transforming adolescent risk screening to save lives and reduce gaps in care
TRANSCRIPT
Technology & Teens:
Transforming Adolescent Risk Screening to
Save Lives and Reduce Gaps in Care
Jennifer Salerno, DNP, CPNP, FAANP
Founder, Possibilities for Change
April 6-8, 2014
San Francisco, CA
Annual Conference on Youth + Tech + Health
Teens are at-risk, face risks, and take risks…
…how can we connect – and
make a difference?
Rapid Assessment for Adolescent Preventive
Services © (RAAPS) identifies risk behaviors contributing
most to serious injury and premature death in
adolescents.
RAAPS is an evidence based, time efficient screening tool to
be used by professionals working with youth in any
setting.
• RAAPS was born at the University of Michigan out
of research & practical need:
– Need to Identify Risk Behaviors
– Need for an Engaging Process
– Need for Counselor Support
– Need for Actionable Data
RAAPS Origin
RAAPS Basic Facts:• 21 question screening tool can be completed
5-7 minutes and addresses risk behaviors in:
• Additional Surveys:
• Older Child (9-11yrs)
• College Age (18-24yrs)
• Sexually Active
• Diet & Exercise • Violence & Safety
• Substance Use • Sexual Health
• Depression & Suicide
• Unintentional Injury
Barriers to Risk Assessment
• Provider confidence, skills, training
• Lack of tools/resources
• Time for teens complete survey and provider to
review
• Awareness of need for standardized risk
assessment
• Reimbursement
• Teen engagement!
High Tech Transformation
Technology + Teen + Expert Collaboration =
Innovative Features for Teens
• Designed to Engage
• Technology Based
Tablet, iPad, Kindle
• Audio & Multilingual options
• Health Messages geared to teens
RAAPS Teen Interface
• EHR format for Documentation
• Evidence-based Suggestions for Risk
Reduction
• Individualized Patient Health Education
• Referral Tracking
• Accessible Data…
Integrated Platform for Counselors
Data to Answer the Tough Questions
• What are my teen population’s greatest risks?
• What subpopulations of increased risk exist?
• Do my services or programs meet the needs of
the teens they serve?
• What is the effectiveness of my risk reduction
counseling or programming?
TEEN RISKS: DATA & TRENDS
RAAPS DATA – 2011 To 2013
Nearly 50,000 completed risk assessments to date – with counseling
provided
Data that will be discussed today:
– From 39,115 surveys completed between 2011-2013
About the data
Gender
Female Male Transgender Female Gender Neutral
DATA BY AGE
RAAPS DATA – 2011 To 2013
©2014 Possibilities For Change
©2014 Possibilities For Change
15-19 year olds saw the most significant improvements across all age groups
DATA BY GENDER
RAAPS DATA – 2011 To 2013
©2014 Possibilities For Change
SAMPLE OUTCOMES: MI SBLHCS
RAAPS MI School Based/Linked Health Center Data: 2011-2013
MI SBLHC Outcomes
MI Positive Trends
MI Negative Trends
MI SBLHC Outcomes
MI Positive Trends
MI Negative Trends
A CALL TO ACTION…
Champion Adolescent Risk Assessment
Ensure every adolescent is screened
with a standardized risk assessment
instrument
At the first appointment, in cases of
concern, and once annually
thereafter
And receives evidence-based
counseling and follow-up as
appropriate
75%of the primary causes of premature death and injury in the adolescent population are avoidable
Jennifer Salerno, DNP, CPNP, FAANP
@RAAPS4Teens
www.raaps.org
855-767-4244