FOSTER YOUTH HEALTH CARE TRANSITION Research/Working Session - - PowerPoint PPT Presentation

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FOSTER YOUTH HEALTH CARE TRANSITION Research/Working Session - - PowerPoint PPT Presentation

Mar 24, 2024 170 likes •892 views

FOSTER YOUTH HEALTH CARE TRANSITION Research/Working Session Prof. Ann Black Blake Lane Ryan Fennessey Corinne Hirotsu Project Brief The CHECK clinic acts as a node to help educate and bring 40% 55% 40% 55% Of youth have Of young

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FOSTER YOUTH HEALTH CARE TRANSITION

Research/Working Session

  • Prof. Ann Black

Blake Lane Ryan Fennessey Corinne Hirotsu

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Project Brief

The CHECK clinic acts as a node to help educate and bring awareness to the importance

  • f healthcare throughout foster

youths’ lives, both while in foster care and when emancipated. However, due to living life in “crisis mode,” many foster youths and emancipated foster youths do not actively seek out preventative health care.

55% 30% 50% 40% 62% 55%

Of youth have no source of income

30%

Of youth experience homelessness

50%

Of youth use substances

40%

Of young women are pregnant

62%

Of youth report they cannot access healthcare

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Problem Areas

Preventative and chronic healthcare needs are not a priority for youth who have aged out of the foster care system until it becomes a “crisis situation.”

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Various professional stakeholders in the lives of the youth are not collaborating to stress the importance of adult healthcare practices. Preventative and chronic healthcare needs are not a priority for youth who have aged out of the foster care system until it becomes a “crisis situation.”

Problem Areas

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Problem Areas

Preventative and chronic healthcare needs are not a priority for youth who have aged out of the foster care system until it becomes a “crisis situation.” Various professional stakeholders in the lives of the youth are not collaborating to stress the importance of adult healthcare practices.

Opportunity Gap

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Combining empathy for the context surrounding a problem.

Design Thinking

Creativity in creating insights. Rationality in analyzing and applying solutions.

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Research Goals - Identify

Youth in foster care medical needs How youth in foster care interact with various stakeholders in their lives. The role healthcare plays in the lives of youth in foster care and their stakeholders.

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Research Goals - Understand

How the role of stakeholders in youths in foster care’s lives fit into healthcare education. How this role can be used as a trigger for engagement between youths in foster care and the health system to create an outgoing relationship between healthcare and foster youths throughout their lives.

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Research Methods

Interviews Secondary Research Debrief Findings Synthesize Information

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Research Methods - Interviews

Medical and Government Agencies Foster Care Agencies Mentorship Programs Youths in Foster Care/ Emancipated

Hamilton County Jobs and Family Services CCHMC Trauma Therapists CHECK Clinic Total Interview time -

6 hrs, 30 min

BAIR Foundation Lighthouse Youth Services Lighthouse Community School Choices, Inc. Changing Lives Total Interview time -

7 hrs, 30 min

Big Brothers Big Sisters ProKids HEMI Program Total Interview time -

4 hrs

LeXavier Tyrone Holly Tatiana McCormick Darnicia Bayes Tevin Brunner Total Interview time -

3 hrs Total Interview Time - 25 hrs Observations

Lighthouse Community School Choices Inc. ILS group Changing Lives Walkthrough Total Interview time -

4 hrs

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Research Methods - Secondary Research

Total Secondary Research Time - 35 hrs

Literature Reviews Benchmarking of other models Review of relationship between CHECK clinic and

  • rganizations

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Research Methods - Debrief Findings

3 Step Process

  • 1. Review Audio Interview
  • 2. Take notes in outline form
  • 3. Extract critical points on

post-it notes

Total Debrief Time - 10 hrs

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Research Methods - Synthesize Findings

Created mapping systems of organizations

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Research Methods - Synthesize Findings

Created mapping systems of organizations Organized critical points

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Research Methods - Synthesize Findings

Created mapping systems of organizations Organized critical points Mapped out stakeholder and youths in foster care’s journeys throughout the process

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Research Methods - Synthesize Findings

