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ADOLESCENT HEALTH STRATEGIC PLAN Austin/Travis County Health and Human Services Department BWA Bernard Warren Associates Technical Assistance Planning.

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Presentation on theme: "ADOLESCENT HEALTH STRATEGIC PLAN Austin/Travis County Health and Human Services Department BWA Bernard Warren Associates Technical Assistance Planning."— Presentation transcript:

1 ADOLESCENT HEALTH STRATEGIC PLAN Austin/Travis County Health and Human Services Department BWA Bernard Warren Associates Technical Assistance Planning - Training

2 Austin/Travis County HHSD 2 Table of Contents Executive SummaryPages 3-4 Timeline Page 5 Stakeholders Page 6 NACCHO Requirements Page 7 Our IntentPage 8 Strategic Planning Process Page 9-10 GuidancePage 11 Key FactorsPage 12 Common Core Strategy Pages 13-14 Environmental AssessmentPage 15 SWOT Analysis Pages 16-21 Planning Factors Page 22 Environmental FactorsPage 23 Data FactorsPage 24 Survey Monkey ResultsPage 25-30 Planning Priorities and ServicesPage 31 Top 5 Priorities and Services Page 32 Youth Requested ServicesPage 33 Goals and ActivitiesPages 34-35 –Goal I CollaborationPages 36-37 –Goal II Health CarePages 38-39 –Goal III Health Education Page 40-41 –Goal IV Messaging Page 42 –Goal V Sustainability Page 43 Lessons LearnedPage 44 Where are we nowPage 45 Where are we goingPage 46

3 Austin/Travis County HHSD 3 Executive Summary In the fall of 2006, the National Association of County and City Health Officials (NACCHO), in cooperation with the Centers for Disease Control and Prevention, Division of Adolescent and School Health (CDC/DASH) challenged local health departments to collaboratively develop a 2-3 year strategic plan to promote adolescent health, particularly in the area of HIV, STD, and unintended pregnancy prevention. The Austin/Travis County Health and Human Services Department (A/TC HHSD) was selected to develop a 2-3 year strategic plan that will outline ways to improve adolescent health in Austin by: Improving collaboration between stakeholders. Finding ways to increase coordination of services. Identifying unmet needs. Recommending actions that impact but dont require new funding. Not reinventing or duplicating past efforts. Educating the community about healthy behavior and working to prevent health disparities for youth. Increasing the level health literacy in the community. Finding ways to facilitate changes that will promote healthy adolescent behavior.

4 Austin/Travis County HHSD 4 Executive Summary The Adolescent Health planning group recommended the following strategic planning goals: Goal I: To improve adolescent health through increased collaboration with stakeholders. Goal II: Educate and engage the community in healthy behavior. Goal III: To link and promote culturally competent health care services for adolescents. Goal IV: Promote consistent and positive messages for the adolescent community. Goal V: To develop resources that will sustain programs that promote healthy adolescent behaviors particularly in the area of HIV, STD and pregnancy prevention.

5 Austin/Travis County HHSD 5 Timeline Adolescent Health Strategic Planning Meetings were held March – May 2007 formulated to collaborate with adolescent-serving agencies. The Adolescent Health Strategic Planning Retreat was held August 15, 2007 to gain further input on the plan. The plan was completed and shared with the community partners in November 2007. An Adolescent Health breakout session, through Ready By 21, is set to began implementing the plan in January 2008.

6 Austin/Travis County HHSD 6 Stakeholders The following organizations contributed to the Progress- to-Date for the Strategic Plan: African-American Quality of Life Austin Area Comprehensive HIV Planning Council A/TC HHSD Family Health Program A/TC HHSD Youth Services Program A/TC HHSD Communicable Disease Unit Communities in Schools (CIS) Family Connections Resource Center Gardner-Betts Juvenile Detention Facility Girl Scouts – Lone Star Council Health Institute Helping Hand Home Latinitas Lifeworks Health Institute Office of the Attorney General – Strengthening Families Paso Adelante Mentoring Program Phoenix House Planned Parenthood Rosewood-Zaragosa Neighborhood Center SafePlace St. Davids Community Health Foundation Travis County Underage Drinking Prevention Program Travis County HHS Veterans Service – Healthy Families Wright House Wellness Center XYZone Male Involvement Program YouthLaunch

