The Hidden Epidemic Confronting Sexually Transmitted Diseases (1997) / Chapter Skim
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APPENDIX H
APPENDIX H
Pages 383-393
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From page 383... ...
There is limited information, however, regarding the scope of services for STDs among MCOs. A previous study of reproductive health services in MCOs collected limited information on STD-related services and activities (Kaiser/Group Health Association of America, 1994)
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From page 384... ...
used more than one published protocol. The Sexually Transmitted Diseases Treatment Guidelines published by the Centers for Disease Control and Prevention were used by 18 organizations (67 per
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From page 385... ...
MCO includes questions regarding sexual activity on standardized patient history forms. MCO has performance criteria for STD-related outcomes or process measures for STD-related care.
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From page 386... ...
required or encouraged health care providers to discuss sexual activity during routine adolescent health care visits; 12 (46 percent) had an STD-related activity specifically targeted towards adolescents; and 10 (39 percent)
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From page 387... ...
However, because a significant proportion of the survey respondents served populations at high risk for STDs, it is likely that typical MCOs in the United States would have substantially lower levels of involvement in STD prevention activities than those reported in this survey. In general, surveyed MCOs screened for prior STD diagnosis and sexual activity; made STD-related care accessible through primary care providers; used treatment guidelines; and guaranteed availability of acute care within 48 hours.
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From page 388... ...
Kaiser Permanente supports five programs promoting communication and healthy decision-making: "Secrets," "Nightmare on Puberty Street," "Intersections," "R.A.V.E.S.," and "Professor Bodywise's Traveling Menagerie." Respectively, these address sexual health and HIV/STD issues; peer pressure, emotions, and sexuality; communication and conflict resolution; "real alternatives to vio lence for every student"; and health, hygiene, and resistance to peer pressure. These prevention programs are intended mainly for young audiences.
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From page 389... ...
The center's varied health services include routine gynecological care and treatment of sexually transmitted diseases. Social and psychological services are available, and the center sponsors a number of health education opportunities, addressing such issues as reproductive health, birth control, HIV testing and counseling, and STDs.
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From page 390... ...
") defines the term "sexually transmitted diseases"; supplies summaries of the six most common STDs, including HIV; provides a risk assessment quiz; furnishes descriptions of common STD-related symptoms, high-risk behaviors, and STD prevention measures; and lists area clinics and resources.
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From page 391... ...
In order to appropriately target this audience and to encourage innovative approaches to changing youth health behaviors, GHC has worked with the University of Washington, the city of Seattle, a local minority health coalition, and target population focus groups. MY Health takes three main approaches to encourage behavior modification: parenting, youth intervention, and community coalition mobilization efforts.
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From page 392... ...
The evaluation found a small decrease in the number of sexually active students; a moderate increase in the proportion of students utilizing condoms, birth control pills, or both; and a significant decline in the percentage of students with multiple sex partners and in the number of students engaging in unprotected sex. Overall, the 1993 evaluators concluded that the program had a positive impact on the students.
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From page 393... ...
The Watts/Jordan School-Based Health Clinic serves a low-income population in South Central Los Angeles that is 70 percent Latino and 30 percent African American. The 11 pregnant and 18 parenting girls currently seen by the clinic represent the relevance of teen pregnancy, parenting, and sexuality to these adolescents.
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