Teen Pregnancy Prevention Collaborative Partnership Richmond County (Augusta, GA) Prepared by: Messages of Empowerment Productions, LLC Submitted to: The Georgia Campaign for Adolescent Pregnancy Prevention COMMUNITY NEEDS ASSESSMENT COMPREHENSIVE REPORT -1- RICHMOND COUNTY COLLABORATIVE PARTNERS YOUTH-SERVING ORGANIZATIONS Augusta Mini Theater Augusta State University Department of Juvenile Justice East Central Public Health District Fort Gordon Youth Challenge Academy Jones Behavioral Health Kids Restart, Inc. New Bethlehem Community Center Planned Parenthood Rape Crisis & Sexual Assault Services Richmond County Juvenile Court CLINICAL PARTNERS Georgia Health Sciences University Planned Parenthood Richmond County Health Department - Laney Walker site Richmond County Health Department - South Augusta site Asociacion Latina de Servicios del CSRA (Alas) -2- TABLE OF CONTENTS Page No. Acknowledgement of Community Researchers 4 Overview of the Teen Pregnancy Prevention Initiative 5 Overview of the Community Needs Assessment Comprehensive Report 6 Community Needs Assessment Methodology 7 Results 15 Youth Survey Results 15 Caregiver Survey Results 42 Faith Community Survey Results 64 Business Survey Results 73 Public Official Survey Results 80 Clinical Provider Survey Results 93 Pharmacy Survey Results 122 Youth-Serving Organizations 126 -3- ACKNOWLEDGEMENT OF COMMUNITY RESEARCHERS The evaluators thank the Centers for Disease Control & Prevention for their generous funding of this initiative, as well as the G-CAPP program staff for their continued support of the community needs assessment efforts. We are especially grateful to the following professional and community researchers whose diligence during the data collection process and dedication to adhering to specific research protocols helped make this project a success: Bria Shipman-Riley Capus Barnett Carol Hunter Casey Sanford Cristine Brinson Davlyn Hollie Daniela Whitaker Dr. Charlotte Price Eula Chestnut GeorgeAnne Caden Janice Weeks Katie Crow Keenan McCorkle Kimberly Hayes Lawrence Yarbrough Lynda Thomas Mary Chestnut Nicole Williams Olivia Pontoo Remelda Hughes Shaquan Jenkins Shauntia Dyson Tabatha Tutt Yana Parkhomenko Finally, we offer a very special thanks to all the Richmond County residents who graciously participated in the community needs assessment. Because of their cooperation, the evaluation team was able to amass valuable data on the need for comprehensive sex education in the community. Messages of Empowerment Productions, LLC thanks these key stakeholders, without which the community needs assessment would not have possible. We fully believe that the combined efforts of our team and your community will make an impact on teen pregnancy in Richmond County. -4- OVERVIEW OF THE TEEN PREGNANCY PREVENTION INITIATIVE With funding from the Centers for Disease Control and Prevention, the Georgia Campaign for Adolescent Pregnancy Prevention (G-CAPP) is working with 11 youth serving organizations and five reproductive health clinics in Richmond County, Georgia to implement a community-wide teen pregnancy prevention initiative. The initiative’s major aim is to reduce the number of teen births in Richmond County by 10% by 2015. This five-year initiative will reach over 16,000 youth between ages 15 to 19. Richmond County has a teen birth rate of 71.2 per 1,000 girls ages 15 to19 and equally troubling STI rates. G-CAPP will use Muscogee County as the comparison county to evaluate the effectiveness of the intervention. G-CAPP and its partners will use four strategies to reduce teen pregnancy: 1. Implement evidence-based teen pregnancy prevention programs in the community 2. Provide teens with access to quality health services 3. Provide stakeholder education to increase support of evidence-based teen pregnancy prevention strategies 4. Improve the sustainability of the initiative and partner organizations Through this unified, community-based initiative, young people will have access to evidence-based teen pregnancy prevention programs and clinical services, community policymakers will adopt strategies to support adolescent sexual and reproductive health, and state and local funders will be encouraged to support this community-initiative and others similar to it. -5- OVERVIEW OF THE COMMUNITY NEEDS ASSESSMENT COMPREHENSIVE REPORT The community needs assessment Comprehensive Report details the results of Messages of Empowerment Productions’ survey efforts in the Richmond County community. The assessment team administered a series of surveys to various individuals and groups within the community in order to determine the community’s pregnancy prevention needs and collect data to use in implementing teen pregnancy prevention programs in Richmond County. This report begins with a summary of the methods employed in conducting the needs assessment. The methodology section includes the purpose and goals of the assessment, the training and monitoring process through which adult and youth researchers were recruited from the Richmond County community and assisted in administering surveys to their fellow community members, and the process through which survey data was collected, managed, analyzed, and reported throughout the duration of the assessment. The remainder of the report details the assessment results of seven priority populations surveyed: youth, caregivers, faith communities, businesses, public officials/policy makers, clinical service providers, and pharmacies. In a separate section for each individual group, the report describes the priority population and provides the purpose, the population-specific assessment methods and survey administration processes, and the detailed, graphically organized results of the survey. It is important to note that each survey instrument was adapted specifically to accommodate the priority populations’ unique circumstances, so each section of this report, while providing the same general information for all populations, reflects the specifically designed methods and processes that were developed for each priority population. -6- COMMUNITY NEEDS ASSESSMENT Methodology -7- OVERVIEW OF THE COMMUNITY NEEDS ASSESSMENT PURPOSE: The community needs assessment was a necessary first step in planning for an evidencebased intervention to reduce teen pregnancy in Richmond County. The purpose of the assessment was to better understand the community’s knowledge about teen pregnancy prevention, attitudes towards evidence-based teen pregnancy prevention programs, engagement in behaviors that place young people at greater risk for teen pregnancy, and use of programs and strategies that address teen pregnancy. GOALS: The community needs assessment was undertaken to better understand community members’ perspectives on the status of teen pregnancy and prevention efforts in their community. To that aim, surveys were developed to obtain various community members’ perspectives on prevention efforts in Richmond County, challenges healthcare providers face in providing services, challenges young people face in accessing services, and organizations’ ability and willingness to adjust services provided to meet the needs of the Richmond County community. G-CAPP and its collaborating partners are currently finalizing the procedures for implementing the teen pregnancy prevention intervention in Richmond County. In order to implement the proposed programs, this community needs assessment will provide G-CAPP and its partners with a better understanding of community members’ perspectives on the status of teen pregnancy in Richmond County. METHODOLOGY: The community needs assessment team adapted the “resident research” approach, a proven methodology developed by Philliber Research Associates specifically for community-based research. The hallmark of this approach is its involvement of community members in the data collection process. G-CAPP contracted Messages of Empowerment Productions to recruit and train a team of Richmond County residents to survey their fellow community members. Specifically, the community researchers helped administer the survey to caregivers and teens, youth-serving agencies, schools, faith communities, businesses, policy makers, and health clinics. They also assisted in reviewing existing data sources to get a complete picture of teen pregnancy prevention assets and needs in the community, the services already provided to area teens, and the challenges teens face in accessing those services. -8- The research team administered thirty-minute surveys to a diverse cross-section of the Richmond County community, including residents from the cities of Augusta, Hephzibah, and Blythe. Surveys were administered either face-to-face or by phone interview to twenty to thirty community members per priority population. Data was collected from April 4, 2011 to October 14, 2011. To ensure rigor and streamline data collection, the research team conducted the assessment in three waves. For each wave, the research team employed unique data collection methods, research management plans, and survey monitoring processes specifically developed for the priority population: WAVE 1: Teens and caregivers (April 3, 2011 – June 4, 2011) WAVE 2: Faith communities, businesses, and policy makers (May 9, 2011 – August 22, 2011) WAVE 3: Youth-serving organizations, health clinics, and pharmacists (August 22, 2011 – November 9, 2011) The community needs assessment team designed this staggered data collection method intentionally in order to prioritize the target populations surveyed. The assessments began at the “individual” level with the population most closely affected by teen pregnancy in the community (i.e., teens themselves and their caregivers). The team then moved to the “community level,” addressing the specific groups that have a stake in teen pregnancy (i.e., faith communities, business communities, and policy makers). The final wave collected data at the “organization level” and included entities that provide social and health services to youth within the community (i.e., youth-serving organizations, health clinics, and pharmacies). It is necessary to note that although Hispanic residents account for only 2% of the Richmond County population, Hispanic communities account for a disproportionate number of teen pregnancies. Assessing the unique issues surrounding teen pregnancy in these communities can be challenging due to language barriers, so the evaluation team anticipated a need for additional resources in collecting data on Hispanic community members’ culturally-specific knowledge, attitudes, and behaviors regarding teen pregnancy. The team identified and solicited the help of Spanish-speaking researchers and translated both the teen and caregiver survey tools into Spanish; however, since the Spanish-speaking researchers were not always readily available, very little data were collected from Richmond County’s Hispanic communities. -9- The following table provides a visual illustration of the data collected from each priority population and the staggered approach used to obtain the data: INSTRUMENT DATA COLLECTOR (S ) PAYMENT TO DATA COLLECTORS PAYMENT FOR RESPONDENTS TARGET NUMBER OF RESPONDENTS TIMEFRAME The Teen Survey Youth Community Researchers $10.00 / survey collected $10.00 400 youth April 3 – June 4 The Caregiver Survey Adult Community Researchers $10.00 / survey collected $10.00 400 caregivers April 3 – June 4 The Faith Community Survey Professional Researcher Completion stipend: $250 $10.00 20 May 9 – May 27 The Business Community Survey Professional Researchers Completion stipend: $250 $10.00 20 May 9 – May 27 The Policy Makers Survey Research Team $0 $0 5 May 15 – June 10 5 partner & 5 non-partner agencies August 30 – September 13 10 partner & 10 non-partner agencies September 27 – November 9 5 August 22 – September 2 The Family Planning/Clinical Services Provider Survey The Community Agency Survey The Pharmacy Survey Research Team $0 Research Team $0 Research Team $0 $0 – included in MOU – issued by GCAPP $0 – included in MOU – issued by GCAPP $0 - 10 - THE TRAINING AND MONITORING PROCESS RECRUITMENT, SELECTION, AND TRAINING OF COMMUNITY AND PROFESSIONAL RESEARCHERS COMMUNITY RESEARCHERS were needed to collect data from teens and adult caregivers within the community. To recruit participants, nomination forms and job descriptions for youth and adult community researchers were disseminated throughout the community. Flyers were also strategically posted at locations frequented by teens. Candidates with completed applications, including an essay, were selected first, followed by those without essays. Training for all community researchers consisted of a one-day session, held on March 19, 2011 from 8:00am to 3:30pm at the Richmond County Health Department Training Room in Augusta, GA. Youth and adult community researchers were trained together. PROFESSIONAL RESEARCHERS were needed to collect data among businesses and faith communities. To recruit researchers, nomination forms and job descriptions for professional researchers were disseminated throughout the community. Candidates were nominated by members of the core partner group for the initiative and selected based on prior data collection experience. Training for all professional researchers consisted of a half-day session, held on April 19, 2011 from 12:00pm to 4:00pm at the Richmond County Health Department Training Room in Augusta, GA. During training, community and professional researchers learned about the community needs assessment, the researcher’s role in data collection, and their responsibilities as subcontractors for the collaborative partnership. Each researcher also received a bound manual which included a detailed description of data collection and administrative procedures, necessary researcher/subcontractor employment documents, a prospective interviewee log, and a training feedback form. The manual also included a participant packet folder consisting of a participant packet checklist, two consent forms, a pre- and post-interview field notes form, a demographic profile sheet, a survey tool, an incident report, and a weekly communication log. Along with the researcher manuals, Messages of Empowerment prepared toolkits for the researchers that consisted of a document carrying case with at least 10 copies of all documents in the participant packet. The researchers were able to practice survey administration on one another, in addition to follow-up survey administration practice with an experienced member of the needs assessment team both in-person and over the phone. - 11 - OVERVIEW OF THE DATA COLLECTION, MANAGEMENT, ANALYSIS, AND REPORTING PROCESS DATA COLLECTION Youth and adult community researchers identified and recruited participants from their priority populations. Youth were divided into five sub-groups based on school status: 1) Youth who attended school regularly 2) Youth who did not attend school regularly 3) Youth who obtained their education at an alternative education program 4) Youth who were associated with the Department of Juvenile Justice (DJJ) 5) Youth who were associated with the foster care system Caregivers were also divided into five sub-groups: 1) Parent(s)/guardian(s) 2) Extended family members or friends serving as caregivers 3) Foster parents 4) Parents of youth associated with the DJJ 5) Hispanic caregivers Each community researcher was responsible for identifying and interviewing twenty participants who met eligibility criteria. In the event that researchers were not able to gain access to twenty individuals, the needs assessment team contacted youth-serving community agencies that provide services or support to the subgroups identified, which then served as referral sources and data collection sites. When a community member agreed to participate in the assessment as a survey respondent, they were asked to review and sign an informed consent document, after which the community researcher completed the demographic profile sheet and administered the survey. Professional researchers assigned to businesses were given three different subgroups to target, based on the type of establishment: 1) Entertainment businesses (i.e., bowling alleys, skating rinks, movie theaters) 2) Fast food restaurants 3) Shopping mall stores - 12 - Each researcher was responsible for surveying representatives from eight businesses within their subgroup. Researchers assigned to faith communities were provided with a list of 30 target churches to ensure that various faith communities were included in the assessment. Researchers assigned to this priority population divided the list among themselves and recruited faith leaders as such. RESEARCHER MONITORING AND ASSISTANCE To ensure that community and professional researchers met their weekly recruitment goals, the Messages of Empowerment Productions’ research team retrieved data from researchers every Thursday during the data collection period. Researchers were asked to meet the assessment team at New Bethlehem Community Center during the hours of 3pm and 7pm to drop off their data. While the researcher was present, the assessment team reviewed all data submitted to ensure completion. All data were transported to the Messages of Empowerment Productions’ office within the same day. All files were kept in the needs assessment manager’s office in a locked cabinet labeled “CDC.” The data manger retrieved the files for data entry and completion of status reports on the following business day. The community needs assessment team also provided technical assistance to community and professional researchers through the use of a telephone helpline, e-mail correspondence, or weekly conference calls. Conference calls were held with community researchers every Sunday from 7:00pm to 8:00pm (youth) and 8:00pm to 9:00pm (adults) and with professional researchers every Monday from 7:30pm to 8:30pm. Conference calls were used to discuss successful data collection strategies, to provide updates, and to address any issues or concerns. DATA STORAGE IN RICHMOND COUNTY Community and professional researchers kept completed survey packets inside their toolkits until Thursday, when completed packets were submitted. These toolkits were securely stored and restricted from public access. Confidentiality was emphasized during researcher training as a responsibility of community and professional researchers; this information was also detailed in researcher manuals. - 13 - DATA TRANSPORT FROM RICHMOND COUNTY TO ATLANTA Data were transported from Richmond County to Atlanta in a locked briefcase within the trunk of the needs assessment manager’s car. Data were placed in the locked cabinet immediately upon arrival in Atlanta. DATA CONFIDENTIALITY AND PRIVACY PROCEDURES Respondent consent forms detailed the confidentiality of data collected by community and professional researchers. The surveys were kept confidential, and there will be no names provided in the assessment results reports. Additional measures to ensure confidentiality were employed when surveying teens within the DJJ and foster care systems. Their names were not collected; instead, the research team worked with staff overseeing these populations to develop ways to uniquely identify them. The DJJ youth consent forms remained within respondents’ files at the detention center. All data collected remained confidential after arrival in Atlanta. Files were stored in a locked file drawer within a secured office space. Data entered into the local database were saved in a sub-folder of the Messages of Empowerment Productions’ shared drive that was only accessed by the community needs assessment team. DATA MANAGEMENT AND ENTRY PROTOCOLS Data entry began on Thursday, May 12, 2011, and continued on a weekly basis. The data entry process was managed by the evaluation coordinator. ERRORS/PROBLEMS WITH DATA Quality assurance of data was performed primarily by the evaluation coordinator. She employed various inquiries to verify validity, including descriptive data analysis to generate a report for each survey question. This process was performed weekly. SPSS DATABASE SYSTEM AND CODE BOOK An SPSS database was built for each survey. All databases were stored on the password-protected Messages of Empowerment Productions’ shared drive. Code books that followed the layout of each database were developed for all surveys. - 14 - YOUTH SURVEY Results - 15 - YOUTH SURVEY DATA ANALYSIS YOUTH SURVEY DATA COLLECTION METHODS PURPOSE AND GOALS The purpose of the youth community assessment survey was provide an understanding of Richmond County youths’ knowledge, beliefs, and opinions about several factors that affect adolescents’ access to and comfort with health services available in the community. The survey asked questions about issues teens face today, like dropping out of school, gangs, drug and alcohol use, and teen pregnancy. The survey also asked about whether sex education is offered in schools and where teens get information about sexual health and birth control methods. SURVEY DEVELOPMENT The youth survey was adapted from Philliber Research Associates tool. There was no accessible electronic version of the tool available, so an electronic version was created and revised according to suggestions by G-CAPP staff, the lead project researcher, the data manager, and through review of the tool for errors noted by community researchers and other research team members. Revisions were complete by April 1, 2011. DEMOGRAPHIC PROFILE SHEET A demographic profile sheet was developed to complement the survey. This sheet was completed by youth community researchers prior to beginning the survey. The sheet’s purpose was to provide general information about respondents (e.g., age, sex, marital status, racial affiliation, educational attainment, etc.). Certain target populations such as youth in the foster care and DJJ systems were asked to omit questions referring to their names and addresses. As mentioned above, a unique identifier assigned by the data manager was designated for each survey completed within these populations. DATA COLLECTION START AND END DATE Data collection official began April 2, 2011 and continued until June 4, 2011. SURVEY PARTICIPANT RECRUITMENT Youth community researchers were responsible for completing four surveys per week. The community needs assessment’s youth survey participant pool was comprised of many segments of youth in Richmond County between the ages of 15 and 19. There was some overlapping in the - 16 - various segments of youth that were recruited. As such, youth were allocated to appropriate segments to fulfill target recruitment. These segments of young people were: SCHOOL-AGED YOUTH. This segment was comprised of teens who attended a high school within the Richmond County Board of Education public school system or a private school within the Richmond County district. The needs assessment team targeted 200 school-aged youth. School-aged youth were recruited by the youth community researcher. At training, youth researchers were given a Prospective Interviewee List for the names and contact information of potential respondents. The youth community researchers also submitted additional prospective survey participants to their designated needs assessment team leader throughout the data collection period. The research team contacted each person on the list to obtain consent from the both the youth and his or her parent or guardian. Once the youth and his or her parent or guardian had been reached, the needs assessment team leader informed the youth community researcher that they could contact the respondent to schedule a survey appointment. As the list of prospective interviewees dwindled for each community researcher, the needs assessment manager accessed additional school-aged youth through community centers and after school programs such as the Boys & Girls Club. The needs assessment manager met with Boys & Girls Club directors in Augusta on April 19, 2011 to discuss adult and youth community researchers administrating surveys to club members and possible implementation of the pregnancy prevention initiative in the future. The lead assessment team researcher met with Ms. Jacquelyn Turner from Haigler Boys & Girls Club on April 28, 2011 and was granted access for both youth and adult community researchers to administer surveys on May 3, 2011 from 4:30pm to 6pm. The evaluation team also met with Mr. Tony Miller, the owner of the Diamond Lakes Community Center in Hephzibah, GA, on April 21, 2011. Data collection took place on Saturday, May 14, 2011 at the Compass Christian Baptist Church’s health fair in Hephzibah from 9am to 1pm. Data collection was planned for youth in the Upward Bound Program (a college preparatory program for high school students from low