youth health as a priority issue and encouraged GHC to pursue the Minority Youth Health Project.

Developing Long-Term Substance Abuse Prevention and

Career Development Programs for African American Youth

Healthcare Management Alternatives, Inc.

Philadelphia, PA

In 1990, Healthcare Management Alternatives, Inc. (HMA) developed and piloted a general prevention program for "at-risk" students (identified by faculty and administrators) at Audenried High School in Philadelphia. Although HMA continues to sponsor the intervention, it is no longer involved in daily administration activities. Currently, 30 students are enrolled in the program. During the school year, they attend weekly classes led by an HMA-trained counselor where they discuss and learn about STDs and HIV/AIDS, pregnancy prevention, violence, decision-making, self-esteem, substance abuse, goal-setting, conflict resolution, and career development.

One of the program's goals is to improve health knowledge and attitudes about risky behaviors, including those related to adolescent sexuality, STDs, and HIV/AIDS. In order to measure the effect of the classroom activities on attitudes and behaviors, enrolled students are asked to fill out a pre- and postprogram behavior assessment questionnaire (adapted from the national Youth Risk Behavior Survey) at the beginning and end of each school year.

In 1993, data collected using the pre- and postprogram questionnaires were used to assess the program's impact. The evaluation found a small decrease in the number of sexually active students; a moderate increase in the proportion of students utilizing condoms, birth control pills, or both; and a significant decline in the percentage of students with multiple sex partners and in the number of students engaging in unprotected sex. Overall, the 1993 evaluators concluded that the program had a positive impact on the students. The current ninth-grade participants will be followed through high school in order to perform a similar evaluation. A long-term assessment of the 1993 participants who have graduated from high school is planned.

Watts/Jordan School-Based Health Clinic

Watts Health Foundation

Los Angeles, CA

Watts Health Foundation (WHF), in conjunction with the Los Angeles Board of Education, established a health care clinic at Jordan High School in 1987. It is one of three such clinics that, with parental consent, supplies free and comprehensive medical care, psychological services, and health education to students. During 1993 and 1994, the three clinics handled 10,400 patient visits. Patients



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