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Purpose: To aid front-line program administrators and providers in adopting national reproductive health recommendations, this exploratory case study examines the implementation of service integration and teen friendliness as strategies to improve adolescent sexual and reproductive health. Methods: The project team conducted semi-structured interviews with administrators, providers, and adolescent clients from 10 clinical adolescent sexual and reproductive health service agencies in Alameda County, California. Programs were placed into a topology of integrated service delivery models. The teen friendliness of each program was assessed. Spearman rank correlations were calculated to evaluate the relationship between integration and teen friendliness. Results: Clinical programs exhibited a great range of service delivery models within the integration topology. Human immunodeficiency virus (HIV) counseling and testing services were poorly integrated into clinic services. Teen friendliness and integration showed a negative, but not statistically significant, correlation (R = -.45, p = .19). Conclusion: Programs have made different levels of commitment to service integration or teen friendliness policies. Lessons learned through the integration of sexually transmitted disease (STD) and family planning services may assist efforts to better integrate HIV services for adolescents. Further work to elucidate the relationship between integration and teen friendliness is needed. Periodic reviews can ensure that recommended clinical guidelines, specifically annual risk assessment, are being met, as well as identifying achievable next steps to improve adolescent sexual and reproductive health service delivery.

Titel:	Service integration and teen friendliness in practice : A program assessment of sexual and reproductive health services for adolescents
Autor/in / Beteiligte Person:	BRINDIS, Claire D ; LOO, Virginia S ; ADLER, Nancy E ; BOLAN, Gail A ; WASSERHEIT, Judith N
Link:	E-Journal im Bestand der UB Hagen? View record from PASCAL Archive
Zeitschrift:	Journal of adolescent health, Jg. 37 (2005), Heft 2, S. 155-162
Veröffentlichung:	New York, NY: Elsevier Science, 2005
Medientyp:	academicJournal
Umfang:	print, 25 ref
ISSN:	1054-139X (print)
Schlagwort:	Amérique du Nord North America America del norte Amérique America Etats Unis United States Estados Unidos Pediatrics Pédiatrie Psychology, psychopathology, psychiatry Psychologie, psychopathologie, psychiatrie Sciences biologiques et medicales Biological and medical sciences Sciences medicales Medical sciences Sante publique. Hygiene-medecine du travail Public health. Hygiene-occupational medicine Santé publique. Hygiène Public health. Hygiene Mesures de prévention et actions Prevention and actions Populations particulières (famille, femme, enfant, personne âgée...) Specific populations (family, woman, child, elderly...) Homme Human Hombre Immunodéficit Immune deficiency Inmunodeficiencia Immunopathologie Immunopathology Inmunopatología Infection Infección Virose Viral disease Virosis Adolescent Adolescente Conseil Council Consejo Dépistage Medical screening Descubrimiento Gestation Pregnancy Gestación Maladie sexuellement transmissible Sexually transmitted disease Enfermedad de transmisión sexual Programme sanitaire Sanitary program Programa sanitario Prévention Prevention Prevención Qualité service Service quality Calidad servicio SIDA AIDS Santé mentale Mental health Salud mental Santé publique Public health Salud pública Service santé Health service Servicio sanidad Adolescence Adolescent health services utilization HIV/AIDS Integration Subject Geographic: Amérique du Nord North America America del norte Amérique America Etats Unis United States Estados Unidos
Sonstiges:	Nachgewiesen in: PASCAL Archive Sprachen: English Original Material: INIST-CNRS Document Type: Article File Description: text Language: English Author Affiliations: Department of Pediatrics, Division of Adolescent Medicine and Institute for Health Policy Studies, University of California, San Francisco School of Medicine, San Francisco, California, United States ; STD Control Branch, California Department of Health Services, Sacramento, California, United States ; Department of Psychiatry, University of California, San Francisco, San Francisco, California, United States ; Fred Hutchinson Cancer Research Center, University of Washington, Seattle, Washington, United States Rights: Copyright 2006 INIST-CNRS ; CC BY 4.0 ; Sauf mention contraire ci-dessus, le contenu de cette notice bibliographique peut être utilisé dans le cadre d’une licence CC BY 4.0 Inist-CNRS / Unless otherwise stated above, the content of this bibliographic record may be used under a CC BY 4.0 licence by Inist-CNRS / A menos que se haya señalado antes, el contenido de este registro bibliográfico puede ser utilizado al amparo de una licencia CC BY 4.0 Inist-CNRS Notes: Public health. Hygiene-occupational medicine. Information processing

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Service integration and teen friendliness in practice : A program assessment of sexual and reproductive health services for adolescents