income families) at Paine College on Saturday, May 7, 2011 from 8am to 12pm; however, the director of the program was unavailable. This data collection opportunity was rescheduled. - 17 - The needs assessment team played a pivotal role in helping youth community researchers recruit participants from local organizations. The team contacted various organizations within the community to ask about survey administration possibilities. A member of the needs assessment team reviewed the informed consent process with each youth participant and their parent or guardian. When the informed consent process was completed, a youth community researcher collected data at the designated facility. The assessment team arranged a date and time for data collection and accompanied youth researchers during the scheduled data collection. SCHOOL-AGED YOUTH WHO DO NOT ATTEND SCHOOL: This group includes school-aged youth who have dropped out of school. The needs assessment team attempted to recruit 25 school-aged youth who do not attend school from local community centers. Data collection took place on Tuesday, May 3, 2011 at May Park where the majority of respondents had gathered at the center to play basketball. Data was also collected from caregivers of teenagers who were present. The research team returned to May Park on Monday, May 16, 2011. Data collection for this group also took place on Thursday, May 12, 2011 at Bernie Ward Community Center; Wednesday, May 18, 2011 from 3:30pm to 5pm and from 6pm to 8pm at McDuffie Woods Community Center and from 1pm to 3pm at Henry Brigham Community Center. On Thursday, April 28, 2011 the lead researcher met with Evangelist Williams from Fairview Missionary Baptist Church in hopes of scheduling surveys with the church’s youth and adult population. The research team also sought to collect data in the Cherry Tree Community through Evangelist Johnson’s partnership with Ms. Rita Thompson of the Housing Authority. Unfortunately, no data collection resulted from these efforts. YOUTH PURSUING ALTERNATIVE EDUCATION: Youth in this group received education in an alternative setting because they had either dropped out or been expelled from a public or private school within the community. The needs assessment team sought to recruit 100 respondents from this group. The youth were recruited from the National Guard Youth Challenge Academy, which provides services and education to young people ages 16 to 18 who have dropped out of high school, are unemployed, are substance-free, and have no criminal record. There were a total of 41 youth eligible to participate in this survey. A member of the needs assessment team obtained consent from cadets in the program, and Mr. Joseph Barron, the program’s lead counselor, served as the authorized representative who granted consent for all minors. Data was collected at Fort Gordon from 1:00pm to - 18 - 8:00pm on Saturday, May 7, 2011. Researchers returned to Fort Gordon on Saturday, May 28, 2011 to administer surveys at Fort Gordon’s Youth Service Center. YOUTH ASSOCIATED WITH THE JUVENILE JUSTICE SYSTEM: This group was comprised of youth who resided in a residential youth detention facility and whose permanent address was within Richmond County, or who had been referred to Juvenile Court and were mandated to report to the DJJ office weekly. The needs assessment team attempted to recruit 50 youth from this population. The designated representative for the DJJ, Mrs. Angela Crosby, acted as the liaison for the Youth Detention Center (YDC) and Regional Youth Detention Center (RYDC) facilities. Data from 26 detained male respondents were collected at the RYDC, a short-term detention center, and the YDC, a long-term detention center. Signed consent forms for detained youth remained in the respondents’ records and were not removed from the facilities. Two members of the needs assessment team along with three youth community researchers (two females and one male) were approved for survey administration at the facility on April 25-26, 2011. Survey documents were reviewed for this population immediately following survey administration. The “HIT Team”, which was tracking 36 youth associated with the DJJ, was also used for data collection. Ten male youths reported to the HIT Team every Thursday at the DJJ downtown office between the hours of 5:00pm and 6:00pm. Ms. Cheryl Bush, who served as a liaison for the HIT Team, assisted the needs assessment team in establishing a special data collection process for this group. The assessment team contacted the youths’ parents or guardians for consent, and three male community researchers conducted surveys to these respondents on Thursday, April 21, 2011. YOUTH ASSOCIATED WITH THE FOSTER CARE SYSTEM: This group included youth who lived with nonbiological foster parents. The needs assessment team attempted to recruit 50 respondents from this group. Data was collected from youth who receive services from Kids Restart, a non-profit organization that provides a supervised visitation program for children in foster care or shelters. The assessment team met with Ms. Daniela Whitaker, the Executive Director of Kids Restart, on April 21, 2011 to a devise a data collection plan. As youth in this category may have additional challenges that a community researcher may not have been able to manage, it was determined that Ms. Whitaker, who is familiar with challenges faced by youth in foster care, has a relationship with respondent families and DFACS and received training along with professional researchers to administer surveys, would be the only person to access this population. Data collection began on May 2, 2011 and was - 19 - completed by the end of May. Kimberly Lee from Neighbor to Family, another foster care provider in Augusta, was also contacted for data collection; however Ms. Lee reported that the organization does not serve the target age group. HISPANIC YOUTH: The assessment team planned to recruit and train a Hispanic youth community researcher to collect data from 25 Hispanic respondents. A translator was contracted to assist with data collection when necessary. The needs assessment manager contacted the Clinica de Latina, but no data collection resulted from this effort. The assessment team also contacted Planned Parenthood, HOLA newspaper, and the Women, Infants, and Children (WIC) program office for assistance with accessing Hispanic youth. The assessment team found it difficult to access this population due to stringent laws now in place for illegal immigrants, and was only able to collect data from a small number of Hispanic youth. Below is a summary of the sampling plan for youth compared to the actual data collected: YOUTH SUB-GROUPS PLANNED SURVEYS YOUTH SUB-GROUPS & DEFINITION School-aged youth who attend school – Youth who attend high school within the Richmond County Board of Education public school system or private school within the Richmond County district School-aged youth who do not attend school – Youth who have dropped out of school Youth pursuing alternative education – Youth who receive education in an alternative setting because they have dropped out or been expelled from a formal public or private school Youth associated with the juvenile justice system – Youth who reside in a residential youth detention facility and whose permanent address is within Richmond County, or who have been referred to the juvenile justice system and are mandated to report to once a week to the DJJ office Youth associated with the foster care system – Youth who currently live with non-biological foster parents Hispanic/Latino(a) youth TOTAL - 20 - YOUTH SUB-GROUPS ACTUAL SURVEYS COLLECTED In school = 277 200 Post secondary = 17 25 61 100 46 25 50 50 0 25 7 (spread across school types above) 425 426 COMPENSATION FOR RESEARCHERS Researchers were compensated $10.00 per completed survey packet submitted from April 2, 2011 – June 4, 2011, a $25.00 stipend for training attendance (after three completed survey packets submitted), and a 50.00 allowance for personal cell phone usage (after 15 completed survey packets submitted). There were also prizes awarded each week. A completed survey packet consisted of a checklist with initials by both the researcher and needs assessment team member verifying completion of informed consent, pre- and post- interview field notes, demographic sheet, and survey instrument. It was also required that youth community researchers be present for all Sunday conference calls. COMPENSATION FOR RESPONDENTS Each survey respondent received a one-time $10 gift certificate for their participation in the assessment. - 21 - YOUTH SURVEY DATA ANALYSIS RESPONDENT DEMOGRAPHICS The community researchers collected 426 surveys among diverse groups of young people located in Richmond County/Augusta, Ga. Four key variables were selected for detailed within-group data analysis: gender, age, school status, and race. These variables were selected for further analysis because of their implications for the implementation of evidence-based teen pregnancy prevention programs in the community. GENDER. Community researchers recorded gender affiliations for 424 of the 426 youth surveyed. 190 respondents (45%) were male and 234 (55%) were female, which indicates a relatively even distribution of male and female survey respondents. AGE. Community researchers recorded age for 424 of the 426 youth surveyed. Youth were divided into two groups based on the priority populations for the teen pregnancy prevention initiative. 268 respondents (63%) were between the fifteen and seventeen years old, and the remaining 156 (37%) were between ages eighteen and nineteen. SCHOOL STATUS. Community researchers recorded school status for all 426 youth surveyed. 277 respondents (65%) were in school, 61 (14%) reported not attending school regularly, 46 (11%) were pursuing alternative education (i.e. had dropped out of school and were completing their education in the Youth Challenge Academy), 25 (6%) were detained in Augusta’s Regional Youth Detention Center (RYDC), which assumes responsibility for detainees’ education, and 17 (4%) were enrolled in post-secondary educational institutions. RACE. Community researchers recorded racial affiliations for 421 of the 426 youth surveyed. 342 respondents (81%) identified themselves as African American, 52 (12%) identified themselves as white, 7 (2%) identified themselves as Hispanic, and 20 (5%) selected the option for a race / ethnicity not listed on the survey. - 22 - YOUTH SURVEY DATA ANALYSIS SECTION 1: ISSUES THAT TEENS FACE 1. TEENS’ LEVEL OF CONCERNS ABOUT KEY ISSUES Extremely Concerned Somewhat concerned A little concerned Not at all concerned No Opinion 259 (61%) 95 (22%) 43 (10%) 26 (6%) 3 (1%) 184 (43%) 210 (49%) 214 (50%) 220 (52%) 173 (41%) 224 (53%) 214 (50%) 277 (65%) 126 (30%) 83 (20%) 128 (30%) 91 (22%) 122 (29%) 126 (30%) 105 (25%) 77 (18%) 79 (19%) 57 (13%) 52 (12%) 51 (12%) 81 (19%) 49 (12%) 52 (12%) 37 (9%) 34 (8%) 69 (16%) 31 (7%) 53 (13%) 43 (10%) 25 (6%) 50 (12%) 31 (7%) 2 (1%) 7 (2%) 1 (<1%) 5 (1%) 5 (1%) 2 (1%) 5 (1%) 4 (1%) a. The threat of AIDS and other sexually transmitted diseases among teens b. Teens dropping out of school c. Teen youth gangs d. Teen pregnancy e. Racism and discrimination f. Drugs and alcohol abuse among teens g. The threat of crime and violence towards teens h. Depression, suicide and other emotional problems i. Sexual violence or abuse 2. TEENS' RATINGS OF COMMUNITY ON SELECT HEALTH AND SOCIAL SERVICES a. Promoting healthy behaviors and lifestyles among its teens? b. Providing teens with access to family planning services if they should need them? c. Providing educational opportunities for teens and young people? d. Providing teens with access to sex education programs? e. Providing recreational activities for teens? f. Being a place where teens can get a job? g. Being a place where teens can grow up without being pressured by their peers to use drugs and alcohol? Poor Fair Good Excellent No Opinion / Don’t Know 71 (17%) 84 (20%) 189 (44%) 150 (35%) 119 (28%) 121 (29%) 32 (8%) 38 (9%) 15 (4%) 32 (8%) 46 (11%) 115 (27%) 173 (41%) 89 (21%) 3 (1%) 108 (25%) 46 (11%) 102 (24%) 149 (35%) 123 (29%) 114 (27%) 128 (30%) 139 (33%) 128 (30%) 134 (32%) 113 (27%) 83 (20%) 55 (13%) 128 (30%) 72 (17%) 45 (11%) 12 (3%) 4 (1%) 7 (2%) 10 (2%) - 23 - 2. TEENS' RATINGS OF COMMUNITY ON SELECT HEALTH AND SOCIAL SERVICES h. Giving all young people opportunities, regardless of their race or ethnicity? i. Valuing and respecting young people? Poor Fair Good Excellent No Opinion / Don’t Know 51 (12.0%) 137 (32.2%) 150 (35.2%) 82 (19.2%) 6 (1.4%) 71 (17%) 149 (35%) 138 (32%) 60 (14%) 8 (2%) 3. TEENS’ ACCOUNTS OF COMMUNITY AND SCHOOL INVOLVEMENT OVER THE PAST YEAR Gone to school “regularly” (that means you miss less than one day per month)? Done any volunteer work? Been in any activities at school like band, clubs, sports, or anything like that? Had a paying job? Received services from any kind of tutoring program? Had a mentor or a big brother or big sister? Participated in church sponsored activities? Been in any programs like Boys & Girls Club, Boy or Girl Scouts, or something like that? 4. TEENS’ No Yes 100 (24%) 152 (36%) 109 (26%) 261 (62%) 291 (68%) 260 (61%) 172 (40%) 328 (77%) 326 (77%) 273 (64%) 317 (74%) 163 (38%) 135 (32%) 165 (39%) 254 (60%) 98 (23%) ACCOUNTS OF ADDITIONAL PROGRAMS OR ORGANIZED ACTIVITIES No Yes 294 (70%) 127 (30%) LIST OF ADDITIONAL PROGRAMS AND ORGANIZED ACTIVITIES: 100 Black Men, 10th District Nat. SE Region Convention, 4H Club, AAU Basketball, After School Program; All-State, American Legion Boys State Military, Augusta Arsenal Soccer Club, Augusta Mini Theatre, band, BAND, Basket at Rec. Dept., Basketball, Big Sisters In Action, Blue Bistro Theater, Book Reading Club. Camp VIP, Choir, Chorus, Church, Church Basketball, Cosmetology, Cotillion Social Inc., Creative Impressions, CSRA Band, Dance Programs, Dare Program, Debutante Club, Delta Academy, Delta Gems, Family Y, FBLA, Football, GCAPP, GCP Band, Gut Check, HUNT 2, Jesse Norman Performing Arts, JLA., JROTC, Laney Pearls, Mentally Challenged, Mentoring, MINE, Mocha Sister, National Honor Society, Orchestra, Peer Mentor, POSAT Board Debutante Club, Positive Boys Positive Men, Positive Girls In Action, Probation activities, Red Cross, Rowing, - 24 - S.T.A.R.S, Softball, Sports, STEM Program, Summer Camp, Swim Team, Teen Violence, The Eastern Stars, Trees-Science, Triple Play Thru Youth Services, Upward Bound, VA Volunteer. Venture Scouts, Work, YMCA, Youth Center, Youth Challenge Academy, 21st Century Leaders, A TEAM, Anointed Flavor Skit Team (Church), Augusta Boxing Club, Babysitting, BAREFOOT PRODUCTIONS/CREATIV IMPRESSIONS, Honors Programs, IB Program, IB Volunteering, Manned An Automotive Shop, Mitchell Way Youth Group. Mr. GA Club, North Augusta Recreational Facility, Skills USA, Special Olympics, Walker Baptist Association, Youth Board, Youth Chapter, Youth Leadership 5. YOUTHS’ KNOWLEDGE OF HELP FOR PLANNING FOR COLLEGE No 83 (20%) Yes 341 (80%) 6. YOUTHS’ KNOWLEDGE OF HELP FOR FINDING A JOB OR SKILL No 122 (29%) Yes 303 (71%) 7. YOUTHS’ KNOWLEDGE OF HELP FOR CHOOSING A CAREER No Yes 117 (28%) 308 (73%) PLACES YOUTH MENTIONED WHERE THEY COULD GET HELP FOR PLANNING FOR COLLEGE, JOB, OR CAREER: Sport coaches, Advisors, Army, Augusta State University, Augusta Partnership for Children, Augusta Mini Theatre, Family members, Boss, Boys & Girls Club, CDEP, Chief, Church, College admission office, College fairs, collegeboard.com, friends, Community worker, Internet, Family friends, Financial aid office, Founder, GA 411, Augusta Tech, GED, Graduation coach, IB Dean, Job Corps, Mentor, Principal, Probation officer, Recruiters, Rehab counselor, School, UGA, Teachers, Upward Bound, YCA, AMT, YSC, JROTC, Self, Administrator, Library, Juvenile Justice staff, A staff member REASONS YOUTH GAVE FOR NOT ACCESSING PLACES TO GET HELP FOR PLANNING FOR COLLEGE, JOB, OR CAREER: Been busy, Been locked up, Concerned about getting better grades now, Didn't go/show up, Does not have time, Don't know, Family issues on my mind now, Has to complete drug court, Hasn't called back, Haven't decided what college, Haven't had the contact info, Haven't thought that far ahead, I - 25 - believe she's bias and tell us we can’t do something (get into certain colleges THAT ARE obtainable), Just Haven't/no reason, Mom is helping, Money issue, Not going, Not in that stage right now, but plan to soon, Not on my mind right now, Not reached scheduled date yet, Online resources, Prefer research on computer, Takes a lot of time, They know but we haven't talked, Waiting for junior year YOUTH SURVEY DATA ANALYSIS SECTION 2: ISSUES ABOUT TEEN PREGNANCY 8. DEGREE TO WHICH TEEN PREGNANCY IS PERCEIVED TO BE A SERIOUS PROBLEM AMONG TODAY’S TEENS Not at all serious A little serious Somewhat Very serious No Opinion serious 8 (2%) 30 (7%) 79 (19%) 307 (72%) 9. YOUTHS’ PERCEPTIONS OF TIMING OF SEX EDUCATION Too Soon About right age Too Late 85 (20%) 145 (34%) 180 (42%) 2 (1%) No Opinion 15 (4%) 10. YOUTHS’ VIEWS ON SEXUAL INFORMATION ABOUT PROTECTION NO MATTER ONE’S SEXUAL ACTIVITY Information only encourages Should be given information No Opinion them to have sex 49 (12%) 354 (83%) 11. YOUTHS’ OPINIONS ABOUT AGE-APPROPRIATE SEX EDUCATION Should not Should 28 (7%) 380 (90%) 11A. YOUTHS’ OPINIONS ABOUT AGE-APPROPRIATE SEX EDUCATION - 26 - 22 (5%) Depends/No Opinion 16 (4%) 1 grade or less st 2 grade nd 3 grade rd 4 grade th 5 grade th 6 grade th 7 grade th 8 grade th 9 grade th 10 grade th 11 grade th 12 grade th Depend s/No opinion 6 (2%) 0 (0%) 5 (1%) 16 (4%) 52 (14%) 129 (34%) 60 (16%) 62 (16%) 42 (11%) 2 (1%) 3 (1%) 1 (<1%) 5 (1%) 12. YOUTHS’ PERCEIVED KNOWLEDGE OF WHERE SEX EDUCATION CLASSES ARE OFFERED a. High schools b. Middle schools c. Elementary schools d. After school programs No Yes Not Sure 96 (23%) 119 (28%) 310 (74%) 192 (46%) 300 (71%) 261 (62%) 42 (10%) 99 (24%) 26 (6%) 42 (10%) 69 (16%) 128 (31%) 13. YOUTH’ OPINIONS ON WHAT SEX ED. TOPICS SHOULD BE TAUGHT AT THE HIGH SCHOOL LEVEL a. Discourage teens from having sex before marriage b. Encourage teens who are sexually active to use protection, such as condoms, to prevent pregnancy and disease c. Teach teens the basic facts of human reproduction d. Discuss how to talk about sex with a partner e. Discuss the dangers of AIDS and other sexually transmitted diseases f. Discuss responsibility associated with pregnancy and parenting g. Provide information on healthy relationships h. Talk about communication with partner Should not Should No Opinion 128 (30%) 9 (2.1%) 261 (61%) 411 (96.5%) 36 (9%) 6 (1.4%) 7 (2%) 49 (12%) 5 (1%) 3 (1%) 26 (6%) 31 (7%) 413 (97%) 360 (85%) 419 (99%) 419 (99%) 394 (93%) 385 (91%) 4 (1%) 16 (4%) 0 (0%) 3 (1%) 4 (1%) 9 (2%) - 27 - YOUTH SURVEY DATA ANALYSIS SECTION 3: ISSUES ABOUT SEX & BIRTH CONTROL 14. YOUTH WHO BELIEVE THEY CAN TALK TO THEIR PARENTS ABOUT SEX No Yes 152 (36%) 248 (58%) Not Sure 26 (6%) 15. YOUTH WHO BELIEVE THEY CAN TALK TO THEIR PARENTS ABOUT BIRTH CONTROL No Yes Not Sure 138 (33%) 252 (59%) 35 (8%) 16. YOUTH WHO BELIEVE THEY CAN TALK TO THEIR PARENTS ABOUT PREGNANCY No Yes Not Sure 115 (27%) 283 (66%) 28 (7%) 17. YOUTH WHO REPORTED THAT THEY HAVE ACTUALLY TALKED TO PARENTS/CAREGIVERS ABOUT SEX No Yes Not Sure 116 (27%) 300 (70%) 10 (2%) 18. YOUTH WHO REPORTED THAT THEY HAVE ACTUALLY TALKED TO PARENTS/CAREGIVERS ABOUT BIRTH CONTROL No Yes Not Sure 227 (53%) 187 (44%) 11 (3%) - 28 - 18A. YOUTHS’ ACCOUNT OF WHO USUALLY STARTS CONVERSATIONS ABOUT SEX AND BIRTH CONTROL You Your parent/caregiver 101 (42%) 138 (58%) 18B. YOUTHS’ ACCOUNT OF WHETHER OR NOT CONVERSATIONS ABOUT SEX AND BIRTH CONTROL TOOK PLACE IN THE PAST YEAR No Yes Not Sure 40 (17%) 195 (83%) 0 (0%) 18C. YOUTHS’ ACCOUNTS OF TOTAL TIME SPENT IN CONVERSATIONS ABOUT SEX AND BIRTH CONTROL IN THE PAST YEAR Less than 5 minutes – 12 12 (6%) 5 to 15 Minutes – 50 49 (24.6%) 16 to 30 Minutes – 38 37 (19%) 31 Minutes to 1 hour – 39 36 (18.1%) Between 1 and 2 hours – 29 More than 2 hours – 25 29 (15%) 24 (12%) Can’t estimate – 12 12 (6%) 19. YOUTHS’ ACCOUNTS OF WHETHER OR NOT THEY HAVE TALKED TO OTHER FAMILY MEMBERS OR ADULT MENTORS ABOUT SEX OR BIRTH CONTROL No Yes Not Sure 149 (35%) 272 (64%) 2 (1%) 19A. YOUTHS’ REPORTS OF THEIR RELATIONSHIP TO OTHER PERSON WITH WHOM THEY HAVE DISCUSSED SEX OR BIRTH CONTROL Parent 79 (29%) Aunt 72 (27%) Older sister 74 (27%) Uncle 64 (24%) Older brother 68 (25%) Stepmother 8 (3%) Stepfather 13 (5%) Grandmother 47 (17%) Grandfather 20 (7%) Cousin 117 (43%) - 29 - Other-Relative 9 (3%) Other-Unrelated 76 (28%) Refused 2 (1%) 19B. YOUTHS’ ACCOUNT OF WHETHER OR NOT CONVERSATIONS WITH OTHER FAMILY MEMBERS TOOK PLACE IN THE PAST YEAR No Yes Not Sure 52 (19%) 214 (79%) 5 (2%) YOUTHS’ ACCOUNTS OF DEGREES OF COMFORT IN DISCUSSING TOPICS RELATED TO SEX WITH PARENTS AND OTHER FAMILY MEMBERS Very Somewhat A little Not at all comfortable comfortable comfortable comfortable 20. your parent/ caregiver No Opinion 104 (25%) 121 (29%) 92 (22%) 103 (24%) 5 (1%) 86 (20%) 124 (29%) 89 (21%) 124 (29%) 3 (1%) 22. your parent/ caregiver about birth control methods 122 (29%) 96 (23%) 70 (16%) 122 (29%) 16 (4%) 23. other family members or adult mentors about birth control methods 90 (21%) 97 (23%) 90 (21%) 129 (30%) 19 (5%) about sex or sexual intercourse 21. other family members or adult mentors about sex or sexual intercourse 24. YOUTHS’ REPORTS OF OTHER PEOPLE IN HOUSEHOLD WHO THEY SEE A LOT No Yes 238 (56%) 184 (44%) 24A. YOUTHS’ ACCOUNT OF WHETHER OR NOT THIS OTHER PERSON GIVES SAME OR DIFFERENT MESSAGE ABOUT SEX IN COMPARISON TO THEIR PARENT/CAREGIVER Same Message Different Message 144 (77%) 43 (23%) - 30 - 24B. YOUTHS’ ACCOUNT OF WHO IS MOST LIKELY TO DISAPPROVE OF THEM HAVING SEX Parent/Caregiver Other Person 69 (75%) 23 (25%) 24C. YOUTHS’ ACCOUNT OF WHO THEY FIND EASIER TO TALK TO ABOUT SEX Parent/Caregiver Other Person 46 48 (49%) (51%) 24D. YOUTHS’ ACCOUNT OF WHO WOULD BE MORE UPSET IF THEY GOT PREGNANT OR CAUSED A PREGNANCY Less upset than your parent/caregiver About as upset as your parent/ Caregiver More upset than your parent/caregiver 23 (24%) 54 (57%) 18 (19%) 25.YOUTH CLAIMING TO HAVE KNOWLEDGE ABOUT WHERE TO SEND TEEN FRIENDS TO GET CONTRACEPTIVE/BIRTH CONTROL No Yes Refused to answer 139 (33%) 270 (64%) 10 (2%) 25B. YOUTHS’ REPORTS OF WHERE THEY FOUND OUT PLACES TO GET CONTRACEPTIVE/BIRTH CONTROL Friend Place 1 Place 2 62 (23%) 28 (25%) Flyer 3 (<1%) 0 (0%) School 38 (14%) 15 (13%) - 31 - Clinic 24 (9%) 8 (7%) Relative Other (cousin, aunt, etc.) 57 (21%) 24 (21%) 112 (42%) 58 (52%) 25C. YOUTHS’ REPORT OF KNOWLEDGE OF WHERE PLACE TO GET CONTRACEPTIVE/BIRTH CONTROL IS LOCATED Place 1 Place 2 Exactly More or less Or, not really know 201 (74%) 100 (86%) 34 (13%) 10 (9%) 36 (13%) 7 (6.0%) 25D. YOUTHS’ BELIEFS ABOUT WHETHER OR NOT A FRIEND WOULD NEED PERMISSION FROM HIS/HER PARENTS TO GET SERVICES FROM VARIOUS PLACES TO GET CONTRACEPTIVE/BIRTH CONTROL Place 1 Place 2 No Yes Don’t know 157 (58%) 65 (55%) 60 (22%) 31 (26%) 53 (20%) 23 (19%) 25E. YOUTHS’ BELIEF ABOUT WHETHER OR NOT STAFF AT VARIOUS PLACES WOULD TELL THE FRIEND’S PARENTS IF HE/SHE CAME THERE FOR CONTRACEPTIVE/BIRTH CONTROL Place 1 Place 2 No Yes Don’t know 163 (60%) 74 (62%) 55 (20%) 23 (19%) 53 (20%) 22 (19%) 25F. YOUTH’S BELIEFS ABOUT WHETHER OR NOT A FRIEND WOULD NEED MONEY TO GET CONTRACEPTIVE/BIRTH CONTROL FROM PLACE Place 1 Place 2 No Yes Don’t know 135 (50%) 47 (40%) 102 (38%) 59 (50%) 32 (12%) 13 (11%) 25G. YOUTHS’ REPORTS OF WHETHER OR NOT THEY HAVE EVER BEEN TO A PLACE FOR CONTRACEPTIVE SERVICES Place 1 Place 2 No Yes Don’t know 162 (61%) 74 (63%) 101 (38%) 42 (36%) 2 (1%) 1 (1%) - 32 - 25H. YOUTHS’ REASONS FOR NOT GOING TO A PLACE TO GET CONTRACEPTIVE/BIRTH CONTROL Place 1 Place 2 1. I think I should go to my family doctor 29 (18%) 2 (3%) 2. Don’t like the people who go there 3. Don’t like the care they give 4. Don’t like the location 4 (2%) 1 (1%) 3 (2%) 2 (3%) 1 (1%) 3 (4%) 5. Don’t believe in birth control 6 (4%) 4 (5%) 6. Not sexually active 73 (45%) 32 (43%) 7. Something else: 51 (31%) 31 (42%) 26. YOUTH’S FEELINGS ABOUT SEX-RELATED DECISION-MAKING Strongly Agree Agree Disagree Strongly Disagree No opini on / Don’t Know a. It’s better to wait to have sex until you are out of high school. 116 (27%) 167 (39%) 99 (23%) 18 (4%) 25 (6%) b. Using birth control when you have sex is a lot of trouble and not worth it. (When we say birth control, we mean things like condoms, the Pill, shot, or other birth control methods.) 