In 2011, the Chicago Department of Public Health created an Office of Adolescent & School Health. Here's an update presented to the Chicago Board of Health

1. Chicago Department of Public Health
Healthy Chicago:
Focus on Adolescent Health
Chicago Board of Health
April 18, 2012
Chicago Department of Public Health
@ChiPublicHealth on
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

2. Overview
• Healthy Chicago Adolescent Goal and Targets
• Chicago Adolescent Data
• Special Initiatives
– Teen Pregnancy Prevention
– STI Education, Screening and Treatment Initiative

3. Adolescent Health Goal
Improve health, safety, and well-being of
adolescents.

4. 2020 Adolescent Health Targets
• Reduce by 10%
– Teen birth rate
– Chlamydia among youth
– Teen dating violence
• Increase the percent of adolescents ages 13-17 receiving 3 doses
of HPV vaccination from 15.6% to 60%.
• Reduce smoking prevalence among youth to 11.4%.
• Reduce school bullying of students from 11.1%-9%
• Decrease the percent of students missing school due to safety
concerns from 15.1% to 9%.

5. CHICAGO ADOLESCENT HEALTH DATA

7. Birth Rate Among 10-19 Year Olds
(Per 1000)
60 Chicago, 1999-2009
51.3
50
44.2
41.2
40 37.3
35.7
34.6 33.8 34.3
33.1 32.2 31.8
30
2020 Target: 29
20
10
0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Source: Vital Records, Illinois Department of Public Health

8. Trends in Gonorrhea Cases, 13-19 years old
40
35
30
25
Percentage
20
15
10
5
0
2007 2008 2009 2010
Year
CDPH Data: 2011 HIV/STI Surveillance Report

9. Trends in Chlamydia Cases, 13-19 years old
40
35
30
25
Percentage
20
15
10
5
0
2007 2008 2009 2010
Year
STI: CDPH Data: 2011 HIV/STI Surveillance Report

10. Trends in Primary and Secondary Syphilis
Cases, 13-19 years old
8
7
6
5
Percentage
4
3
2
1
0
2007 2008 2009 2010
Year
STI: CDPH Data: 2011 HIV/STI Surveillance Report

11. Estimated Vaccination Coverage With ≥ 3 doses HPV4
Among Female Adolescents Aged 13-17 Years
100%
80%
60%
40%
20%
0%
2008 2009 2010 2011
Chicago IL US
Source: National Immunization Survey

12. Seriously Considered Attempting Suicide (during the
12 months before the survey)
18
16
14
12
10
8
6
4
2
0
Sex: Total Sex: Female Sex: Male
2007 2009
Chicago, IL, High School CDC Youth Risk Behavior Survey

13. • Suicide, YRBSS Survey, 2007, 2009: 9th – 12th
Grades

14. Youth Drug Arrests
16000
14000
12000
10000
8000
6000
4000
2000
0
2007 2008 2009 2010 2011
Drug Arrest 10-19 Durg Arrest 20-24
Source: Chicago Police Data

15. Youth Violent Crime
4500
4000
3500
3000
2500
2000
1500
1000
500
0
2007 2008 2009 2010 2011
Violent Crime 10-19 Violent Crime 20-24
Source: Chicago Police Data

16. Teen Pregnancy Prevention
Initiative
Tiffany V. Seay, MS
CPS Program Manager
Teen Pregnancy Prevention Initiative

17. Teen Pregnancy Prevention
Grant Overview
$19.7M for 5 years
 1100 applicants received by Office of Adolescent
Health
 94 awards
 10 awards in category D (Rigorous Evaluation Status)
 4 of 94 awards were to school districts

18. Collaborating Partners
• Chicago Public Schools
- Office of Pathways to College and Careers
- Child & Family Benefits Unit
-Teaching and Learning – Service Learning Unit
• Chicago Department of Public Health (CDPH)
• Illinois Caucus for Adolescent Health (ICAH)
• Planned Parenthood of Illinois (PPIL)
• Chapin Hall
• Wyman Center
• SGA Youth and Family Services
• WES Healthcare Systems

19. Program Mission
The Chicago Teen Pregnancy Prevention
Initiative will reduce teen pregnancy by
improving Chicago youth’s life skills, healthy
behaviors, and community engagement.

