transgender care and support; LGBT friendly; same-day appointments every day and walk-in appointments on Friday. Free condoms/lube? Yes! Associations and affiliations with high schools : Describe any current associations with a school (S) including name of school, nature of collaboration: none. If you do NOT have an existing affiliation, would you be interested in exploring options for creating one? YES! Can your program accept referrals for sexual health? YES! What are your: insurance roadblocks? Very few. Able to bill just about every insurance plan and have DPH and ABCD coverage for the costs of visits and labs for youth without insurance or who are worried about parents learning about their access to STD and family planning services. Confidentiality issues: able to maintain confidentiality for all STD and family planning services except in circumstances requiring mandatory reporting. Other? We have on site behavioral health and pediatric psychiatry for adolescents – would require parental consent. Does your program have ABCD capacity? YES! BPS Referral Manual Adolescent Focused Sexual Health Services Tufts Medical School, Program name: Adolescent Medicine Contact person: Laura K. Grubb MD MPH lgrubb@tuftsmedicalcenter.org 617-636-7709 Colleen Shephard RN (Monday, Thursday and Fridays) 617-636-9536 Accessing your clinic: Transportation routes o MBTA T stop Tufts Medical Center o MBTA Bus: 11, Silver Lines 4 &5 Hours (after school , week ends) o Monday- Thursday 0830-1915 o Friday 0830-1600 o Saturdays 0900-1300 Brochures to keep in nurses office? o Yes Insurance coverage o Mass Health o Most major private insurance plans Anything that distinguishes from other programs o Comprehensive adolescent primary care Other information that you think belongs in a referral guide Free condoms/lube? YES Associations and affiliations with high schools : Describe any current associations with a school (S) including name of school, nature of collaboration o Josiah Quincy BPS Referral Manual Adolescent Focused Sexual Health Services Do any of these include Sexual health (describe) ? no If you have a collaboration or affiliation with a school , would you want to enhance the existing, add another school , or do both? YES If you do NOT have an existing affiliation, would you be interested in exploring options for creating one? YES Can your program accept referrals for sexual health? What are your: insurance roadblocks? Must be funded Confidentiality issues: None Does your program have ABCD capacity? Not currently Massachusetts General Hospital Program name: MGH Dept of Adolescent and Young Adult Medicine: Contact person: Mark A. Goldstein M.D. Office phone: (617) 643-1201 Maureen Boyce R.N. (617) 643-1201 Accessing your clinic: Transportation routes bus and subway Charles/MGH T stop is next to our building which is Yawkey Building, 6th floor, Section D Hours (after school , week ends) Mon-Fri Monday, Tuesday, Wednesday, Friday 9-5; Thursday 9-6 Brochures to keep in School nurses office? BPS Referral Manual Adolescent Focused Sexual Health Services Check website: http://www.massgeneral.org/children/services/treatmentprograms.aspx?id=1573 Insurance Coverage Insurances Accepted Aetna Health Inc. Beech Street Blue Cross Blue Shield - Blue Care 65 Blue Cross Blue Shield - Indemnity Blue Cross Blue Shield - Managed Care Blue Cross Blue Shield - Partners Plus Centene/Celticare Cigna (PAL #'s) Fallon Community HealthCare Great-West Healthcare (formally One Health Plan) Harvard Pilgrim Health Plan - ACD Harvard Pilgrim Health Plan - PBO Health Care Value Management (HCVM) Humana/Choice Care PPO Medicaid Medicare Neighborhood Health Plan - ACD Neighborhood Health Plan - PBO OSW - Maine OSW - New Hampshire OSW - Rhode Island Private Health Care Systems (PHCS) Railroad Medicare TriCare Tufts Health Plan Unicare United Healthcare (non-HMO) - ACD United Healthcare (non-HMO) - PBO Anything that distinguishes from other programs: Comprehensive adolescent and young adult primary care delivered by fully trained physician faculty-most of whom are board certified/eligible in adolescent medicine We are embedded in a hospital that provides high quality tertiary care medical and surgical services across many specialties and whose resources are available to our patients BPS Referral Manual Adolescent Focused Sexual Health Services Some of the programs available to our adolescent patients include the following programs: HIV, Autism, Behavioral Health, Bone, Brain injury, Cardiology, Child Abuse, Concussion, Developmental Disabilities, Diabetes, Down Syndrome, Eating Disorders, Epilepsy, Food Allergy, GI and Nutrition, Genetic Testing, Global Health, Growth Disorders, Gynecology, Hypertension, Learning Disorders, Male Health, Mental Health, Neuropsychological Testing, Orthodontics, Pectus Excavatum , Pediatric Pain, Physical Therapy, Psychology Assessment Center, Reading Disorders, Raising Healthy Hearts, Scoliosis, Sexual Abuse, Sleep Disorders, Speech Disorders, Surgery including weight loss surgery, Turner Syndrome, Urology, Voice Disorders and Weight Center. We accept new patients from ages 12-25 Consultative care for adolescents and young adults is available from our physicians for gynecology, birth control, sexually transmitted infections, eating disorders and complex psychosocial medical issues Close affiliation with the MGH Department of Psychiatry and the Child Psychiatry Service which is next door to our clinic Spanish speaking staff member; interpreter services readily available` Program for overweight adolescents Close relationship with program for teens who are abusing substances Nutrition services on site Social worker readily available Sports medicine service in hospital Gynecology department in same building Xray, CT, MRI and ultrasound are next door to our clinic We have other sites in Cambridge, Waltham, Newton and Danvers Other information that you think belongs in a referral guide http://www.massgeneral.org/ Free condoms/lube? NO Associations and affiliations with high schools : Describe any current associations with a school (S) including name of school, nature of collaboration-no associations with Boston Public high schools. Several collaborations with independent schools. BPS Referral Manual Adolescent Focused Sexual Health Services Do any of these include Sexual health (describe) ? If you have a collaboration or affiliation with a school , would you want to enhance the existing, add another school , or do both? If you do NOT have an existing affiliation, would you be interested in exploring options for creating one? YES Can your program accept referrals for sexual health? yes What are your: insurance roadblocks? Insurance required or arrangements to be made with the hospital; no one turned away due to financial issues Confidentiality issues none; we strictly follow confidentiality rules and HIPPA. Does your program have ABCD capacity? no Other thoughts to include?