25 (5.9%) 60 (14.1%) 151 (35.5%) 160 (37.6%) 29 (6.8%) c. The best way for teens to protect themselves against pregnancy or disease is to use a condom every time they have sex. 217 (51%) 152 (36%) 36 (9%) 13 (3%) 7 (2%) - 33 - 27. YOUTHS’ OPINIONS ABOUT HOW EASY IT IS FOR ADOLESCENTS TO GET CONDOMS IN THEIR COMMUNITY Very easy Pretty easy Somewhat easy Not easy at all 213 (50%) 116 (27%) 80 (19%) 15 (4%) 28. YOUTHS’ KNOWLEDGE OF VENDING MACHINES WHERE THEY CAN GET CONDOMS IN THEIR COMMUNITY No Yes 338 (80%) 86 (20%) 29. YOUTHS’ KNOWLEDGE OF PLACES WHERE CONDOMS ARE HANDED OUT FREE TO ANYBODY WHO WANTS ONE No Yes 187 (44%) 238 (56%) 30. YOUTHS’ REPORTS OF WHETHER OR NOT PEOPLE IN THEIR CIRCLE OF FRIENDS ARE HAVING SEX No Yes Not Sure 45 (11%) 345 (81%) 36 (9%) 31. YOUTHS’ REPORTS OF AGE FRIENDS GENERALLY SAY THEY FIRST HAD SEXUAL INTERCOURSE 10 11 12 13 14 15 16 17 18 Don’t know 1 (<1%) 7 (2%) 30 (10%) 51 (17%) 58 (19%) 70 (23%) 62 (20%) 16 (5%) 5 (2%) 7 (2%) - 34 - 32. YOUTHS’ REPORTS OF WHETHER OR NOT FRIENDS EVER USE OR DO ANYTHING TO PROTECT AGAINST PREGNANCY No Yes Not Sure 36 (9%) 290 (72%) 76 (19%) 33. YOUTHS’ REPORTS OF FRIENDS WHO HAVE EVER USED OR DONE ANYTHING TO PROTECT AGAINST SEXUALLY TRANSMITTED DISEASES AND HIV No Yes Not Sure 37 (9%) 265 (66%) 99 (25%) 33A. YOUTHS REPORTS OF FRIENDS’ USE OF PROTECTION AGAINST PREGNANCY OR DISEASE A little of the time Some of the time About half the time Most of the time Every time Not sure 14 (5%) 29 (10%) 19 (7%) 73 (26%) 97 (34%) 52 (18%) 34. YOUTHS’ REPORTS OF EVER GOING TO A DOCTOR OR ANY KIND OF CLINIC TO GET BIRTH CONTROL No Yes 318 (75%) 106 (25%) 35. YOUTHS’ REPORTS OF WHERE THEY WENT TO GET BIRTH CONTROL Clinic Mall Health Fair 58 (55%) 2 (2%) 17 (16%) Other 33 (31%) OTHERS: College Campus, County Fair, Friend, Friend House, Gym, Health Department, Home, Homeboy, Hospital, Library, May fest, Medical Office, Planned Parenthood, Rec. Dept., S&S, School, Sex Class at Serenity, Store, Target - 35 - 36. YOUTHS’ REPORTS OF HAVING EVER BOUGHT CONDOMS FROM A DRUG STORE OR OTHER KIND OF STORE No Yes 286 (67%) 140 (33%) 37. YOUTHS’ REPORTS OF HAVING EVER BOUGHT EMERGENCY BIRTH CONTROL/“EMERGENCY CONTRACEPTION” FROM A DRUGSTORE OR OTHER KIND OF STORE No Yes 411 (97%) 14 (3%) 38. YOUTHS’ REPORTS OF HAVING EVER GOTTEN A CONDOM FROM A VENDING MACHINE No Yes 404 (95%) 22 (5%) 39. YOUTHS’ REPORTS OF HAVING EVER TAKEN A FREE CONDOM BEING DISTRIBUTED No Yes 321 (75%) 105 (25%) 39A. PLACES YOUTH HAVE GONE FOR FREE CONDOMS Clinic Mall Health Fair Other 58 (55%) 2 (2%) 20 (20%) 32 (31%) 40. YOUTH’S REPORT OF WHO WOULD RAISE CHILD IN THE EVENT OF A PREGNANCY Both the father and me No one, I’d do it alone My parents/relatives My friends The father The father’s parents/relatives The father’s friends Other 264 (62%) 71 (17%) 199 (47%) 32 (8%) 42 (10%) 68 (16%) 11 (3%) 33 (8%) - 36 - 41. YOUTHS’ PERCEPTION OF DIFFICULTY IN BEING A TEEN PARENT Not at all difficult A little difficult Somewhat difficult Very difficult 21 (5%) 48 (11%) 68 (16%) 288 (68%) 42. AGE 15 16 17 18 19 72 (17%) 103 (24%) 93 (22%) 120 (28%) 36 (9%) 43. GENDER Male Female 190 (45%) 234 (55%) No Yes 69 (16%) 357 (84%) 44. SCHOOL STATUS 45. SCHOOLS ATTENDED A.R. Johnson High School; Academy of Richmond County; Alabama St. University ; Alternative School; Aquinas High School; ARC; ARJ; Augusta St University; Augusta Tech College; Benedict College; Bungalow Rd Alternative School; Butler High School; C.H. Terrell Academy; Camden County High; Campbell University; Cross Creek High School; John S. Davidson Fine Arts; Davidson Fine Arts Magnet; Detention Center; EAST AUGUSTA; Elbert County Cross Roads; Evans High; Glenn Hills High School; Glenn Hills Middle; Groves High School; Grovetown High School; Hephzibah High School; Immaculate Conception School; Jackson State University; Laney High School; Middle Georgia College; NORTH AUGUSTA HS; Paine College; Richmond; Richmond Academy H.S.; Richmond County Night School; Savannah State; Sego Middle; T.W Josey High; Terrell Academy; Tubman Educational Center; Tutt; University of South Carolina; Westminster; Westside High School; Youth Challenge Academy Home School Independent study 2 (1%) 3 (1%) - 37 - 46. CURRENT GRADE LEVEL 8th 9th 10th 11th 12th More than 12th 9 (3%) 44 (12%) 90 (25%) 97 (27%); 90 (25%) 29 (8%) 47. RACE/ETHNIC AFFILIATION African American (non-Hispanic) Hispanic White (nonHispanic) Other 342 (83%) 7 (2%) 52 (13%) 10 (2%) 48. YOUTHS’ ACCOUNTS OF WHO THEY CURRENTLY LIVE WITH Mother Father Step-parent Grandmother Grandfather Legal Guardian Foster parent(s) Brothers Sisters Others 355 (83%) 153 (36%) 60 (14%) 42 (10%) 12 (3%) 5 (1%) 0 (0%) 172 (40%) 167 (39%) 477 (11%) 49. YOUTHS’ ACCOUNT OF NUMBER OF PEOPLE WHO LIVE IN THEIR HOUSE 0 2 (1%) 1 57 (14%) 2 108 (26%) 3 99 (24%) 4 70 (17%) 5 47 (11%) 6 19 (5%) 7 11 (3%) 8 6 (1%) 9 1 (<1%) 10 1 (<1%) 11 1 (<1%) - 38 - 50. YOUTHS’ REPORTS OF WHETHER OR NOT ADULTS IN THE HOUSEHOLD CURRENTLY WORK FOR PAY No Yes 43 (10%) 380 (90%) 50A. YOUTHS’ REPORTS OF WORK STATUS OF ADULTS IN THEIR HOUSEHOLD 0 1 2 3 4 5 # of people in household who work Full-time 64 (15%) 181 (44%) 144 (35%) 23 (6%) 2 (1%) 2 (1%) # of people in household who work Part-time 283 (72%) 81 (21%) 24 (6%) 3 (1%) 1 (<1%) 0 (0%) 51. YOUTHS’ REPORT OF CURRENT MARITAL STATUS Single Married 417 (100%) 0 (0%) 52. YOUTHS’ REPORTS OF WHETHER OR NOT THEY HAVE A STEADY GIRLFRIEND OR BOYFRIEND No Yes 220 (52%) 203 (48%) 53. LENGTH OF TIME LIVING IN CURRENT NEIGHBORHOOD < 1 year 6-10 years 2 – 5 years 131 (31%) 73 (17%) 95 (23%) >10 years 123 (29%) 54. LENGTH OF TIME LIVING IN THE U.S. Born in the U.S. < 1 year 2 – 5 years 6– 10 years > 10 years 351 (83%) 0 (0%) 3 (1%) 1 (<1%) 70 (17%) - 39 - CAREGIVERS SURVEY Results - 40 - CAREGIVER SURVEY DATA ANALYSIS CAREGIVER SURVEY DATA COLLECTION METHODS PURPOSE The caregiver survey was designed to collect information from parents or caregivers (i.e., adults who provide parental care and support to youth, such as an extended family member, guardian, or friend) of youth about their knowledge, attitudes, opinions, and behaviors concerning teen sexual and reproductive health, teen pregnancy, sex education, and youth services in Richmond County. SURVEY DEVELOPMENT The youth survey was adapted from a Philliber Research Associates survey tool. There was no accessible electronic version of the tool available, so an electronic version was created and revised according to suggestions by G-CAPP staff, the lead project researcher, the data manager, and through review of the tool for errors noted by community researchers and other research team members. Revisions were due by April 1, 2011. DEMOGRAPHIC PROFILE SHEET A demographic profile sheet was developed to complement the survey. This sheet was completed by adult community researchers prior to beginning the survey. The sheet’s purpose was to provide general information about respondents (e.g., age, sex, marital status, racial affiliation, educational attainment, etc.). DATA COLLECTION START AND END DATE Data collection officially began on April 2, 2001 and continued through June 4, 2011. SURVEY PARTICIPANT RECRUITMENT Adult community researchers identified and recruited adult caregivers of Richmond County youth. Agencies that provide services or support to the subgroups were also identified and contacted to serve as referral sources and data collection sites. Adult community researchers administered surveys to participants face-to-face or over the phone. The community researcher or lead researcher also - 41 - obtained informed consent and completed the demographic sheet prior to completing the survey document. CAREGIVERS WERE DIVIDED INTO FIVE SUBGROUPS: BIOLOGICAL PARENTS. Biological parents of Richmond County youth were recruited from perspective interviewee lists completed by adult community researchers. Parents of Richmond County youth who expressed interest in completing the adult survey during the informed consent process for youth were also recruited by the community needs assessment team. EXTENDED FAMILY MEMBERS OR FRIENDS SERVING AS CAREGIVERS. Extended family members or friends who serve as caregivers were recruited from Richmond County. On April 4, 2011, the community needs assessment team advised adult community researchers to ask their caregiver participants to identify three additional adults who could also participate in the assessment. On May 8, 2011, other adults who serve as caregivers, as referenced in the caregiver surveys, were recruited by the adult community researchers. Adult community researchers also accompanied youth researchers during data collection at local community centers and at the Boys & Girls Club. FOSTER PARENTS. On April 21, 2011, the needs assessment team met with Kids Restart, Inc. to discuss data collection opportunities. The community needs assessment team partnered with Ms. Daniela Whitaker of Kids Restart to recruit foster parents. Ms. Whitaker completed the professional researcher training on April 26, 2011 and began administering surveys to foster parents receiving services from Kids Restart. The needs assessment team also met with Neighbor to Family, another foster care provider in Augusta, on April 19, 2011, to discuss data collection opportunities. After meeting, it was reported that the agency does not have any youth within the target age group at this time. The community needs assessment team continued to follow up with various foster care agencies in the community; however, very little data were collected from this priority population. PARENTS OF YOUTH INVOLVED IN DJJ. Parents of Richmond County youth who were associated with the DJJ were recruited via networks of adult community researchers. The community needs assessment team worked with core partners who served families associated with the DJJ to recruit caregivers in April 2011. On May 2, 2011 the community needs assessment team met to discuss alternative recruitment strategies due to low recruitment numbers from previous strategies. The community needs - 42 - assessment team completed data collection on-site at the Richmond County Juvenile Justice Courthouse on May 19, 2011 and May 26, 2011. HISPANIC CAREGIVERS WHO PROVIDE PARENTAL SUPPORT TO YOUTH. The community needs assessment team worked to identify agencies serving Hispanic populations in Richmond County to assist with recruiting and administering surveys to Hispanic caregivers. However, the community needs assessment team was not able to recruit caregivers from the Hispanic community. Below is a summary of the sampling plan for adults compared to the actual data collected: ADULT SUB-GROUPS & DEFINITION ADULT SUBGROUPS PLANNED SURVEYS ADULT SUB-GROUPS ACTUAL SURVEYS COLLECTED 200 363 100 105 50 4 50 6 50 0 450 (missing categories for 9 parents) Biological parents – Birth parents of Richmond County youth Extended family members – Aunts and uncles, grandparents, older siblings, cousins, etc. who serve as guardians for Richmond County youth Foster parents – State certified adult guardians to youth who have been designated wards of the court and placed into a private home Parents of young people affiliated with the juvenile justice system – Biological or non-biological guardians with minors currently detained in a detention center (target recruitment: Parents of Hispanic/Latino Youth 483 TOTAL COMPENSATION FOR RESEARCHERS Adult community researchers received $10.00 for each completed interview packet. The interview packets contained the following documents: informed consent documents, pre- and post- interview field notes, demographic profile sheets, caregiver surveys, and, if needed, incident reports. COMPENSATION FOR RESPONDENT Respondents received a one-time gift card of $10.00 for participating in the assessment. - 43 - CAREGIVER SURVEY DATA ANALYSIS RESPONDENT DEMOGRAPHICS AGE 18 - 24 25-29 30-39 40-49 50-59 60 or older Refused 10 (3%) 32 (9%) 32 (9%) 104 (29%) 76 (21%) 24 (7%) 1 (<1%) GENDER Male Female 119 (26%) 336 (74%) RELATIONSHIP TO YOUTH Parent, stepparent, adoptive parent, foster parent Legal guardian Grandparent, step grandparent, adoptive grandparent, or foster grandparent Sibling (brother or sister, stepbrother, or step sister) Other relative (e.g. aunt, uncle, cousin) Non-relative (family friend, parent, partner of parent) Other; what? __________________________________ 363 (76%) 11 (2%) 50 (10%) 11 (2%) 20 (4%) 5 (1%) 19 (4%) RACIAL/ETHNIC AFFILIATION African American (non-Hispanic) Hispanic White (non-Hispanic) Other 443 (92%) 13 (3%) 32 (7%) 7 (1%) LAST GRADE COMPLETED th 8 grade or less 3 (1%) Grades 9-11 35 (7%) High school graduate or equivalent 173 (36%) Trade school 99 (21%) - 44 - College graduate 122 (25%) Post graduate 48 (10%) Refused 3 (1%) ENGLISH LANGUAGE PROFICIENCY speak English? read English? write English? Not at all well Not very well Pretty well Very well 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 5 (39%) 5 (39%) 5 (39%) 8 (62%) 8 (62%) 8 (62%) FIRST LANGUAGE English Spanish Other 475 (99%) 4 (1%) 1 (<1%) LENGTH OF TIME LIVING IN CURRENT NEIGHBORHOOD < 1 year 2 – 5 years 6 – 10 years > 10 years 38 (8%) 127 (28%) 121 (27%) 166 (37%) LENGTH OF TIME LIVING IN THE U.S. Born in the U.S. < 1 year 2 – 5 years 6– 10 years > 10 years 460 (95%) 5 (1%) 1 (<1%) 1 (<1%) 30 (6%) REPORTS OF EMPLOYED PERSONS LIVING IN HOUSEHOLD No Yes Not Sure 81 (17%) 398 (83%) 2 (<1%) - 45 - NUMBER OF EMPLOYED PERSONS IN HOUSEHOLD # of people in household who work Full-time # of people in household who work Part-time 0 1 2 3 4 5 81 203 147 14 3 1 (18%) (45%) (33%) (3%) (1%) (<1%) 353 60 8 2 0 0 (84%) (14%) (2%) (1%) (0%) (0%) GOVERNMENT ASSISTANCE RECEIVED BY PERSONS IN HOUSEHOLD Food Stamps TANF Medicaid No Yes Not sure 358 (74%) 455 (95%) 352 (74%) 123 (26%) 24 (5%) 126 (26%) 0 (0%) 0 (0%) 1 (<1%) HEALTH INSURANCE STATUS No Yes Not Sure 194 (42%) 268 (58%) 0 (0%) REPORTED HEALTH INSURANCE PLANS: AARP, Aetna, Aflac, American General, Assurant Healthcare, Beech Street, Blue Cross Blue Shield of GA, CHC, Cigna, Consumer Life Insurance, Coventry, Cuna, Deers/Tri-care, GA State Health, GEHA, Hartford, healthcare, Horizon, Humana, Indigent Care, Medicaid, Medicare, Medicare Advantage, Medicare GHI, MetLife, Midwest National Life, Morrison's health insurance, Nationwide, Not sure of name, Peach Care, Secure Healthcare, Tricare, UMR (MCG), United health Care, United Life, University Healthcare, USAA Bank, WellCare - 46 - CAREGIVER SURVEY DATA ANALYSIS SECTION 1: ISSUES TEENS FACE 1. CAREGIVERS’ LEVEL OF CONCERN ABOUT KEY ISSUES Not at all A little Concerned concerned a. The threat of AIDS and other sexually transmitted diseases among teens b. Teens dropping out of school c. Teen youth gangs d. Teen pregnancy e. Racism and discrimination f. Drugs and alcohol abuse among teens g. The threat of crime and violence towards teens h. Depression, suicide and other emotional problems i. Sexual violence or abuse Somewhat concerned Extremely concerned No Opinion 2 (<1%) 10 (2%) 58 (12%) 411 (85%) 1 (<1%) 2 (<1%) 7 (2%) 0 (0%) 13 (3%) 4 (1%) 15 (3%) 24 (5%) 10 (2%) 34 (7%) 18 (4%) 88 (18%) 82 (17%) 90 (19%) 140 (29%) 89 (19%) 376 (78%) 369 (77%) 380 (79%) 292 (61%) 370 (77%) 1 (<1%) 0 (0%) 1 (<1%) 2 (<1%) 0 (0%) 4 (1%) 14 (3%) 91 (19%) 373 (77%) 0 (0%) 5 (1%) 25 (5%) 111 (23%) 339 (70%) 2 (<1%) 8 (2%) 20 (4%) 85 (18%) 368 (76%) 1 (<1%) 2. CAREGIVERS’ RATINGS OF COMMUNITY ON SELECT HEALTH AND SOCIAL SERVICES a. That promotes healthy behaviors and lifestyles among its teens? b. That provides teens with access to family planning services if they should need them? c. That provides educational opportunities for teens and young Poor Fair Good Excellent No Opinion / Don’t Know 131 (27%) 87 (18%) 154 (32%) 150 (31%) 151 (31%) 179 (37%) 39 (8%) 48 (10%) 6 (1%) 18 (4%) 74 144 192 65 7 - 47 - people? d. That provides teens with access to sex education programs? e. That provides recreational activities for teens? f. Where teens can get a job? g. Where teens can grow up without being pressured by their peers to use drugs and alcohol? h. That gives all young people opportunities, regardless of their race or ethnicity? i. That values and respects young people? (15%) 112 (23%) 104 (22%) 123 (26%) 177 (37%) (30%) 151 (31%) 126 (26%) 172 (36%) 157 (33%) (40%) 138 (29%) 168 (35%) 132 (28%) 107 (22%) (14%) 48 (10%) 73 (15%) 40 (8%) 30 (6%) (2%) 33 (7%) 8 (2%) 10 (2%) 10 (2%) 118 (25%) 178 (37%) 147 (31%) 34 (7%) 5 (1%) 108 (22%) 174 (36%) 148 (31%) 43 (9%) 8 (2%) 3. CAREGIVERS’ KNOWLEDGE OF HELP FOR PLANNING FOR COLLEGE No Yes Not Sure 141 (29%) 326 (68%) 15 (3%) 3A. COLLEGE PREPARATION RESOURCES AND SERVICES: C.H.O.P.,100 Black Men, Admission at Phoenix College,211 (community info line), Augusta Mini Theater, Elected officials, DFCS, Antioch Baptist Church, Area of that field, Augusta Housing Authority Program, Augusta Partnership, Augusta State Counselor, Department of Labor, Augusta State University, Augusta Tech Transition, Augusta Technical College, Augusta University Career Center, Board of Education, Career Centers, Case worker- Sonya Cosby, Top Teens of America, University Systems of Georgia, Goodwill, MCA, Church members, Church outreach program, School administrators, Church Pastor, Church youth advisors, Job Connection, Job Fairs, Phoenix University, Laney HS, Hope Scholarship, College Admissions Office, PIA Learning Center, College student advisors, Fraternities, Colleges, Pell Grants, Community Center, Broadway Baptist, Community Colleges, Computer/Internet, CSRA Regional Education Service Agency, Creative Vocational Services, DFCS-Mr. Wright, Delta Academy, Delta Sigma Theta, Local church, CSRA business league, Department of Labor, DFAC's Job Readiness, Diamond Lakes Program, 411 online , MBS learning center, Family, Family friend, McDuffie Woods, Mocha Sister (Mentors), Fastweb.com, Financial aid at college, Former Teacher, Fort Gordon, Peer group, Friends, Youth services, Ft. Gordon Youth Center, God parents, Good Hope Baptist Church, Good Shepherd Baptist Church, Rev. Monroe, Pregnancy Center, Graduation Coaches, Health Department, Uncle, Heritage Christian Academy, (ILP) Independent Living Program, Youth Center Ft. Gordon, Youth Challenge, Title I-School System, Dream Builders of America Youth, Job Corporation, Military recruiters, JTPA (Jr Training Program Ast.), Kids Restart, Academic counselors, Library for books, Library internet, Local college, Clergy, Local Community Colleges, Local High school, Mark Academy, May park program, Calling places, Mentor Program, Mentors, Community Leader, Military Program, - 48 - Rev. Carl Jones, National Lighthouse Foundation, Next door neighbor, Other college students, Co-workers, College Assistance Program, Paine college, Pastors, Pastor Tony Miller, Principal, Professional associates, Radio station, Restoration Church-youth ministry, School, FBLA, School counselors, School library, Self, Sorority sisters, SRP college night, Strayer University, Teacher/professor, Teen Works, Unemployment office, Upward Bound - Paine College, WIA 4. CAREGIVERS’ KNOWLEDGE OF HELP FINDING A JOB Yes No 164 (34%) 298 (62%) Not Sure 17 (4%) 4A. PLACES CAREGIVERS MENTIONED WHERE YOUTH COULD GET HELP FINDING A JOB: Community Center, Computer/Internet, Co-workers, DCT/public schools, DFCS-Mr. Wright, Delta Sorority, Delta Academy, Department of Labor Career Center, DFCS, DOL-teen site, Dream Builders of Augusta, Employment agencies, Employment office, Family, Financial officer, Fort Gordon. Fort Gordon career counselor, Friend of parents, Friends, Ft. Gordon Hire Program, GA teen works, Ga. Department of Labor, Georgia Personnel, Girl Scouts, Good Hope Baptist Church, Goodwill Career Center, Goodwill Job Connection Graduation Coaches H.S. class (business skills) Heritage Christian Academy, Hospital, ILP, indeed.com, Job Connection, Job Corps, Job Fairs, Job services, Job Shop, Jones Behavioral, JTPA, Junior Achievement, Library, Life-skills for women, Local colleges, Local restaurants, Local store, Local Technical School, Man power, Mark Academy, MAU, MBS learning center, MCG Volunteer, Methodist church, Mocha Sister (Mentors), National Hiring Day, Neighbor to Family, Networking with businesses, Newspaper, One Stop Career Center, Online classes, Place of employment, Paine college, Parent facilitator, Pastor, Pastor Miller, Peer group, Positive Boys Positive Men, Principals, RCBOE, Recreation department, Restoration Church-youth ministry, Rites of Passage-Good Shepherd, Salvation Army, School (Tutt), Schools, Self made entrepreneur, Sheraton hotel, Social Worker, Sorority, Staffing Agency, Strong Tower Ministries, Summer Camp, Summer Youth Programs, Teacher/professor, Temp agencies, Top Teens of America, Trade school, Uncle, Unemployment office, Upward Bound-Paine College, USAjobs.com, Volunteer at different locations, Volunteer at hospitals, Walton Options, Weed & Seed Programs, Word of mouth, www.augustaga.com, www.simplyhired.com, YMCA, Youth Center Ft. Gordon, Youth services 5. CAREGIVERS’ KNOWLEDGE OF HELP WITH CHOOSING A CAREER Yes No 162 (34%) 295 (62%) Not Sure 22 (5%) 5A. PLACES CAREGIVERS MENTIONED WHERE YOUTH COULD GET HELP PLANNING A CAREER: 100 Black Men of Augusta, Acrux Staffing, Annual college night, Antioch Baptist, Any college, ASU, Augusta Chronicle, Augusta State Career Center, Augusta State University, Augusta Tech, Augusta Tech Counseling, - 49 - Augusta University Career Center, Boys & Girls Club, Broadway Baptist, Business establishments, Business professionals, Career agencies, Career Center-Augusta Tech, Career Centers, Career counselor, Career Fairs, Career recruiter, Career service center, Career Shop, Career test at school, career.com, Careerbuilder.com, Case Worker, Chamber of Commerce, Child, Child's basketball coach, Church Group, Church members, Churches, Civic Leader, Civil Air Patrol, Coaches, College advisor, College career center, College Job placement, College night, Community Center, Community college, Community professionals, Coworkers, CSRA apprenticeship, CSRA business league, Delta Academy, Delta Sorority, Department of Labor, DFCS, DFCS-Mr. Wright, Dream Builders of America, Dream Builders of Augusta, Family, Family Connection, Family friends, Father, Fort Gordon, Fraternities, Friends, Good Shepherd Baptist Church, Good Will Job Center, Goodwill Career Center, Goodwill, Grad coach, Grandfather, Grandmother, H.S. career centers, H.S. classes, Hair dresser, Heritage Christian Academy, High school, Hospitals, Husband, IEP coordinator, Independent Living Program, Internet, Aunt, Job Connections, Job Corps, Job fairs, Job shadowing, Job Shop, JTPA, Kelly Services, Library, Mark Academy, Mentors, Military recruiter, Mocha Sisters, NAACP Program, New Zion Hill, Newspaper, One Stop Career Center, Orientation at colleges, Paine College, Paine College career office, Parent facilitator, Pastors, Peers, Positive Boys Positive Men, Psychologist, Red Cross volunteers, Refer to someone in that field, Restoration Church-youth ministry, Rev. Carl Jones, Rev. Tony Miller, Rev. West, School, School (Tutt), Sororities, Tabernacle youth program, Talk with pediatrician, Teacher/professor, Principals, Technical schools, Teen Works, Tennis Coach, Uncle, University of Phoenix, Upward Bound, VA college, Visit business of interest, Wife, www.georgia.gov, www.indeed.com, www.salary.com, YMCA, Youth Challenge, Youth Groups CAREGIVER SURVEY DATA ANALYSIS SECTION 2: ISSUES ABOUT TEENS PREGNANCY 6. DEGREE TO WHICH TEEN PREGNANCY IS PERCEIVED TO BE A SERIOUS PROBLEM AMONG CAREGIVERS Not at all serious A little serious Somewhat serious Very serious No Opinion 1 (<1%) 12 (3%) 36 (8%) 430 (89%) 3 (1%) - 50 - 7. CAREGIVERS’ PERCEPTIONS OF PROVIDING BIRTH CONTROL WITHOUT PARENTAL PERMISSION A very bad thing A bad thing A good thing A very good thing 16 (3%) 37 (8%) 226 (47%) 204 (42%) 8. CAREGIVERS’ PERCEPTIONS OF PROVIDING BIRTH CONTROL TO YOUNGER TEENS WITHOUT PARENTAL PERMISSION A very bad thing A bad thing A good thing A very good thing 52 (11%) 129 (27%) 239 (50%) 92 (19%) 139 (29%) 98 (20%) 187 (39%) 111 (23%) 61 (13%) 152 (32%) 104 (22%) 85 (18%) a. Ages 16 to 17 years old b. Ages 14 to 15 years old c. Ages 12 to 13 years old 9. CAREGIVERS’ PERCEPTIONS OF TIMING OF SEX EDUCATION Too Soon About right age Too Late No Opinion 69 (14%) 97 (20%) 308 (64%) 9 (2%) 10. CAREGIVERS’ VIEWS ON SEXUAL INFORMATION ABOUT PROTECTION NO MATTER ONE’S SEXUAL ACTIVITY Information only encourages them to have sex Should be given information No Opinion 24 (5%) 455 (94%) 4 (1%) 11. CAREGIVERS’ OPINIONS ABOUT AGE-APPROPRIATE SEX EDUCATION Should not Should Depends/No Opinion 17 (4%) 449 (93%) 17 (4%) - 51 - 11A. CAREGIVERS’ OPINIONS ABOUT AGE-APPROPRIATE SEX EDUCATION st nd rd th th th th th th th th th 1 grade or less 2 grade 3 grade 4 grade 5 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 grade Depend s/No opinion 16 (3%) 7 (2%) 16 (3%) 29 (6%) 81 (17% ) 127 (27% ) 84 (18% ) 72 (16% ) 18 (4%) 4 (1%) 4 (1%) 1 (<1% ) 6 (1%) 12. CAREGIVERS’ PERCEIVED KNOWLEDGE OF WHERE SEX EDUCATION CLASSES ARE OFFERED a. High schools b. Middle schools