Meeting the reproductive health care needs of adolescents: California’s Family Planning Access, Care, and Treatment Program

Brindis, Claire D.; Llewelyn, Lori; Marie, Kate; Blum, Maya; Biggs, Antonia; Maternowska, Catherine

doi:10.1016/s1054-139x(03)00065-x

Cited by 22 publications

(12 citation statements)

References 11 publications

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“…In these states, initiatives enjoyed strong support from state governors, and used multilevel and multisectoral approaches. In California, which experienced a 21% decline, efforts included a media campaign, school-based education, statewide support for several types of community-based programs (e.g., siblings and male-involvement programs), and increased access to clinical services through Family Pact [29], the family planning initiative of the state's Medicaid program [30]. This multifaceted approach has been sustained for over a decade by governors and state legislators of different parties.…”

Section: Implications For Adolescent Health Policymentioning

confidence: 99%

A Midcourse Review of the Healthy People 2010: 21 Critical Health Objectives for Adolescents and Young Adults

Park

Brindis

Chang

et al. 2008

Journal of Adolescent Health

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Section: Implications For Adolescent Health Policymentioning

confidence: 99%

A Midcourse Review of the Healthy People 2010: 21 Critical Health Objectives for Adolescents and Young Adults

Park

Brindis

Chang

et al. 2008

Journal of Adolescent Health

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“…Programs that have been successful in providing reproductive care ser-vices to teenagers have been funded by public insurance, have ensured confidentiality, and have removed cost barriers. 10,30 In addition, the extended time and expertise required to provide routine pelvic examinations for teenagers is not recognized. Providing adequate information and education to the adolescent experiencing her first pelvic examination or to the adolescent with previous negative experiences requires more time.…”

Section: Reproductive Carementioning

confidence: 99%

Underinsurance of Adolescents: Recommendations for Improved Coverage of Preventive, Reproductive, and Behavioral Health Care Services

Pinzon

Blythe²,

Barratt³

et al. 2009

Pediatrics

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The purpose of this policy statement is to address the serious underinsurance (ie, insurance that exists but is inadequate) problems affecting insured adolescents' access to needed preventive, reproductive, and behavioral health care. In addition, the statement addresses provider payment problems that disproportionately affect clinicians who care for adolescents.Among adolescents with insurance, particularly private health insurance, coverage of needed services is often inadequate. Benefits are typically limited in scope and amount; certain diagnoses are often excluded; and cost-sharing requirements are often too high. As a result, underinsurance represents a substantial problem among adolescents and adversely affects their health and well-being.In addition to underinsurance problems, payment problems in the form of inadequate payment, uncompensated care for confidential reproductive services, and the failure of insurers to recognize and pay for certain billing and diagnostic codes are widespread among both private and public insurers. Payment problems negatively affect clinicians' ability to offer needed services to adolescents, especially publicly insured adolescents. Pediatrics 2009;123:191-196 INTRODUCTIONHaving health insurance has been associated with better access and utilization of health care, whereas uninsured families are more likely to report experiencing "unmet" health care needs for their children and adolescents. 1,2 In 2006, 13.8% of adolescents 13 through 18 years of age and 28.4% of older adolescents aged 19 through 21 were uninsured. 3 Adolescents at greatest risk of being uninsured are older, are Hispanic, and have low household income. The problems of uninsured adolescents have been a long-standing concern of the American Academy of Pediatrics (AAP) and the subject of several policy statements 4-6 and ongoing state and federal advocacy efforts.Having health insurance that provides comprehensive and affordable coverage for preventive, behavioral, and reproductive care is particularly important for adolescents, because the major causes of morbidity and mortality in this age group are related to injuries from motor vehicle crashes, suicide, interpersonal violence, alcohol and drug use, and risky sexual behaviors. This policy statement presents a series of recommended strategies to address the serious underinsurance and payment problems affecting insured adolescents and the clinicians who care for them.

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“…It has been shown that by removing cost barriers, increasing the number and type of providers, ensuring confidentiality, this could increase the number of adolescents accessing the service and thereby providing an opportunity to reduce unintended pregnancies and sexually transmitted infections (12). However, as shown from a study among Indian adolescents, other contextual considerations are important.…”

Section: Editorial Reproductive Health Awareness Among Adolescentsmentioning

confidence: 99%

EDITORIAL: Reproductive health awareness among adolescents

Gichangi¹

2004

E Af Med Jrnl

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Meeting the reproductive health care needs of adolescents: California’s Family Planning Access, Care, and Treatment Program

Cited by 22 publications

References 11 publications

A Midcourse Review of the Healthy People 2010: 21 Critical Health Objectives for Adolescents and Young Adults

A Midcourse Review of the Healthy People 2010: 21 Critical Health Objectives for Adolescents and Young Adults

Underinsurance of Adolescents: Recommendations for Improved Coverage of Preventive, Reproductive, and Behavioral Health Care Services

EDITORIAL: Reproductive health awareness among adolescents

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