Created mapping systems of organizations Organized critical points Mapped out stakeholder and youths in foster care’s journeys throughout the process Created mapping systems of youths in foster care and their relationship with organizations

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Research Methods - Synthesize Findings

Created mapping systems of organizations Organized critical points Mapped out stakeholder and youths in foster care’s journeys throughout the process Created mapping systems of youths in foster care and their relationship with organizations Identified possible communication breakdowns/boundaries

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Research Methods - Synthesize Findings

Created mapping systems of organizations Organized critical points Mapped out stakeholder and youths in foster care’s journeys throughout the process Created mapping systems of youths in foster care and their relationship with organizations Identified possible communication breakdowns/boundaries Located possible external factors along journey

Lost medical records Taken off Medicaid Stops seeing the doctor

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Research Methods - Synthesize Findings

Created mapping systems of organizations Organized critical points Mapped out stakeholder and youths in foster care’s journeys throughout the process Created mapping systems of youths in foster care and their relationship with organizations Identified possible communication breakdowns/boundaries Located possible external factors along journey Developed takeaways and next steps

Total Synthesize Time - 20 hrs

Lost medical records Taken off Medicaid Stops seeing the doctor

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Research Methods

25 hrs 35 hrs 10 hrs 10 hrs 20 hrs Interviews Secondary Research Synthesis Debrief Other Total Time - 100 hrs

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JOURNEY THROUGH CARE

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Meet Chris.

Chris has been in the foster care system since the age of 6. It’s been hard for him to keep making new friends every time he changes placements. 22

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with parents foster care independent emancipated

Chris’s story:

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unhealthy situation

Chris’s home life is unhealthy

with parents

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intervention

JFS is notified of their situation

with parents

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Where are we going? This is an unsafe environment for you.

JFS and GAL remove him from his home

with parents

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Hi, I’m Chris. Chris, meet your foster family and agency caseworker. Hi Chris! we’re here if you need anything!

Chris meets his foster parents

foster care

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I hate it. I just want to go home. How are you feeling in your new home?

Chris doesn’t like his foster home

foster care

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I don’t want to. Let’s go to the doctor. Hi, Chris. I’m your new doctor! Bye.

Chris’s new placement doctor visit

foster care

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We’re going to have to start from scratch, since you don’t have any medical records. Okay.

Chris goes to the doctor

foster care

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You aren’t even my real parents. We’re trying to help you.

Chris acts out against his foster parents

foster care

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We can’t deal with this behavior. Looks like this placement isn’t going to work out.

Chris is removed from his placement

foster care

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We’re going to have to place you in a new home. Is it with my parents? It isn’t safe for you there yet.

Chris is taken to a new foster home

foster care

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Chris, meet your new foster parents. I don’t want to. Hi Chris, we’re going to take care of you. I just want my real parents.

Chris meets his second foster parents

foster care

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How are you adjusting to your new home? It’s okay I guess.

Chris warms up to his foster parents

foster care

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Let’s go to the doctor for your placement check up. Okay. Hi Chris, I’m your new doctor. Where’s the doctor I usually see? This is a different doctor’s offjce.

Chris sees a different doctor

foster care

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We’re going to have to start from scratch, since you don’t have any medical records. Again?

Chris’s new placement doctor visit

foster care

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Good news! we’re able to reunify you with your parents. Finally! We hope it works out! Bye.

Chris is removed from his foster family

foster care

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I’ll still be checking on your family situation to make sure it’s healthy.

Chris is reunified with his parents

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reunifjcation attempt

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You don’t need that medicaid anymore, now that you’re out

  • f the system.

Here’s his fjle. It has his SS card, medicaid card, and doctor info.

Chris is taken off of medicaid

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reunifjcation attempt

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You’re useless. I’m so happy to be back with my family, even though it might not be the safest environment.

Chris tolerates an unhealthy relationship

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reunifjcation attempt

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unhealthy situation

Chris is subjected to family drama

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reunifjcation attempt

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re-intervention

JFS intervenes again

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reunifjcation attempt

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Where are we going? This is still an unsafe environment for you.

JFS removes Chris from his family again

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reunifjcation attempt

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We were able to put you back in your previous placement. I just want my parents. Hi Chris! how are you? Leave me alone.