c. Elementary schools d. After school programs No Yes Not Sure 54 (11%) 86 (18%) 233 (48%) 179 (37%) 306 (63%) 256 (53%) 55 (11%) 89 (19%) 123 (26%) 141 (29%) 195 (40%) 214 (44%) 13. CAREGIVERS’ OPINIONS ON WHAT SEX ED. TOPICS SHOULD BE TAUGHT AT THE HIGH SCHOOL LEVEL a. Discourage teens from having sex before marriage b. Encourage teens who are sexually active to use protection, such as condoms, to prevent pregnancy and disease c. Teach teens the basic facts of human reproduction d. Discuss with teens how to talk about sex with a partner e. Discuss with teens the dangers of AIDS and other sexually transmitted diseases f. Discuss the responsibility associated with pregnancy and parenting g. Discuss healthy relationships h. Talk about communication with partner - 52 - Should not Should No Opinion 33 (7%) 4 (1%) 440 (92%) 474 (98%) 8 (2%) 5 (1%) 6 (1%) 21 (4%) 2 (<1%) 5 (1%) 9 (2%) 13 (3%) 473 (98%) 447 (93%) 477 (99%) 476 (99%) 466 (97%) 461 (95%) 4 (1%) 15 (3%) 3 (1%) 2 (<1%) 8 (2%) 9 (2%) 14. CAREGIVERS’ PERCEIVED USEFULNESS OF SEX ED. INFORMATION a. Information to talk to your child(ren) about sex education b. Information to talk to your child(ren) about birth control and teen pregnancy prevention c. Information about where you can go for teen pregnancy and family planning issues Not at all useful A little useful Somew hat useful Very useful No Opinion 5 (1%) 7 (1%) 18 (4%) 13 (3%) 67 (14%) 67 (14%) 393 (81%) 395 (82%) 0 (0%) 0 (0%) 10 (2%) 20 (4%) 56 (12%) 397 (82%) 0 (0%) 15. KNOWLEDGE OF PLACES, CLASSES, OR WORKSHOPS FOR SEX EDUCATION FOR CAREGIVERS No Yes Not Sure 353 (73%) 115 (24%) 15 (3%) 15A. PLACES CAREGIVERS MENTIONED WHERE SEX EDUCATION OFFERED FOR CAREGIVERS: Augusta Care Pregnancy Center, Abuse agencies, ARCCP, Augusta Pregnancy Center, Augusta State, Broad St (Planned Parenthood), Career planning, Caseworker, Cell Break Recovery, Churches, Clergy, Clinics, College course human sexuality, Community Counselors, Community events, Community Health Department, Community Center, CYS Parents Support Group, Doctors/Hospital, Family Planning Center, Fort Gordon Sex Class, Foster Care System, Guidance Counselor, Health Center, Health clinic, Health dept / STD & BC, Home, Hospital at Fort Gordon, Library-Reading, Lucy's Love Shop, MCG, Neighborhood program, Not sure, Nurse, OB-GYN Doctor, Online classes, Parents, Private MD, Pure Romance, Restoration marriage ministries, Richmond County Dept of DFCS, School nurse, School programs, Schools, St. Joseph/Trinity Hospital, Tabernacle Baptist Church, Teen Center, TV programs 15B. NUMBER OF CLASSES OR WORKSHOPS ATTENDED BY CAREGIVERS RANGE: 0 – 20 15C. USEFULNESS OF CLASSES OR WORKSHOPS IN TALKING TO TEENS ABOUT SEX No Yes 19 (24%) 59 (76%) 16. KNOWLEDGE OF PLACES OR PROGRAMS FOR CAREGIVERS THAT HELP THEM TALK TO THEIR KIDS ABOUT SEX No Yes Not sure 377 (79%) 89 (19%) 12 (3%) - 53 - 16A. PLACES OR PROGRAMS MENTIONED THAT HELP CAREGIVERS TALK TO KIDS ABOUT SEX: ARCCP, Augusta Care Pregnancy, Augusta Partnership for Kids, Augusta State-Family Counseling, Augusta Tech, Care Pregnancy Center, Caseworker, CDC, Church, Church groups, Clinics Community counselor, Crisis Pregnancy Center, CYS Parents Support Group, ILP, DFCS, Doctors, Doctor's Hospital, Family Planning, Foster Care System, Health clinic, Health department, High school, Home, Hospital at Fort Gordon, Hospitals, Internet, Jones Behavioral Health, Library, Macedonia Baptist Church, MCG, Neighborhood program, Nurse, Online classes, Parent group, Pediatrician, Planned Parenthood, School Nurse, Schools, Serenity, St. Joseph/Trinity, University Hospital-Prompt Care, Youth Summit 16B. CAREGIVERS’ REPORTS OF ATTENDING SUCH PROGRAMS NO Yes 38 (41%) 55 (59%) 16C. CAREGIVERS REPORTS OF BEING ABLE TO TALK MORE OPENLY TO CHILD(REN) ABOUT SEX AS A RESULT OF SUCH PROGRAMS No Yes 3 (5%) 54 (95%) CAREGIVER SURVEY DATA ANALYSIS SECTION 3: ISSUES ABOUT SEX & BIRTH CONTROL 17. KNOWLEDGE OF PLACES TO SEND YOUTH FOR CONTRACEPTIVES No Yes Refused to answer 65 (14%) 413 (86%) 5 (1%) 17A. NAMES OF PLACES MENTIONED TO SEND YOUTH FOR CONTRACEPTIVES: Place 1 Place 2 Augusta Pregnancy Center, Board of Health, Clinics, AIDS Counselor, Bell Terrace, Christ Community County DFCS- Church, Church, Clinics, Community clinic, Court, caseworker, Doctors Hospital, Drug stores, E. Mac DFCS, Doctor's Office, Drug Stores, Eisenhower Medical Center, Eisenhower hospital, Family doctor, hospital, Family Doctor, Gas station, Grocery Store, Health Department, CVS, DFCS, - 54 - Family Gynecologist, Ft. Gordon /Hospital, MCG Parent, Health center, Health department, Herself, Home, Pediatrician, Hospital clinics, Hospitals, MCG, Mother, OB/GYN, Pharmacy, Planned Parenthood, Pregnancy Center, Store, Teen Pregnancy Counter, Parents, Welfare Office Pregnancy Care, Pregnancy Court, Prompt Care, Rhema Pediatrician, Connections, Planned Parenthood, Store, Wal-Mart, Trinity hospital , V.A, Youth Center 17B. REPORTED SOURCES OF INFORMATION ON PLACES TO SEND YOUTH FOR CONTRACEPTIVES Friend Place 1 Place 2 52 (13%) 30 (13%) Flyer 30 (7%) 20 (8%) School 11 (3%) 6 (3%) Clinic Relative Other (cousin, aunt, etc.) 83 (20%) 21 (9%) 41 (10%) 19 (8%) 190 (47%) 141 (60%) 17C. REPORTS OF KNOWING WHERE SUCH PLACES ARE Place 1 Place 2 Exactly More or less Or, not really know 391 (95%) 225 (94%) 18 (4%) 11 (5%) 2 (1%) 3 (1%) 17D. REPORTS OF WHETHER OR NOT YOUTH NEED PARENTAL PERMISSION AT SUCH PLACES Place 1 Place 2 No Yes Don’t know 196 (48%) 107 (45%) 149 (36%) 84 (35%) 65 (16%) 48 (27%) 17E. REPORTS OF WHETHER OR NOT STAFF WOULD SHARE INFORMATION WITH PARENTS ABOUT YOUTHS’ VISITS AT SUCH PLACES No Yes Don’t know Place 1 Place 2 208 (51%) 124 (52%) - 55 - 93 (23%) 54 (23%) 111 (27%) 61 (26%) 17F. REPORTS OF WHETHER OR NOT YOUTH WOULD NEED MONEY TO RECEIVE SERVICES AT SUCH PLACES Place 1 Place 2 No Yes Don’t know 220 (53%) 78 (32%) 105 (26%) 105 (43%) 87 (21%) 59 (24%) 17G. REPORTS OF WHETHER OR NOT CAREGIVERS WOULD SEND PARENTS TO SUCH PLACES FOR SERVICES Place 1 Place 2 No Yes Don’t know 43 (10%) 19 (8%) 361 (87%) 217 (90%) 9 (2%) 4 (2%) 17H. REASONS WHY CAREGIVERS WOULD NOT SEND YOUTH TO SUCH PLACES 1. I prefer my child go to our family doctor Place 1 Place 2 31 (72%) 13 (68%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (5%) 2. Don’t like the people who go there 3. Don’t like the care they give 4. Don’t like the location 5. Don’t believe in birth control 0 (0%) 0 (0%) 6. Don’t want child to be sexually active 10 (23%) 6 (32%) 7. Something else: 7 (16%) 4 (21%) 18. ADVICE FOR A CHILD WHO BECAME PREGNANT OR IMPREGNATED SOMEONE ELSE Abortion Put baby up for adoption Keep baby Depends No Opinion 6 (1%) 13 (3%) 297 (62%) 143 (30%) 23 (5%) - 56 - 19. CAREGIVERS WHO BELIEVE THEIR CHILDREN COULD TALK TO THEM ABOUT SEX No Yes Not Sure 21 (4%) 425 (88%) 36 (8%) 20. CAREGIVERS WHO BELIEVE THEIR CHILDREN COULD TALK TO THEM ABOUT BIRTH CONTROL No Yes Not Sure 20 (4%) 422 (88%) 40 (8%) 21. CAREGIVERS WHO BELIEVE THEIR CHILDREN COULD TALK TO THEM ABOUT PREGNANCY No Yes Not Sure 33 (7%) 405 (84%) 44 (9%) 22. CAREGIVERS WHO REPORTED THAT THEY HAVE ACTUALLY TALKED TO THEIR CHILDREN ABOUT SEX No Yes Not Sure 80 (17%) 395 (82%) 8 (2%) 22A. CAREGIVERS’ ACCOUNT OF WHO USUALLY STARTS CONVERSATIONS ABOUT SEX You Your child 322 (82%) 70 (18%) 22B. CAREGIVERS’ ACCOUNT OF WHETHER OR NOT CONVERSATIONS ABOUT SEX TOOK PLACE IN THE PAST YEAR No Yes Not Sure 111 (27%) 268 (66%) 27 (7%) - 57 - 22C. CAREGIVERS’ ACCOUNTS OF TOTAL TIME SPENT IN CONVERSATIONS ABOUT SEX IN THE PAST YEAR Less than 5 minutes 5 to 15 Minutes 16 to 30 Minutes 31 Minutes to 1 hour Between 1 and 2 hours More than 2 hours Can’t estimate 5 (2%) 44 (17%) 56 (21%) 59 (22%) 31 (12%) 60 (22%) 12 (5%) 23. CAREGIVERS WHO REPORTED THAT THEY HAVE ACTUALLY TALKED TO THEIR CHILDREN ABOUT BIRTH CONTROL No Yes Not Sure 147 (31%) 323 (67%) 9 (2%) 23A. CAREGIVERS’ ACCOUNT OF WHO USUALLY STARTS CONVERSATIONS ABOUT BIRTH CONTROL You Your child 283 (87%) 42 (13%) 23B. CAREGIVERS’ ACCOUNT OF WHETHER OR NOT CONVERSATIONS ABOUT BIRTH CONTROL TOOK PLACE IN THE PAST YEAR No Yes Not Sure 80 (25%) 221 (68%) 23 (7%) 23C. LENGTH OF CONVERSATIONS ABOUT BIRTH CONTROL Less than 5 minutes 5 to 15 Minutes 16 to 30 Minutes 31 Minutes to 1 hour Between 1 and 2 hours More than 2 hours Can’t estimate 5 (2%) 44 (19%) 48 (21%) 45 (20%) 29 (13%) 45 (20%) 11 (5%) 24. CAREGIVERS’ ACCOUNTS OF WHETHER OR NOT THEY HAVE TALKED TO OTHER FAMILY MEMBERS OR ADULT MENTORS ABOUT SEX OR BIRTH CONTROL No Yes Not Sure 126 (27%) 219 (46%) 131 (28%) - 58 - 24A. RELATIONSHIP OF OTHER PERSON OR PERSONS TO CHILD 107 (49%) 41 (19%) 24 (11%) 2 (1%) 4 (2%) Parent Older sister Older brother Stepmother Stepfather 65 (30%) 32 (15%) 48 (22%) 6 (3%) 44 (20%) Aunt Uncle Grandmother Grandfather Cousin Other-Relative OtherUnrelated Refused 21 (10%) 48 (22%) 1 (1%) 24B. CAREGIVERS’ ACCOUNT OF WHETHER OR NOT CONVERSATIONS WITH OTHER FAMILY MEMBERS TOOK PLACE IN THE PAST YEAR No Yes Not Sure 31 (14%) 157 (71%) 33 (15%) 25 & 26. CAREGIVERS’ ACCOUNTS OF DEGREE OF COMFORT IN DISCUSSING TOPICS RELATED TO SEX WITH CHILDREN Very Somewhat A little Not at all comfortable comfortable comfortable comfortable No Opinion sex or sexual intercourse? 29 (6%) 42 (9%) 112 (23%) 295 (61%) 5 (1%) birth control methods? 28 (6%) 43 (9%) 102 (21%) 302 (63%) 6 (1%) 27. CAREGIVERS’ REPORTS OF OTHER PEOPLE IN HOUSEHOLD WHOM YOUTH THEY SEE A LOT No Yes 152 (32%) 329 (68%) 27A. CAREGIVERS’ ACCOUNT OF WHETHER OR NOT OTHER PERSON GIVES SAME OR DIFFERENT MESSAGE ABOUT SEX TO YOUTH Same Message Different Message 270 (83%) 57 (17%) - 59 - 27B. PERSON MOST LIKELY TO DISAPPROVE OF CHILD HAVING SEX You Other Person Both disapprove 95 (54%) 47 (27%) 35 (20%) 27C. PERSON YOUTH FINDS EASIER TO TALK TO ABOUT SEX You Other Person 101 (55%) 83 (45%) 27D. PERSON WHO WOULD BE MOST UPSET IF CHILD GOT PREGNANT OR IMPREGNATED SOMEONE More upset than you About as upset as you Less upset than you 44 (24%) 114 (61%) 28 (15%) - 60 - FAITH COMMUNITY SURVEY Results - 61 - FAITH COMMUNITY SURVEY DATA ANALYSIS FAITH COMMUNITY SURVEY DATA COLLECTION METHODS PURPOSE/GOALS A survey was administered to diverse members of the faith community to determine their thoughts and opinions about teen pregnancy prevention in Richmond County. SURVEY DEVELOPMENT The faith survey was adapted from a Philliber Research Associates tool. There was no accessible electronic version of the tool available, so an electronic version was created and revised according to suggestions by the G-CAPP staff, the lead project researcher, the data manager, and through review of the tool for errors noted research team members. Revisions were completed by April 1, 2011. DEMOGRAPHIC PROFILE SHEET A demographic profile sheet was developed to complement the survey. The purpose of this sheet was to provide general information about the survey respondent (e.g., their age, sex, racial/ethnic affiliation, marital status, educational attainment, etc.). The demographic profile sheet was completed by the professional researcher prior to beginning the survey. SAMPLING SIZE OF FAITH SECTORS The sample consisted of a diverse cross-section of Richmond County faith communities, including representatives from the Jewish, Catholic, Muslim, Christian (Baptist, Methodist, Pentecostal, Episcopal, Presbyterian), Hindu, and Buddhist populations. A target number of 20 faith leaders were recruited. CHARACTERISTICS OF FAITH BASED ORGANIZATIONS The respondents surveyed represented the entire spectrum of faith communities in Richmond County. They are located in areas that are considered “pregnancy hotspots,” serve the priority populations, have youth ministries, and serve a significant number of youth in their congregations. Although it was understood that all representatives would not be able to meet each criteria because of their religious affiliations, it was expected that they would have met at least one or two of the criteria indicated. FAITH COMMUNITY RESPONDENTS - 62 - The respondents from this population were either high-standing members of their faith communities (such as a board member) or leaders of their faith communities (such as a youth minister or pastor). SELECTION AND TRAINING OF PROFESSIONAL RESEARCHERS Training for professional researchers was held on April 26, 2011 in Augusta, GA from 12pm to 4pm after the core advisory group meeting. There were three professional researchers initially selected to interview faith community representatives. Follow-up training allowed professional researchers to gain additional practice. Data collection for faith-community representatives began the week of May 9, 2011. A contact list of prospective interviewees was given to professional researchers to assist in the data collection process. DATA COLLECTION START AND END DATE Data collection started on May 5,, 2011 and ended on May 27, 2011. COMPENSATION FOR PROFESSIONAL RESEARCHERS Professional researchers were paid a $50 stipend of for attending the training session and $10 for each survey completed. COMPENSATION FOR RESPONDENTS The respondents received a one-time $10 gift card for their participation in the survey. - 63 - FAITH COMMUNITY SURVEY DATA ANALYSIS GENERAL RESULTS FAITH LEADERS’ PERCEPTIONS OF HOW COMMON TEEN PREGNANCY IS not very common pretty common very common we never or rarely have a teen pregnancy 1. Currently in your faith community 8 (40%) 4 (20%) 3 (15%) 5 (25%) 2. In terms of the broader community, 2 (10%) 6 (30%) 12 (60%) 0 (0%) 3. FAITH LEADERS’ PERCEPTIONS OF TIMING OF SEX EDUCATION too soon about the right age too late 5 (25%) 11 (55%) 4 (20%) 4. FAITH LEADERS’ VIEWS ON SEXUAL INFORMATION ABOUT PROTECTION NO MATTER ONE’S SEXUAL ACTIVITY should be given information information only encourages them to have sex 19 (100%) 0 (0%) 5. FAITH LEADERS’ OPINIONS OF WHO SHOULD SHARE INFORMATION ABOUT SEX WITH YOUTH parents should be the only ones sharing information about sexuality everyone has a role to play 3 (15%) 17 (85%) - 64 - 6. NUMBER OF OPPORTUNITIES FOR TEEN MEMBERS TO HEAR FAITH COMMUNITY'S VIEWS ON SEXUALITY, CONTRACEPTIVE USE AND TEEN PREGNANCY IN THE PAST YEAR no opportunity, these topics are not discussed at all few opportunities 2 (11%) some opportunities 2 (11%) lots of opportunities 7 (37%) 8 (42%) 7. AREAS WHERE TEEN PREGNANCY RELATED TOPICS DISCUSSED IN THE PAST YEAR No Yes Not Sure A workshop experience or message 5 14 1 A church or Sabbath school lesson (25%) 5 (70%) 12 (5%) 3 A youth group meeting (25%) 2 (60%) 16 (15%) 2 An individual counseling session (10%) 6 (80%) 12 (10%) 2 A group counseling session (30%) 6 (60%) 12 (10%) 2 A group counseling meeting (30%) 7 (60%) 8 (10%) 3 A meeting with subgroup of your faith community, like a woman's guild (39%) 7 (44%) 11 (17%) 2 (35%) 6 (55%) 11 (10%) 2 (32%) (58%) (11%) or parent's group OTHER AREAS/OPPORTUNITIES SPECIFIED: Youth Sunday Service, Youth Ministry Bible Study, Youth Ministry Monthly, Women’s Prayer Group, Focus on teens at church picnic: bring health dept., pajama praise, Back to School Rally, “Ladies with a Vision” (group of girls ages 15 – 20), mini-conferences & trainings, discussion forums, youth leadership team, Non-profit: Rhema Connection, AIDS Awareness month, outreach in projects, teen nights to discuss issues every other Friday, “True Love Waits”, workshops at other faith communities, youth rap session monthly - 65 - 8. TOPICS COVERED IN MEETINGS OR WORKSHOPS IN THE PAST YEAR? Basic facts of human reproduction 8 (40%) Values and decision making 19 (95%) Handling peer pressure 20 (100%) Resisting the pressure of the media 13 (65%) Dating and relationships 16 (80%) Abstinence 18 (90%) Getting and using contraception 8 (40%) The consequences of teenage pregnancy 17 (85%) Marriage and live time commitments 19 (95%) Other 1: 10 (50%) 3 (15%) Other 2: OTHER TOPICS SPECIFIED: Annual Women’s conference, biblical perspective of sex, emphasize consequences of actions, hold series on hip-hop, homosexuality, STDs, puberty, sexual violence / abuse, date rape and control, students from MCG come talk about teen health, teenage part-time jobs, involve in activities, nursing students on Wednesday youth night every March, work with young girls 9. FAITH COMMUNITIES’ ENCOURAGEMENT OF PARENTS TO TALK THEIR CHILDREN ABOUT SEX AND MORALITY WITHIN THE CONTEXT OF THE FAITH TRADITION No Yes, in individual sessions Yes, in group sessions 3 14 (70%) 12 (60%) (15%) 10. FAITH COMMUNITIES’ SPONSORING OF WORKSHOPS FOR PARENTS TO LEARN HOW TO TALK WITH THEIR CHILDREN ABOUT SEXUALITY No Yes Not Sure 14 5 1 (70%) (25%) (5%) IF YES, HOW RECENTLY? WORKSHOPS DESCRIBED: RANGE: 4 years ago - April 2011 consortium for church addressed as sub-topic, mini-conf: various topics incl. teen pregnancy & parent session during conf, spoke with parents about how to talk with children about sexuality and issues involving teens, within context of Sunday School, workshop for parents in conjunction with annual youth conference, workshop: psychologist did role play of worst case scenario - 66 - 11. FAITH COMMUNITIES’ SPONSORING OF MENTORING OPPORTUNITIES BETWEEN ADULTS AND TEENAGERS No Yes, but informally Yes, a formal program Not sure 4 (20%) 9 (45%) 8 (40%) 0 (0%) MENTORING PROGRAMS DESCRIBED: see a need then meet it…small congregation & we know each other, Boys to Men, Girls Chat, Daughters of Ester at Community Center, Weed & Seed on Barton Chapel, developing relationships, group (youth) mentoring, ladies mentor girls, men mentor boys (x3), meet as a group or individually, men assigned to youth with parameters and informally mentor, mentoring academy: teens meet w/ mentors 2x a week, planning to start, prayer, responsible teens to work with others, youth dept. meeting monthly now to help youth, teens can talk w/ selected mentors “Rod of Obedience”: person with “rod” can speak / talk about anything they want to, community service is part of goals, teens w/ hope in collaboration w/ comm. elementary and middle schools, training days & mind conf – believe in intergenerational activities, trips where youth & adults are together, women’s mentor ministry, Gentlemen for God, informal frequently youth night, youth church, informal conversations, young men partner w/ boys, young ladies talk w/ young girls 12. FAITH COMMUNITIES’ SPONSORING OF SUPERVISED GROUP ACTIVITIES (E.G. A YOUTH GROUP, PRAYER CIRCLES, AFTER SCHOOL HOMEWORK ASSISTANCE OR FIELDTRIPS) FOR TEENAGERS No Yes, occasionally Yes, regularly Not sure 0 (0%) 7 (35%) 14 (70%) 0 (0%) GROUP ACTIVITIES DESCRIBED: rd 3 Sunday is youth day, take on field trips, free summer camp in June, youth ministry meet monthly for training on how to conduct services, tutoring services for youth in community, Camp Hope (summer), bridging (afterschool), dance groups, music, comm. outreach, sharing faith, field trips (Myrtle Beach), elementary: Children in th th Action, discuss safety, drugs, peer pressure in grades 6 – 12 > growing youth group, activities 1 – 2 months fun and round table discussion of social topics, field trips regularly, Statesboro Carowinds (x2), field trips to Gospel Fest in park, Friday Night Live every month, gospel events, field trips: Atlanta, MLK Center, CNN Center, Black History in Alabama, fishing, baseball > young men / ladies have activities, Universal Circus in Columbus, summer tutorial program, children & youth ministries, occasional workshops, outings, sporting events, field trips, once a month youth activities like pizza, movies, bowling, birthday celebrations, take children to colleges, take young people to basketball games in Atlanta, teen nights, Sunday afternoon movie nights, retreats 3x a year, youth group volunteers at soup kitchen quarterly, fellowship of churches – comm. fellowship, youth groups, bible study lessons: topics chosen by teens, amusement parks, spiritual enrichment, Youth Sunday (2 nd th & 4 ), retreats, ushers - 67 - 13. FAITH COMMUNITIES’ INVOLVEMENT IN OUTREACH FOR TEENS WHO ARE NOT INVOLVED WITH A FAITH COMMUNITY No Yes, but informally Yes, a formal program Not sure 3 (15%) 9 (45%) 9 (45%) 0 (0%) OUTREACH DESCRIBED: Church without walls: youth deacons, trustees reach out, Prison Ministry, door-to-door outreach, tent meetings, attendance drives, food program, Broad Street Ministries, evangelism & outreach (x2), free summer camp, gather at comm. center, use food as bait, Facebook (x2): use to invite other to events, music hip-hop outreach, st partner with Augusta Housing Authority, invite friends to bring friends, River of Life: 1 week in June > comm. service, talk with teens outside church community, technology-mission group, youth ministry-foot soldiers, text messages, VBS, fliers, WOM, car wash 14. FAITH COMMUNITIES’ COLLABORATION WITH OTHER FAITH COMMUNITIES, NEIGHBORHOOD ORGANIZATIONS, OR INSTITUTIONS THAT WORK WITH YOUNG PEOPLE IN ACTIVITIES DESCRIBED ABOVE No Yes Not Sure 3 (15%) 17 (85%) 0 (0%) COLLABORATIVE ACTIVITIES DESCRIBED: Broad Street Ministries, choir (youth) anniversary, connect w/ churches (x4) & schools: Cross Creek, Glenn Hills, Laney, Housing Authority: outreach & Garden City Rescue Mission, invite others to join activities, minitheater, other churches (x2): Greater Young Zion, New Hope, partner with businesses & groups in the community, River of Life, True Love Waits, inter-faith hospitality, South Augusta CDC (Community Development Center), teens w/ hope involves educational comm., work with MCG School of Nursing, youth convention w/ state district & nation, Youth Directors Alliance, 3 satellite churches: May Park, Grovetown, Golden Camp, youth field trips 15. FAITH LEADERS’ WILLINGNESS TO ENGAGE IN SELECTED ACTIVITIES (a) organize or sponsor youth group activities such as field trips and community service? (b) encourage adults in your church or religious organization to serve as mentors? - 68 - No Yes Not Sure 0 (0%) 19 (95%) 1 (5%) 1 (5%) 19 (95%) 0 (0%) (c) support organizations in the community working to reduce teen pregnancy? (d) teach parents in your faith community how to talk to their children about sexuality and how it relates to their faith? (e) work with other faith leaders to encourage support for teen pregnancy prevention efforts? 