7 Austin/Travis County HHSD 7 NACCHO Requirements The strategic plan must: Be a collaborative effort, with broad community representation. Include at least one adolescent representative in the planning process. Incorporate a positive youth development approach[1] that addresses both risk and protective factors.[1] Establish long-term goals for sustainability of the collaboration and the implementation of the strategic plan. Attempt to address individual risk behavior as well as identify and plan for ways to begin to address policies, institutional practices, neighborhood conditions, and environmental factors that have the potential to enhance or threaten adolescent health.[2][2] Incorporate a means by which youth at highest risk of HIV, STD and unintended pregnancy will be targeted, both in terms of direct interventions on their behalf and work toward addressing some of the conditions that place them at disproportionate risk. Involve school, parents, and societal institutions that affect adolescent health either directly or indirectly as targets of planned activity. Be submitted for review as a model practice for possible inclusion in NACCHOs Model and Promising Practices database. (See http://www.naccho.org/topics/modelpractices/index.cfm) http://www.naccho.org/topics/modelpractices/index.cfm [1][1] Useful resources on positive youth development might include: Catalano, R.F., Hawkins, D., Berglund, M.L., Pollard, J.A., and Arthur, M.W. (2002). Prevention science and positive youth development. Journal of Adolescent Health, 31(6S), 230-239 and Weissberg, RP, Kumpfer, KL, Seligman, ME. (2003). Prevention that works for children and youth. American Psychologist, 58(6/7), 425-432. [2][2] See Taking a Broad View of Prevention: Addressing Multiple Levels of Influence on Adolescent Risk Behavior for more information.

8 Austin/Travis County HHSD 8 Our Intent Our intent is to… Ensure broad community representation through inviting over 400 youth-serving organizations to participate in the planning/implementation process. Include adolescent representation through surveys, focus groups and interviews throughout the planning process. Incorporate into the plan a positive youth development approach an attempt to address individual risk behavior as well as identify and plan for ways to begin to address policies, institutional practices, neighborhood conditions, and environmental factors that have the potential to enhance or threaten adolescent health sustainability by using a socio-ecological framework. a means by which youth at highest risk of HIV, STD and unintended pregnancy will be targeted, both in terms of direct interventions on their behalf and work toward addressing some of the conditions that place them at disproportionate risk. Involve school, parents, and societal institutions. Submit plan for review as a model practice for possible inclusion in NACCHOs Model and Promising Practices database.

9 Austin/Travis County HHSD 9 Strategic Planning Process Summary 1.Invite stakeholders (defined as all interested parties) 2.Obtain commitment from stakeholders for the entire strategic planning process 3.Clearly define our process and develop goals through a collaborative community process 4.Assess our environment (SWOT Analysis) each stakeholder completes a survey or interview identifying the adolescent communitys strengths, weaknesses, opportunities and threats. Analysis of the data identifies trends and common concerns. The analysis is the starting point of our strategic planning. 5.Develop adolescent health mission and vision statements 6.Gather data from the community and review relevant research 7.Identify needs and priorities through a collaborative community process

10 Austin/Travis County HHSD 10 Strategic Planning Process Summary 8.Prioritize needs 9.Review data, plans and confer with stakeholders 10.Review the status of community resources and the capacity of the community to meet the identified needs 11.Develop and implement a community-wide strategic planning retreat 12.Gather information/data from the retreat and include in the strategic plan 13.Identify strategic planning Goals and Objectives 14.Draft and review the plan 15.Implement the plan

11 Austin/Travis County HHSD 11 Our Guidance Mission Our mission is to collaboratively promote healthy adolescent behavior, particularly in the area of HIV, STD and pregnancy prevention. Vision Our vision is for adolescents to be engaged in healthy behaviors and to have access to comprehensive and culturally competent services and support.

