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The High-Risk Young People's Program. A summing up.

J G Lear1, H W Foster, J A Baratz

  • 1School-Based Adolescent Health Care Program, Children's Hospital National Medical Center, Washington, DC 20010.

Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

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The High-Risk Young People's Program successfully trained healthcare providers and secured funding for youth health services. However, it was less effective in expanding clinical care beyond initial pilot programs.

Area of Science:

  • Public Health
  • Adolescent Medicine
  • Healthcare Management

Background:

  • High-risk youth face significant sociomedical challenges including teen pregnancy, STDs, substance abuse, and mental illness.
  • Existing services for at-risk youth were often fragmented and insufficient to meet complex needs.

Purpose of the Study:

  • To expand health services for high-risk youth and improve their overall health outcomes.
  • To train healthcare providers in specialized care for this vulnerable population.
  • To consolidate youth services into comprehensive care sites and secure sustainable funding.

Main Methods:

  • A network of 21 teaching hospitals and 54 community organizations provided services over five years.
  • Projects focused on direct medical care, specialized training for healthcare professionals, and service integration.

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  • Funding was provided by The Robert Wood Johnson Foundation.

    • Main Results:

    • Over 1,700 healthcare professionals (fellows, residents, medical students, nurses) received training.
    • Patient visits increased significantly, reaching nearly 90,000 annually by the fourth year.
    • Sixteen projects secured 117 additional grants totaling nearly $7 million.

    Conclusions:

    • The program effectively trained healthcare providers and secured substantial follow-on funding.
    • While successful in training and funding, the program demonstrated limited success in expanding clinical services beyond initial pilot phases.