Chris wants to be with his parents

foster care

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Chris acts out more and more

How was school today? I didn’t go, school is for chumps.

foster care

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Chris’s foster parents can’t handle him

If you keep acting out like this, you can’t stay here. Kick me out, I don’t care.

foster care

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Chris changes placements and agencies

We’re trying to help you. I don’t need anybody to help me. Let’s go to the doctor. I don’t like the doctor.

foster care

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Chris goes to the doctor again

We’re going to have to start from scratch, since you don’t have any medical records. I’m getting tired

  • f this.

foster care

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Chris continues to act out

We have to move you to a group home. I don’t care. We tried, but we just can’t handle his attitude.

foster care

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Chris is placed in a group home

Meet your group home advisor. Whatever, lady. Let’s go to your change of placement doctor’s appointment. I don’t like the doctor.

foster care

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Chris goes to his ILP classes

I’m an ILP specialist. I’m here to help you transition. I don’t need your help. Here’s what you need to learn in order to be independent....blah... blah.....blahblah...blah... I just wanna be grown so all

  • f you will leave me alone.

foster care

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Chris transitions into independent living

Let’s go to the CHECK clinic for your placement change visit. I don’t want to go to the doctor. Hi, I’m your ILP caseworker. nice to meet you. Yeah, okay.

independent

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Chris’s friends take advantage of him

This isn’t healthy for you to keep giving them your stuff. So we can crash here, right? Sure! take whatever you want. Fine, then I’ll leave.

independent

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Chris leaves ILP early

I don’t need anybody. I’ve always been on my own anyways. Are you sure? I don’t think you’re ready to be on your own.

independent

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Chris rejects the foster care system

I don’t need any help from you or from anyone else. If you need any help, we’re still here for you.

emancipated

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Chris tries to see a doctor

What doctors do you guys go to? Here’s their info.

emancipated

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Chris tries to see a doctor

Maybe? I don’t know. Do you have insurance? We can’t accept you as a new patient without insurance. receptionist

emancipated

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Chris tries to see a different doctor

Thanks! I’ll make you an appointment. receptionist

emancipated

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Chris keeps missing his appointments

This isn’t worth the

  • trouble. I don’t need

a doctor anyways. I’m sorry, you’ve missed too many appointments. We can no longer see you. receptionist

emancipated

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Chris’s health deteriorates

I can eat whatever I want. I don’t need to see the

  • doctor. There’s nothing

wrong with me. I don’t need to use protection. What’s the worst thing that could happen?

emancipated

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Chris has a health crisis

I need a doctor. What do I do? HEALTH CRISIS

emancipated

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Chris goes to the ER

I need help. What’s wrong? Do you have insurance? I can’t remember. HEALTH CRISIS

emancipated

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Chris gets his ER bill

I didn’t know this would cost so much... I can’t afford to pay this bill. HEALTH CRISIS FINANCIAL CRISIS

emancipated

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Chris can’t afford to pay rent

I’m working to pay off this hospital bill, and there’s no money left for rent. HEALTH CRISIS FINANCIAL CRISIS HOUSING CRISIS

emancipated

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Chris is facing multiple crises

HEALTH CRISIS FINANCIAL CRISIS HOUSING CRISIS What do I do?

emancipated

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Opportunity areas

lost medical records lost medical records taken off of medicaid lost medical records lost medical records stops seeing doctors lost medical records lost medicaid information lost medical records

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Next Steps

Ideation Co-Creation Conceptualization

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Possible Design Solutions

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  • u

l d i do ? what sh

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l d i do ? what sh

  • u

l d i do ? what sh

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l d i do ? what should i do? what should i do? what should i do?

Booklet Kit Binder

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Possible Design Solutions

Booklet Kit Binder

i f i need a doct

  • r

who? ca l l sa y br i ng

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at the doctor’s office

put yo ur cu r r ent home addr ess down her e.

doctor dentist eye doctor what do yo u need ? emergency

if i need a doctor who? ca l l sa y br i ng

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513-000-1200

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when you get to the doctor’s

  • ffice, they will

give you forms to fill out.

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