1 (5%) 1 (5%) 17 (85%) 19 (95.0%) 2 (10%) 0 (0%) 0 (0%) 20 (100%) 0 (0%) 16. FAITH LEADERS’ ACCOUNT OF USEFUL ACTIVITIES FOR FAITH COMMUNITY MEMBERS? Information or a workshop on how to promote parent- 19 (95%) 17 (85%) 20 (100%) 19 child communication about sexuality related issues (95%) Information or a workshop on faith-based curricula on teen pregnancy Information or a workshop on current trends in teen pregnancy Information or a workshop on successful strategies for preventing teen pregnancy 17. ADDITIONAL INFORMATION ABOUT FAITH COMMUNITY RELATING TO TEEN PREGNANCY: A lot of kids say parents don’t listen & they go to others; teens need participation & activity to be part of; need to listen, need encouragement; abortion & effects; are programs available specifically to support family when teen gets pregnant? Volunteer to provide support; Broadway on cutting edge when reaching out to teens; we understand impact of teen pregnancy on their lives; Augusta has nothing for teens to do; no teen life; not goals for teens & support; communication most important thing; should be brought up with middle & high school Sunday school lessons; currently working with Boys & Girls Clubs to reduce teen pregnancy; primarily older adults / grandparents raising grandchildren; providing parents with tools to communicate with teens; Tabernacle would love to have a program that we could invite parents and youth to; try to instill: put God first & in doing so, will give them the right mindset to abstain, need to be faithful to God in addition to being faithful to church > church can’t see you all the time but God can; we believe in anything we can give to help a young life, we need to allow children to be children & not push them too early to be adult; would like to organize forum where churches can collaborate on matters dealing with sex & sexuality, teen pregnancy, abstinence, birth control, and other social issues; would like to see results from initiative; would support abstinence & for info about reproductive health but not give them permission to have pre-marital sex; youth dir & asst youth dir want to bring in others to address issue - 69 - BUSINESS SURVEY Results - 70 - BUSINESS COMMUNITY SURVEY DATA ANALYSIS BUSINESS COMMUNITY SURVEY DATA COLLECTION METHODS PURPOSE/GOALS A survey was administered to representatives of various businesses to determine their thoughts and opinions about teen pregnancy prevention in Richmond County. SURVEY DEVELOPMENT The business survey was adapted from a Philliber Research Associates tool. There was no accessible electronic version of the tool available, so an electronic version was created and revised according to suggestions by the G-CAPP staff, the lead project researcher, the data manager, and through review of the tool for errors noted by community researchers and other research team members. Revisions were complete by April 1, 2011. DEMOGRAPHIC PROFILE SHEET A demographic profile sheet was developed to complement the survey. The purpose of this sheet was to provide general information about the survey respondent (e.g., their age, sex, racial/ethnic affiliation, marital status, educational attainment, etc.). The demographic profile sheet was completed by the professional researcher prior to beginning the survey. SAMPLING SIZE OF BUSINESS SECTORS The sample for this group consisted of representatives from various sectors of the business community. A target number of representatives from 23 businesses were recruited. CHARACTERISTICS OF BUSINESSES Three main sectors of the business community were represented in the assessment: entertainment businesses (movie theaters, skating rinks, bowling alleys, and newspaper), fast food restaurants, and shopping mall stores. Businesses were located in areas that were considered to be “pregnancy hotspots,” and they serve and/or employ youth from within the community. - 71 - SELECTION AND TRAINING OF PROFESSIONAL RESEARCHERS Training for professional researchers was held on April 26, 2011 in Augusta, GA from 12pm to 4pm after the core advisory group meeting. There were three professional researchers initially selected to interview business employees. Follow-up training allowed professional researchers to gain additional practice. Data collection of businesses began the week of May 9, 2011. A contact list of prospective interviewees was given to professional researchers to assist in the data collection process. DATA COLLECTION START AND END DATE Data collection started on May 5, 2011 and ended on May 27, 2011. COMPENSATION FOR PROFESSIONAL RESEARCHERS Professional researchers were paid a $50 stipend of for attending the training session and $10 for each survey completed. COMPENSATION FOR RESPONDENTS Respondents received a one-time $10 gift card for their participation in the survey. - 72 - BUSINESS COMMUNITY SURVEY DATA ANALYSIS GENERAL RESULTS 1. BUSINESSES’ HIRING OF YOUTH No Yes Sometimes Not Sure 4 (17%) 18 (78%) 1 (4%) 0 (0%) FURTHER INFORMATION ON YOUTH HIRING: Age not an issue w/ employment…hire all kinds; hire at 16 (x7); hire at 17 (x3); certain jobs for certain ages; barber begins at 18…cleaning ages 10 – 16; used to have young people but economy went bad and had to let them go (x2); would considering hiring youth when business picks back up 2. BUSINESSES’ WILLINGNESS TO DEVELOP MENTORING PROGRAMS FOR YOUTH No Yes Sometimes Not Sure 7 (30%) 14 (61%) 0 (0%) 2 (9%) FURTHER INFORMATION ON YOUTH MENTORING: Anything is possible; have done that w/ autistic child; do that with church (x2); mentor to those who come into shop but not in community; no problem participating in talks; tried to but didn’t work…willing to participate if program worked correctly; considering working with a couple of schools; “would love to”; donates leftovers to homeless shelters & charity No: already mentors Not sure: would need more information (x6); have to clear through corporate; do not have the capacity through current employment 3. BUSINESSES’ WILLINGNESS TO SPONSOR AN ACTIVITY THAT PROMOTES PARENT-CHILD COMMUNICATION ABOUT SEXUALITY AND PREGNANCY No Yes Sometimes Not Sure 7 (30%) 12 (52%) 0 (0%) 4 (17%) FURTHER INFORMATION ABOUT WILLINGNESS TO SPONSOR ACTIVITY: Yes: Believes this should begin at home…work with school in not allowing youth to dance close while skating or sit in each other’s lap; can use outside area for meetings; no time but if company provide time would be ok; willing to have programs at salon & have speakers come in; would sponsor venue / speaker; sponsorship not a problem for activity - 73 - No: Movie theater & unable to do that; corporate won’t allow (x2) Not sure: need more info (x2); have to ask district mgr for sponsorship; have to clear with owner (x2) 4A. BUSINESSES’ WILLINGNESS TO PROVIDE FINANCIAL SUPPORT FOR EDUCATIONAL PROJECTS FOR COMMUNITY YOUTH SUCH AS SPONSORING TUTORING OR SCHOLARSHIPS No Yes Sometimes Not Sure 5 (22%) 9 (39%) 0 (0%) 9 (39%) FURTHER INFORMATION ABOUT WILLINGNESS TO PROVIDE FINANCIAL SUPPORT: Yes: Already do that (x3); tutors (x2); feels education is important No: can’t afford (x2) Not sure: must ask owner / corporate (x10) 4B. BUSINESSES’ WILLINGNESS TO PROVIDE OTHER TYPES OF SUPPORT (E.G., IN-KIND DONATION, STAFF TIME) No Yes Sometimes Not Sure 4 (18%) 15 (68%) 1 (5%) 2 (9%) FURTHER INFORMATION ABOUT WILLINGNESS TO PROVIDE OTHER SUPPORT: Yes: can volunteer time with proper notice; can donate time / building as long as no party booked with proper notice; employees can do on off day; small party / event: can do at local level; in-kind donation; would volunteer time, discounted advertisement No: business too bad right now (x2); can’t volunteer others w/o their consent Not sure: Depends on how much; need more info; must be cleared by owner (x3); up to staff to decide 5. BUSINESS REPRESENTATIVES’ WILLINGNESS TO SERVE ON COMMUNITY ADVISORY GROUP No Yes Sometimes Not Sure 12 (52%) 10 (48%) 0 (0%) 0 (0%) MORE INFORMATION ABOUT WILLINGNESS TO SERVE ON CAG: Yes: Absolutely (x3); open to joining but may not like answers No: no time (x4); does not like to make long-term commitments (x2); other commitments (x2) Not sure: need more info - 74 - 6. BUSINESSES’ WILLINGNESS TO SUPPORT INITIATIVE EVENTS WITH REFRESHMENTS/ CONTRIBUTIONS FOR REFRESHMENTS No Yes Sometimes Not Sure 2 (9%) 16 (74%) 1 (4%) 3 (14%) FURTHER INFORMATION ABOUT WILLINGNESS TO CONTRIBUTE: Yes: all types of refreshments can be given; as long as event small (<50 people); depends on size of group; can donate breads / pastries left at end of day; yes if involved with activity No: business too bad right now; cannot donate food items Not sure: has to be approved first (x4); need more info (x2) 7. BUSINESSES’ WILLINGNESS TO SERVE YOUTH No Yes Maybe Not Sure 23 (100%) 0 (0%) 0 (0%) 0 (0%) FURTHER INFORMATION ABOUT WILLINGNESS TO SERVE YOUTH: Yes: 25% of clients; 40% of clients; all ages welcome but can’t buy rated R tickets w/o adult & can’t attend movie after 9pm due to curfew; almost all business is youth except adult skate on Sunday; 35% of clients ages 15 – 19; some teens but youth <15 & their parents; 50% of clients teens due to free wifi; 85% youth; creating a program for youth writers for the newspaper, as well as the Hola award and provide a scholarship. 8. BUSINESSES’ WILLINGNESS TO ALLOW ON-SITE CONDOM DISTRIBUTION No Yes Maybe Not Sure 15 (65%) 4 (17%) 0 (0%) 4 (17%) FURTHER INFORMATION ABOUT CONDOM DISTRIBUTION: Please explain your reason for this answer. Yes: Teaches protection & that’s a good thing; No: Not the kind of thing he wants in his restaurant; company does not allow (x4); encourages youth (x2); don’t want to offend older customers but want to help the cause; would look bad; youth should practice abstinence…wait until marriage, staff always out in the street and don’t want the youth to come and office is closed. Not sure: doesn’t think manager would allow but could ask; must be cleared first (x5) - 75 - 9. BUSINESSES’ WILLINGNESS TO ALLOW ADVERTISING OF INITIATIVE EVENTS No Yes Sometimes Not Sure 3 (13%) 14 (61%) 0 (0%) 6 (26%) ADDITIONAL COMMENTS: Yes: Absolutely (x2); as long as not too big (could be 8x10 piece of paper); depends on what they say; has st community bulletin where it can be placed; usually published on 1 Thursday of the month No: company doesn’t allow outside advertisement Not sure: corporate has contract with national advertising company…have to get approval (x4) 10. BUSINESSES’ WILLINGNESS TO ALLOW ADVERTISING OF FREE CONTRACEPTIVE INFORMATION No Yes Sometimes Not Sure 7 (30%) 9 (39%) 0 (0%) 7 (30%) ADDITIONAL COMMENTS: Yes: has community bulletin where it can be placed No: Against faith; company doesn’t allow outside advertisement; crowd is young and should not be able to get this everywhere; youth should practice abstinence…wait until marriage Not sure: depends on what they say; have to get approved by corporate / owner (x5) 11. BUSINESSES’/REPRESENTATIVES’ ABILITY TO PROVIDE INTRODUCTIONS TO LOCAL POLITICAL LEADERS AND FUNDERS No Yes Sometimes Not Sure 18 (78%) 2 (9%) 1 (4%) 2 (9%) Comments: Yes / sometimes: Come back Monday @ 4pm; call back after Thursday; sister on RCBOE; editor of paper knows all political leaders No: don’t know any (x3); not on hand right now Not sure: perhaps owner could; wants to speak to them first - 76 - 12. KNOWLEDGE OF OTHER WAYS BUSINESSES COULD HELP SUPPORT TEEN PREGNANCY PREVENTION No Yes Maybe Not Sure 18 (78%) 4 (17%) 0 (0%) 1 (4%) COMMENTS: Yes: Bathrooms great place for posters, condoms, etc.; building self-esteem is key to preventing pregnancy…St. Mary’s HS has wonderful program; education in school…mindset should be there because they spend most of time there…should be done under supervision maybe assembly; government needs to look at policy on welfare to take away dollars if women continue to have children; make sure teens aware of consequences; Kenneth very active: sponsors back-to-school event (free haircuts, barrettes for girls, school supplies); would hand out info & condoms as individual but not as employee representing company unless cleared through corporate - 77 - PUBLIC OFFICIAL SURVEY Results - 78 - PUBLIC OFFICIAL SURVEY DATA ANALYSIS PUBLIC OFFICIAL SURVEY DATA COLLECTION METHODS PURPOSE/GOALS Public officials and policy makers were surveyed as part of the community needs assessment to better understand their perspectives on teen pregnancy, prevention efforts in the community, and support for various policy options related to sex education (ranging from abstinence-until-marriage promotion to comprehensive sex education). SURVEY DEVELOPMENT The public official survey was adapted from a Philliber Research Associates tool. There was no accessible electronic version of the tool, so an electronic version was created and revised according to suggestions by the G-CAPP staff, the lead project researcher, the data manager, and through review of the tool for errors noted by research team members. Revisions were complete by April 1, 2011. DEMOGRAPHIC PROFILE SHEET A demographic profile sheet was developed to complement the survey. The purpose of this sheet was to provide general information about the survey respondent (e.g., their age, sex, racial/ethnic affiliation, marital status, educational attainment, etc.). The demographic profile sheet was completed by the assessment team researcher prior to beginning the survey. RESEARCHER RECRUITMENT No community or professional researchers were trained to administer this survey tool. Elected official surveys were conducted by the needs assessment team along with Mary Beth Pierucci, Senior Policy Analyst & Trainer for G-CAPP. All surveys were conducted in-person and no consent forms were necessary. DATA COLLECTION START AND END DATE Data collection began on April 10, 2011 and concluded on June 10, 2011. - 79 - SURVEY PARTICIPANT RECRUITMENT At the time of recruitment, Mary Beth Pierucci was newly hired and based in Augusta to work with elected officials in Richmond County. Through a diligent recruitment strategy which included e-mailing all potential participants and following up with phone calls, she led the effort in soliciting officials to participate in the community needs assessment. COMPENSATION FOR RESEARCHERS Because the needs assessment team collected these data, no compensation beyond salary was provided. COMPENSATION FOR RESPONDENT To avoid the possibility that payment to respondents may be considered bribery, no compensation was provided. - 80 - PUBLIC OFFICIALS SURVEY DATA ANALYSIS RESPONDENT DEMOGRAPHICS PUBLIC OFFICIALS DEMOGRAPHICS BASED ON SURVEY QUESTIONS 8-11 8. ROLE OF PUBLIC OFFICIAL Educator State legislator Local official Other elected official Legislative staff Advocate Other:_________________________________ 0 (0%) 5 (31%) 8 (50%) 1 (6%) 0 (0%) 3 (19%) 0 (0 %) 9. DESIGNATED REGION OF JURISDICTION Not focused on any particular area Local community Region of the state Statewide Other: _______________________________ 0 (0%) 11 (69%) 3 (19%) 8 (50%) 0 (0%) GENDER Male Female 12 (75%) 4 (25%) - 81 - RACE/ETHNIC AFFILIATION African-American Alaska Native/American Indian Asian American/Pacific Islander (From:___________________________________) Latino/Hispanic (From:___________________________________) Middle Eastern (From:___________________________________) White/European Other: _______________________________ 9 (56%) 0 (0%) 0 (0%) 0 (0.0%) 0 (0%) 7 (44%) 0 (0%) PUBLIC OFFICIALS SURVEY DATA ANALYSIS GENERAL RESULTS 1. OFFICIALS’ RANKINGS OF TOP THREE YOUTH-RELATED ISSUES BELIEVED TO BE MOST IMPORTANT TO CONSTITUENTS Child abuse/neglect Coordination of Services for Youth HIV/STD Prevention Health care for Youth Crime and Violence Homeless/Runaway Youth Drug/Alcohol Use Juvenile Justice Foster Care Services #1 ranking #2 ranking #3 ranking 21 (13%) 0 (0%) 0 (0%) 0 (0%) 10 (63%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 4 (25%) 1 (6%) 0 (0%) 0 (0%) 1 (6%) 0 (0%) 1 (6%) 0 (0%) 0 (0%) 0 (0%) 1 (6%) 0 (0%) 0 (0%) 1 (6%) 0 (0%) 3 (19%) 0 (0%) 0 (0%) - 82 - Education Sex Education Teen Pregnancy Youth Development Other: Obesity 3 (19%) 0 (0%) 0 (0%) 1 (6%) 0 (0%) 3 (19%) 2 (13%) 4 (25%) 0 (0%) 0 (0%) 3 (19%) 1 (6%) 5 (31%) 0 (0%) 1 (6%) 2. OFFICIALS LEVELS OF SUPPORT FOR F POLICY OPTIONS RELATED TO TEENAGE PREGNANCY PREVENTION Currently the state funds adolescent health and youth development programs that promote health education in communities throughout Georgia. These programs include teen clinics; abstinence education; drug and alcohol prevention education, adolescent reproductive health services; parent education seminars; and training programs designed to increase community awareness about teen pregnancy. Would you support increased state funding for these programs? Georgia law currently requires public schools to provide sex education classes that emphasize the value of abstinence from sex. Local school systems may choose to include information on contraception and the prevention of sexually transmitted diseases in their courses. Would you support a school policy that offered age-appropriate comprehensive sexuality education programs that include teaching the benefits of abstinence AND providing information about contraceptives and sexually transmitted infection prevention in Richmond County? Would you support a school policy that offered abstinence-only-until-marriage programs that focus on encouraging teens Not Supportive A little supportive Somewhat Supportive Very Supportive 1 (6%) 2 (13%) 2 (19%) 9 (63%) 0 (0%) 4 (25%) 4 (25%) 8 (50%) 5 (31%) 1 (6%) 3 (19%) 7 (44%) - 83 - not to engage in any sexual activity until marriage in Richmond County? Would you support a school policy that offered BOTH an age-appropriate comprehensive sexuality education program and an abstinence-only-until-marriage program in Richmond County? How supportive are you of having ageappropriate comprehensive sexuality education programs integrate into afterschool and other community based programs? How supportive are you in having abstinence-only-until –marriage programs integrated into after-school and other community based programs? How supportive are you of developing continuing education in adolescent sexuality for professionals and teachers who serve adolescents in our community? Do you support the current Georgia law that allows teenagers to receive confidential family planning services without a parent or guardian present? These services include counseling on the value of abstinence, education on sexually transmitted diseases, and provision of contraceptives? [For those who oppose] Research has consistently shown that teenagers are less likely to seek out family planning and contraceptive services when they are required to tell their parents or guardians about it. Knowing this, how supportive are you of the current state law that allows teenagers to receive confidential family planning services? 1 (7%) 0 (0%) 4 (29%) 9 (64%) 0 (0%) 0 (0%) 8 (57%) 6 (43%) 1 (7%) 2 (13%) 3 (20%) 8 (53%) 0 (0%) 1 (7%) 3 (20%) 11 (73%) 7 (47%) 3 (20%) 2 (13%) 3 (20%) 6 (86%) 0 (0%) 0 (0%) 0 (0%) 3 - 4. TEEN PREGNANCY PREVENTION/YOUTH DEVELOPMENT MEASURES OFFICIALS OR LOCAL/STATE GOVERNMENTS HAVE TAKEN IN THE PAST YEAR Introduced or supported legislation Teen pregnancy prevention Youth development 2 (18%) 2 (13%) - 84 - Requested or conducted a special study Held a special hearing or town meeting Started or changed a program Applied for funding Involved young people in your efforts Other: Please specify 0 (0%) 1 (9%) 0 (0%) 0 (0%) 2 (18%) 1 (9%) 2 (18%) 2 (27%) 5 (31%) 2 (13%) 4 (25%) 8 (50%) Susan Swanson - CPC trying to get abstinence-only until marriage curriculum introduced into schools. It didn't meet state requirements. She spread falsehoods & held protests. Never rec'd so many phone calls before saying that Planned Parenthood was associated with this whole thing. Change to juvenile criminal code; support: Salvation Army, Kroc Center, YCA, Youth Leadership RC, Rape Crisis (Adam & Ashley do 3-day training), Child Enrichment Talked about teen pregnancy in our schools. Interested & had statistics presented on the issue. CPC curriculum Clinic inside Glenn Hills HS, all health services, if child becomes pregnant; dental not open Fund RCHD ($200K/year), arts council, afterschool programs @ recreational centers, summer programs; thinks funds part of extension services of 4H; no major budget slashes to date but will cut this year; little fluctuation in economy - operate no matter what: Ft. Gordon, MCG, Savannah River; entire budget: $120 million with $9 million deficit Internship program for his program graduates Parks & recreational: youth services; $9M deficit; difficulty funding; Mock (Tennis) Academy; Tom Beck; starting to see mutual collaboration among organizations & traditional silos; right now: huge amount of overlay Programming re: graduation - 85 - rates; develop special needs students. Getting info about students throughout school year; interventions for students who are falling behind. Budget cuts in 21st Century and Bell Program. $70M to cut in 2yrs in state funds. SPLOTS wants for personnel started program: Title 1 federal high poverty school - to provide extra programs to these schools has been cut / expect more cuts; afterschool to receive extra tutoring, homework assistance - has been cut; applied for funding: couple of grants on youth development; 21st century afterschool grants has been approved and will; Boys & Girls Club in close proximity to school have a partnership with them. Support Family Connections 8pported teen programs 5. SPECIFIC AGE GROUP(S) TARGETED BY OFFICIALS’ OR LOCAL/STATE GOVERNMENTS’ EFFORTS Not focused on any particular group Children (12 and under) Adolescents (13-19) Adults (20-64) Seniors (65 and over) 6 (38%) 5 (31%) 10 (63%) 0 (0%) 1 (6%) - 86 - 6. SPECIFIC RACIAL/ETHNIC GROUP(S) TARGETED BY OFFICIALS’ OR LOCAL/STATE GOVERNMENTS’ EFFORTS Asian American/Pacific Islander (From which countries, if known:_________________________) Latino/Hispanic (From which countries, if known:_________________________) Middle Eastern (From which countries, if known:_________________________) 8 (57%) 0 (0%) 1 (7%) 0 (0%) 0 (0%) White/European (From which countries, if known:_________________________) 3 (21%) Other: _______________________________ 2 (14%) African-American Alaska Native/American Indian 7. ADVICE FOR LEGISLATORS TO MAINTAIN THE LOCAL/STATE GOVERNMENTS’ INVESTMENT IN TEENAGE PREGNANCY PREVENTION DURING CURRENT ECONOMIC CONDITIONS: Coordinate with other services & providers in existence; prevent duplication of effort & get message out to more people Establish & implement curfew; no time that teens can run by themselves all day; more supervision; kids don't have a clue on how to build productive relationships Follow guidelines - to get everybody involved and working together and seeing how much $ we spent - but when everybody not on board you have a breakdown. Target people where they are. Have a lot of programs BUT are they the best ones? like tax exemptions on books...don't work...ok, let's fix them; need to do a better job of fixing current programs how maintained based on demand of public; rely on public to share concerns; listen to constituents but Constituents have to speak up Look at big picture; invest on front end (ex. think 20 years down the road); excited that Gov. Deal focusing on childhood obesity (beyond his term vs. politicians focus on quick fix / plug a hole); 20% poverty rate & 3rd highest non-profits per capita = disconnect here as $ isn't making it into communities of need Low on totem pole; can’t even fund schools; really tough Major support: education; RC state budget cut of $70M; academic scores have increased but could have even more with better support of teachers; education yield better decisions Needs to be more; in business, work twice as hard to maintain; stay at cusp of what's new; conscientious effort of currency / see where we are & what needs to be done; constant engagement with subject matter experts Parent education-how to teach morals and values; children are what they see and live - 87 - Prevention efforts will save money in long run Speak of importance; provide necessary funding now; costly early on; later on, if reduce, cost savings; mothers can continue education & give back to society instead of relying on it; political will: if want to do, can make a way; losing too many children as it is Stay involved; fund it; to Nathan Deal: not to do away with it; reach out to legislators Strong support maintenance, PH has had more budget cuts than school system (lost a lot of nurses); no extra funding coming in; teen pregnancy rates among younger ages; need to start efforts in elementary vs. middle schools. Tend not to advise legislators; encourage to set own priorities & live with them; people know what they need to do; need to hold the line rather than reduce Try to maintain current funding for programs - 88 - CLINICAL PROVIDERS SURVEY Results - 89 - CLINICAL PROVIDER SURVEY DATA ANALYSIS CLINICAL PROVIDER SURVEY DATA COLLECTION METHODS PURPOSE/GOALS The purpose of the clinical provider survey is to collect data on reproductive health services and the distribution of contraceptives in Richmond County. Specifically, the survey was designed to determine the portion of Richmond Co. youth that are served, when they are served, what outreach, if any, is performed to appeal to younger patients, and what challenges, if any, facilities face in providing services to their target population. SURVEY DEVELOPMENT The survey was adapted from a Philliber Research Associates tool. There was no accessible electronic version of the tool available, so an electronic version was created and revised according to suggestions by the G-CAPP staff, the lead project researcher, the data manager, and through review of the tool for errors noted by research team members. The survey was revised based on the unique purpose and needs of this assessment, and was evaluated for “readability.” After the survey was developed, the CDC team developed a survey tool for community agencies, which was released on July 1, 2011. Data collection for this wave was delayed until the updated survey tool was released and adapted for the Richmond County community needs assessment. DEMOGRAPHIC PROFILE SHEET Individual data was collected from staff at clinical service providers’ offices to gain an understanding of staff members’ educational backgrounds and work experience. A demographic profile sheet was also developed to complement the survey. The purpose of this sheet was to provide general information about the survey respondent (e.g., their age, sex, racial/ethnic affiliation, marital status, educational attainment, etc.). The demographic profile sheet was completed by the assessment team researcher prior to beginning the survey. RESEARCHER RECRUITMENT For the purposes of this survey, data collection was conducted by the Messages of Empowerment assessment team. No additional researchers were hired to survey this group. - 90 - The assessment team met with representatives at each clinic for two hours to explain the needs assessment survey and to review each question within the survey instrument. Each clinic was responsible for populating the tool with their individual clinic’s data and submitting the completed survey back to the assessment team within two weeks of the meeting. The assessment team then met with each clinic’s representatives for one hour to discuss challenges experienced in completing the survey tool. DATA COLLECTION START AND END DATE Data collection began