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Adolescent Health Care Communication Program (AHCCP) The Adolescent Health Care Communication Program (AHCCP) has it roots in the Teen Outreach Reproductive CHallenge (TORCH) program in New York City. TORCH was the flagship program developed to help providers and teens work together to improve their communication and, as a result, the delivery of preventive and clinical services to adolescents. Because of its success in both educating teens and bridging the gap between teens and their health care providers, the National Institute launched the AHCCP Expansion Project to export the good work TORCH does to communities across the country. 2009 Grantees The Boston Area Health Education Center (BAHEC) BAHEC will partner with Team Mita, a peer leadership program operating in collaboration with the Southern Jamaica Plain Health Center, Hyde Square Task Force, and residents of the South Street Development in Jamaica Plain. Team Mita members are trained at BAHEC as health educators, develop their own dynamic curriculum, and offer comprehensive health education workshops to their peers on sexuality and other important health topics. Five clinical partners have agreed to participate in the Adolescent-Provider Communication Workshops or the Adolescent Standardized Patient Project: The Boston Medical Center Residency Program, Brigham and Women’s Hospital Residency Program, Southern Jamaica Plain Community Health Center, Massachusetts School-Based Health Centers, and Boston School-Based Health Center. Planned Parenthood of Southwestern Oregon (PPSO) PPSO’s Youth Action Council known as REVolution (REV) successfully implemented the pilot year of the AHCCP, provided training and standardized patient sessions for student nurses, Planned Parenthood clinic and school based health center staff, as well as “Keeping it Real with Your Doctor” programs for area high school-aged youth. PPSO will partner with OHSU, RCC and LCC Nursing Programs, OHSU Medical School (Portland), Kaiser Permanente Health Care Systems (Portland), University of Oregon Student Health Center, Federally Qualified Health Center, Public School-Based Health Centers, and La Clinica del Valle to implement the Adolescent-Provider Communication Workshops and the Adolescent Standardized Patient Project. The Division of Adolescent Medicine at Childrens Hospital Los Angeles (CHLA) The Teenage and Young Adult Health Center seeks to address the unique health issues facing adolescents in Los Angeles by offering youth-specific healthcare services and providing a training site for medical residents and fellows in adolescent health. Each year, the Center provides both primary care and care for more than 1,000 youth with complex medical needs including youth infected with HIV, youth with chronic illnesses, transgender youth; youth with eating disorders, and youth with attention and neuro-cognitive disorders. The Division of Adolescent Medicine serves as the premier training location for residents in adolescent medicine for the greater Los Angeles area, and their training program meets the requirements of the Accreditation Council on Graduate Medical Education specific to adolescent medicine training for pediatric residents. CHLA have established and maintained educational relationships with four pediatric residency programs, one family medicine residency program, and two medical schools. The goal is to educate residents and medical students about common medical issues affecting adolescents and behavioral risks and consequences for youth, and to introduce trainees to the most effective way of communicating with teens to promote risk reduction and safer behaviors. The National Institute is pleased to welcome The Division of Adolescent Medicine of Childrens Hospital Los Angeles back for a second year of funding!
2008 Grantees New York The Teen Outreach Reproductive CHallenge TORCH, in New York City, is a nationally recognized program that combines peer health education and leadership training of New York City youth, placing a strong emphasis on empowerment and team building. Through peer outreach, community organizing, public speaking, and addressing the critical issues of reproductive health care, young people build their self esteem, learn leadership skills, andmake responsible choices in their lives. TORCH provides young people, of both sexes, with a safe setting in which to discuss reproductive health issues and educate themselves and others to make sound and intelligent decisions.
TORCH Program peer educators
Pennsylvania The Washington Hospital Teen Outreach, in Washington, Pennsylvania, hosts a Peer Educator Program that was initiated in 1993. Since then over 4,000 young people have received facilitator training and teach with the professionals on staff. Peer Educators teach in middle schools, perform educational dramas as part of the Real Talk Performers, and create interactive learning tools. Their teens have taken first place at the state wide Coalition to Prevent Teen Pregnancy Youth Conference in Harrisburg and have presented nationally at the Healthy Teen Network annual conference. Outreach Peer Educators represent diverse racial, economic and ethnic groups. They have created and presented a county wide AIDS Awareness Day program every December 1st since 1993. Since receiving a grant from the National Institute, peer educators have been very active. Over 450 youth have been trained in “Keepin’ It Real with Your Doctor” through a series of presentations made to youth groups and schools. Under the advisement of Mary Jo Podgurksi, the motivated peer educators have adapted the workshops to meet the special needs of this rural community. In March, the group traveled to Pittsburgh to present to the Magee Women’s Hospital as well as the Adolescent Health Care Clinic.
Oregon Planned Parenthood of Southwestern Oregon (PPSO), in Eugene, Oregon, through its YouthAction Council, is taking a leadership role in modeling the valuing and empowerment of youth by giving them a direct voice in decision-making and activism regarding sexual health issues. In three years, 34 high-school aged teens have participated on the Council, which they have named REVolution (REV). REV’s charter is to determine relevant activities and outreach strategies that help engage other teens and educate young people about making responsible decisions about sexual behavior. In addition to REV, PPSO has an award-winning Teen Theater Program, now in its 20th year. The youth are diverse in terms of race, ethnicity, sexual orientation, socio-economic status, and education.Joanne Alba, PPSO’s Rights, Respect, Responsibility Coordinator, will serve as the project manager for the ACHHP. Nursing student Esther Hunter, and teen educator Chelsea Litton The Planned Parenthood of Southwestern Oregon is implementing the AHCCP in both Eugene and the Medford area. With nine teens in Eugene and 15 teens in Medford, a total of 100 student nurses received the Adolescent-Provider Communication Workshop (APCW), “Keepin’ It Real with Your Patient”. Furthermore, four Adolescent Standardized Patient Programs (ASPP) were conducted with clinicians at Planned Parenthood as well as nursing students at Oregon Health and Science University in Ashland. The Eugene peer educators are in the process of contacting four different local high schools and youth organizations to conduct the “Keepin’ It Real with Your Doctor” workshop. In April, both Eugene and Medford area peer educators will be presenting the AHCCP at the Adolescent Sexuality Conference at Seaside, Oregon!
California Childrens Hospital Los Angeles's Division of Adolescent Medicine, in Los Angeles, California, is affiliated with the Keck School of Medicine of the University of Southern California, and all of their physicians are faculty. For the greater Los Angeles area, the Division of Adolescent Medicine serves as the premier training location for residents in adolescent medicine, and their training program meets the requirements of the Accreditation Council on Graduate Medical Education specific to adolescent medicine training for pediatric residents. They have established and maintained an ongoing educational relationship with four pediatric residency programs, one family medicine residency program, and two medical schools. Their goal is to educate residents and medical students about common medical issues affecting adolescents, as well as to introduce them to the most effective way of communicating with these patients. The enthusiastic peer leaders for the Los Angeles AHCCP are based in a school health clinic at the Manuel Arts High School in South Central LA. These eight passionate students have already implemented four “Keepin’ It Real with Your Patients” workshops for school health classes, as well as two resident training programs at the White Memorial Medical Center and the LA County USC Medical Center. Currently, due to the “track system” in this overcrowded LA city school, five new peer educators have been trained and are now implementing the AHCCP. This is the last of three cycles in which youth underwent AHCCP training. Under the supervision of Dr. Diane Tanaka, twenty-four ASPP’s have been implemented, six of which have been repeat ASPP sessions with same residents in an effort to maximize the learning outcomes.
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