Claire Brindis, Dr. P.H. University of California, San FranciscoProfessor of Pediatrics and Health Policy, Department of Pediatrics, Division of Adolescent Medicine, Department of Pediatrics & Philip R. Lee Institute for Health Policy StudiesMarch 5, 2009

What’s Planning Got to Do With It? Strategies for Advancing an Adolescent Health Agenda 

Public Policy Analysis & Education Center for

Middle Childhood, Adolescent & Young Adult Health

Today’s PresentationWhy planning is especially important in

current environmentRationale for use of data in program planningBrief overview of types of data that can be

used for planning

Planning in a Sea of ChangeEconomic repercussions

Infrastructure changes – reductionsImpacts of change upon the youth and families

we care aboutOpportunities to raise visibility for

Adolescents and Young AdultsState Children’s Health Insurance expansion –

including children of immigrantsStimulus funding opportunities – education,

after school funding, infrastructure

Imagine Imagine

OutcomesOutcomes

Inspire Inspire

Develop Responsive

Steps

Develop Responsive

Steps

Produce and

Implement

Plan

Produce and

Implement

Plan

Review Review Progress and Progress and Renew EffortsRenew Efforts

Review Review Progress and Progress and Renew EffortsRenew Efforts

Core Values, Mission and RolesCore Values, Mission and Roles

Using Data in a Cycle of Effective PlanningUsing Data in a Cycle of Effective Planning

Identify and Frame Data Concerns

Implications…Planning is more important than everGiven available resources and the variety of

health issues impacting youth, we need:Identification and effective use of dataPrioritization of actions - aligned with

organizational values, goals and objectives Adoption of evidence-based practices Awareness of political and community

environment in which data is being usedOnce actions adopted, strategic quality-

improvement efforts to demonstrate short and longer term impacts

Types of Planning Opportunities

State Adolescent Health Strategic PlansState Title V Block grant – 5 years needs

assessmentOther  state planning efforts –adolescents represent

a “sub-group” within a larger planning effort

Special Challenges:Multiple sources of data across divisions need

reconciling.Need for specific analyses for different age subgroups

Where do I begin?Severity of health issueNumber of adolescents affected by the problem

in our state (nation)Available/Reliable Data for planning?

National and State Level Data – TrendsQuantitative data sources – 21 Critical Health

ObjectivesQualitative data sources – focus groups, regional

studiesAdditional Sources of data – sentinel events,

media, other indicators

Wide Variety of DataWritten Questionnaires

Existing Program Records

Natio

nal

Data

Sets

Youth

-Risk

-

Beha

vior

TriangulationWindshield

Anthropology

Observations

Public Records

Interviews

and Focus

Groups

Data – Needs and AssetsWork with State MCH Epidemiologists to develop

an adolescent profile – “who, what, where, and when” framework.

Use primary and secondary data, i.e. hospital discharge data

Gather additional data on 4 levels of influence on adolescent behavior:Individual/familySchool/peersCommunityPolicy and Society

Data – Needs and AssetsGather information on Youth, Families, and

other community stakeholders regarding priorities

Identify community assets – programs, strategies, policies and funding in place, as well as potential resources

Review current efforts to existing knowledge base—are efforts in alignment with what is known to be effective?

Recommendations for both short and longer term actions

What do I choose to focus on? Likelihood of change in the indicatorLikelihood of change that your organization

and/or collaborative can make on the topic. Opportunities for assessing what has been

done in the area in the past and how to use the information for future planning.

Knowledge base regarding potential interventionsIdentification of other concerned

groups/individuals/champions to work with you (or perhaps already working with you and expanding upon their role).

Other uses of planning dataPlanning within one’s own section vs. making

data available for use by other departments – “Behavior Health” used our teen substance abuse assessment to develop programs in their own unit that we would not have been able to implement.

Raise visibility - Use data to raise awareness and concern regarding priority issues that receive focus and additional resources

Using Data to Advance an Adolescent Health AgendaCommunicating your “story” effectively with

professionals, stakeholders, media, and others, both in terms of need and action taken.Who is your data audience?What will be compelling to them?Who are good communicators?

Young People Themselves Combination of quantitative data; illustrative, vivid

examples

What Will It Take?What Will It Take?Values shape our vision and successValues shape our vision and successCommitment to adolescentsCommitment to adolescentsBold Ideas - Create New/Enhanced OpportunitiesBold Ideas - Create New/Enhanced OpportunitiesUse of technology -- greater dissemination and Use of technology -- greater dissemination and

diffusion opportunitiesdiffusion opportunitiesCollaborations – New partners, building on Collaborations – New partners, building on

established ones established ones

““We have to come up with innovative solutions to old We have to come up with innovative solutions to old economic problems, and the best way to do that is to economic problems, and the best way to do that is to form community networks to help one another”---form community networks to help one another”--- Danielle Lawrence, San Francisco Art TeacherDanielle Lawrence, San Francisco Art Teacher

ResourcesNational Initiative to Improve Adolescent

Health Materials available at http://nahic.ucsf.eduImproving the Health of Adolescents and

Young Adults: A Guide for States and Communities

Other materials available on this site include data and program resources by the 21 Critical Health Objectives

National Adolescent Health Information Center and Public Policy Analysis & Education Center for Middle

Childhood, Adolescent & Young Adult Health

http://nahic.ucsf.edu

http://policy.ucsf.edu

BY EMAIL

nahic@ucsf.edu

policycenter@ucsf.edu

BY PHONE

415.502.4856

Public Policy Analysis & Education Center for

Middle Childhood, Adolescent & Young Adult Health