Adolescents are more likely to seek services at a Who are Adolescent Champions? health center that feels like a medical home – through their interactions with staff, policies, and The Adolescent Champion (AC) team consists of a provider and a health center manager who serve as agents of change within the health center environment to optimize the care provided to adolescent patients. physical environment. The Adolescent What do Adolescent Champions do? Champion team leads health center staff through ACs perform a quarterly clinic assessment and improvement process, guided by the Adolescent Centered Environment (ACE) toolkit; attend AHI trainings, facilitate monthly mini-trainings with health center staff (Staff Sparks), and implement a standardized risk assessment tool coupled with a robust referral network. where their needs are recognized and respected a shift in culture, ensuring that the health center is welcoming to all adolescents. “Participating as an adolescent champion has opened my eyes to many things – the needs of adolescents foremost, but also the way teams of people can change culture. I think the model fosters participation at many levels within the health center, and while I still have a ways to go in making my clinic truly adolescent friendly, we are on the right path.” – Meg Dobson, MD What are the benefits? …to the Adolescent Champion: Evidence-based professional development for staff and providers, including CME opportunities Leadership opportunity for the provider and health center manager Staff incentives for trainings Technical assistance from AHI’s professional consultants, along with youth perspectives from The Adolescent Champion Teen Advisory Council (TAC TAC) Reduced registration fee at AHI’s annual Conference on Adolescent Health …to the health center: An adolescent-friendly health center environment Adolescent-approved health materials and pamphlets Establishment of consistent use of a standardized risk assessment process for adolescent patients, which helps providers have more meaningful, mutual interactions with adolescents Development of a robust referral network for adolescent mental health, sexual health, and nutritional services What is required of Adolescent Champions? Adolescent Champion teams participate in: A baseline orientation meeting and three two-hour trainings, which prepare them to become agents of change within their clinic Facilitation of five monthly ten-minute Staff Sparks – evidence-based, fully packaged mini-trainings at regularly scheduled monthly staff meetings Instating a standardized risk assessment tool in clinic Pre- and post- clinic assessments, including quarterly use of the Adolescent Centered Environment assessment toolkit Completion of 20 of the required 50 hours of CME yearly on adolescent health topics Adolescent Champion Certification Framework – Tentative Schedule 2014-15 Improving Clinic Environment Complete Adolescent Centered Environment Assessment Complete AHI Adolescent Centered Environment (ACE) assessment using plan/do/check/act process with ACE Recommendations and Planning Tool. Timeframe Quarterly: 9/2014; 1/2015; 5/2015; 9/2015 Training 1. Adolescent Champion Team completes 20 hours of continuing education related to organizational change, staff development, and best practices in the delivery of adolescent health services Required 2-hour Trainings: 1. Leadership and Organizational Change 1. November 2014 2. Facilitating Staff Sparks 2. December 2014 3. Adolescent Centered Care & Sparks Support 3. February 2015 2. Adolescent Champion Team facilitates training for clinic staff Required 10-minute Staff Sparks: 1. Adolescent Centered Environments 1. January 2015 2. Confidentiality and Minor Consent Part I 2. March 3. Confidentiality and Minor Consent Part II 3. May 4. Cultural Appropriateness 4. July 5. Adolescent Centered Care 5. September Risk Assessment Screening and Referral Network 1. Implement standardized risk assessment screening tool Suggested Screening Tool: Rapid Assessment for Adolescent Preventive Services (RAAPS) Other Validated Tools: Guidelines for Adolescent Preventive Services (GAPS), Bright Futures screening forms 2. Establish a robust referral network to be used in concert with the standardized risk assessment tool Pre and Post Assessment 1. 2. 3. 4. Complete Baseline Data and Knowledge/Attitudes Assessments Complete AHI Adolescent Confidentiality Knowledge and Attitudes survey and disseminate to clinic staff and providers Complete baseline clinic data collection Collect adolescent patient satisfaction and provider surveys Complete AC and Staff self-assessments of competencies Baseline: August – September Year-end: August – September Project Outcomes 1. Improved adolescent centeredness in the clinic environment, policies, and staff and provider practices, based on an improved ACE score and competency self-assessments. 2. Implementation and increased use of risk assessment tool, coupled with the utilization of a robust referral network. 3. Adolescents and staff perceive the clinic is an adolescent medical home and is adolescent-centered, based on surveys.