after each clinic’s two-hour meeting. Each clinic was a given two weeks to submit the survey, and data collection to concluded on September 13, 2011. SURVEY PARTICIPANT RECRUITMENT PLAN AND PROCESS All five clinical service providers who served as collaborative partners for this initiative were asked to complete the survey. The assessment team also attempted to recruit five non-partner clinical service providers to complete the survey; non-partner clinics did not respond, and no data were collected from this group. The five clinical service providers who submitted data are: Richmond County Health Dept Family Planning Clinic Site 1 South Augusta Health Dept Family Planning Planned Parenthood Southeast Asociacion Latina de Servicios del CSRA (Alas) Medical College of Georgia, Women’s Health & Augusta Regional Perinatal Center Informed consent was not necessary for this group of participants. COMPENSATION FOR RESEARCHERS Because the needs assessment team collected this group’s data, no compensation beyond salary was provided. COMPENSATION FOR RESPONDENTS Completion of this survey was undertaken in conjunction with clinical partners’ memoranda of understanding. Upon successful completion of the survey, each clinical partner was issued a $5,000 stipend directly from G-CAPP. - 91 - CLINICAL PROVIDER SURVEY DATA ANALYSIS CLINIC DEMOGRAPHICS The five clinical partners whom completed this survey identified themselves as one or more of the following types of health resources: family medical practice, community health center, county health department, “free clinic,” publicly-funded family planning institution, and/or hospital-based ambulatory care (teaching) institution. The clinics serve urban, suburban, and rural populations around Richmond County. All clinics reported having access to the internet for staff members, and most clinics reported having an on-site pharmacy that dispenses hormonal contraceptives. Four out of six of the clinics participated in the federal 340B drug discount program, and only half of the clinics reported having implemented systems to facilitate third party payers for contraceptive and reproductive health services provided. At the time of the survey, two of the clinics did not use an electronic medical records (EMR) system. Of the remaining four clinics, staff used the either M&M or the Cerner system to electronically record and store patients’ medical information. CLINICAL PROVIDER SURVEY DATA ANALYSIS STAFFING STRUCTURE 7. CLINICAL STAFFING STRUCTURE Health Center Employees with Direct Patient Contact Physicians (MDs/DOs) Physician Assistants Midwives Advanced Practice Clinicians Advance Practice Nurses Registered Nurses Medical Assistants Health Educators Social Workers All full time equivalent employees at the health center All full time equivalent employees who provide direct service to adolescents 0.2 - 24.0 (avg: 7.4) 0.0 - 1.0 (avg: 0.3) 0.0 - 1.0 (avg: 0.3) 0.0 0.2 - 20.0 (avg: 5.7) 0.0 - 1.0 (avg: 0.3) 0.0 - 1.0 (avg: 0.3) 0.0 0.0 - 1.0 (avg: 0.3) 0.0 - 4.5 (avg: 2.6) 0.0 - 2.0 (avg: 1.1) 0.0 - 4.0 (avg: 1.3) 0.0 - 1.0 (avg: 0.3) 0.0 - 1.0 (avg: 0.3) 0.0 - 4.5 (avg: 2.2) 0.0 - 2.0 (avg: 0.7) 0.0 - 4.0 (avg: 1.3) 0.0 - 1.0 (avg: 0.3) - 92 - Mental Health Practitioners 0.0 0.0 Pharmacists 0.0 0.0 0.1 - 9.0 (avg: 3.6) 0.5 - 6.0 (avg: 2.0) 0.8 - 45.0 (avg: 16.8) 0.1 - 9.0 (avg: 3.2) 0.5 - 6.0 (avg: 1.9) 0.8 - 41.0 (avg: 14.3) Front Desk/Clerical Other (specify: ) Total: 8. ADMINISTRATIVE STAFFING STRUCTURE All full-time Administrative staff with no direct patient contact equivalent employees at the health center 0.0 - 1.0 (avg: 0.2) 0.0 - 1.0 (avg: 0.2) 0.0 - 1.8 (avg: 0.7) 0.0 - 2.0 (avg: 0.8) 0.0 - 3.0 (avg: 1.1) Fiscal (Budget) Information technology (IT) Health Center Manager Other (specify: ) Total: No. of full-time equivalent employees who provide direct service to adolescents 0.0 - 0.25 (avg. 0.05) 0.0 - 1.0 (avg: 0.3) 0.0 - 2.0 (avg: 0.5) 0.0 - 2.0 (avg: 0.6) 0.0 - 3.0 (avg: 0.7) CLINICAL PROVIDER SURVEY DATA ANALYSIS HEALTH INSURANCE BILLING PRACTICES AND REVENUE 9. PERCENTAGE OF REVENUE (FOR ALL PATIENTS) PRACTICE RECEIVES FROM VARIOUS SOURCES Source of Revenue % of total revenue 1% - 12% Medicaid Fee for Service (avg: 8%) 0.0% Medicaid Family Planning Waiver 31% - 33% Medicaid Managed Care (avg: 32%) 7% - 55% Commercial Insurance (avg: 29%) <1% - 75% Sliding Fee Scale (Patient pays for a portion of the - 93 - (avg: 38%) charges out-of-pocket) 0% - 75% Full Pay (Patient pays for the full cost of service out- (avg: 44%) of-pocket) 0% - 75% Grant Revenue (example: Title X, 330, Private Foundation) (avg: 41%) Federally Qualified Health Center or FQHC look-alike 0% - 100% Wrap- Around Funds (avg: 33%) Other [Please describe: 2% – 10% donations ] (avg: 5%) Total revenue for all sources 100% 10. PERCENTAGE OF REVENUE PRACTICE RECEIVES FOR ADOLESCENT VISITS (AGES 15-19 YEARS) BY SOURCE Source of Revenue % 8% - 32% Medicaid Fee for Service (avg: 21%) 0%- 32% Medicaid Family Planning Waiver (avg: 16.2%) 24%- 59% Medicaid Managed Care (avg: 39%) 1%- 67% Commercial Insurance (avg: 30%) 0% Medicaid Family Planning Waiver <1% - 67% Sliding Fee Scale (Patient pays for a portion of the (34%) charges out-of-pocket) 67% Full Pay (Patient pays for the full cost of service outof-pocket) No Pay (services are covered by grants like Title X, 67% - 74% 330, Private Foundation, etc.) (avg: 71%) 0% Federally Qualified Health Center (FQHC) (WrapAround Funds) Other [Please describe: 100% donations ] Total for all revenue sources 100% - 94 - 11. PERCENTAGE OF PATIENTS WHO ARE UNINSURED Patient Population % All Patients 0% -85% (22%) Adolescent patients aged 15-19 years 0% -13% (4%) 12. FEES CHARGED FOR ADOLESCENT FAMILY PLANNING SERVICES 3 (50%) 0 (0%) 0 (0%) 3 (50%) 3 (50%) 0 (0%) No, for either males nor females (skip to question 14) Yes, fees for male adolescents only Yes, fees for female adolescents only Yes, on a sliding scale for all adolescents Yes, regular fees for visit: How much? $0-150 Yes, other (specify: ) 13. PRESENCE OF SYSTEM TO PROVIDE FAMILY PLANNING SERVICES FOR ADOLESCENTS WHO CANNOT PAY REQUIRED FEE 0 (0%) 2 (67%) 1 (33%) No Yes (specify: ) Not sure - 95 - CLINICAL PROVIDER SURVEY DATA ANALYSIS REFERRALS AND LINKAGES 14. MATERIALS AND STRATEGIES USED TO INCREASE AWARENESS OF HEALTH CENTER SERVICES Type of Material/Strategy Referral Guide Website Hotline or Informational Call Center Health Center Brochure Flyer Community Outreach/Education Social Media (e.g., Twitter, Facebook, etc.) Referral network for services not offered by health center Other (specify: ) Available Yes No 2 (33%) 6 (100%) 2 (33%) 3 (50%) 1 (17%) 5 (83%) 3 (50%) 5 (83%) 3 (75%) 4 (67%) 0 (0%) 4 (67%) 3 (50%) 5 (83%) 1 (17%) 3 (50%) 1 (17%) 1 (25%) Tailored Specifically for Adolescents Yes No 1 (17%) 3 (50%) 0 (0%) 1 (17%) 0 (0%) 1 (20%) 0 (0%) 2 (33%) 0 (0%) 5 (83%) 3 (50%) 5 (100%) 5 (83%) 5 (100%) 4 (80%) 5 (100%) 4 (67%) 4 (100%) 15. HEALTH CENTER'S REFERRAL SERVICES FOR ADOLESCENTS Does the health center… Refer adolescent clients out for reproductive health services? Yes No 4 (67%) 2 (33%) 1 (17%) 5 (83%) Refer adolescent clients out for contraception? 15A. PLACES ADOLESCENT CLIENTS REFERRED TO FOR REPRODUCTIVE HEALTH SERVICES OR CONTRACEPTION Dr. Martin sees patients in our clinic on Thurs. which helps to eliminate referring any patient out for reproductive health services or contraception. However, every once and again there may be a special medical issue that we need to refer out for ex: 1. Heart-related issues that may impact effective contraception are referred out to a Cardiologist. 2. Urethral that we may refer out to a Urologist. Private physicians of choice or CHC Public Health Department for prenatal care. Also private physicians for services beyond out scope. If pediatric request for insertable contraceptives, patient is sent to Women's Health Services Refer patients to various locations depending on needs. If special needs we may refer them to a specialist, if not will refer to ob/gyns that they have informal agreements with that will see patients at no or little charge - 96 - 16. PROVIDER/ORGANIZATION PARTNERSHIPS THAT ENHANCE ADOLESCENTS’ ACCESS TO SERVICES Provider/Organization Type Community based organization (specify: ) Evidence-based / Evidence-informed Teen Pregnancy Prevention Program High School Middle School Community college Four-year college After School Program Foster Care Program GED Program Juvenile Detention Family practice Pediatric practice Community health center Mental health/Counseling Agency Other (specify: Cherry Tree & Jennings housing projects) - 97 - Formal Linkages Informal Linkages 2 (33%) 1 (17%) 1 (17%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (17%) 2 (33%) 0 (0%) 2 (33%) 0 (0%) 1 (17%) 2 (33%) 0 (0%) 1 (17%) 1 (17%) 1 (17%) 2 (33%) 1 (17%) 3 (50%) 3 (50%) 0 (0%) CLINICAL PROVIDER SURVEY DATA ANALYSIS ADOLESCENTS PATIENT DEMOGRAPHICS 17. HEALTH CARE SERVICES FOR ADOLESCENTS BY GENDER Does the health center… Provide health care services to adolescent females? Provide health care services to adolescent males? Yes No 6 (100%) 5 (83%) 0 (0%) 1 (17%) 18. (TABLE 1) FEMALE ADOLESCENT CLIENTS (UNDUPLICATED) AND VISITS BY RACE/ETHNICITY, AGE GROUP, AND YEAR FEMALES Race/Ethnicity and Age Group (Years) Hispanic/Latino(a) – All Races* 15-17 18-19 Total Black or African American (Non-Hispanic) 15-17 18-19 Total White (Non-Hispanic) 15-17 18-19 Total Other (Non-Hispanic) 15-17 18-19 Total # Adolescent Clients (Unduplicated) # Adolescent Visits CY2009 CY2010 CY2009 CY2010 0 – 32 (avg: 9) 1–9 (avg: 5) 1 – 37 (avg: 14) 0 – 36 (avg: 10) 1 – 52 (avg: 14) 4 – 41 (avg: 17) 3 – 90 (avg: 35) 11 – 22 (avg: 16) 14 – 106 (avg: 52) 0 – 106 (avg: 41) 9 – 13 (avg: 11) 9 – 118 (avg: 53) 69 – 682 (avg: 230) 135 – 300 (avg: 189) 204 – 823 (avg: 419) 54 – 619 (avg: 240) 108 – 488 (avg: 240) 162 – 808 (avg: 479) 145 – 1849 (avg: 821) 232 – 773 (avg: 490) 377 – 2315 (avg: 1311) 93 – 1605 (avg: 686) 142 – 819 (avg: 504) 235 – 2156 (avg: 1190) 21 – 650 (avg: 170) 62 – 137 (avg: 88) 87 – 787 (avg: 258) 27 – 690 (avg: 180) 67 – 151 (avg: 100) 99 – 841 (avg: 280) 87 – 1828 (avg: 692) 129 – 414 (avg: 296) 216 – 2242 (avg: 988) 77 – 1863 (avg: 682) 99 – 435 (avg: 317) 176 – 2298 (avg: 998) 2 – 34 (avg: 12) 1 – 13 (avg: 9) 3 – 41 (avg: 21) 1 – 33 (avg: 10) 1 – 19 (avg: 8) 2 – 38 (avg: 18) 10 – 114 (avg: 48) 15 – 34 (avg: 21) 25 – 129 (avg: 69) 3 – 76 (avg: 28) 8 – 20 (avg: 14) 16 – 54 (avg: 32) Unknown Race and Ethnicity - 98 - 18. (TABLE 1) FEMALE ADOLESCENT CLIENTS (UNDUPLICATED) AND VISITS BY RACE/ETHNICITY, AGE GROUP, AND YEAR FEMALES Race/Ethnicity and Age Group (Years) 15-17 18-19 Total All Races and Ethnicities 15-17 18-19 # Adolescent Clients (Unduplicated) # Adolescent Visits CY2009 CY2010 CY2009 CY2010 0 – 23 (avg: 5) 0–2 (avg: 1) 0 – 25 (avg: 6) 0 – 22 (avg: 7) 0–5 (avg: 2) 0 – 27 (avg. 9) 0 – 50 (avg. 17) 0–2 (avg: 1) 0 – 52 (avg: 18) 0 – 32 (avg: 12) 0–7 (avg: 3) 0 – 39 (avg: 15) 92 – 1421 (avg: 426) 203 – 380 (avg: 292) 7 – 1400 (avg: 374) 52 – 621 (avg: 306) 245 – 3931 (avg. 1614) 387 – 1174 (avg: 825) 176 – 3682 (avg; 1450) 270 – 1262 (avg: 848) 18. (TABLE 2)MALE ADOLESCENT CLIENTS (UNDUPLICATED) AND VISITS BY RACE/ETHNICITY, AGE GROUP, AND YEAR MALES Race/Ethnicity and Age Group (Years) Hispanic/Latino(a) – All Races* 15-17 18-19 Total Black or African American (Non-Hispanic) 15-17 18-19 Total White (Non-Hispanic) 15-17 18-19 Total Other (Non-Hispanic) 15-17 18-19 # Adolescent Clients (Unduplicated) CY2009 CY2010 # Adolescent Visits CY2009 CY2010 0 - 23 (avg: 9) 0–2 (avg: 1) 0 – 25 (avg: 10) 0 – 29 (avg: 15) 0 – 13 (avg: 4) 0 – 32 (avg: 19) 0 – 43 (avg: 22) 0–8 (avg: 4) 0 – 51 (avg: 26) 0 – 66 (avg: 33) 0–7 (avg: 4) 0 – 73 (avg: 37) 0 – 581 (avg: 193) 1 – 134 (avg. 62) 1 – 715 (avg: 255) 0 – 580 (avg: 198) 0 – 153 (avg: 83) 0 – 732 (avg: 281) 0 – 1508 (avg: 754) 1 – 434 (avg: 218) 1 – 1942 (avg: 972) 0 – 1349 (avg; 675) 0 – 363 (avg. 182) 0 – 1712 (avg: 856) 0 - 634 (avg: 175) 1 – 148 (avg: 46) 1 – 782 (avg:220) 1 – 658 (avg: 190) 1 – 124 (avg: 43) 2 – 782 (avg: 233) 0 – 1675 (avg. 838) 1 – 439 (avg: 220) 1 – 2114 (avg. 1058) 1 – 1679 (avg: 840) 1 – 332 (avg: 167) 2 – 2011 (avg: 1007) 0 – 31 (avg: 9) 0–6 (avg: 2) 0 – 33 (avg: 9) 0 – 11 (avg: 4) 0 – 85 (avg: 43) 0 – 12 (avg: 6) 0 – 90 (avg: 45) 0 – 28 (avg: 14) - 99 - 18. (TABLE 2)MALE ADOLESCENT CLIENTS (UNDUPLICATED) AND VISITS BY RACE/ETHNICITY, AGE GROUP, AND YEAR MALES Total Unknown Race and Ethnicity 15-17 18-19 Total All Races and Ethnicities 15-17 18-19 Total # Adolescent Clients (Unduplicated) # Adolescent Visits 0 – 37 (avg: 10) 0 – 41 (avg: 12) 0 – 107 (avg: 54) 0 – 118 (avg: 59) 0 – 26 (avg: 8) 0–6 (avg: 2) 0 – 32 (avg: 11) 0 – 24 (avg: 6) 0–5 (avg: 2) 0 – 25 (avg: 8) 0 – 36 (avg: 18) 0–9 (avg: 5) 0 – 45 (avg: 23) 0 – 44 (avg: 22) 0–1 (avg: 1) 0 – 45 (avg: 23) 0 – 1295 (avg: 393) 2 – 296 (avg: 113) 2 – 1591 (avg: 505) 1 – 1324 (avg: 418) 1 – 291 (avg: 133) 2 – 16115 (avg: 4176) 0 – 3357 (avg: 1125) 2 – 902 (avg: 306) 2 – 4259 (avg: 1431) 1 – 3228 (avg: 1615) 1 – 731 (avg: 366) 2 – 3959 (avg: 1981) 18A. DATA SOURCES USED TO COMPLETE TABLES 1 AND 2 ABOVE. Allscripts Decision Support System EMEDSYS clinic data system M&M 19. CERVICAL CANCER SCREENING FOR ADOLESCENT FEMALES Does the health center… Follow current cervical cancer screening (Pap Smear) guidelines for adolescent females (initiate pap screening at age 21)? - 100 - Yes No 5 (100%) 0 (0%) CLINICAL PROVIDER SURVEY DATA ANALYSIS USE OF HORMONAL CONTRACEPTION AND IUD BY ADOLESCENTS 20. FEMALE ADOLESCENT CLIENTS (UNDUPLICATED) AND NUMBER PROVIDED HORMONAL CONTRACEPTION OR IUD, BY AGE GROUP, AND CALENDAR YEAR FEMALES # Adolescent Clients (Unduplicated) CY2009 CY2010 Overall All Unduplicated Clients (Total) 15-17 18-19 Total Provided Hormonal Contraception or IUD 15-17 18-19 Total % Contraceptive Coverage* 15-17 18-19 Total 20A. DATA SOURCES USED TO COMPLETE TABLE 3 Allscripts Decision Support System EMEDSYS patient database Women's Health Service Report Women's Services Unit Service Report 01-01-2009 thru 12-31-2010 - 101 - 62 – 1421 (avg: 387) 67 – 319 (avg: 207) 129- 1731 (avg: 600) 30 – 1400 (avg; 368) 66 – 355 (avg: 223) 96 – 1755 (avg: 596) 26 – 87 (avg: 57) 28 – 192 (avg: 73) 55 – 279 (avg: 132) 23- 107 (avg: 54) 28 – 139 (avg: 79) 70- 268 (avg: 138) 4% - 82% (avg: 48%) 9% - 82% (avg: 44%) 5% - 80% (avg: 47%) 4% - 93% (avg: 53%) 8% - 89% (avg: 53%) 4% - 90% (avg: 52%) CLINICAL PROVIDER SURVEY DATA ANALYSIS STAFF TRAINING 21. TRAINING IN VARIOUS AREAS RECEIVED BY CLINICAL STAFF IN THE PAST TWO YEARS In the past two years, staff received training on… Stages of Adolescent Development State-specific Minors' Rights to Consent and Confidentiality laws or provisions Sexual abuse and reporting laws (state-specific) Cultural Competency Continuous Quality Improvement Options Counseling Youth-Friendly Services Addressing the needs of Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) Youth All Some None 1 (17%) 2 (33%) 4 (67%) 0 (0%) 1 (17%) 2 (33%) 0 (0%) 0 (0%) 4 (67%) 3 (50%) 2 (33%) 5 (83%) 4 (67%) 3 (50%) 2 (33%) 3 (50%) 1 (17%) 1 (17%) 0 (0%) 1 (17%) 1 (17%) 1 (17%) 4 (67%) 3 (50%) 22. ADDITIONAL TRAINING IN VARIOUS AREAS RECEIVED BY CLINICAL STAFF IN THE PAST TWO YEARS In the past two years, clinical staff received training on… Contraceptive Services for Adolescents Use of the Quick Start method for initiation of hormonal contraception IUDs for Adolescents Hormonal Implants Emergency Contraception Pap Smear Guidelines Breast Exam Guidelines Conducting a sexual health assessment/history for an adolescent STI testing for adolescents HIV testing for adolescents Male sexual and reproductive health services - 102 - All Some None 2 (33%) 2 (33%) 0 (0%) 1 (17%) 2 (33%) 4 (67%) 3 (50%) 1 (20%) 2 (33%) 2 (33%) 0 (0%) 4 (67%) 3 (50%) 4 (67%) 2 (33%) 3 (50%) 2 (33%) 3 (50%) 3 (60%) 2 (33%) 2 (33%) 3 (50%) 0 (0%) 1 (17%) 2 (33%) 3 (50%) 1 (17%) 0 (0%) 0 (0%) 1 (20%) 2 (33%) 2 (33%) 3 (50%) 22. ADDITIONAL TRAINING IN VARIOUS AREAS RECEIVED BY CLINICAL STAFF IN THE PAST TWO YEARS In the past two years, clinical staff received training on… Continuous Quality Improvement Pregnancy Options Counseling Youth-Friendly Services Addressing the needs of Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) Youth All Some None 1 (17%) 1 (17%) 0 (0%) 0 (0%) 4 (68%) 3 (50%) 3 (50%) 3 (50%) 1 (17%) 2 (33%) 3 (50%) 3 (50%) CLINICAL PROVIDER SURVEY DATA ANALYSIS IMPLEMENTATION OF EVIDENCE-BASED REPRODUCTIVE HEALTH PRACTICES 23. REPRODUCTIVE HEALTH SERVICES PROVIDED ON-SITE Does the health center provide the following services on-site? Pregnancy testing Standard HIV testing Rapid HIV testing Chlamydia and Gonorrhea (CT/GC) testing using gram stain CT/GC testing using urine specimens CT/GC testing using urethral or vaginal swab specimens Yes No 6 (100%) 5 (83%) 4 (67%) 2 (33%) 5 (83%) 5 (83%) 0 (0%) 1 (17%) 2 (33%) 4 (67%) 1 (17%) 1 (17%) 24. VARIOUS FORMS OF CONTRACEPTION PRESCRIBED OR PROVIDED ON-SITE Does the health center provide the following forms of contraception (via prescriptions and/or dispense onsite)? Emergency contraception to females Emergency contraception to males IUDs - 103 - Prescriptions Yes No 2 (40%) 0 (0%) 0 (0%) 3 (60%) 6 (100%) 5 (100%) Dispense Onsite Yes No 3 (60%) 1 (20%) 4 (80%) 2 (40%) 4 (80%) 1 (20%) 0 (0%) 5 (100%) 2 (40%) 4 (80%) 3 (60%) Hormonal Implants (Implanon) Hormonal Contraceptive Pills Hormonal Injection (Depo-Provera) Patch Ring 5 (100%) 0 (0%) 3 (60%) 1 (20%) 2 (40%) 2 (40%) 3 (50%) 5 (100%) 1 (17%) 4 (67%) 3 (60%) 3 (50%) 0 (0%) 5 (83%) 2 (33%) 25. PREVALENCE OF VARIOUS ACTIVITIES RELATED TO ADOLESCENT REPRODUCTIVE HEALTH How often does your health center… Offer adolescents the option of initiating hormonal contraception using the Quick Start method (starting birth control the day of the visit)? Offer Quick Start initiation of hormonal contraception after an adolescent client has a negative pregnancy test? Offer Quick Start initiation of hormonal contraception when an adolescent client is provided with Emergency Contraception where the pregnancy test is negative? Offer adolescents the option of having and IUD inserted using the Quick Start method? Provide Emergency Contraception (EC) to female adolescents for future use (advance provision)? Provide Emergency Contraception to male adolescents? Provide adolescents with time alone with a health care provider at every visit? Take or update a reproductive/sexual health history or assessment at every visit? Follow current guidelines for Pap screening (routine Pap screening begins at age 21 or 3 years after initiation of sexual intercourse)? Offer “fast track” or streamlined visits with limited waiting time that includes access to hormonal contraception for adolescents? Always Sometimes Never 2 (33%) 3 (50%) 1 (17%) 2 (33%) 2 (33%) 3 (50%) 3 (50%) 1 (17%) 1 (17%) 0 (0%) 0 (0%) 0 (0%) 5 (83%) 2 (33%) 5 (83%) 1 (17%) 3 (50%) 2 (33%) 1 (17%) 3 (50%) 1 (17%) 5 (83%) 3 (50%) 4 (67%) 0 (0%) 1 (17%) 0 (0%) 2 (33%) 2 (33%) 2 (33%) 26. SERVICES ADOLESCENT PATIENTS REQUIRED TO RECEIVE IN ORDER TO GET CONTRACEPTION Service is required prior to dispensing hormonal contraception Pap Smear Pelvic Exam Breast Exam STD Testing - 104 - Yes No 0 (0%) 1 (17%) 0 (0%) 2 (33%) 6 (100%) 5 (83%) 6 (100%) 4 (67%) 0 (0%) 5 (83%) 5 (83%) 3 (50%) 5 (83%) HIV Testing Blood Pressure Weight Pregnancy Test Patient & Family History 5 (100%) 1 (17%) 1 (17%) 3 (50%) 1 (17%) 27. REGULAR PERFORMANCE MEASURES FOR MONITORING IN CLINIC Does the health center… Yes No 6 (100%) 0 Have a set of performance measures that are collected on a regular basis (e.g., (0%) quarterly, monthly) for monitoring the utilization of health care services? MEASURES USED: Customer Service Satisfaction Survey/Cards No show, room turnover, days for 1st & 3rd available appt., hand washing, cleaning of stethoscope between patient care (x2) Quarterly and Descriptive Reports Quarterly Metrics Revenue, Expenses, Visits, surgeries, Distribution of contraceptive methods. Does the health center… Yes No 3 3 Have a set of performance measures that are collected on a regular basis (e.g., (50%) (50%) quarterly, monthly) for monitoring the delivery of contraceptive and reproductive health services? MEASURES USED: Quarterly and Descriptive Reports Quarterly=for reproductive health services and contraceptives (Women's Services Unit Services Report) Revenue, Expenses, Visits, surgeries, Distributions of contraceptive methods. All our services are reproductive services. CLINICAL PROVIDER SURVEY DATA ANALYSIS ACCESSIBILITY OF SERVICES FOR ADOLESCENTS 28. WALK-INS AND APPOINTMENTS FOR ADOLESCENT SERVICES Does the health center… Require adolescent clients to make an appointment to access care? Offer same day appointments for adolescent clients? - 105 - Yes No 3 (50%) 4 (80%) 3 (50%) 1 (20%) 4 (80%) Accept adolescent clients who walk-in for service? 1 (20%) 29. PROCEDURES FOR MAKING APPOINTMENTS BY PHONE 1 (17%) 1 (17%) 0 (0%) 2 (33%) 2 (33%) Call for an appointment which is answered by a health center staff person Call for an appointment which is answered by a centrally located call center On-line appointment scheduling Other (specify: Option 1,2, & 3 ) No appointments made / Health Center accepts walk-ins only 30. CURRENT WAITING PERIOD BEFORE BEING SEEN 0 – 14 (avg: 8) 0 - 14 (avg: 7) 0 - 14 (avg: 7) 0 – 14 (avg: 7) 0 – 14 (avg: 5) Left blank 2 (33%) Days wait for an initial exam Days wait for an STI screening Days wait for a pregnancy test Days wait for a prescription refill / contraceptive supplies Days wait for educational materials Days wait for other (specify: ) No appointments made / Health Center accepts walk-ins only 31. HOURS OF OPERATION AND PROVISION OF REPRODUCTIVE HEALTH SERVICES Mon Hours of operation Hours of RHS provided Start 8:00am End 4:30pm5:00pm 8:00am12:30pm 4:30pm5:00pm 8:00am Start End Hours of adolescent RHS provided Start End 4:30pm5:00pm Tues Weds Thurs Fri 8:00am9:00am 4:30pm5:00pm 8:00am12:30pm 4:30pm5:00pm 8:00am10:00am 4:00pm5:00pm 8:00am9:00am 4:30pm5:00pm 8:00am12:30pm 4:00pm5:00pm 8:00am9:00am 4:00pm5:00pm 7:00am8:00am 4:30pm5:00pm 7:00am8:00am 4:00pm5:00pm 7:00am8:00am 4:00pm7:30pm 7:30am8:00am 12:30pm5:00pm 8:00am12:30pm 4:00pm5:00pm 7:30am8:00am 12:30pm5:00pm - 106 - Sat Sun closed closed closed closed closed closed closed closed closed closed closed closed 32. NUMBER OF APPOINTMENTS AVAILABLE DAILY FOR ADOLESCENTS Number of available appointments for adolescents Mon Tues Weds Thurs Fri Sat Sun 0 – 30 (avg: 20) 0 – 30 (avg: 22) 0 – 30 (avg: 18) 0 – 48 (avg: 26) 0 – 30 (avg: 19) N/A N/A 33. INFORMATION GIVEN TO ADOLESCENTS DURING FIRST CALL Do you tell adolescents whether or not there is a fee for services or whether services are free? Do you ask adolescents for parental consent? If adolescents do not ask, do you tell them that family planning services are confidential? Never Seldom Sometimes Always 1 (17%) 4 (67%) 0 (0%) 2 (33%) 0 (0%) 1 (17%) 0 (0%) 0 (0%) 3 (50%) 3 (50%) 2 (33%) 2 (33%) 34. FOLLOW-UP PROCEDURES FOR ADOLESCENT NO-SHOWS Percentage of adolescent no-shows per month – Range: 22-30% (avg. 26%) No 3 (50%) Yes 3 (50%) Not sure 0 (0%) If yes, what is the procedure: Send letter 0 (0%) Call 2 (67%) Case worker / Outreach worker makes visit to adolescent 0 (0%) Other (specify: 1 (33%) both 1 & 2) 35. ESTABLISHED PROCEDURES TO REMIND ADOLESCENTS ABOUT RETURN APPOINTMENTS AFTER NO-SHOWS 2 (33%) 4 (67%) No Yes - 107 - 0 (0%) Not sure If yes, what is the procedure: Send letter 0 (0%) 3 (75%) 1 (25%) Call Other (specify: return appointment given at visit ) 36. PERCENTAGE OF ADOLESCENT PATIENTS WHO RETURN FOR A SECOND VISIT: ONE RESPONSE – 80% 37. PROCEDURE IN PLACE TO REMIND ADOLESCENTS ABOUT RETURN APPOINTMENT 2 (33%) 4 (67%) No Yes 38. PROCEDURES FOR ADOLESCENTS WHO RETURN FOR FOLLOW-UP APPOINTMENTS It’s by chance Sometimes Usually / Always How often are they scheduled to see the same counselor or educator they saw before? 4 (67%) 1 (7%) 1 (17%) How often are they scheduled to see the same medical practitioner they saw before? Are you able to let adolescent girls see a female medical practitioner if they ask for one? 3 (50%) 0 (0%) 1 (17%) 2 (33%) 2 (33%) 4 (67%) 39. PROCEDURES FOR INITIAL AND FOLLOW-UP VISITS Minutes When an adolescent comes for a scheduled appointment, how many minutes (on average) do they wait to be seen? During their initial visit, from check-in to discharge, how many minutes (on average) is the adolescent in your clinic or site? During their follow-up visit, from check-in to discharge, how many minutes (on average) is the adolescent in your clinic or site? <15 - 30 (avg: 19) 45 – 120 (avg: 73) 10 – 60 (avg: 39) 40. ACCESSIBILITY OF REPRODUCTIVE HEALTH SERVICES OFFERED Are contraceptive and reproductive health services… Easily accessible by public transportation (within 1 mile of a bus stop, subway stop, etc.)