SAHCs have been instrumental in elevating the importance of adolescent health not only in their states, but on the national level. For decades, SAHCs, individually and acting as NNSAHC representatives, have contributed to landmark guidance that has shaped the field of adolescent health at large. Many of these contributions have had wide reaching ripple effects that can be seen today in national and federal adolescent health efforts.
1989 - First ever published analysis of adolescent populations served by Title V/MCH Programs:
SAHCS in 33 states contribute to the first ever survey and published analysis of Title V Maternal and Child Health (MCH) and Children With Special Health Care Needs (CSCHN) Programs on their respective roles in serving adolescents. The survey provided the first published analysis of its kind on Title V's role in serving adolescents, and revealed important information regarding the characteristics of adolescent recipients, services provided, access barriers, and financing needs.
1991 – Recommendations for SPRANS Grants:
SAHCS in 26 states provide feedback to the Office of Maternal and Child Health on priorities for Special Projects of Regional and National Significance (SPRANS) Grants, including: establishing national resource centers for adolescent health, and funding demonstration projects for various adolescent health issues. The following year and through 1997, SPRANS grants are awarded to eight state Title V/MCH programs to fund state adolescent health coordinator positions.
2000 – Building Bridges for Child Health:
The SAHC from MA represents the NNSAHC executive committee at an invitation working conference at the Johns Hopkins School of Public Health to explore venues for strengthening science-based practice and policy for child health through greater integration of efforts.
2000-2005 – Partnership for Adolescent Health: A select group of NNSAHC members and representatives of the Association of Maternal and Child health Programs formally collaborate to secure funding from the Annie E. Casey Foundation to support for the leadership structure of the NNSAHC and promote an adolescent health focus within Title V/MCH programs. The effort results in development of two key adolescent health resources: the Conceptual Framework for Adolescent Health
and the System Capacity for Adolescent Health: A Public Health Improvement Tool
2001 – National Initiative to Improve Adolescent Health: Members of the NNSAHC executive committee participate in a strategic planning meeting of major national and state groups addressing to map out directions for addressing key adolescent health outcomes related to Healthy People 2010.
2010 – Healthy People 2020 Adolescent Health Work Group: Multiple SAHCs participate in the Healthy People 2020 Adolescent Health Workgroup, which is leading the effort to establish objectives in the new Healthy People 2020 topic area on Adolescent Health.
2014 - NNSAHC and individual SAHCs provide comments and guidance on the development of adolescent health related Title V/Maternal and Child Health National Performance Measures (NPMs). The resulting NPM (#10) is focused on percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year (39 state/territorial Title V/MCH Programs selected NPM10 as one of their required NPMs for FY18 - retrieved from Title V Information System
2017 - NNSAHC launched the Youth-Centered Care Resource Depot
to support state and territorial Title V/MCH programs initiatives focused on adolescent health care and specifically the Title V/MCH National Performance Measure #10 focused on adolescent well visits. An accompanying tool co-created with the State Adolescent Health Resource Center, launched in 2018, explores eleven key elements of youth-centered care based on the World Health Organizations standards for youth-centered care, and provides interactive links to the Resource Depot to search hundreds of local, state and national examples of youth-centered care.
2018 - NNSAHC continues to serve as a national representative of State Adolescent Health Coordinators and others responsible for coordinating adolescent health program/policy direction in state Title V/maternal and child health programs, for example:
- Serving on the annual conference planning committee for the Association of Maternal and Child Health Programs.
- Partnering with USDHHS federal regional staff (HRSA-MCHB and OASH) from regions 1, 5, 7 and 8 to plan and conduct regional adolescent health summits for state and local public health professionals.
- Connecting state adolescent health coordinators to peers in other states and national and federal partners via a private listserv and the NNSAHC website.
- Conducting assessments of SAHCs and Title V/MCH adolescent health programs every 2-3 years since 1996 (most recent: 2018 AHC Profile) to create a profile of adolescent health efforts in states under the leadership of SAHCs, connect state peers around common interests and issues and identify their emerging needs for technical assistance and training.
History of AHCs (PDF) Critical points in the evolution of the State Adolescent Health Coordinator role from the 1980s to the present.
Profile of State Adolescent Health Coordinators (WEB LINK) NNSAHC 2018 Profile of State Adolescent Health Coordinators(SAHC)/Programs includes a summary of SAHC tenure, location and funding sources, and state focus areas (summary and by state) including National Performance Measures selected and grants managed by SAHCs based on the responses of 36 individuals from 32 states and 3 territories.