An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen Program
Objective: Adolescents encounter numerous healthcare access barriers, leading to poor health outcomes. Researchers developed the Total Teen (TT) program to improve access to sexual and reproductive health (SRH) and mental health (MH) services in settings providing adolescents and young adults (12-25...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-01-01
|
| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319251315307 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582832885596160 |
|---|---|
| author | Whitney Garney Gan Han Christi Esquivel Kristen Garcia Kobi V. Ajayi Kelly Wilson |
| author_facet | Whitney Garney Gan Han Christi Esquivel Kristen Garcia Kobi V. Ajayi Kelly Wilson |
| author_sort | Whitney Garney |
| collection | DOAJ |
| description | Objective: Adolescents encounter numerous healthcare access barriers, leading to poor health outcomes. Researchers developed the Total Teen (TT) program to improve access to sexual and reproductive health (SRH) and mental health (MH) services in settings providing adolescents and young adults (12-25) health services. This pilot study assessed the TT’s impact on care across three settings: school-based health clinics, a federally qualified health center, and an adolescent health clinic for 12 weeks. Methods: Sociodemographic data, including age, race/ethnicity, gender, and insurance status, were collected. MH was assessed using patient health questionnaire (PHQ)-9 and generalized anxiety disorder (GAD)-2 scales, and sexual health was evaluated based on CDC guidelines and additional evidence-based questions. One-on-one time, confidential consultations, SRH and MH micro visits, and referrals measured access. Descriptive statistics, Pearson Chi-square tests, and Kruskal–Wallis tests compared site outcomes, while logistic regression models adjusted for age, gender, race, and site. Results: Four hundred and fifty-one participated in the TT program across the three sites. Concerning micro visits and referrals, being male was associated with lower depression rates ( P = .0003) and generalized anxiety disorder ( P = .0099). Being males also predicted micro visit receipt ( P = .0199). Concerning SRH micro visits, higher sexual behavior scores ( P < .0001) were significantly associated with a greater likelihood of utilizing SRH micro visits. Conclusions: Results indicate that TT improves access to SRH and MH services and referrals for at-risk adolescents. Findings underscore the importance of integrating SRH and MH services into routine adolescent care and involving health organizations and providers as key stakeholders in enhancing preventive healthcare access. |
| format | Article |
| id | doaj-art-ce0b8662b2c34ef0996b3d8d49dd717f |
| institution | Kabale University |
| issn | 2150-1327 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj-art-ce0b8662b2c34ef0996b3d8d49dd717f2025-01-29T09:04:30ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272025-01-011610.1177/21501319251315307An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen ProgramWhitney Garney0Gan Han1Christi Esquivel2Kristen Garcia3Kobi V. Ajayi4Kelly Wilson5School of Public Health, Texas A&M University, College Station, TX, USASchool of Public Health, Texas A&M University, College Station, TX, USASchool of Public Health, Texas A&M University, College Station, TX, USASchool of Public Health, Texas A&M University, College Station, TX, USASchool of Public Health, Texas A&M University, College Station, TX, USASchool of Nursing, Texas A&M University, College Station, TX, USAObjective: Adolescents encounter numerous healthcare access barriers, leading to poor health outcomes. Researchers developed the Total Teen (TT) program to improve access to sexual and reproductive health (SRH) and mental health (MH) services in settings providing adolescents and young adults (12-25) health services. This pilot study assessed the TT’s impact on care across three settings: school-based health clinics, a federally qualified health center, and an adolescent health clinic for 12 weeks. Methods: Sociodemographic data, including age, race/ethnicity, gender, and insurance status, were collected. MH was assessed using patient health questionnaire (PHQ)-9 and generalized anxiety disorder (GAD)-2 scales, and sexual health was evaluated based on CDC guidelines and additional evidence-based questions. One-on-one time, confidential consultations, SRH and MH micro visits, and referrals measured access. Descriptive statistics, Pearson Chi-square tests, and Kruskal–Wallis tests compared site outcomes, while logistic regression models adjusted for age, gender, race, and site. Results: Four hundred and fifty-one participated in the TT program across the three sites. Concerning micro visits and referrals, being male was associated with lower depression rates ( P = .0003) and generalized anxiety disorder ( P = .0099). Being males also predicted micro visit receipt ( P = .0199). Concerning SRH micro visits, higher sexual behavior scores ( P < .0001) were significantly associated with a greater likelihood of utilizing SRH micro visits. Conclusions: Results indicate that TT improves access to SRH and MH services and referrals for at-risk adolescents. Findings underscore the importance of integrating SRH and MH services into routine adolescent care and involving health organizations and providers as key stakeholders in enhancing preventive healthcare access.https://doi.org/10.1177/21501319251315307 |
| spellingShingle | Whitney Garney Gan Han Christi Esquivel Kristen Garcia Kobi V. Ajayi Kelly Wilson An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen Program Journal of Primary Care & Community Health |
| title | An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen Program |
| title_full | An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen Program |
| title_fullStr | An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen Program |
| title_full_unstemmed | An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen Program |
| title_short | An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen Program |
| title_sort | innovative clinic based intervention to improve adolescent access to sexual and mental health services the total teen program |
| url | https://doi.org/10.1177/21501319251315307 |
| work_keys_str_mv | AT whitneygarney aninnovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT ganhan aninnovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT christiesquivel aninnovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT kristengarcia aninnovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT kobivajayi aninnovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT kellywilson aninnovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT whitneygarney innovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT ganhan innovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT christiesquivel innovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT kristengarcia innovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT kobivajayi innovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram AT kellywilson innovativeclinicbasedinterventiontoimproveadolescentaccesstosexualandmentalhealthservicesthetotalteenprogram |