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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
Overview • History - Adolescent Health in Colorado • Advisory Council • Adolescent Health Reports • Sources of Data • Uses of Reports - Policy, Programs
1981 • Colorado convened a task force on adolescent health • Task Force created a report--Adolescent Health in Colorado: Status, Implications, & Strategies for Action
Advisory Council on Adolescent Health (ACAH) • Subsequently the Executive Director of the State Health Department commissioned the Advisory Council on Adolescent Health (1982)
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.
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).
Colorado Adolescent Health Reports: • 1982 • 1986 • 1990 (data update only) • 1992 • 1997 • 2002 - planned
Purpose of Reports • Purpose #1 - • To provide information on the scope, nature and causes of the major health problems facing adolescents
Purpose #2 • To identify and analyze the implications of the positive and negative trends in the health status of adolescents
Purpose #3 • To disseminate new information about strategies that have proven effective in preventing and reducing teen health problems
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
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
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
Other Data Sources • Health Care Policy and Financing • Teens eligible for & using Medicaid • Teens enrolled in SCHIP
Youth Risk Behavior Survey • History - formerly conducted by Department of Education • When Dept of Ed decided to discontinue, CDPHE stepped forward (1998-99)
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”
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
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
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
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
Uses of Data • Grant writing (state and local) • Presentations • Professional organizations • Health care providers • Parent groups • Students • School boards
Use - Information for legislators • Suicide prevention • Graduated Licensing • Comprehensive health education • Seatbelt legislation • Tobacco - sale to minors and use on school property
Data Uses • SCHIP Policy development • Data documenting needs, access to care issues, helped justify benefit package • Advocacy
Data Uses • Local data used as basis for new MCH planning process following new funding methodology
Conclusion • Good data with: • Compelling presentation • Wide dissemination • Advocacy = Strong policy & program development