Teen-Centered Coordinated Care in Yamhill County, Oregon

December 1, 2017   |  Tags: Blog   |  Tags: Adolescent Well Visit , Adolescents , CCO Metric , CCOs , Access
Katie Sours, MPH

The Western Oregon Center for Pediatric Therapeutic Lifestyle Change (WOC) is a 501(c)(3) nonprofit in Yamhill County with the mission to empower children and families by providing education and programs for healthy living. WOC provides services within three categories: family nutrition education, family fitness, and community wellness promotion.

Student Wellness and Games (SWAG Night), a WOC community wellness program, is a unique collaboration between community based organizations and Yamhill County PCPCHs. SWAG’s teen-centered wellness events provide physical exams, vaccination updates, behavioral health screenings, games, giveaways, food, and music -- all in one night. The program’s target population includes Oregon Health Plan members, but any eligible teens who are patients at participating clinics are invited to attend.

A successful model for Yamhill County

SWAG contributes to measures including AWC, SBIRT, CRAFFT, and ECU. Since Yamhill County introduced SWAG Night in 2015, seven Yamhill County clinics have provided approximately 750 AWCs and 500 vaccinations at SWAG events (most frequently for HPV).

Sharing strategies with other clinics

The SWAG Night model was endorsed in Oregon Health Authority’s 2015 guidance document for AWCs. Since then, clinics in 7 other CCOs statewide have implemented similar teen-centered events. In August 2017, leadership from Grants Pass Clinic visited a Yamhill County SWAG Night event and received a guidebook prototype for producing their own SWAG Night events. In November, they saw 50 teens at their first SWAG Night event.

Building a scalable model

Next steps for WOC include building a digital SWAG Night toolkit that any clinic can access. Digital resources will include a website, promotional video, and planning guide for clinics who wish to build their own SWAG Night events but don’t have resources to commit to building an event from scratch. Long-term, WOC plans to create webinars, in-person trainings, and on location visits to interested clinics. WOC hopes to be able to provide the first phase of these services mid-2018.

Get your clinic started with key tips from WOC’s SWAG Night team:
  1. Teen focus groups help inform planning and outreach strategies. Young people prioritize preventative services when they are accessible and delivered in environments that suit their ages and interests.
  2. Multiple community organizations and members can get involved. Whether it’s asking for sponsors to cover the costs of door prizes and food, or inviting community partners to host games and activities during the event, collaboration is a key to success.
  3. SWAG Night is customizable by design. In Oregon, at least 8 counties across 4 CCOs have piloted Teen SWAG Night events according to their clinic’s needs.

The American Academy of Pediatrics recommends that adolescents see their primary care provider yearly for a wellness visit, which offers an opportunity for comprehensive services including physical exams, behavioral health screenings, and immunization updates; however, this age group continues to underutilize primary care: only 37.5% of Oregon adolescents on Medicaid received a well-care visit in 2015, while the national 2015 benchmark was 61.5% (Oregon Health System Transformation: CCO Metrics 2016 Final Report).

SWAG Night is an appealing approach to adolescent health. When surveyed at Yamhill County SWAG Night events, 10-15% of teens said they would not have gotten an AWC without SWAG Night.

If you have questions, email Katie at coordinator@snackprogram.org

Katie Sours, MPH has worked with Western Oregon Center for Pediatric Therapeutic Lifestyle Change since 2016. She coordinates all WOC programs including SWAG Night, Student Nutrition and Activity Clinic for Kids (SNACK), and Toothtastic Vaxapalooza, a dental and vaccine event for children. Before joining WOC, Katie worked for Linfield College as a laboratory instructor for organic chemistry and physiology. She has a background in environmental health, with an emphasis in toxicology and physical environmental determinants of health. Katie earned her Master of Public Health from Boston University.