12 Austin/Travis County HHSD 12 Key Factors 1.Partner with the community to coordinate and deliver quality care to the adolescent community. 2.Collaborate with the human services community to prevent and reduce health disparities. For the plan to be successful, we must:

13 Austin/Travis County HHSD 13 Common Core Values Defined The Adolescent Health Planning group defines Common Core Values as what is most important to the planning group. The values must be a part of the strategic plan and any goals, objectives or action plans. These values provide the infrastructure of our group culture and strategic initiatives and are intended to be the foundation of this and future plans.

14 Austin/Travis County HHSD 14 Common Core Values 1.Promote consistent and positive messages to the adolescent community. 2.Educate the community on healthy behavior. 3.Prevent and reduce health disparities in the adolescent community. Because we value healthy behavior for all youth in Austin, we will:

15 Austin/Travis County HHSD 15 Environmental Assessment Analysis Included: Collecting internal and external perceptions about the organization from consumers, stakeholders and staff. Evaluating programs, reviewing previous strategies, defining the organizations values needs to be completed. Strengths, Weaknesses, Opportunities and Threats (SWOT) Analysis: Assessment process of gathering and analyzing the information needed to make an evaluation of your organization in its environment.

16 Austin/Travis County HHSD 16 SWOT Summary Overall, highlights include the following: S trengths- Austin/Travis County has many resources, ways to reach youth, knows what areas to focus on, seems to think progressively, and has a diverse culture. W eaknesses- With all of the resources, it seems difficult for adolescent to wade through the information and takes much effort on their part to gain access to services/ information, many services work in silos and may not know of all the other resources/referral services, and may be duplicative. O pportunities- Streamlining access to services, working with other adolescent-serving organizations/ programs/networks, utilizing best practice models. T hreats- Money, time, growing adolescent population, growing single parent homes, competing funds/issues, politics, lack of linkages and positive messaging, social norm its ok to have sex increasing. Note: In the following assessment, boldface indicates a consensus among stakeholders.

17 Austin/Travis County HHSD 17 Strengths 1. Good at reaching populations of youth (ex. detention and recreation centers) 2. Good at identifying problems 3. Progressive Thinking 4. Services 5. Wealth of resources/knowledge 6. Stakeholders 7. Foundations 8. Culture

18 Austin/Travis County HHSD 18 Weaknesses 1.Failure to Streamline access services 2.Communication, where do youth get their information? 3.Duplication of services 4.Failure to collaborate strategically 5.Lack of Public Transportation 6.Too narrow-minded 7.Government funding focused on band aids and not the cure/prevention 8.Crisis-oriented, not prevention-oriented

19 Austin/Travis County HHSD 19 Weaknesses 9.Lack of Involvement of leaders 10.Constraints on message, cannot promote condoms in church or schools 11.Competing with higher priorities, such as childhood obesity 12.Health literacy, varying levels of readiness 13.Lack of understanding population and audience 14.Not meeting people where they are

20 Austin/Travis County HHSD 20 Opportunities 1.Streamlining access to services 2.Partnering with programs such as African American Quality of Life (AAQOL) Powered by Me Program, iThrive program Men and Boys Conference, etc. 3.Utilization of Promotora Model 4.Partnership with the Hispanic Community 5.Participation with MCH Coalition, Ready by 21 Coalition, Teen Pregnancy Prvt. Network, Underage Drinking Prvt. Task Force, etc. 6.Opportunities to educate council members/policy makers 7.Population under 20 years old is increasing

21 Austin/Travis County HHSD 21 Threats 1.Fifty percent dropout rate and higher for minority students. 2.Lack of linkages between support-health-mentoring- schools programs. 3.Lack of positive messaging for at risk community and at large community. 4.Agencies competing for fewer funding dollars and opportunities. 5.Present political climate is focus more crisis management as oppose to solving systemic problems and long term investment. 6.Adolescent use of technology (I pods, computers, cell phones) has influenced intervention methodology. 7.Increase in the number of single female headed households. 8.Lack of positive male role models in the community.

