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AFLP and ASPP Training
Under the California Department of Health Services, Maternal and Child Health Branch, Center for Health Training was contracted to provide technical assistance and training to all agencies who participate in the Adolescent Family Life Program(AFLP) and the Adolescent Sibling Pregnancy Prevention Program(ASPPP). These programs offer case management of pregnant and parenting teens and their siblings.

Chlamydia and race/ethnicity in Title X Region X female clients age 15-24 years
The goal for this 2006-2007 DHHS/OPA service delivery improvement research project is to explore and assess Chlamydia (CT) screening, prevalence and prevention services in Title X family planning (FP) clinics in Public Health Service Region X. Specific aims include: 1) assessing racial and ethnic disparities in Chlamydia screening coverage among Title X Region X FP clinic female clients aged 15 -24, from 2004-2005; and, 2) assess racial and ethnic disparities in Chlamydia positivity among Region X FP clinic female clients aged 15-24 from 1997-2005. Results may help identify training and technical assistance issues in FP clinics and the communities they serve to address historically higher levels of CT positivity among racial and ethnic minority Title X client populations in the Pacific Northwest.

Colon Cancer
The goal of this project was to increase screening and follow-up rates to reduce colon cancer incidence and mortality among men and women in Washington State. Project objectives included:

  • Improve primary care providers’ knowledge of colon cancer screening guidelines for average and high-risk patients;
  • Increase primary care providers’ discussion of colon cancer and screening tests—particularly culturally competent strategies for discussing these issues with African American patients—during office visits;
  • Increase primary care providers’ collection of family history of colon cancer; and
  • Improve clinical systems to enhance the quality of colorectal cancer screening and follow-up.
In the first year, CHT worked with Public Health—Seattle & King County to conduct a training for Country Doctor Community Health Centers’ (CDCHC’s) primary care providers. We trained providers on the American Cancer Society’s colon cancer screening guidelines for average and high-risk patients, family history as a public health tool and motivational interviewing techniques. In the second year, we conducted two trainings for Cowlitz Family Health Center (CFHC)—a training for staff in three service sites on motivational interviewing and a training for CFHC’s primary care providers similar to that provided to CDCHC’s primary care providers.

Corrections Collaborations
This project sought to improve reproductive health education and services for incarcerated populations by fostering connections and building partnerships between public health agencies and state and local correctional facilities through training, technical assistance, and outreach.

Family Child Care Association Development Project
The Family Child Care Association Development Project supported high quality family child care in California. This was accomplished by providing training to family child care providers, awarding grants to local family child care associations to support professional development, and supporting the development of local family child care associations where none exist. This project was funded by the California Department of Education, Child Development Division.

Family Planning Outcomes Project
CHT research staff, along with Title X program managers and clinic providers, explored ways to assess client's attitudes, feelings and intentions about family planning and future pregnancies. These issues were assessed via initial self-report surveys and follow-up interviews with female clients at about 12 clinics in Region X.

Family PACT Provider Education and Counseling
California's Family PACT Program is designed to provide "comprehensive family planning services" to low-income women and men in California with no other source of family planning insurance coverage. With California Family Health Council, CHT provided continuing educating and assists California providers to successfully participate in the Family PACT Program.

HIV Prevention Counseling and Service Integration Training
CHT worked with Public Health—Seattle and King County and the Seattle HIV/AIDS Planning Council to organize two kick-off events, a series of specialized training modules and a final event to improve coordination and collaboration between HIV/AIDS care and prevention providers. This was a one-year project completed at the end of 2001.

HRSA Conference Support
HRSA awards nearly 1,000 grants to over 700 agencies and organizations throughout Region IX, supporting many kinds of health-related projects. HRSA reorganized its field operations into geographically defined teams, and redefined its role with its partners. CHT provided supported for this all-grantee conference, whose goals were to: 1) Allow HRSA staff and local leaders from these grantee agencies to explore new partnerships and modes of collaboration. 2) Provide a first ever opportunity for Region IX grantees to meet their colleagues. The conference took place April 2002 in San Francisco.

Pharmacy Access Project
This California statewide project, sponsored by the Pharmacy Access Partnership, increased consumer access to reproductive health care and contraceptives. CHT assisted family planning practices to develop partnerships with local pharmacies, secured and supported demonstration sites, and provide training to family planning providers and pharmacists.

Reproductive Health Discharge Planning for Incarcerated Populations
This pilot project focused on modifying the current discharge planning process to include reproductive health information and referrals and to link community agencies that provide adolescent health services with the juvenile detention centers' programs and staff. A report describing the pilot process and outcome can be downloaded from our "Materials and Resources" section.

Safe Routes to School
From 2000-04, our work on this project recognized that children's health is improved (physically and emotionally) if they are able to walk and bicycle safely in their communities. We gathered information about Safe Routes to School efforts throughout the world, and supported local activists working to make their communities safer. Projects included the California Safe Routes to School Clearinghouse (funded by The California Endowment) which offers support to local activists and public agency staff in their quest to develop Safe Routes to School in their California communities and provide materials and consultation to those who request it; and the Best Practices Research and Technical Guidance Publication (funded by the National Highway Traffic Safety Administration), which guided others interested in developing programs in their communities using the best practices we've gathered from exploring the wealth of various models and activities related to Safe Routes to School throughout the world. More information on these and other efforts can be found on our project web site www.4saferoutes.org.

Standards of Care Project
A three-year project ending September 2001 has identified and field-tested a number of reproductive health indicators and benchmarks in pilot sites in Region VI clinics. Data was collected both at the local and state administrative level. An end product of the project will be a handbook for clinic managers and staff that will focus on general information about performance evaluation and how to use 18 of the indicators evaluated under the project./

Teen Pregnancy Prevention Initiative
The goal of this two-year Region IX project, sponsored by the California Family Health Council with funding from The California Wellness Foundation, was to provide training opportunities for youth-serving professionals and paraprofessionals on issues related to healthy adolescent sexuality, teen pregnancy prevention, and sexually transmitted disease prevention. This project offered very interactive, skills-based full day workshops and shorter technical assistance training, covering a range of topics including: causes and consequences of teen pregnancy, the adults' role in teen pregnancy prevention, using a strength-based approach, sexual development and characteristics of a sexually healthy individual, communication skills, contraceptive use, abstinence, and STD prevention. Project was completed in 2002.

Tobacco Prevention Resource Center
The Tobacco Prevention Resource Center (TPRC) provided training, technical assistance, and information services to Washington State Department of Health community tobacco contractors and other key stakeholders from 2002-05. Services provided were culturally appropriate and responsive to community needs for enhancing tobacco prevention and control efforts.

Training and Technical Assistance for the 72 Hr. Emergency Contraception Pharmacy Program
This California statewide project, sponsored by the Pharmacy Access Partnership, sought to increase consumer access to emergency contraception pills (ECPs). Like many states, California permits pharmacists to provide ECPs under collaborative protocols with health care providers. This effort expanded the pharmacists' role in promoting public health. CHT assisted clinics in developing partnerships with local pharmacies, provided training to family planning providers on ECPs, and trained pharmacists in client-centered counseling.