Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Ucaya u presentation 8.13.2015
1.
2. What We Know About Adolescent & Young
Adult Health (AYA)
The Upstate has no adolescent and young adult (AYA)
center
There is no AYA model of care like UCAYA in SC.
Health damaging behaviors begin during adolescence
Risk behaviors Co-occur
Adolescent barriers exist
Provider barriers exist
(National Research Council & Institute of Medicine, 2007)
3. Who, What, Where, Why, When…
A multidisciplinary team of professionals
UCAYA: Adolescent & Young Adult Model of Care
The Upstate of South Carolina
Improve the health of adolescents & young adults
Created in 2014 over a cup of coffee.
4. UCAYA’s Mission:
To bridge the gap in adolescent and young adult services by educating,
empowering collaborating and connecting patients, families, practices and
communities with evidence based knowledge, clinical education and
support.
UCAYA’s Vision:
To streamline access to healthcare services, preventive
resources and support for adolescents and young adults
in the Upstate of South Carolina.
5. Trends in South Carolina High School Youth
Show…We have a lot of work to do!
3 / 10 are overweight or obese
3 / 10 felt sad or hopeless almost every day for 2 weeks
or more; 1 / 10 attempted suicide in the last 12 months
1 / 2 high school students in SC have had sexual
intercourse
4 / 10 have tried cigarettes
6 / 10 tried alcohol once in their lifetime with 2 out of 10
drinking before age 13
2 / 10 used Marijuana one or more times in the last 30
days
2 / 10 took a prescription drug without a prescription
(Centers for Disease Control and Prevention, 2013)
6. Costs: Direct and Indirect
Fiscal Costs
36 billion U.S. dollars direct
700 billion U. S. dollars indirect
14 billion U.S dollars on mental
health and substance abuse
UCAYA Predicted Outcomes
Decreased expenditures
Increased Return on
Investment
Improved Quality of Life
(Park et al., 2001; Ginsburg & Foster, 2009)
7. Our current approach to adolescent risk behaviors
targets obesity, physical activity initiatives,
substance abuse programs, pregnancy prevention
programs…separately.
9. The Upstate Coalition for
Adolescents and Young Adults
Developed A Model of Care Using the Public Health Services Framework
(Teipel & Brindis, 2011)
10. UCAYA: Raising Awareness, Improving Policy,
Providing Care & Resources
Holistic Health Model incorporating Triple Aim, Public
Health Framework and NIHCM Service Models to address:
Mental Health - Depression/Suicide/Self-harm/Eating
Disorders/Anxiety
Psycho-social Health - Social Media Issues - Cyber
Bulling/Teasing/Abuse
Physical Health – Obesity – Nutritional counseling,
Physical Activity, Tobacco/Drugs/Alcohol/Substance
abuse/Reproductive Health – Confidential care/STIs,
Safety - Violence
11.
12. The UCAYA Goal: E2C2
To better serve our adolescents and young adults
we will EDUCATE and EMPOWER,
COLLABORATE and CONNECT providers,
communities, families and teens
13. The E2C2 UCAYA Model
The Virtual Presence:
Web/Social Media UCAYA.org, Wikispaces,
Facebook, Twitter, Instagram
Allows UCAYA to be where AYA are
Complements traditional communication
Connects and empowers through interactive
dialogue
Increases public awareness through educational
campaigns
Reaches individuals, providers, communities
Policy development through community and state
liaisons
Research UCAYA Model
14. UCAYA Connections through Social Media:
Wikispaces, LinkedIn…
With more to come Facebook, Twitter, Instagram…
16. The E2C2 UCAYA Model
The Physical Presence
‘Center’- hub for adolescent service organizations to
collaborate and connect 10 -25 year olds AYA with
needed services
Provider services – confidential, consistent, friendly,
safe care, information, and testing with teen convenient
hours of operation
Educational resources – For the public and for
Pediatric, Med-Peds, Family Medicine, OB-GYN,
Psychiatry residents and research infrastructure.
Potentially creating an environment for the development
of an Adolescent Medicine Fellowship
Support services – counseling, support groups,
Girlology, Guyology, Greenville Family Partnership, New
Impact, The Riley Center
17. Proposed Upstate Center for
Adolescents and Young Adults Level 1
Full services AYA friendly clinic facility, extended evening and Saturday hours.
Onsite youth supportive agencies to increase access to specialty services.
18. Proposed Upstate Center for
Adolescents and Young Adults Level 2
Onsite lab services to test for STI’s and a stabilization unit for imminent mental
health needs to decrease non-essential AYA traffic in the ER.
19. The E2C2 UCAYA Model
Referral System built from a virtual and
physical presence to meet the needs of our
community
Self-generating and sustainable AYA
model using a multidisciplinary systems
approach based upon collaboration and
integration among stakeholders
Adolescents, young adults
Families
Provider
Community agencies
20. UCAYA Is An Innovative Model Supported by
Theory and Best Practice…
AYA models of care examples:
The Teen Wellness Center: A Model of Care, Gaston, North
Carolina (CDC Funded)
UCSF Benioff Children’s Hospital – (Oakland) Ages 11-24
Milford Regional Medical Center (Massachusetts)
Adolescent Health Services, Ages 11-29
Hasbro Children’s Hospital: (Rhode Island Hospital)
A Lifespan Partner Adolescent Healthcare Center, Ages
10-25
21. What these models have in common:
Extended age parameters 10 - 11 to 21 – 29
Team of physicians, psychologists, psychiatrists, social
workers, nurses, and specialists in health education and
substance abuse provide primary and specialty care for
youth, teenagers, and young adults
Adolescent/Young Adult (AYA) focus with emphasis
on confidentiality
Well care – physicals, immunizations, nutritional
support, counseling
Specialty care – Chronic conditions care, Mental health
care, birth control, STI testing, LGBT support, teen
parenting programs, substance abuse, education
‘One stop’ shopping model
22. UCAYA Model Fulfills Needs Voiced by National
Institute for Health Care Management (NIHCM)
Emphasizes growing need for mental health services
Incorporates suggested NIHCM models Consultation, Co-
location and Collaboration of care
Shares information, resources and transitions of care.
