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Colorado’s Approach to Using Adolescent Data. Barbara Ritchen, Director Child, Adolescent and School Health Section Colorado Department of Public Health and Environment. Overview. History - Adolescent Health in Colorado Advisory Council Adolescent Health Reports Sources of Data

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Colorado’s Approach to Using Adolescent Data

Barbara Ritchen, Director

Child, Adolescent and School Health Section

Colorado Department of Public Health and Environment


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Overview

  • History - Adolescent Health in Colorado

  • Advisory Council

  • Adolescent Health Reports

  • Sources of Data

  • Uses of Reports - Policy, Programs


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1981

  • Colorado convened a task force on adolescent health

  • Task Force created a report--Adolescent Health in Colorado: Status, Implications, & Strategies for Action


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Advisory Council on Adolescent Health (ACAH)

  • Subsequently the Executive Director of the State Health Department commissioned the Advisory Council on Adolescent Health (1982)


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Mission

  • The ACAH is an interdisciplinary group of adolescent health experts and community advocates who advise the CDPHE; educate and inform the public; and advocate for policies and programs to improve the health and well being of all Colorado adolescents.


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Why is this important?

  • It’s important because ACAH works with CDPHE to develop and disseminate a report on the status of adolescent health every 4-5 years (since 1982).


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Colorado Adolescent Health Reports:

  • 1982

  • 1986

  • 1990 (data update only)

  • 1992

  • 1997

  • 2002 - planned


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Purpose of Reports

  • Purpose #1 -

  • To provide information on the scope, nature and causes of the major health problems facing adolescents


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Purpose #2

  • To identify and analyze the implications of the positive and negative trends in the health status of adolescents


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Purpose #3

  • To disseminate new information about strategies that have proven effective in preventing and reducing teen health problems


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Purpose #4

  • To mobilize families, schools, the nonprofit sector, health care providers, media, business, the legislature, and adolescents themselves to take action to improve the health status of teens


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Purpose #5

  • To focus on several vulnerable populations (e.g. homeless youth, gay and lesbian youth, youth with special health care needs) where groupings of behaviors or barriers to well-being often have health-compromising consequences


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Sources of Data

  • Health statistics/vital records

  • Other agency data sets

    • Dept of Ed - drop out/completion

    • Human Services - child abuse, teens in need of mental health services

    • Department of transportation - alcohol-related motor vehicle deaths


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Other Data Sources

  • Health Care Policy and Financing

    • Teens eligible for & using Medicaid

    • Teens enrolled in SCHIP


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Youth Risk Behavior Survey

  • History - formerly conducted by Department of Education

  • When Dept of Ed decided to discontinue, CDPHE stepped forward (1998-99)


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YRBS (cont.)

  • After much discussion, a lengthy approval process, and lots of advocacy, CDPHE conducted the 1999 YRBS

  • Added “Assets” questions from Search Institute “Profiles of Student Life”


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What Do We Do With the Data?

  • Use it to set and monitor progress on state-specific objectives

    • MCH Performance Measures

    • State-specific 2010 adolescent objectives

    • Common benchmarks for prevention programs


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Use of Data

  • Use to create funding priorities

    • CDPHE $ (MCH, Preventive Block Grant, tobacco settlement, suicide prevention, injury prevention, etc.)

    • Influence private sector funding

    • Influence local spending


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Use of Data

  • To create model for local needs assessment and action

  • To serve as a catalyst for local action

  • To identify roles of potential partners


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Use of Data

  • Stimulus for state and local policy development

    • School board policy related to health education and school-based health centers

    • Local tobacco control policy


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Uses of Data

  • Grant writing (state and local)

  • Presentations

    • Professional organizations

    • Health care providers

    • Parent groups

    • Students

    • School boards


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Use - Information for legislators

  • Suicide prevention

  • Graduated Licensing

  • Comprehensive health education

  • Seatbelt legislation

  • Tobacco - sale to minors and use on school property


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Data Uses

  • SCHIP Policy development

    • Data documenting needs, access to care issues, helped justify benefit package

  • Advocacy


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Data Uses

  • Local data used as basis for new MCH planning process following new funding methodology


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Conclusion

  • Good data with:

    • Compelling presentation

    • Wide dissemination

    • Advocacy

      = Strong policy & program development


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