22 Austin/Travis County HHSD 22 Planning Factors Below are a list of planning documents that were reviewed to gain insight on recommendations for the adolescent population on the national, state and local levels. Statewide Statement of Coordinated Need (SSCN) - Used in all 50 states to identify health priorities and support services related to HIV/STD Healthy People 2010 –US Surgeon Generals National strategic health services and priorities planning document Ready By 21 - Youth Services Survey – Austin Adolescent Health Services Data Austin HIV Planning Council –Comprehensive Services Plan identifies needs of those infected and affected by HIV/AIDS in the Austin Transitional Grant Area (TGA) Texas Department of State Health Services Plan – Strategic Analysis of Health concerns/disparities in Texas

23 Austin/Travis County HHSD 23 Environmental Factors For the purpose of this plan, we define environmental factors as a intervention or community stressor that negatively impacts the community almost to the exclusion of all other factors. From a health and community standpoint the following environmental factors severely impact the Austin/Travis County adolescent community: 1. Adolescent STD/HIV - 73% of Chlamydia cases, 61% of Gonorrhea cases, 30% of Syphilis cases, and 15% of HIV cases reported were among young people ages 15-24. 2. Teen Pregnancy - 33.1 per 1,000 of Travis County all females ages 13 to 17 in 2003 (increased 13.5% from 2002). The rate among Hispanic teens was at 59.6/1,000 and for Black teens the rate was 38.9/1,000. Both significantly higher than the rate among White teens (8.6/1,000). 3. Adolescent Alcohol Use - continues to be the most widely used substance among Texas youth with 71% reporting they had used alcohol at some point in their lives. Average age of first use is 13. 4. School Dropout – 36% of all adolescents do not graduate high school with 50% or more for Hispanic and African American adolescents. Teen pregnancy is the #1 reason for girls to drop out.

24 Austin/Travis County HHSD 24 Data Factors The following sources of information aided in building a basis for the strategic plan: Positive Youth Development Principles (Castalano, Berglund, et al, 1998) –http://aspe.hhs.gov/hsp/positiveyouthdev99/http://aspe.hhs.gov/hsp/positiveyouthdev99/ –http://www.search-institute.org/research/ Hdindex.htmlhttp://www.search-institute.org/research/ Hdindex.html Ecological Model (Bronfenbrenner,1979,1995) Ready By 21 - Youth Services Mapping Database –http://www.readyby21austin.org/youth-faq.phphttp://www.readyby21austin.org/youth-faq.php Adolescent Health Strategic Planning Meetings Survey Monkey and Key Informant Interviews

25 Austin/Travis County HHSD 25 SURVEY MONKEY 1.What resources do you find most beneficial in promoting adolescent health, particularly in the area of HIV, STD, and unintended pregnancy prevention? 2.What resources do we lack/need in Austin? 3.How could Austin improve its current services for adolescents? 4.In your professional opinion, what initiatives should be included in the strategic plan that would best promote adolescent health, particularly in the area of HIV, STD, and unintended pregnancy prevention? 5.Other comments, questions, or concerns? http://www.surveymonkey.com/s.aspx?sm=Bnr87RkaeUgrNGopxwfVbw%3d%3d In April 2007, the ATCHHSD e-mailed over 400 youth- serving organizations to complete an online survey to allow broad community input into the strategic planning process. A total of seven completed the surveys following five questions: STRATEGIC PLANNING ONLINE SURVEY

26 Austin/Travis County HHSD 26 SURVEY MONKEY RESULTS 1.After school and summer programs for youth including middle and high school students. Youth involved in positive active and fun activities are doing better in school and engaging in less risky behavior. 2.Subject matter experts evidence based programs social marketing campaigns to change norms, attitudes and ultimately behaviors collaborative efforts with a strategic plan. 3.School presentations, guest speakers, community collaborations including parents. 4.What has been a big help for us are those community organizations that have been able to come out to us and talk to our students about teen health. Some examples of these programs are Youth Launch No Kidding Project and ATTCHHS, Maria Gorham. 5.Prevention education, medical resources when needed, activities that improve self-esteem, mental well being and involving family in child's well being. 6.Planned Parenthood Safe Place's Expect Respect Program. 7.I think an encounter with a healthcare provider of the adolescent's choosing is very powerful. Information given after the healthcare relationship is formed is more readily received, and followed. What resources do you find most beneficial in promoting adolescent health, particularly in the area of HIV, STD, and unintended pregnancy prevention?