Focuses on prevention, early identification, timely
treatment
Integrates services, coordinates care, improves monitoring
with a collaborative approach
Evaluation research is central to outcomes.
(Ginsburg & Foster, 2009)
23. UCAYA informed by stakeholder responses to
presentations and interviews…
S.C. State Adolescent Coordinator DHEC: Martha
Hinson wants to partner with UCAYA
Greenville Family Partnership: Carol Reeves, Dr. John
Sanders want to partner with UCAYA
The Riley Center Beth Riley MSW, LISW-CP CEDS
wants to partner with UCAYA
Pediatric stakeholders: Drs. Bob Saul, Jill Golden,
Nancy Henderson, Kerry Sease and Des Kelly, Tom
Moran, Cheryl Kimble
Community voices: Ismael Reyna MPA, Crissy
Maynard, Anne Spence
24. UCAYA in a nutshell: A System’s Approach
to Close the Gap in AYA Health
UCAYA E2C2 – Educate and Empower,
Collaborate and Connect!
Comprehensive, holistic plan incorporates all
three NIHCM service models (Consultation, Co-
location and Collaboration) through virtual
presence, physical presence, referral system
Virtual presence: Web, Social media -
convenient ‘arm’ to reach the AYA population,
families, providers and community
Physical presence: Concrete location ‘Hub’ for
primary care visits,‘Home’ for collaborative
agencies
Referral system to complete the ‘circle of care’
for AYA, decreasing fragmentation and episodic
care
Replicable System’s Management Public Health
theoretical framework
(Ginsburg & Foster, 2009; Teipel & Brindis, 2011)
25. Building the UCAYA Model…...E2C2
We invite you to invest in innovation
for adolescent & young adult health in
the SC!
How?
26. Phase 1:
Phase 1: Establishing target group and gathering
data/input from focus groups
Duration: 1-2 years
Method: Focus Groups and Surveys
Surveys/Focus groups paper and electronic
surveys to distribute to teens 10-25, parents,
and providers
Collaborative meetings to integrate UCAYA
goals with community members, providers and
agencies
Explore grant opportunities and fundraising to
support phase 2 development
Board creation
27. Phase 2:
Phase 2: Development and enhancement of the virtual
presence of UCAYA
Duration: 1-5 Years (Concurrent with Phase 1)
Method:
Create/Enhance: Wiki Spaces, ucaya.org,
LinkedIn, Facebook, Instagram, Twitter:
#Adolescent Ally!
Budget development
Brand UCAYA Marketing
Link AYA to interventions in the area (office at
GFP can be launch point initially if needed)
Community integration Educational discussions
focusing on topics of interest to the target
population (mental health, substance abuse, etc)
28. Phase 3
Phase 3: Planning and building of The Upstate
Center for Adolescents and Young Adults.
Duration: 2-3 years
Method:
Site visits at other models for phase 3
Expand budget and business plan
Generate funding GHS and/or private sector
Secure practitioners that will provide care at the
center
Marketing campaign for the strengths of the
center
Many health damaging behaviors
Adolescent barriers: financial dependence, lack of resources, confidentiality, continuity, privacy and embarrassment (Coker et al., 2010; National Research Council & Institute of Medicine, 2007).
Provider barriers: time constraints, reimbursement issues, a lack of support services and a lack of training (National Research Council & Institute of Medicine, 2007).
Fiscal studies estimate that 36 billion U.S. dollars are spent yearly on direct medical costs associated with preventable adolescent morbidities; this number escalates to 700 billion when indirect costs are added (Park et al., 2001)
In 2005 $14 billion spent on mental health and substance abuse (Ginsburg & Foster, 2009)
Even limited success in risk identification, subsequent behavior change and resulting morbidity reduction can significantly decrease adolescent health care expenditures (Park et al., 2001).
Growing need for mental health services to address undersupply of mental health professionals, policy training barriers, inadequate financing,
National Institute for Health Care Management states that adoption of suggested models (Consultation, Co-location and Collaboration) can improve AYA care dramatically
AYA care is often fragmented with multiple systems failing to communicate, share information and resources, and transition care.
Reactive crisis oriented interventions place insufficient focus on prevention, early identification, timely treatment
UCAYA offers integration of services, early identification, coordinated approach to care, enhanced resources for youth and families, improved monitoring, collaborative approach to crisis management
National Institute for Health Care Management states that evaluation of models is needed. UCAYA has the element of research central to outcomes.
UCAYA E2C2 – Educate and Empower, Collaborate and Connect!
Comprehensive, holistic plan to decrease fragmentation of services, support and increase prevention for AYA incorporating all three NIHCM service models (Consultation, Co-location and Collaboration) through virtual presence, physical presence, referral system
Virtual presence: Web, Social media - convenient ‘arm’ to reach the AYA population, families, and providers to educate, empower, collaborate, and connect
Physical presence: Concrete location ‘Hub’ for primary care visits, support services, a stable ‘Home’ for collaborative agencies, increasing connections and integration of services
Referral system works to complete the ‘circle of care’ for AYA, decreasing fragmentation and episodic care
Replicable System’s Management Public Health theoretical framework