Purpose The purpose of this project is two-fold: 1) conduct a review of the Indian Health Service (IHS) Health Promotion and Disease Prevention (HP/DP) Adolescent Health Centers Grants Program and 2) compile information and describe American Indian/Alaska Native (AI/AN) adolescent health care in the IHS. The main objective of the grant program review was to examine the 14 grantee projects funded through this program and assess the grantees' progress toward meeting the grant program objectives. Methods The review of the grants program was conducted by using the available data and reports contained in the grant files located in the IHS Headquarters Grants Management Branch. Telephone queries were also conducted with grantee project officers. This report is presented in two parts. Part 1 is the description and results of the IHS HP/DP Adolescent Health Centers Grant Program review. Part 2 is the description of AI/AN adolescent health care in the IHS. Results The purpose of these grant demonstration projects was to address the specific health problems of AI/AN adolescents and emphasize health promotion and disease prevention with cultural relevance and sensitivity. Specific areas of focus include: 1) teen pregnancy; 2) sexually transmitted diseases (STD)/acquired immune deficiency syndrome (AIDS); 3) mental health; and 4) alcohol and substance abuse. The grant review created individual grantee profiles that give a "snap shot" of each grant including with program budgets. The grant profiles included: 1) methods for accomplishing goals; 2) major achievements; and 3) identified barriers. The review of adolescent health care in the IHS included information on prevention strategies, research, current programs and services, and national adolescent health strategies. Conclusion Information in this report may be used to enhance prevention strategies for high risk behaviors and develop healthful and responsible practices for AI/AN adolescents.
Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857.
Indian Health Service adolescent health care - a program review and descriptive summary - final report. Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857. 1994