27 Austin/Travis County HHSD 27 SURVEY MONKEY RESULTS What resources do we lack/need in Austin? 1.Health centers in public middle and high schools run by the Health department or a collaboration between the Health department, schools and private hospitals. 2.same as above 3.More local programs bring together youth from various schools 4.We need more support for our non-English speaking and undocumented community. We need to know what Bilingual counselors are out there in the community and readily available for crisis support. 5.Prevention education Medical services Family Involvement Positive Self-esteem building activities 6.Comprehensive sex education taught throughout grade levels More opportunities for youth to participate in Expect Respect support groups at their school 7.Routine/opt-out HIV/STD testing in systems/institutions that bring large numbers of adolescents together, i.e. schools, corrections, etc. Free pregnancy prevention including long- term or long-acting and reversible birth control.

28 Austin/Travis County HHSD 28 SURVEY MONKEY RESULTS How could Austin improve its current services for adolescents? 1. Health Centers in the schools Health and fitness components offered through existing after-school and summer programs. Low to no-cost after school programs that offer integrated health education and fun programming. 2. Create a strategic plan to address health issues facing adolescents, finding appropriate partners and resources, and implementing the plan and measuring its success 3. More funding for prevention programs 4. We need more literature for our students in Spanish, and other languages if available. We need more programs IN the schools to work with students. 5. Prevention Education Medical Services for adolescents Services promoting positive activities in the schools and community Programs with their objective being family interaction and involvement 6. School-based education on safe and healthy relationships, counseling, support groups, access to contraception Health care professionals addressing these issues with youth as standard procedure 7. Offer culturally and linguistically acceptable media messages. Offer services without parental consent. Offer services in schools.

29 Austin/Travis County HHSD 29 SURVEY MONKEY RESULTS 1. After school and summer programs for youth including middle and high school students. A very high percentage of older youth want to work. We need to build work, internships and service learning into programs for youth. Youth can be peer health educators (working out of the school health centers) or devise prevention campaigns or lead fitness clubs for younger kids. If we can utilize youth as a resource (not viewed them as a problem), they'll be engaged and engage other youth. Funds are needed to pay stipends and salaries. 2. Social marketing campaign individual level interventions targeting both males and females culturally appropriate interventions target high risk populations-African Americans and Hispanics skill-based interventions multilevel interventions--in multiple settings--schools, after-school programs, mentoring programs, etc 3. Underage drinking prevention which is a root cause of many health issues. 4. We need to provide more accessible support for our non-English communities. 5. Parental involvement in the planning Medical Community involvement 6.Increased awareness materials, structured sexual health education, school-based counseling and support groups on healthy relationships, increased access to contraception 7. School based health delivery. Adolescent responsibility and autonomy related to sexual health and pregnancy planning. Offer routine screening. In your professional opinion, what initiatives should be included in the strategic plan that would best promote adolescent health, particularly in the area of HIV, STD, and unintended pregnancy prevention?

30 Austin/Travis County HHSD 30 SURVEY MONKEY RESULTS Other comments, questions, or concerns? 1.I think it would be helpful to pull various stakeholders (including adolescents from target groups) to get input on issues, prioritize issues and suggest solutions--this will from basis of strategic plan for Austin. 2.Difficult to achieve in religiously conservative and fiscally challenged environments. May need to target school and political leaders for support. AUSTIN/TRAVIS COUNTY STRATEGIC PLANNING SURVEY ONLINE http://www.surveymonkey.com/s.aspx?sm=Bnr87RkaeUgrNGopxwfVbw%3d%3d

31 Austin/Travis County HHSD 31 Planning Priorities and Services The planning group reviewed survey data, the SWOT analysis and held a series of brainstorming sessions that constituted the majority of the strategic planning process to determine Priorities and Services. The group reviewed services requested by adolescents, services requested of providers and what providers thought were the most important services. The basic process began with data recommendations in comparisons with actual service demands and needs. The group then identified and prioritize each category.

32 Austin/Travis County HHSD 32 Top 5 Priorities and Services 1.Improve the low self-esteem of adolescents. 2.Promote consistent messages about Sexual Health Education. 3.Promote positive healthy adolescent behavior messages versus media influence. 4.Promote positive role models, particularly male involvement in family life. 5.Limit the impact of institutions that destabilize relationships between males and their children/teen families.