? - 108 - Yes No 5 (83%) 1 (17%) Within close proximity (within 1-2 miles) of places where adolescents spend their free time? 2 (33%) 4 (67%) Less than 10 miles from area schools? 6 (100%) 0 (0%) 41. ALTERNATIVE TRANSPORTATION USED BY ADOLESCENTS 4 (67%) 1 (17%) 2 (33%) 4 (67%) 6 (100%) Bus Taxi / Cab ride Agency van pick-up Walk Other (specify: family member or friend ) 42. TRANSPORTATION ASSISTANCE PROVIDED BY CLINIC 4 (67%) 2 (33%) 0 (0%) 1 (50%) 0 (0%) 0 (0.0%) 1 (50%) No Yes Not sure Bus passes Taxi / Cab rides Agency van pick-up Other (specify: income-based ) Travel grant for surgery services; 43. ADDITIONAL ACTIVITIES INVOLVING ADOLESCENTS Does the health center… Involve youth in designing services to provide reproductive health care to adolescents? Involve youth in evaluating services to provide reproductive health care to adolescents? Clearly display its hours and services? Produce flyers or pamphlets that advertise its services for adolescents? - 109 - Yes No 0 (0%) 2 (33%) 4 (67%) 1 (20%) 6 (100%) 4 (67%) 2 (33%) 4 (80%) Advertise its services within the target community (e.g., through radio, local print media, etc.)? 1 (17%) 5 (83%) Use the Internet (including social media) for education, appointment reminders, and/or communication with clients? 4 (67%) 2 (33%) Offer discounted services or financing for adolescents? 3 (60%) 2 (40%) See adolescents for confidential reproductive health services without parental/caregiver consent? 6 (100%) 0 (0%) Use materials that address the needs of lesbian, gay, bisexual, transgender and Questioning (LGBTQ) youth? 1 (17%) 5 (83%) CLINICAL PROVIDER SURVEY DATA ANALYSIS CLINICAL PROVIDER ENVIRONMENT This section collects information that describes the physical health center environment along with the use and application of clinic-based evidence-based interventions. 44. CHARACTERISTICS OF THE CLINIC’S PHYSICAL ENVIRONMENT Does the health center… Have a separate space/area to provide services for adolescent clients? Have a separate waiting room for adolescent clients? Have a counseling area that provides both visual and auditory privacy? Have an examination room that provides visual and auditory privacy? Have teen focused magazines or posters on the walls? Display information (pamphlets, posters, flyers, fact sheets) about an adolescent’s ability to access confidential contraceptive and reproductive health care without parental or caregiver consent. Videos or TV programs showing health related information? (Please specify: surgery ) Brief evidence-based or evidence-informed video Interventions designed for adolescents (e.g. “What Would You Do?”)? (Please specify: ) - 110 - Yes No 1 (17%) 0 (0%) 4 (67%) 4 (67%) 5 (8%) 0 (0%) 5 (83%) 6 (100%) 2 (33%) 2 (33%) 1 (17%) 6 (100%) 1 (17%) 5 (83%) 0 (0%) 6 (100%) CLINICAL PROVIDER SURVEY DATA ANALYSIS CONTINUOUS QUALITY IMPROVEMENT (CQI) 45. GOALS RELATED TO REDUCING TEEN PREGNANCY IN THE COMMUNITY Does the health center… Have specific goals related to reducing teen pregnancy in the community? Yes No 2 (33%) 4 (67%) 45A. GOALS DESCRIBED: Has expanded its services recently to include services tailored to pregnant Hispanic women many of whom are adolescents in hopes of increasing awareness in pregnancy prevention and family planning. 1.Increased access to health care and reproductive services among youth ages 15-19 in Richmond County. 2. Reduce Teen Pregnancies by 10% among youth ages 15-19 in Richmond County by 2015. . to further increase access to contraceptive and reproductive health services for adolescents Under development 46. CLINIC’S EXPERIENCE USING VARIOUS PERFORMANCE IMPROVEMENT OR CONTINUOUS QUALITY IMPROVEMENT METHODOLOGIES 5 (83%) 2 (33%) 0 (0%) 4 (67%) 3 (50%) 5 (83%) 1 (17%) 0 (0%) Continuous Quality Improvement (CQI) IHI Model for Improvement including Plan Do Study Act (PDSA) Run Collaboratives Clinical Quality Improvement Initiatives Performance Measures Using Data for Program Planning, Monitoring and Evaluation (Data Dashboard) Other (specify: Client Survey ) None that I am aware of 47. PRESENCE OF TRAINED QUALITY IMPROVEMENT STAFF Does the health center… Have staff especially trained and dedicated to identifying and leading quality improvement initiatives? - 111 - Yes No 3 (50%) 3 (50%) 48. CLINIC’S SUCCESSFUL EFFORTS TO IMPROVE SERVICES OFFERED IN THE PAST 2 YEARS. Target Population Goal of Improvement What was Done to Reach Goal How was Success Measured Outcomes All Family Planning Patients One component of our on-going Quality Management program is to periodically audit patient records to measure compliance with our medical standards and protocols. Audits are performed quarterly, typically on services that are high-volume, high-risk, or highly correlated to patient satisfaction. Examples of audit topics are notification and treatment of STIs (sexually transmitted infections), referral for treatment of abnormal pap smears, and time spent in clinic. The target pop. is generally the group of recipients of a particular service rather than a certain demographic group such as adolescents. Pediatrics and some Adolescents Pregnant females Pregnant Hispanic women Reproductive health service's clients Decrease waiting time for appointments (average wait time Oct 2010 was 8-12 weeks.) Per Women’s Health Quarterly Report. Decrease open room times due to no shows of 51.5% (Per M&M) Provide family planning and prenatal care to cover this underserved population The goal of the audits is to determine our degree of compliance, identify need for improvement, and improve wherever necessary. The goal is always 100%, and the minimum acceptable standard is usually 90% but sometimes higher. If shortcomings in performance are noted corrective plans are designed and implemented, followed by repeat audits. To provide continuity of care between in-patient and out-patient setting, fewer tests done at delivery, Strive for 5 to reduce appointment wait time additional clinic day was added Audits are performed, improvement plans executed, and audits repeated until satisfactory results are obtained. Changed to walk in appointments only. Some appointments were still made for follow-ups and Colposcopy on an as needed basis (very few) Consolidated the pre-natal education curriculum and trained all staff for content responsibility, pre-natal testing and OB card kept up-to-date; trimester appropriate labs ordered, printed out info for patients opened extra day each month to perform sonograms at which time a referral is made to receive continued prenatal care at low or no cost to the patient with local OBGYN Compared numbers of patients actually seen when making appointments and number of patients seen as walk ins. Women’s services unit services report comparing previous appt wait time with current appt wait time number of women at clinic Patient satisfaction is being measured by Avatar, Press-Ganey Scoring 90% or greater on audits. Actual patients seen increased. Staffing turn-over & daily staffing numbers fluctuated substantially from day to day at this time. On average before Oct 2010 Family planning was seeing 7 patients daily. As soon as the doors were open & word got out about walk ins this increased to an average of 15 patients decreased wait time for appt on average we see 15 new women each month On-going assessment of compliance with medical standards and - 112 - protocols helps ensure a high standard of patient care. Utilizing best practices more effectively, increased awareness of diseases Why was it Successful? Because it is done systematically. Staff and patients and Patient/Family Centered Care Council worked together to make the birth experience a positive journey from out-patient clinic thru delivery. effort was successful the clinic has been successful because of the need for it in the community, these women in the past have gone without prenatal care for the length of their pregnancy. this clinic is providing a much needed link between many young, Hispanic women and the healthcare they need during their pregnancy. we was able to accommodate additional client appt request Yes! We were able to see more patients and to see them quicker. CLINICAL PROVIDER SURVEY DATA ANALYSIS SUCCESS/CHALLENGES IN CONTRACEPTION AND REPRODUCTIVE HEALTH SERVICES FOR ADOLESCENTS 49. BARRIERS AND CHALLENGES RELATED TO THE PROVISION OF CONTRACEPTIVE AND REPRODUCTIVE HEALTH CARE TO ADOLESCENTS Cost of services to patient; lack of specific adolescent training (ex. adolescent physical and psych-social development, adolescent sexual history taking, adolescent in the law, contraceptive methods for adolescents); most adolescents have Peach Care, but many providers do not want to provide care without parental consent; many providers believe that providing contraception without parental involvement is not effective, teens not as free to speak openly with parents present, hours of operation Hours of operation (limited after school hours); Security in PM for later hours of operation; Confidentiality (mostly at front check-in area); Continuity of care (patient bouncing from person to person) for ex: 1. Check in clerk 2. register clerk 3. someone escorting them to FP waiting area 4. Student for VS 5. LPN or RN for interviewing in exam room 6. laboratory tech 7. Nurse or student escorting to exam room 8. RN or NP actual exam 9. check out clerk ( WOW ) That’s a lot of people and stops. Especially for a teen. at this time for patients to request certain caregivers. High Turnover rate for staffing making it difficult for the adolescent to form a bond. lack of staffing to include both clinical and educators. lack of space to have separate adolescent services to include video and audio. Limited clinician and staff hours. Cost of underwriting services for adolescents (or anyone else). unique population served that faces different challenges than most. within the Hispanic community that we serve cultural, economical, educational as well as language barriers arise. they strive to maintain a multi-cultural clinic where patients can feel that they are treated with respect and also understanding regarding their own beliefs while utilizing a biomedical culture to serve them. in the past language barriers were more common but recently many bilingual individuals (providers and non-providers) have - 113 - become interested in volunteering and this is not generally a barrier for us within our clinic but remains a challenge when patients are referred out. economically many people everywhere 50. SUCCESSES, BEST PRACTICES AND/OR SPECIAL PROJECTS RELATED TO THE PROVISION OF CONTRACEPTIVE AND REPRODUCTIVE HEALTH CARE TO ADOLESCENTS For more than ten years we have dispensed hormonal contraceptives without requiring a pelvic exam, which had previously been a barrier to use of prescription methods for some adolescents. While appointments are available, we also provide services on a walk-in basis to reduce barriers to service. We promote Emergency Contraception, especially to those not using alternative methods consistently or reliably. We have found that when funding has been available for community outreach, utilization of services by adolescents has been greatest. In the absence of outreach activities utilization declines markedly. Successes=change to walk ins only; Best practices= quick starts; special projects= Community outreach to Cherry Tree and Jennings Housing projects for Quick starts. Target our postpartum to get contraceptive within 6 weeks of delivery, provide various types of contraceptives: Rx for oral, onsite IUD and Implanon; have dedicated adolescent clinic M-F from 12:30pm - 4pm they have established sonogram clinic this year and are very excited to be providing the service where there were none before. additionally they have worked together with St. Teresa's of Avila to provide supplies in the form of baskets for new mothers. this has helped to provide them with some essentials they couldn't afford. when funding was available in the past we provided a Saturday clinic for our adolescents to decrease school attendance disruption. - 114 - PHARMACY SURVEY Results - 115 - PHARMACY SURVEY DATA ANALYSIS PHARMACY SURVEY DATA COLLECTION METHODS PURPOSE/GOALS This purpose of this survey was to collect data from pharmacists about the availability and provision of emergency contraception in the Richmond County community. Specifically, the survey asked about rules surrounding dispensation of prescription and over-the-counter contraceptives, mechanisms of action and side effects of certain drugs, and reasons why a pharmacy may or may not provide contraceptives to youth. SURVEY DEVELOPMENT The pharmacy survey was adapted from a Philliber Research Associates survey tool. There was no accessible electronic version of the tool, so an electronic version was created and revised according to suggestions by the G-CAPP staff, the lead project researcher, the data manager, and through review of the tool for errors noted by research team members. The evaluation team also consulted two pharmacists within CDC’s Division of Adolescent Health regarding the survey tool’s “readability” to ensure that questions were phrased using language that pharmacists were accustomed to and that no questions were misleading or inaccurately represented emergency contraceptives currently on the market. Revisions were complete by April 1, 2011. SURVEY PARTICIPANT RECRUITMENT Two primary strategies were used to recruit pharmacies. First, the core partners for the Richmond County Partnership identified pharmacies within the community. In addition, the evaluation team identified 20 pharmacists in Richmond county catchment areas with high and low teen pregnancy rates. Once a sampling frame was established, a member of the evaluation team served as the lead data collector for the pharmacy survey, and administered the survey via phone over a two week period. DEMOGRAPHIC PROFILE SHEET A demographic profile sheet was developed to complement the survey. The purpose of this sheet was to provide general information about the survey respondent (e.g., their age, sex, racial/ethnic affiliation, marital status, educational attainment, etc.). The demographic profile sheet was completed by the assessment team researcher prior to beginning the survey. - 116 - RESEARCHER RECRUITMENT: No community or professional researchers were trained to administer this survey tool. Pharmacist surveys were conducted by the needs assessment team. All surveys were conducted over the phone and no consent forms were necessary. DATA COLLECTION START AND END DATE Data collection began on August 22, 2011 and concluded on October 14, 2011. COMPENSATION FOR RESEARCHERS Because the needs assessment team collected these data, no compensation beyond salary was provided. COMPENSATION FOR RESPONDENT Pharmacists were not compensated for participating in the survey. - 117 - PHARMACY PROVIDER SURVEY DATA ANALYSIS RESPONDENT DEMOGRAPHICS The twenty respondents who participated in the pharmacy survey were either pharmacy managers or staff pharmacists. The average length of time that respondents had worked as pharmacists was nine years. Pharmacists ranged from 25 to 65 years old, and the majority of them were between 25 and 44 years old. Thirteen of the nineteen respondents were female and seven were male. PHARMACY PROVIDER SURVEY DATA ANALYSIS GENERAL CONTRACEPTION 5. TYPES OF BIRTH CONTROL OR CONTRACEPTIVE METHODS PHARMACY PROVIDES (Pharmacists checked all that applied) 19 (95%) 20 (100%) 17 (85%) 16 (80%) 10 (50%) 18 (90%) 9 (45%) 17 (85%) Condoms Birth Control pills Birth Control Patch Spermicide Diaphragm Vaginal Ring Female Condoms Emergency Contraceptives 6. PHARMACIES’ REPORTING WHETHER OR NOT THERE IS AN AGE LIMIT TO OBTAIN CERTAIN CONTRACEPTIVES 2 (11%) 1 (6%) 15 (83%) No Yes, for prescription contraceptives Yes, for over-the-counter contraceptives - 118 - 6A. TYPES OF CONTRACEPTIVES FOR WHICH PHARMACIES REPORT THERE IS AN AGE LIMIT OF 18 YEARS OR OLDER 18 (5%) 18 (5%) Condoms Birth Control pills 6B. REQUIRED AGE RANGE TO OBTAIN EMERGENCY CONTRACEPTION AS REPORTED BY PHARMACISTS 16-18 (mode : 18) Emergency Contraceptives 6C.REASONS PHARMACISTS IMPOSE AGE LIMIT FOR CONTRACEPTION PURCHASES The law imposes age limits. Company policy does not allow the sale of these contraceptives to people under this age limit. It is against personal beliefs of pharmacist. Other (specify contraceptive to which you are referring): Because it's a minor, situation of abuse; Just to make sure they are using it responsibly. Statuary Rape. Emergency Contraceptives; They came up with this age as legal age; To prevent recurring use of the EC. It is not healthy. 11 (65%) 1 (6%) 0 (0%) 5 (29%) 7. PLACEMENT OF OVER-THE-COUNTER CONTRACEPTIVES (INCLUDING CONDOMS AND SPERMICIDE) IN PHARMACIES SURVEYED On aisles near the pharmacy – in a locked cabinet 4 (25%) 1 (5%) 6 (30%) 8 (40%) 6 (30%) On aisles near the pharmacy – in an unlocked cabinet Behind the pharmacy counter Both on aisles near the pharmacy and behind the pharmacy counter Somewhere else (please specify): - 119 - 8. ESTIMATED TIMES WHEN WOMEN AND TEENAGE GIRLS ASK QUESTIONS ABOUT REPRODUCTIVE HEALTH (topics related to pregnancy tests, pregnancy prevention, contraceptive use and safety, and menstrual cycles, such as spotting, breakthrough bleeding) Women in general Teenagers (ages 15–19) 5 (25%) 3 (15%) 9 (45%) 2 (10%) 1 (5%) 6 (32%) 6 (32%) 1 (5%) 2 (11%) 4 (21%) More than once a day 2 – 3 times per week Less than once a week Once a month Never PHARMACY PROVIDER SURVEY DATA ANALYSIS EMERGENCY CONTRACEPTION 9. PERCEPTIONS’ OF “WHAT EMERGENCY CONTRACEPTION DOES” (CHECKED ALL THAT APPLIED) 1 (5%) 12 (60%) 15 (75%) 1 (5.0%) Emergency birth control Keeps a female from getting pregnant after unprotected sex Like a high dose of birth control Other: Prevents egg from planting to uterine wall 10. PHARMACISTS’ PERCEPTIONS OF THE PRIMARY MECHANISM OF ACTION FOR EMERGENCY CONTRACEPTION (CHECKED ALL THAT APPLIED) 4 (20%) 4 (20%) 18 (90%) Works to suppress ovulation Prevent fertilization Prevent implantation - 120 - 11. PHARMACISTS’ PERCEPTIONS OF WHETHER OR NOT TAKING AN EMERGENCY CONTRACEPTIVE WILL TERMINATE A PREGNANCY IF THE A FEMALE IS ALREADY PREGNANT No Yes Not sure 14 (70%) 4 (20%) 2 (10%) 12. PHARMACISTS’ PERCEPTIONS OF TIME IT TAKES FOR EMERGENCY CONTRACEPTIVE TO BE EFFECTIVE AFTER UNPROTECTED INTERCOURSE 1 (5%) 3 (15%) 15 (75%) 0 (0%) 1 (5%) 0 (0%) 24 hours 48 hours 72 hours 120 hours Other: The earlier the better. Not sure 13. PHARMACISTS’ PERCEPTIONS OF SIDE EFFECTS COMMONLY ASSOCIATED WITH USING EMERGENCY CONTRACEPTIVE (Checked all that applied) 0 (0%) 18 (80%) 0 (0%) 8 (40%) 12 (60%) 0 (0%) 2 (10%) Drowsiness Nausea and vomiting An abortion Bleeding Pain / cramping Don’t know Other: Rash; fatigue, dizziness, headaches, menstrual change 14. PHARMACISTS’ PERCEPTIONS OF WHETHER OR NOT A PRESCRIPTION IS REQUIRED TO OBTAIN EMERGENCY CONTRACEPTIVES 3 (16%) 1 (5%) 14 (78%) No (which one? Plan B if 18 and older) Yes (which one? Ella) Yes, if you are under 17 (which one? Plan B) - 121 - PHARMACY PROVIDER SURVEY DATA ANALYSIS YOUR PHARMACY 15. BRANDS(S) OF EMERGENCY CONTRACEPTIVE STOCKED 21 (56%) 12 (56%) 1 (5%) 1 (5%) 2 (10%) Plan B One Step Next Choice Ella Generic Brand None 15A. ESTIMATED COST OF EMERGENCY CONTRACEPTION TO UNINSURED PATIENTS $40 - $53 (avg: $45.50) $0 - $46 (avg: $36.09) $43.99 Plan B One Step Next Choice Ella $40 (5%) Other: Generic Brand 15B. ESTIMATED COST OF EMERGENCY CONTRACEPTION TO INSURED PATIENTS $0 – no co-pay (5%) Depends on the insurance (5%) Next Choice Other: 16. ESTIMATED NUMBER OF EMERGENCY CONTRACEPTIVE DOSES SOLD ON A WEEKLY BASIS 0 - 12 (avg: 3) 17. PHARMACISTS’ REPORTS OF WHETHER OR NOT PHARMACY SELLS OVER-THE-COUNTER EMERGENCY CONTRACEPTIVES TO MALES No 7 (41%) Yes 9 (53%) - 122 - Not sure 1 (6%) 18. PHARMACISTS’ REPORTS OF WHETHER OR NOT A GOVERNMENT-ISSUED ID IS NEEDED TO PURCHASE EMERGENCY CONTRACEPTIVES (Pharmacists checked all that applied) 2 (12%) 0 (0%) 15 (88%) No Yes, for prescription EC treatment Yes, for over-the-counter EC treatment 19. PHARMACISTS’ REPORTS OF WHY PHARMACY DOES NOT STOCK EMERGENCY CONTRACEPTION 1 (50%) 0 (0%) 0 (0%) 2 (100%) 1 (100%) Against store policy Conflicts with pharmacist’s personal beliefs Gave no reason / ended phone call There is no demand for it Other (specify: Used to have it, was abused by patients 20. AMONG THE PHARMACIES WHO DO NOT OFFER EMERGENCY CONTRACEPTION, THREE PHARMACISTS REPORTED A WILLINGNESS TO REFER PATIENTS TO ANOTHER PHARMACY THAT DOES STOCK EMERGENCY CONTRACEPTIVES. Yes 3 (17%) 21. AMONG THE PHARMACIES THAT DO NOT STOCK EMERGENCY CONTRACEPTIVES, RESPONSES TO WHETHER OR NOT THE PHARMACY PLANS TO CARRY STOCK IT IN THE FUTURE No 1 (33%) COMMENTS: 1 comment (33%) If the demand is there Yes Not sure 0 (0%) 1 (33%) 22. PHARMACISTS’ PERSPECTIVES ON WHETHER OR NOT EMERGENCY CONTRACEPTION IS SAFE FOR TEENAGERS (AGES 15 – 19) No Yes Not sure 0 (0%) COMMENTS: 9 comments 17-19 is fine 19 (95%) - 123 - 1 (5%) As long as parental consent is involved Hesitant to give to a 13 year old. I don't want them to purchase without parental consent If doctor prescribes them If it is used as intended. Should be some sort of counseling for this group If they deserve it. it is not good form It should be used appropriately. May view as birth control. 