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Youth Institute Session 2 Program Best Practices

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Youth-serving does not always equal youth-friendly and culturally competent. ... How do we ensure that youth-friendly services are in places? ... – PowerPoint PPT presentation

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Title: Youth Institute Session 2 Program Best Practices


1
Youth Institute- Session 2 Program Best Practices
  • August 29,2006
  • Jessica Forsyth, MSW
  • Jenny Scanlon, FNP

2
Goals of Presentation
  • Identify the best practices of the Childrens
    Hospital Immunodeficiency Program (CHIP) of
    Denver for
  • Identifying, engaging and retaining youth
  • Designing youth-centered services
  • Opportunities and challenges in peer work
  • Effective community collaborations in meeting the
    diverse needs of youth

3
CHIP an overview
  • CHIP is a Title IV program serving children,
    youth, women and families. Began as Pediatric
    AIDS Clinical Trials Group site.
  • The CHIP Youth Project (CYP) includes a
    multidisciplinary team (social work, nursing,
    physicians, nutritionist, pharmacist, mental
    health) that serves 65 youth living with HIV and
    their affected support network.

4
CHIP Youth Project Continuum of Care
  • Care services youth-specific, youth friendly
    clinic, social work/case management, GLBT
    culturally proficient providers, support groups,
    mental health treatment.
  • Counseling and Testing OraSure and rapid tests
    in xxx sites xxx youth tested.
  • CYP becoming well-known as point of entry for
    youth living with HIV.

5
What does it mean to engage?
  • Must have the core belief that youth can, and
    will, make good decisions about their health if
    given accurate information and consistent
    support.
  • Must know how to enter into a therapeutic
    alliance with youth building on their strengths
    to develop their capacity to advocate for
    themselves

6
Challenges of Engagement
  • Developmental present-time orientation,
    reliance on peers, unstructured lives,
    establishment of independence and feelings of
    immortality.
  • Mental health - Seventy percent of CYPs clients
    have a mental health diagnosis 43 have
    substance abuse issues.
  • Pediatric infrastructure not prepared to handle
    complex social issues of youth living with HIV

7
CYP Engagement and Retention
  • One consistent point of entry helps to streamline
    process (social work)
  • Basic support services help keep youth engaged
    initially food vouchers for clinic,
    transportation, etc.
  • Real engagement is due to the exceptional
    staffing staff are culturally proficient and
    dedicated to youth. Have flexible schedules,
    clinic times and low case loads.
  • Strong team collaboration Nurse Practitioner
    and social worker see clients together, work
    seamlessly to meet the needs of youth.

8
CYP Retention
  • Effective engagement often leads to retention but
    when it doesnt..
  • Case finding critical to retention. Entire CYP
    team participates (social worker, nurse
    practitioner, outreach coordinator, etc). From
    youth entered into the program since 8/04, CYP
    has a 93 retention rate.
  • Peers as team members are critical to having
    success in recruiting, engaging and retaining
    youth in care.

9
Peers Invaluable Team Members
  • Peer demographics have run the gamut living
    with HIV, affected, ages have varied, but most
    share life experiences with youth living with
    HIV.
  • Excellent representatives of youth programs and
    effective relationship builders. Can reach youth
    in a way adult professional staff often cant.
  • CANNOT be tokens must be involved in the
    design, implementation and evaluation. Effective
    youth-adult partnerships see Advocates for
    Youth materials

10
Challenges in Peer Work
  • Often have high supervisory and mentoring needs.
    Critical for programs to allow for that and not
    underestimate issues that arise for young people
    in doing their work.
  • Aging up what happens as they get older/need
    more challenging work?
  • Hiring youth who receive care from your program
    do they switch their care? How does the team
    manage boundary issues?

11
Community Collaborations
  • Testing sites
  • Youth serving agencies Mental Health, shelters,
    GLBT youth drop-in centers. Staff must know that
    the referrals they make are to youth-friendly
    places. Youth-serving does not always equal
    youth-friendly and culturally competent.
  • State health department Prevention Case
    Management, prevention with positives, CDC
    prevention initiatives (DEBI)
  • Cross-Title Collaborations how are the Titles
    (I, II and III) addressing the needs of youth
    (WICY)? How do we ensure that youth-friendly
    services are in places? How do we convince
    people that youth are 13 to 24?

12
CYP Challenges in Youth Work
  • Staff does not reflect clients racial and
    ethnic- a particular challenge in Colorado
  • Challenges of developing youth-sensitive systems
    of care within a pediatric-focused facility. How
    do childrens hospitals address the changing
    epidemic?
  • Mental health (psychiatry) and substance
    abusefunding and community capacity to serve is
    lacking for youth.
  • Transition of youth to adult care how do get
    the adult care providers to engage?

13
Contact Information
  • Jessica Forsyth, MSW
  • Youth Program Director
  • Children's Hospital - CHIP
  • forsyth.jessica_at_tchden.org
  • 303-861-6758
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