33 Austin/Travis County HHSD 33 Services Most Requested by Youth 1.Jobs 2.Mentoring, particularly male mentors 3.Adolescent health education/care (birth control/contraception) 4.Health Insurance / Dental 5.Basic needs (food, shelter, clothes)

34 Austin/Travis County HHSD 34 Priorities Identified by Providers 1.Increase mentors in schools and youth programs, specifically for males 2.Teen-friendly health care services, specifically for males 3.Expand programming for the XY-Zone 4.Success sequencing by peers 5.Educational Programming/Tutoring in academic subjects 6.Revising Institutional Policies/ Teaching professional to empower, not to enable 7.Counseling for teen/family and preventive health at a young age 8.Teen prevention education and skills building (pregnancy, STD/HIV, alcohol, violence, etc) 9.Mandated parenting classes

35 Austin/Travis County HHSD 35 Recommendations The following pages (37-44) highlight five goals and key activities that were identified by the stakeholders who participated in the Strategic Planning Retreat. –Collaboration, –Health Education, –Healthcare, –Messaging, and –Sustainability. The Adolescent Planning Group asked participants to identify activities, objectives and goals within five program areas (Collaboration, Health Education, Healthcare, Messaging and Sustainability). Participants were asked to identify activities that could be achieved with little or no funding (green): Activities that required funding (blue): And activities that required substantial funding and other resources (blue with $$$). Measurable objectives are not identified in this plan as the planning group was focused on goals and activities to establish a strategic plan that provides a road map/direction. We expect that committees tasked with the next phase of the strategic planning process will develop specific and measurable objectives as part their responsibilities.

36 Austin/Travis County HHSD 36 Collaboration 1.Bring youth together for a day-long symposium city-wide or workshops at multiple locations student can pick up info. 2.Involve youth-create teen advisory board 3.School-based health fairs 4.Planning retreats for folks who manage school-based services to coordinate 5.Research catalogue existing community HIV, STD, and unintended pregnancy resources: 6.Make sure all community partners are up-to-date on the others activities 7.Research catalogue existing community HIV, STD, and unintended pregnancy resources 8.Make sure all community partners are up-to-date on the others activities 9.Link with community partners that are funded/charged to work with similar sub-populations of adolescents Goal I: To improve adolescent health through increased collaboration with stakeholders. Objective: Establish and implement a strategic sustainability committee by January 2008. Identified Activities:

37 Austin/Travis County HHSD 37 Collaboration Identified Activities Continued: 10.Share funding and resources 11.Seek collaborative funding opportunities 12.Leverage existing resources among community partners 13.Assist community partners with proposal writing and prioritizing larger community needs 14.Train the trainer – interagency collaborate training so providers know where to refer messaging 15.Involve youth in prevention, marketing youth (message should be developmentally appropriate) 16.Develop Resource centers in schools $$ 17.Closer ties to AISD 18.Develop and implement after school programs 19.Network with outside organizations

38 Austin/Travis County HHSD 38 Health Education 1.Establish youth advisory board 2.Utilize community partner programs to identify and involve youth 3.Youth advisory board develops health education messages and communication venues 4.Develop and implement Austin teen generated & moderated web sites (Link with existing web sites if available) 5.Increase the level and presence of peer education in schools and community Goal II: Educate and engage the community in healthy behavior. Objective: Establish and implement a strategic sustainability committee by January 2008. Identified Activities:

39 Austin/Travis County HHSD 39 Health Education Identified Activities Continued: 6.Mobile van offering health services such as pregnancy and STD testing (parked just off campus but in close proximity to schools) 7.Use mainstream artist/theatre media to open discussion on issue 8.Comprehensive Education $$$ 9.Experiential learning $$ 10.Parent education and support $$ 11.Establish Community spaces within schools and neighborhoods

40 Austin/Travis County HHSD 40 Health Care 1.Need more focus on males, making teen clinics more friendly 2.More Male mentors 3.Expand the XYZ zone program in schools $$$ 4.Community resources – all under on roof (JJ Pickle) $$$ 5.Improve school-based medical services – $$$ 6.Establish school-based health centers staffed by medical school residents, and staff volunteers $$$ Goal III: To link and promote culturally competent health care services for adolescents. Objective: Establish and implement a strategic sustainability committee by January 2008. Identified Activities:

41 Austin/Travis County HHSD 41 Health Care Identified Activities Continued: 7.Ensure that staff receive competency training before working with adolescents $$$ 8.Provide routine opt-out HIV & STD testing is offered in school-based health centers $$$ 9.Improve teen access to STD clinics/make STD clinics more adolescents-friendly $$ 10.Ensure Routine sexual risk assessment for all adolescents $$ 11.Provide Health Fairs/Testing 12.Lower and reduce PTA (AISD) (Barriers to AISD regulations) 13.Train and Provide Peer educators 14.Provide Access to Family Planning

42 Austin/Travis County HHSD 42 Messaging 1.Develop a forum that sponsors organizational collaboration (e.g. strategic planning retreat- mechanism should identify and link groups through commonality of mission/purpose) 2.Utilize more real life info in messaging that adolescents can relate to 3.Involve youth to voice the needs for change (RB21 community) 4.Online community technology resource centers 5.Online Ads $$$ (utilize technology in delivering message, podcasts, IM, text messaging, etc.) 6.Empower youth to own their own health/sex/ relationships $$ Goal IV: Promote consistent and positive messages for the adolescent community. Objective: Establish and implement a strategic sustainability committee by January 2008. Identified Activities:

43 Austin/Travis County HHSD 43 Sustainability 1.Recruit committee members from stakeholders 2.Develop and implement meeting schedule and decision making process 3.Identify and prioritize sustainability initiatives (target no less than three) 4.Work to identify link agencies to reduce duplicative resource development and increase leveraged opportunities 5.Identify, share, resource opportunities with collaborative partners 6.Develop and share sustainability strategies Goal V: To develop resources that will sustain programs that promote healthy adolescent behaviors particularly in the area of HIV, STD and pregnancy prevention. Objective: Establish and implement a strategic sustainability committee by January 2008. Identified Activities:

44 Austin/Travis County HHSD 44 Lessons Learned 1.Dont assume that all team members understand the concept of the strategic planning effort. 2.Stay mission focused by utilizing decision making tools that direct all decisions back to the mission and funding criterion/requirements. 3.Spend the appropriate time to orient stakeholders about the undertaking and how it may differ from their previous strategic planning forays. 4.Be clear and concise on what you expect to achieve and how it fits in the overall process for the funder and your organization. Explain the process in ways that participants will have a clear understanding of expectations. 5.Schedule sufficient time to complete the task but not so much time that people will lose interest. 6.Obtain buy-in from the movers and shakers. 7.Obtain buy-in from those most affected by your planning. 8.Use the technology (Microsoft live meeting, conference calls, email, etc) to share the message and the thinkwork.

45 Austin/Travis County HHSD 45 Where are we now? Year 1 Finalizing the Plan and Establishing a Home Base 1.Completing review of existing data and finalizing plan –Conducting relevant research on interventions and reporting to Adolescent Health Group (AHG) by December 13, 2007. 2.Planning for the sustainability of the Adolescent Health Group (AHG) –AHG will begin meeting through breakout sessions of the monthly Ready By 21 Coalition on January 10, 2008. –Meeting to review, provide further input and develop specific and measurable objectives of the strategic plan. –Continually monitoring and updating the plan for the life of the strategic planning process.

46 Austin/Travis County HHSD 46 Where are we going? Year 2 Develop and Implement Sub-Committees 3.Develop Program Area Sub-Committees for each of the identified five program areas to assist with decision-making policies. 4.Develop Adolescent/Stakeholder Sub- Committee –Recruit and form Stakeholder sub-committee to actively involve adolescents in the strategic planning process. –Involve Adolescents via focus groups, key informants, youth advisory councils, etc. 5.Form Sustainability Sub-Committee to identify funding sources for stakeholders and a mechanism for distributing information. 6.Continual monitoring and reporting for the life of the strategic planning process. –Obtain strategic planning, implementation and evaluation feedback from and share with stakeholders on an ongoing basis for the life of the strategic planning process.


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