Date of Award
8-2022
Document Type
Dissertation
Degree Name
Doctor of Philosophy (PhD)
Department
Applied Health Research and Evaluation
Committee Chair/Advisor
Dr. Sarah Griffin
Committee Member
Dr. Lior Rennert
Committee Member
Dr. Kerry Sease
Committee Member
Dr. Xia Jing
Abstract
Adolescence is a unique developmental period during which most lifelong mental health illnesses develop. Interventions and programs targeting adolescent health care utilization and effectiveness often fail to include measures of implementation science including long term sustainability and contextual characteristics. The purpose of this dissertation was to evaluate two programs designed to increase health care utilization and engagement in adolescent populations. Guided by the Practical, Robust, Implementation and Sustainability Framework (PRISM), strengths and weaknesses across model delivery and context of School-based Health Centers (SBHC) were assessed through in-depth interviews with clinicians, managers, and school staff. SBHC outcomes and services were assessed in comparison to traditional pediatric clinics using propensity score matching. And lastly, a pediatric navigation service for referral connection support was assessed on referral connection and predictors of referral noncompletion. The findings presented in this dissertation have important implications for informative implementation and delivery of programming and interventions.
Recommended Citation
Stuenkel, Mackenzie, "Adolescent Health Services: Access and Outcomes" (2022). All Dissertations. 3156.
https://tigerprints.clemson.edu/all_dissertations/3156
Author ORCID Identifier
0000-0001-6703-2195