Teen boy getting a shot


The Texas Youth-Friendly Initiative (TYFI) improves the capacity of Texas health clinics to better serve adolescents, 10-24.

AHI Champion logo

From 2016-2020, the Texas Campaign is leading a group of partners in a pilot project to implement the Adolescent Champion Model within Texas’ unique demographic environment. This 18-month, evidence-based model was developed by the Adolescent Health Initiative at the University of Michigan to ensure that all aspects of a visit to a health center are youth-centered. The model consists of a multi-faceted, tailored intervention to address a health center’s environment, policies, practices and culture. This includes supporting improvements in staff knowledge and attitudes around provision of adolescent care as well as patient satisfaction with services received.

  • The Adolescent Champion Model includes:
    1. Adolescent-Centered Environment Assessment Process (ACE-AP), a comprehensive health center self-assessment addressing a health center’s youth-friendliness;
    2. Quality improvement initiatives focused on best practices in adolescent health care and Healthcare Effectiveness Data and Information Set (HEDIS) measures;
    3. “Sparks,” or pre-packaged mini-trainings, for health center staff and providers on adolescent-centered care;
    4. Patient, staff and clinician surveys to assess improvement throughout the process;
    5. In-person Summits where participating health centers receive training and meet with other participants to share in a Community of Practice; and
    6. Coaching, technical assistance, training, and resources to reduce barriers to change and increase opportunities for success.
  • Health Center Benefits

    80% of Adolescent Champion health centers across the country reported improvements in at least 3 of the following areas:

    • Total number of adolescent visits
    • Number of preventive care visits
    • Number of behavioral/mental health visits
    • Number of behavioral referrals

    We anticipate similar outcomes for participating Texas-based clinics as well as significant improvements in:

    • Staff perception of adolescent-centered care within their clinic
    • Provider comfort and confidence in caring for adolescents
    • Provider and staff knowledge of and attitudes toward confidentiality and minor consent laws
    • Health center appearance, policies, practices, and culture
    • Interdisciplinary collaboration to drive organizational change
  • Adolescent Patient Outcomes

    Adolescent Champion health centers in other parts of the country have demonstrated improvement in the areas below. We anticipate similar outcomes for patients of participating Texas-based clinics:

    • 27 % Increase in adolescent patients who received a preventive care visit
    • 29 % Increase in adolescents who received behavioral health services
    • 20 % Increase in adolescent patients up-to-date on HPV vaccination
  • Tools and Assessments
    • Adolescent-Centered Environment Assessment Process (ACE-AP: Clinic self-assessment)
    • Staff/clinician survey (knowledge, attitudes around adolescent care)
    • Adolescent patient survey (satisfaction with services, knowledge of rights)
    • Clinic Information Tool (adolescent health HEDIS performance measures)
  • Certification

    Upon completion of the 18-month process, clinics are well-positioned to pursue certification as an Adolescent Centered Environment.