23. PHARMACISTS’ REPORTS OF HAVING EVER RECEIVED ANY CONTINUING EDUCATION CREDIT ON TOPICS RELATED TO EMERGENCY CONTRACEPTION No 10 (50%) COMMENTS: 5 comments did an online article on EC did it online I have read articles on Plan B online course We have to have 30 hours every few years Yes Not sure 8 (40%) 2 (10%) 24. PHARMACISTS’ WILLINGNESS TO ATTEND TRAINING ON EMERGENCY CONTRACEPTION THAT OFFERS CE CREDIT No Yes Not sure 0 (0%) 20 (100%) 0 (0%) 25. PHARMACISTS’ REPORTS OF WHETHER OR NOT THERE STORE POLICY ALLOWS THE DISPLAY OR DISSEMINATION OF EDUCATIONAL MATERIALS ON EMERGENCY CONTRACEPTION No Yes 7 4 (37%) (21%) COMMENTS: 3 comments I am not sure about this question. Would have to speak with clinical coordinator It depends on the district manager Up to CVS Pharmacy - 124 - Not sure 8 (42%) 26A. PHARMACISTS’ REPORTS OF WHETHER OR NOT THERE IS SOMEONE IN PHARMACY SITE WHO REFUSES TO PROVIDE EMERGENCY CONTRACEPTIVES (question based on the Georgia law that allows individual pharmacists the right to refuse to dispense emergency contraceptives) No Yes 18 (90%) 2 (10%) 26B. PHARMACISTS’ REPORTS ON HOW PHARMACY MANAGES PATIENT ACCESS TO EMERGENCY CONTRACEPTIVES WHEN AN INDIVIDUAL PHARMACISTS EXERCISES HIS/HER RIGHT TO REFUSE DISPENSATION 2 (100%) 0 (0%) Refer patients to another pharmacy that does dispense emergency contraceptives. Explain that pharmacy does not dispense EC or make EC referrals. Comments: They are very religious 1 Comment 27. PHARMACISTS’ REPORTS ON WHETHER OR NOT PHARMACISTS REFUSING TO DISPENSE EMERGENCY CONTRACEPTION EVER EXPRESS ANY “ANTI-EMERGENCY CONTRACEPTION SENTIMENTS” No Yes Couldn’t tell 15 (79%) 0 (0%) 0 (0%) 28. ADDITIONAL COMMENTS PROVIDED BY PHARMACISTS 8 comments As long as it is used responsibly As long as it was used responsibly. Interviewee was very rushed due to busy time of the day. There was some concern expressed about how the data would be used and that it would not be tied to her company. Pharmacist did not disagree w/ EC as long as it was used appropriately She was very supportive of the EC as long as it used appropriately The pharmacist was receptive to the use of emergency contraceptive as long as it is being used responsibly by the individual. When they offered Plan B, the individual had to be at least 18 years old to purchase. The pharmacist was receptive to the use of emergency contraceptive as long as it is being used responsibly by the individual. When they offered Plan b, the individual had to be at least 18 years old to purchase. - 125 - YOUTH-SERVING ORGANIZATION SURVEY Results - 126 - YOUTH-SERVING ORGANIZATION SURVEY DATA ANALYSIS YOUTH-SERVING ORGANIZATION SURVEY DATA COLLECTION METHODS PURPOSE/GOALS The purpose of the youth-serving organization survey is to collect data on organizations to identify current strengths, as well as areas of potential growth, related to the implementation of evidencebased programs to prevent teen pregnancy. Specifically, the survey was designed to learn what GCAPP can do to help youth-serving organizations adopt or strengthen evidence-based programs. SURVEY DEVELOPMENT The survey was adapted from a Philliber Research Associates tool. There was no accessible electronic version of the tool available, so an electronic version was created and revised according to suggestions by the G-CAPP staff, the lead project researcher, the data manager, and through review of the tool for errors noted by research team members. The survey was revised based on the unique purpose and needs of this assessment, and was evaluated for “readability.” After the survey was developed, the CDC team developed a survey tool for community agencies, which was released on July 1, 2011. Data collection for this wave was delayed until the updated survey tool was released and adapted for the Richmond County community needs assessment. DEMOGRAPHIC PROFILE SHEET Individual data were collected from staff at youth-serving organizations to gain an understanding of staff members’ educational backgrounds and also provided general information about the survey respondent (e.g., their age, sex, racial/ethnic affiliation, marital status, educational attainment, etc.). The demographic profile sheet was completed by the person completing the assessment prior to beginning the survey. RESEARCHER RECRUITMENT For the purposes of this survey, data collection was conducted by the youth -serving organization and the Messages of Empowerment assessment team. No additional researchers were hired to survey this group. - 127 - The assessment team met with representatives at each youth-serving organization for two hours to explain the needs assessment survey and to review each question within the survey instrument. Each organization was responsible for populating the tool with their individual organization’s data and submitting the completed survey back to the assessment team within two weeks of the meeting. Halfway through completion (one week after the initial meeting), The assessment team then met with each organization’s representatives for one hour to discuss challenges experienced in completing the survey tool. DATA COLLECTION START AND END DATE Data collection began after each organization’s two-hour meeting. Each organization was given two weeks to submit the survey and data collection concluded on November 9, 2011. SURVEY PARTICIPANT RECRUITMENT PLAN AND PROCESS All eleven youth-serving organizations who serve as collaborative partners for this initiative were asked to complete the survey. The eleven youth-serving organizations who submitted data are: Augusta Mini Theatre, Inc. Augusta State University Department of Nursing Department of Juvenile Justice East Central Health District Jones Behavioral Health, Inc. Kids Restart, Inc. New Bethlehem Community Center Planned Parenthood Southeast Rape Crisis and Sexual Assault Services, University Health Services, Inc. Richmond County Juvenile Court Youth Challenge Academy Informed consent was not necessary for this group of participants. COMPENSATION FOR RESEARCHERS Because the needs assessment team collected this group’s data, no compensation beyond salary was provided. - 128 - COMPENSATION FOR RESPONDENTS Completion of this survey was undertaken in conjunction with youth-serving organizations’’ memoranda of understanding. Upon successful completion of the survey, each youth-serving organization was issued a $5,000 stipend directly from G-CAPP. YOUTH-SERVING ORGANIZATION SURVEY DATA ANALYSIS YOUTH-SERVING ORGANIZATION DEMOGRAPHICS The eleven youth-serving organizations that completed this survey identified themselves as one of the following types of organizations: School, non-clinical division of the health department, planned parenthood affiliate, community based organizations where adolescent reproductive health is one of many programs, Health care facility (hospital, clinic), community arts school, Juvenile Program/Facilities, Juvenile Program/Facilities, Local, city government, and Rape Crisis and Sexual Assault Services Program. YOUTH-SERVING ORGANIZATION SURVEY DATA ANALYSIS RESPONDENT ORGANIZATIONAL AFFILIATION INFORMATION COMPLETION OF ASSESSMENT WHO PROVIDED INFORMATION FOR THIS ASSESSMENT BY POSITION TITLE? Executive Program Assistant Program Staff Health/sexuality Director Director Director Member educator 3 (17%) 3 (17%) 1 (5%) 1 (5%) 1 (5%) Other 9 (50%) OTHER POSITION TITLES: Artistic Director/Drama Instructor, Business Manager, Family Aid, Founder, Judge, Judicial Assistant, Program Coordinator, VP of External Affairs, and Youth Development Coordinator. LENGTH OF TIME IN ORGANIZATION: 2-36 years (average: 14 years) - 129 - WHO ANSWERED THESE QUESTIONS (BY POSITION TITLE)? Executive Director Program Director Program Staff Health/Sexuality Other 1 (9%) Member 2 (18%) Educator 1 (9%) 2 (18%) 5 (45%) OTHER POSITION TITLES: Judicial Assistant and VP of External Affairs. LENGTH OF TIME IN ORGANIZATION: 1 month - 23 years (avg. 9 years) HOW ASSESSMENT CONDUCTED? YSO staff completing survey on their own In-person interview Telephone interview Both YSO staff completing and in-person interview 9 (91%) 0 (0%) 0 (0%) 1 (9%) YOUTH-SERVING ORGANIZATION SURVEY DATA ANALYSIS ORGANIZATION INFORMATION 1. WHAT STATEMENT BEST DESCRIBES THE ORGANIZATION? School School district Health department Planned Parenthood affiliate Community-Based Organization (CBO) that focuses primarily on teen pregnancy CBO where adolescent reproductive health is one of many programs Faith-based organization Health care facility (hospital, clinic) Other (specify: Community Arts School, Community Service Organization, Juvenile Program/Facilities, Local/city government, Rape Crisis and Sexual Assault Services Program) - 130 - 2 (18%) 0 (0%) 1 (9%) 1 (9%) 1 (9%) 0 (0%) 0 (0%) 1 (9%) 5 (46%) 2A. LENGTH OF TIME ORGANIZATION HAS BEEN IN EXISTENCE 8.5-166 years (avg. 61) 2B. HOW LONG HAS YOUR ORGANIZATION HAD A TEEN PREGNANCY PREVENTION (TPP) FOCUS? 5 (46%) 0 (0%) 0 (0%) 1 (9%) 3 (27%) 2 (18%) <2 years 2-5years 6-10 years >10 years TPP is a new focus for us TPP is not a focus for us HOURLY OR SALARIED PERSONNEL IN THE ORGANIZATION How many hourly or salaried personnel… 3. Do you have in your organization? 4. In your local organization work (or will work if this is a new focus) on teen pregnancy prevention (TPP) programming full-time and parttime Full-time Part-time 1-105 (avg. 27) 0-5 (avg. 1) 0-27 (avg. 5) 0-5 (avg. 3) 5. HOW MANY VOLUNTEER OR IN-KIND INDIVIDUALS WORK (OR WILL WORK IF THIS IS A NEW FOCUS) ON TPP PROGRAMMING? 0-2 (avg. 1) HUMAN RESOURCES MANAGEMENT Does the organization… Yes No Don’t know (DK) 6. Have written job descriptions for the executive director (or equivalent) and other staff positions? 10 (91%) 1 (9%) 0 (0%) 7. Have written personnel policies and procedures (e.g., a Human Resources Manual)? 8. Have someone on the staff or board with skills to do things like interview candidates and get their references? 11 (100%) 11 (100%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) CURRENT BUDGET 9. WHAT IS THE CURRENT ANNUAL BUDGET OF YOUR ORGANIZATION (FOR ALL ACTIVITIES, ADMINISTRATION, AND OVERHEAD)? Does the organization… 10. Current budget cover all programming and administrative costs? - 131 - $150,000- $6M (avg: $1,693,423) Yes No Don’t know (DK) 8 (73%) 2 (18%) 1 (9%) 11A. FUNDRAISING STRATEGIES In the last 12 months to support teen pregnancy prevention programs, has the organization used the… Yes No N/A 0 (0%) 2 (18%) 0 (0%) 0 (0%) 5 (45%) 3 (27%) 5 (45%) 5 (45%) 6 (55%) 6 (55%) 6 (55%) 6 (55%) 5. Grant-writing 3 (27%) 2 (18%) 6 (55%) 6. Other: (specify: Endowments, donations) 1 (9%) 4 (36%) 6 (55%) 1. A direct mail campaign 2. Fees for services 3. Cause-related marketing which collects a portion of sales on consumer items 4. Special events such as dinners, fund-raising events, etc. 11B. FUNDING SOURCES OVER THE PAST 12 MONTHS TO SUPPORT TEEN PREGNANCY PREVENTION PROGRAMS INDICATE THE PERCENTAGE OF TOTAL FUNDING FOR TPP THE ORGANIZATION OBTAINED FROM THE FOLLOWING FUNDING SOURCES 6 (55%) 1 (9%) 0 (0%) 0 (0%) 1 (9%) 1 (9%) 1 (9%) 0 (0%) 3 (27%) 100% from Federal government 100% State government Local government Corporate donors 25% Individual/Private donors 25% United Way 50% Foundations (national, community, other) Other sources (specify_______) Not applicable: we have not been involved in teen pregnancy prevention in the past 12 months. SUCCESS IN FUNDRAISING 12. HOW WOULD YOU RATE YOUR ORGANIZATION’S SUCCESS IN RAISING FUNDS IN THE LAST 12 MONTHS FOR TEEN PREGNANCY PREVENTION PROGRAMS? Excellent Good Fair Poor N/A (have not raised funds for this purpose) 0 (0%) 4 (36%) 0 (0%) - 132 - 0 (5%) 7 (64%) ORGANIZATIONAL LEADERSHIP Does the organization… Yes No Don't know (DK) 13. Have a clearly defined mission? 11 (100%) 0 (0%) 0 (0%) 14. Have a written strategic plan to guide work and development over the next 3-5 years? 15. Have the current strategic plan that is realistic given the current resources of the organization? 16. Have support from the board and staff? 8 (73%) 6 (75%) 8 (100%) 9 (82%) 2 (18%) 0 (0%) 1 (11%) 2 (18%) 1 (9%) 2 (25%) 0 (0%) 0 (0%) 17. Have a board of directors? YOUTH-SERVING ORGANIZATION SURVEY DATA ANALYSIS TEEN PREGNANCY PREVENTION PROGRAM INFORMATION 18. IN WHAT SETTING DO YOU CARRY OUT (OR PLAN TO CARRY OUT IF THIS IS A NEW FOCUS) IN YOUR TEEN PREGNANCY PREVENTION PROGRAMS? 4 (36%) 4 (36%) 3 (27%) 1 (9%) 2 (18%) 6 (55%) 4 (36%) 5 (45%) Schools After-school Foster care youth program Residential or group home Clinical-based facility Community Center or similar location Faith institution Other (specify: Detention facility and youth on probation; female enlisted in active duty assigned th to the 15 Signal Brigade at Fort Gordon, GA military, RC DFCS, Trade school/GED centers/community college, and University Housing) Don't Know 0 (0%) - 133 - 19. WHAT AGE GROUP(S) DO YOU INTEND TO REACH WITH YOUR CURRENT (OR FUTURE IF THIS IS A NEW FOCUS) TEEN PREGNANCY PREVENTION PROGRAMS? 0 (0%) 3 (27%) 5 (45%) 8 (72%) 10 (91%) 0 (0%) 0 (0%) 10 years and younger 11-12 years 13-14 years 15-17 years 18-19 years 20 years and older Don't Know 20. DO YOU INTEND TO SELECT PROGRAMMING TO USE WITH A PARTICULAR RACIAL/ETHNIC GROUP(S)? 3 (27%) 0 (0%) 0 (0%) 0 (0%) 2 (18%) 1 (9%) 8 (72%) Black or African American American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Asian White Hispanic or Latino No, we don’t plan to use programming for a particular racial/ethnic group(s) TARGET CAPACITY Approximate Number Have not provided teen pregnancy prevention 900 (9%) 10 (91%) 50-450 (avg. 261) N/A 21A. How many young people participate in your teen pregnancy prevention programs each year? 21B. If you do not currently offer teen pregnancy prevention programs, but plan to in the future, what is your best estimate of how many young people you aim to target in the next year? - 134 - YOUTH-SERVING ORGANIZATION SURVEY DATA ANALYSIS AVAILABLE DATA AND PLANNING ACTIVITIES 22. WHICH OF THE FOLLOWING DATA FOR THE POPULATION YOU SERVE DO YOU NOW HAVE OR ARE SURE YOU CAN OBTAIN? 9 (81%) 8 (73%) 8 (73%) 6 (55%) 7 (64%) 4 (36%) 2 (18%) Teen birth rates by county Teen birth rates by age Teen birth rates by race/ethnicity Teen abortion rates Teen rates of STI/HIV A list of teen pregnancy prevention programs that currently exist in the community None of these 22A. WHAT IS THE SOURCE(S) FOR THIS INFORMATION? Georgia Division of Public Health, local health department, Planned Parenthood, Oasis, CDC, staff, website, G-CAPP, and Guttmacher MISSION Does the organization… 22B. Have a clearly defined mission? Yes No Don’t know (DK) 7 (70%) 1 (10%) 1 (10%) COMMUNITY NEEDS ASSESSMENT 23A. IN THE PAST 12 MONTHS, HAVE YOU CONDUCTED A NEEDS ASSESSMENT OR ACCESSED NEEDS ASSESSMENT DATA ON YOUR COMMUNITY TO GATHER INFORMATION ABOUT THE NEEDS, ASSETS AND RESOURCES RELATED TO TEEN PREGNANCY PREVENTION? Yes No Don’t know (DK) 2 (18%) 9 (81%) 0 (0%) - 135 - 23B. HOW DID YOU CONDUCT THE NEEDS ASSESSMENT? 1 (50%) 0 (0%) 1 (50%) 1 (50%) 1 (50%) Informal discussions with teens Focus groups Community survey Used data from existing Youth Risk Behavior Survey Used data from a recent needs assessment conducted by another group. (Please specify: TPPI needs assessment by G-CAPP/MOE) Other (Describe: Informal discussion with members of community and organizations) 1 (50%) LOGIC MODEL Does the organization… Yes No Don’t know (DK) 24A. Currently have a logic model for any of your teen pregnancy prevention programs? 2 (18%) 9 (82%) 0 (0%) 24B. Logic model indicate which teen pregnancy-related behaviors you are targeting (e.g., age at first sex, contraceptive use)? 24C. Logic model identify both risk and protective factors for each behavior (i.e., what affects age at first sex or contraceptive use)? 24D. Logic model include activities addressing these risk and protective factors? 2 (100%) 0 (0%) 0 (0%) 2 (100%) 0 (0%) 0 (0%) 2 (100%) 0 (0%) 0 (0%) Yes No Don’t know (DK) 25A. Has your organization delivered a teen pregnancy prevention program in the past 12 months? 2 (18%) 9 (82%) 0 (0%) 25B. Thinking about the teen pregnancy prevention program you delivered most recently, did you identify and think about various existing evidence-based programs before you chose your program? 26. Before the teen pregnancy prevention program you delivered most recently, did you assess the program to determine its fit with the needs and goals of your community? 27. Before the teen pregnancy prevention program you delivered most recently, did you assess your internal capacity to deliver the program (e.g., number of staff, staff training, technical resources, and program budget)? 2 (100%) 0 (0%) 0 (0%) 2 (100%) 0 (0%) 0 (0%) 2 (100%) 0 (0%) 0 (0%) DELIVERY OF TEEN PREGNANCY PREVENTION PROGRAM - 136 - 28. Thinking about the teen pregnancy prevention program you delivered most recently, did you develop a written work plan for your program delivery? 29A. In the last 12 months, did you evaluate the effectiveness of your teen pregnancy prevention curricula? 2 (100%) 0 (0%) 0 (0%) 2 (100%) 0 (0%) 0 (0%) 29B. WHICH OF THE FOLLOWING EVALUATION STRATEGIES DID YOU USE TO ASSESS THE EFFECTIVENESS OF YOUR CURRICULA? 1 (50%) Evaluation of the way each activity was implemented to see if it was delivered exactly as designed (with fidelity) Evaluation of youth participation to determine recruitment and retention by the intended target population. Outcome evaluation to measure the change in each behavior you are trying to affect Outcome evaluation to measure whether you are changing the risk or protective factors associated with these behaviors Don’t know 1 (50%) 1 (50%) 1 (50%) 0 (0%) 1 (50%) Other (Specify: Pre/Post test) 30A. AFTER THE EVALUATION After conducting the evaluation, did you plan changes to the program based on the evaluation result? Yes No Don’t know (DK) 0 (0%) 2 (18%) 0 (0%) 30B. WHICH OF THE FOLLOWING DESCRIBES THE CHANGES MADE TO THE PROGRAM? N/A N/A Selected a program that was a better fit. Modified the existing curriculum using adaptation guidance. Discontinued the current program. Other: please specify: ______________________ N/A N/A SUSTAINABILITY In the last 12 months, did the organization… 31. Market your teen pregnancy prevention programs to partners, funders, or others who might help you continue delivering or funding the programs in the future? - 137 - Yes No 2 (18%) 0 (0%) Don’t know (DK) 0 (0%) YOUTH-SERVING ORGANIZATION SURVEY DATA ANALYSIS IMPLEMENTATION PLANNING EFFORTS AND NEED FOR T&TA GTO Not at all Somewhat Very 1 (9%) 7 (64%) 3 (27%) 32. How familiar are you with GTO? UTILIZATION OF GTO Yes No Don’t know (DK) 10 (91%) 1 (9%) 0 (0%) 10 (91%) 10 (91%) 9 (82%) 4 (36%) 1 (9%) 1 (9%) 2 (18%) 7 (64%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) Has the organization or someone at the organization…. 33. Adopted the Getting To Outcomes approach to planning, implementing, and evaluating evidence-based teen pregnancy prevention programs? 34. Had formal training on Getting To Outcomes? 35. Received assistance and/or coaching in using Getting To Outcomes? 36. Been trained on the iGTO web-based system for teen pregnancy prevention? 37. Used the iGTO web-based system to complete any of the above activities? 38. PROGRAM IMPLEMENTATION Strongly Neither Agree How much do you and your team agree or disagree with each of these statements? Agree or Disagree 1 2 3 4 a. Goals and objectives are primarily for funders and grant applications 2 (18%) 2 (18%) 1 (9%) 0 (0%) - 138 - Strongly Disagree 5 0 (0%) 6 1 (9%) 7 5 (46%) b. Our programs would be improved by modifying them based on evaluation data 8 (73%) 3 (27%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) The extra time and costs required to implement scientifically proven programs greatly outweigh the benefits 1 (9%) 2 (18%) 0 (0%) 1 (9%) 0 (0%) 1 (9%) 6 (55%) d. Program staff often know whether a program is working well without having to do a formal evaluation 0 (0%) 2 (18%) 1 (9%) 1 (9%) 2 (18%) 1 (9%) 4 (36%) e. Implementing a program that is mismatched with the values of the local community will lead to poor implementation and outcomes 9 (82%) 0 (0%) 1 (9%) 0 (0%) 0 (0%) 1 (9%) 0 (0%) Time spent writing out all the activities of a program on a timeline could be better spent on implementation 1 (9%) 0 (0%) 0 (0%) 1 (9%) 3 (27%) 1 (9%) 5 (46%) g. We could better achieve our mission by devoting resources to regularly gathering information about the teen pregnancy prevention needs of the community 5 (46%) 3 (27%) 0 (0%) 0 (0%) 2 (18%) 0 (0%) 1 (9%) h. Funding is available for a teen pregnancy prevention program that produces positive results 5 (46%) 2 (18%) 1 (9%) 2 (18%) 1 (9%) 0 (0%) 0 (0%) c. f. i. Changing programs based on evaluation data will likely cause problems 0 (0%) 0 (0%) 1 (9%) 0 (0%) 1 (9%) 3 (27%) 6 (55%) j. Program staff often know whether a program is working well without having to do a formal evaluation 3 (27%) 3 (27%) 4 (36%) 1 (9%) 0 (0%) 0 (0%) 0 (0%) Implementing a program that is mismatched with the values of the local community will lead to poor implementation and outcomes 1 (9%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 3 (27%) 7 (64%) Time spent writing out all the activities of a program on a timeline could be better spent on implementation 1 (9%) 1 (9%) 0 (0%) 1 (9%) 0 (0%) 3 (27%) 5 (46%) k. l. - 139 - m. We could better achieve our mission by devoting resources to regularly gathering information about the teen pregnancy prevention needs of the community 7 (64%) 2 (18%) 2 (18%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) n. Our programs would be improved by modifying them based on evaluation data 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 2 (18%) 9 (82%) o. The extra time and costs required to implement scientifically proven programs greatly outweigh the benefits 6 (55%) 2 (18%) 1 (9%) 1 (9%) 0 (0%) 1 (9%) 0 (0%) p. Program staff often know whether a program is working well without having to do a formal evaluation 8 (80%) 1 (10%) 1 (10%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) q. Implementing a program that is mismatched with the values of the local community will lead to poor implementation and outcomes 7 (64%) 3 (27%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (9%) 39. TASK ASSISTANCE FOR TEEN PREGNANCY PREVENTION PROGRAM How much assistance would you and your team need to carry out this task out this task … a. Develop program goals for your new activity b. Assess how well your new program activity will fit within other existing program activities offered to the same target population c. Define a target population for your new activity d. Measure participant satisfaction e. Evaluate the activity to ensure that it is meeting goals and objectives by analyzing and interpreting data Need a great deal of assistance Could carry out this task, but would need some assistance Could carry out this task without any assistance 1 2 (18%) 2 (18%) 2 0 (0%) 0 (0%) 3 4 (36%) 7 (64%) 4 4 (36%) 1 (9%) 5 1 (9%) 1 (9%) 0 (0%) 0 (0%) 3 (27%) 4 (36%) 4 (36%) 0 (0%) 3 (27%) 0 (0%) 2 (18%) 5 (46%) 4 (36%) 3 (27%) 2 (18%) 3 (27%) 0 (0%) - 140 - 39. TASK ASSISTANCE FOR TEEN PREGNANCY PREVENTION PROGRAM How much assistance would you and your team need to carry out this task out this task … Need a great deal of assistance Could carry out this task, but would need some assistance Could carry out this task without any assistance 1 0 (0%) 2 0 (0%) 3 3 (27%) 4 3 (27%) 5 5 (46%) g. Specify the amount of change expected in your objectives 2 (18%) 1 (9%) 5 (46%) 2 (18%) 1 (9%) h. Assess community strengths in programming by examining existing resources such as existing programs and availability of volunteers 2 (18%) 1 (9%) 4 (36%) 3 (27%) 1 (9%) i. Determine if an existing evidence-based program would meet your goals and objectives 2 (18%) 1 (9%) 4 (36%) 3 (27%) 1 (9%) j. Examine how the new program will fit with the values of your organization 2 (18%) 1 (9%) 2 (18%) 2 (18%) 4 (36%) k. For each program activity, measure how well the implementation followed the original program design (i.e., fidelity) 2 (18%) 1 (9%) 2 (18%) 3 (27%) 3 (27%) l. Ensure that all new program activities are linked to the goals and objectives by using a logic model 2 (18%) 0 (0%) 2 (18%) 5 (46%) 2 (18%) m. Determine if any evidence-based programs are applicable to your target population 2 (18%) 0 (0%) 2 (18%) 5 (46%) 2 (18%) n. Assess the causes and underlying risk factors for teen pregnancy in your community 2 (18%) 2 (18%) 2 (18%) 4 (36%) 1 (9%) o. Assess whether there are adequate resources to implement the new program (e.g., number of staff, staff training, technical resources, funding) 2 (18%) 1 (9%) 1 (9%) 5 (46%) 2 (18%) p. Create timelines for completing all program tasks 2 (18%) 1 (9%) 1 (9%) 2 (18%) 5 (46%) q. Develop a budget that outlines the funding required for each program activity 0 (0%) 2 (18%) 1 (9%) 5 (46%) 2 (18%) f. Identify those who will be responsible for each task - 141 - 39. TASK ASSISTANCE FOR TEEN PREGNANCY PREVENTION PROGRAM How much assistance would you and your team need to carry out this task out this task … r. Develop a plan to sustain the program if it is successful (i.e., determine future funding sources) s. Use results from an evaluation to improve program delivery the next time it is offered Need a great deal of assistance Could carry out this task, but would need some assistance Could carry out this task without any assistance 1 3 (27%) 2 0 (0%) 3 6 (55%) 4 1 (9%) 5 1 (9%) 2 (18%) 0 (0%) 4 (36%) 2 (18%) 3 (27%) 40. TRAINING & TECHNICAL ASSISTANCE (T&TA) NEEDS FOR TASKS ASSOCIATED WITH TEEN PREGNANCY PREVENTION Yes, I would like TA or training Task a. Develop program goals for your new activity b. Assess how well your new program activity will fit within other existing program activities offered to the same target population c. Define a target population for your new activity d. Measure participant satisfaction e. Evaluate the activity to ensure that it is meeting goals and objectives by analyzing and interpreting data f. Identify those who will be responsible for each task g. Specify the amount of change expected in your objectives h. Assess community strengths in programming by examining existing resources such as existing programs and availability of volunteers i. Determine if an existing evidence-based program would meet your goals and objectives j. Examine how the new program will fit with the values of your organization k. For each program activity, measure how well the implementation followed the original program design (i.e., fidelity) l. Ensure that all new program activities are linked to the goals and objectives by using a logic model m. Determine if any evidence-based programs are applicable to your target population n. Assess the causes and underlying risk factors for teen pregnancy in your community o. Assess whether there are adequate resources to implement the new program (e.g., number of staff, staff training, technical resources, funding) - 142 - 6 (55%) 4 (36%) 3 (27%) 7 (64%) 9 (82%) 3 (27%) 8 (73%) 7 (64%) 6 (55%) 8 (73%) 8 (73%) 5 (46%) 4 (36%) 7 (64%) 5 (46%) 40. TRAINING & TECHNICAL ASSISTANCE (T&TA) NEEDS FOR TASKS ASSOCIATED WITH TEEN PREGNANCY PREVENTION Yes, I would like TA or training Task p. Create timelines for completing all program tasks q. Develop a budget that outlines the funding required for each program activity r. Develop a plan to sustain the program if it is successful (i.e., determine future funding sources) s. Use results from an evaluation to improve program delivery the next time it is offered t. Use iGTO to support program selection and implementation u. No TA requested on any of these topics. 4 (36%) 6 (55%) 9 (82%) 6 (55%) 8 (73%) 1 (9%) FOR INQUIRIES ABOUT THE COMMUNITY NEEDS ASSESSMENT CONTACT: Tekla Evans, MPH, CHES, PMP Evaluation Research Manager Messages of Empowerment, Productions LLC 3355 Lenox Road, Suite 730 * Atlanta, GA 30326 678-510-1718 (office) * 678-510-1716 (fax) [email protected] FOR INQUIRIES ABOUT THE COLLABORATIVE PARTNERSHIP CONTACT: Donna B. Elliston, DrPH, MSPH Project Director G-CAPP * 1450 West Peachtree, Suite 200 * Atlanta, GA 30309 404-475-6061 Phone 404-523-7753 Fax [email protected] - 143 - Teen Pregnancy Prevention Collaborative Partnership Richmond County (Augusta, GA) - 144 -
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