May 19, 2017 1

Adolescent Health

May 19, 2017 2

Adolescent Health Unit (AHU)

To expand primary prevention efforts aimed at decreasing the

incidence of adolescent pregnancy, reducing the risk of initial and

repeat pregnancies, STDs and HIV/AIDS rates among adolescents

and to more effectively address racial, ethic, and geographic

disparities that are related to adolescent health outcomes

May 19, 2017 3

Comprehensive Adolescent Pregnancy Prevention

CAPP

Personal Responsibility Education Program

PREP

Successfully Transitioning Youth to Adolescents

STYA

Assets Coming Together for Youth Center of Excellence

ACT COE

AHU

May 19, 2017 4

New York is a leader in pregnancy

prevention• New York State’s teen

pregnancy rate has

declined by 61% from

is peak in 1993

• Decline in teen

pregnancy rates

represents a key Public

Health success of the

21st century

0

20

40

60

80

100

120

1993 2014

Pregnancies per 1,000 females aged 15 -19

May 19, 2017 5

How is

New York

Doing?• New York is

ranked 43 out of

51 states on

final 2014 teen

birth rates

among females

aged 15 -19.

Source: Martin, J. A., Hamilton, B. E., Ventura, S. J., & Osterman, M. J. K. S.C., & Mathews, T.J (2015). Births: Final data for2014. Hyattsville, MD: National Center for Health Statistics.

May 19, 2017 6

Inequities Persist

0

5

10

15

20

25

30

35

40

45

Non-Hispanic White Hispanic Non-Hispanic Black

2014 Pregnancy rate per 1,000 females aged 15 -19

Pregnancy rate per 1,000 females aged 15 -19

May 19, 2017 7

Framework for Programming

Youth Development

Kirby: evidence

based programming

ASHNI

Santelli: access to

contraception decreases

teen pregnancy

May 19, 2017 8

Adolescent Priority Populations• Youth populations, ages 10 – 21 that lack social and economic

opportunities to enable them to develop to their full potential.

• Racial/ethnic minorities

• All youth from socioeconomically disadvantaged communities, and/or

otherwise have special circumstances:

• Youth living in foster care

• Youth who identify as lesbian, gay, bisexual, transgender, and

questioning

• Youth who are homeless

• Youth involved in the juvenile justice system

May 19, 2017 9

CAPP & PREP: History of Success• From 2011 – 2016 NYSDOH funded

58 providers across New York State

through the CAPP and PREP

initiatives.

• Providers were funded to implement

comprehensive, evidence-based,

developmentally-appropriate sexual

health education to youth ages 10 –

21 in NYS.

May 19, 2017 10

CAPP & PREP: History of Success

From January 2012 – December 2016

CAPP & PREP providers completed:

7757 EBP cycles

which reached over

135,000 youth in New York State

0

5000

10000

15000

20000

25000

30000

35000

2012 2013 2014 2015 2016

Number of Youth Reached

May 19, 2017 11

CAPP & PREP: History of Success

Participant ages ranged from

10 – 21, with a mean age of

14.9 years48.1

50.4

0.4Gender

% Male % Female % Transgender

May 19, 2017 12

CAPP & PREP: History of Success

0.4

0.9

3.1

8.3

16.1

21.5

29.5

29.9

0.0 20.0 40.0 60.0 80.0 100.0

Hawaiian/Pacific Islander

Native American

Asian

Multiple Race

White

Other

Hispanic

African American

Most participants were African American or Hispanic

May 19, 2017 13

CAPP & PREP: History of Success

0.10.10.10.20.30.40.50.60.81.11.43.144.15.6

24.453.2

0 20 40 60 80 100

Becoming a Responsible Teen

What Could You Do?

SiHLE

Safer Sex Intervention

Safer Choices

Rikers

Project AIM

Draw the Line

Be Proud! Be Responsible!

Be Proud! Be Responsible! and Making Proud Choices were the most implemented EBPs

May 19, 2017 14

CAPP & PREP: History of Success

Slightly more than half of all

cycles occurred Upstate

Percent of Cycles

NYC Upstate

May 19, 2017 15

CAPP & PREP: History of Success

0.10.10.10.20.30.40.50.60.81.11.43.144.15.6

24.453.2

0 20 40 60 80 100

Becoming a Responsible Teen

What Could You Do?

SiHLE

Safer Sex Intervention

Safer Choices

Rikers

Project AIM

Draw the Line

Be Proud! Be Responsible!

Be Proud! Be Responsible! and Making Proud Choices were the most implemented EBPs

May 19, 2017 16

CAPP & PREP: History of Success

0.3

0.6

0.7

0.8

1.1

1.2

1.5

1.8

2

2.2

83.7

0 20 40 60 80 100

Youth living with a disability

Recently immigrated youth

LGBTQ youth

Pregnant/Parenting youth

Youth in foster care

Youth out of school (not enrolled in school)

Incarcerated youth

Runaway/homeless youth

Youth residing in institutions

Youth involved in the juvenile justice system

Youth in school/afterschool program

Most cycles were conducted with youth in school or afterschool

May 19, 2017 17

CAPP & PREP: History of Success

0.3

0.8

1.5

4.7

6.8

10.4

69.7

0 20 40 60 80 100

Faith-based institution

Foster care

Clinical setting

Other residential facility

Afterschool program

CBO

In school classroom

Most cycles were conducted in schools

May 19, 2017 18

CAPP & PREP: Building on Success

48 CAPP Contracts

• NYC: 22 contracts

• ROS/Urban: 21 contracts

• ROS/Rural: 7 contracts

8 PREP Contracts

• NYC: 4 Contracts

• ROS/Urban: 2 Contracts

• ROS/Rural: 2 Contracts

Award period: January 1, 2017 – December 31, 2021

May 19, 2017 19

Thank You