20. Chicago Initiative Overview
• Adolescent Health
Access Committee
• Children and
Family Benefits
Unit Enrollment
Agent • Youth Advisory
• CPS Service Committee
Learning • Peer Health
Specialist Ambassadors
• Parent • Social Media
Engagement Campaign
Specialist • Community
• TOP Facilitators Service Learning
• Youth
Engagement
Teen Outreach • Condom
Availability
Specialist Program Program
• Community
Engagement
Chicago High Schools
Specialist Leadership Committee
• Training (Chicago Public Schools, Chicago Department of Public Health, Illinois
Specialists Caucus for Adolescent Health, Planned Parenthood of Illinois, WES Healthcare
Systems, SGA Youth anf Family Services and Chapin Hall)

21. Target Population
• 34 Chicago communities
• 40 High Schools
• 9th grade students
• 4 Alternative High Schools-- all students
• 9000 students annually
WHY 9th grade?
• 15 year old birth rate is 15.9/1000 while the 16 year
old birth rate is 40/1000

22. Chicago’s Model
Treatment Schools (n=20) Control Schools (n=20)
Wyman Center’s Teen Outreach $2000.00 incentive for study
Program related efforts
Condom Availability Program (school-based)
Peer Health Ambassadors (school-based)
Youth Engagement Specialist (school-based)
Children and Family Benefit Enrollment Agent (Initiative-wide)
Teen Health Hotline (city-wide)
Youth Advisory Committee (city-wide)
Social Media Campaign (city-wide)

23. ELEMENTS OF TOP™

24. TOP™ CURRICULUM
COMPONENTS

26. Why Teen Outreach Program?
• Teen Outreach Program Outcomes:
– 60% reduced risk of course failure
– 52% reduced risk of suspension
– 53% reduced risk of teen pregnancy
– 60% reduced risk of school dropout
(observed)

27. Why Teen Outreach Program?
• Evidenced-based youth development curriculum
• School-based prevention by:
– Strengthening resiliency
– Promoting self efficacy
– Healthy behaviors
– Life skills
– Sense of purpose

28. RTI & WELL-BEING
POSITIVE WELL-BEING IN THE EDUCATION SYSTEM
RESPONSE TO INTERVENTION
integrates assessment and
intervention within a multi-level
prevention system to maximize
student achievement and to
reduce behavior problems. With
RTI, schools identify student
progress, provide evidence-
based interventions and adjust
the intensity and nature of those
interventions depending on a
student’s responsiveness, and
identify students with learning
disabilities or other disabilities.

29. Evaluation: Chapin Hall
In August 2011, random assignment
of forty-four (44) interested and
eligible high schools in Chicago
communities with the highest teen
birth rates
22 21
Treatment high Control high
schools receive schools do not
TOP receive TOP
Plus four (4) Alternative Schools
All schools participate in data collection
activities

30. Implementing TOP
• Minimum twenty-five (25) sessions over nine (9) month period
• Consistent class period with the same group of youth
• 1 Facilitator:25 Student Ratio
• Twenty (20) hours of Community Service Learning (CSL)
opportunities
• Eighty (80%) percent of sessions must include the TOP curriculum
or TOP-Related Activities

31. CDPH STI Education and
Screening Initiative

32. Program Overview
• Program piloted in 2008 due to rise in STI’s
among adolescents
• Gonorrhea and Chlamydia education and
screening in Chicago Public Schools
• Treatment provided by School Health
Centers, CDPH STI clinics and other
community health clinics

33. CDPH/CPS STI Project Results
Gonorrhea Chlamydia Dual
School Year Schools Educated Tested Positive Positive Infection Treated
357 2 29 2
2009-2010 4 603 100%
(59.2%) (.5%) (8.1%) (.5%)
2,188 27 228 34
2010-2011 12 3,189 96.80%
(68%) (1.2%) (10.4%) (1.5%)
4,259 27 272 26
2011-2012 21 6,991 69%*
(61%) (.63%) (6.4%) (.61%)
2011-2012 5,625
30 7500 -- -- -- 100%
(Goal) 75%
*3 schools testing results are pending and 4 schools tx results pending
Data complete through March 2012

34. Number of youth educated, cumulative
7,000
6,000
5,630
5,000 4,602
4,000
3,000
2,228 2,227
2,000
1,000
0
CPS CCJTDC IYC-C Target

35. Percent of students testing positive for
gonorrhea, cumulative
3.0% 63/2188
2.5%
2.0%
1.5%
30/2794
1.0%
2/272 2/357
4/620
2/372
0.5%
0.0%
College CPS 2010 Chicago Prevalence

36. Percent of students testing positive for
chlamydia, cumulative
14%
260/2188
12%
10%
31/357
220/2974
8%
18/272
36/620
6% 20/372
4%
2%
0%
College CPS 2010 Chicago Prevalence

37. Future of STI Project
• Develop Public/Private partnerships to build
capacity and sustainability
• Collaborative work with School Health
Centers to deploy this model annually

39. www.Cityofchicago.org/Health
HealthyChicago@cityofchicago.org
Facebook.com/ChicagoPublicHealth
@ChiPublicHealth
http://gplus.to/ChiPublicHealth
(312) 747-9884