Y2Y Health Summit highlights and reflections

Over 120 student health advocates and their adult allies joined us at Y2Y Health Summit this year.

Earlier this month on May 5, The Los Angeles Trust for Children’s Health held the annual Youth-to-Youth (Y2Y) Health Summit at the Los Angeles Trade Technical College. The Y2Y Health Summit is not your average health conference. It is a unique event that puts the spotlight on young people and empowers them to take charge of their health. The summit not only provides students with a platform to showcase their work, but it also gives them an opportunity to connect with other like-minded students from different schools and backgrounds. This sense of community is crucial, especially in today's fast-paced and highly competitive world where students are often under immense pressure to perform. 

Y2Y workshop on coping with triggers through meditation.

The workshops offered at the summit were carefully curated to cater to the diverse needs and interests of the students. From mental health to social media and health advocacy, the topics covered were relevant and engaging. For instance, the UCLA health career panel provided students with insights into various healthcare professions that might inspire them to pursue careers in the healthcare industry. Similarly, the workshop on coping with triggers through meditation provided students with practical tools to manage stress and anxiety, which can be invaluable in their daily lives. 

What sets the Y2Y Health Summit apart is the emphasis on the holistic well-being of students. The event recognizes that health is not just about physical fitness but encompasses all aspects of one's life, including mental, emotional, and social health. This approach is refreshing and much needed, especially in today's world, where mental health issues are on the rise among young people. The summit's focus on total health and wellness for the body, mind, and soul is a testament to The L.A. Trust’s commitment to promoting a healthy and balanced lifestyle for students.

Dr. David Lyons, keynote speaker.

The keynote speech delivered by Dr. David Lyons, also known as “Doctor Homie,” at this year's Y2Y Health Summit was a highlight of the event. Dr. Lyons shared his personal story of overcoming adversity to pursue a career in medicine, which was an inspiration to the students in attendance. He spoke candidly about how the hardships he encountered early in life fueled his determination to pursue medicine as a career. One of the most powerful moments of his speech was when he shared his personal struggle with his sexuality, which was a significant obstacle in his journey. Dr. Lyons emphasized the importance of self-reflection and seeking support from friends and mentors in overcoming personal challenges. His military service and attendance at a community college helped him find direction and purpose, leading him to pursue a medical degree. He discussed his experiences with Adverse Childhood Experiences (ACEs) and how he overcame trauma to achieve his goals. Throughout his speech, he emphasized the importance of empathy and understanding, encouraging his audience of high school and middle school students to take pride in their peer-to-peer health work as it can be life-changing. Dr. Lyons' story serves as a reminder of the resilience and strength of individuals who overcome adversity in pursuit of their dreams and highlights the importance of leveling the playing field for all.

Reach LA vogue training segment with students.

The event was held on Cinco de Mayo. Lunch included tacos, and students were entertained by performances from the organization Reach LA. The group performed a drag show and a vogue show, adding to the energetic atmosphere of the event. During a fun vogue training segment, students were even able to participate and learn some moves themselves. The event's vibrant atmosphere and opportunities for entertainment created an enjoyable and engaging experience for the students in attendance. The Y2Y Health Summit is an excellent example of how education and entertainment can be combined to create a dynamic and informative event that empowers and inspires young people to prioritize their health and well-being.

The success of the Y2Y Health Summit would not have been possible without the support of our partners, who played an essential role in making the event a success. Black Women for Wellness, REACH LA, Primary Health, Planned Parenthood, Los Angeles County Public Health, Reality Management, Los Angeles County Department of Mental Health, and Universal Community Health Center all provided valuable resources and support to the students in attendance.

As Patty Salmeron, Senior Program Manager at The L.A. Trust, noted, "I really appreciated our tabling partners who provided great resources for the students. It elevates everyone's experience when you have partners who want to be there and believe in what we're doing and want to support the students." The enthusiasm and dedication of these partners helped create a positive and supportive atmosphere. 

Overall, the Y2Y Health Summit is a valuable resource for students across the district. It provides them with a safe and supportive space to learn, connect, and grow, and equips them with the knowledge and skills to take control of their health. The event's success is a testament to the power of student-driven initiatives and the positive impact they can have on communities. As Marsha Ellis, The L.A. Trust’s Director of Programs, rightly puts it, "The L.A. Trust is proud to continue supporting youth across the district as they work to bring important health education and resources to their campuses and communities." 

Boosting self-esteem in teenage years

Several factors can contribute to negative body image and low self-esteem among teenagers.

Teenage years can be both an exciting and challenging time of life. It is a period where young individuals are expected to develop physically, emotionally, and mentally. Two of the issues that are rarely spoken about in regard to teenagers' mental health are self-esteem and body image. Low self-esteem and poor body confidence can heavily impact a teenager's life, leading to poor academic performance, social isolation, mental health challenges, eating disorders, and other negative consequences. 

Self-esteem refers to the value individuals place on themselves, while body image refers to their perception of their physical appearance. Both of these factors are essential for an individual's social and emotional well-being. Good self-esteem and healthy body image lead to positive mental health, self-confidence, and good relationships. In contrast, poor self-esteem and negative body image can lead to depression, anxiety, extreme dieting, social isolation, substance abuse, and poor academic performance. Improving self-esteem and body confidence can help teenagers develop resilience, build self-worth, and improve their overall quality of life.

Several factors can contribute to negative body image and low self-esteem among teenagers. Societal pressures to conform to beauty standards, unrealistic expectations from social media, bullying, and social isolation are some of the common culprits. Schoolwork and academic pressures can also impact a teenager's self-esteem, leading them to feel inadequate and unworthy.

Several strategies can be employed to improve self-esteem and body confidence among teenagers. First, parents should provide a supportive and secure environment where their teenagers can express their feelings and concerns. They can also model healthy self-esteem themselves in both words and actions. School administrators and healthcare providers should promote body positivity and self-acceptance through school-based education programs and mental health support services. Teachers can also incorporate positive body image messages into the curriculum.

Teenagers can also take charge of their self-esteem and body confidence. Here are a few tips to help them build a positive self-image:

1-Maintain a healthy lifestyle that includes good sleeping habits, regular exercise, and a healthy diet

2-Stay away from negative social media sites, television programs, or magazines

3-Focus on developing positive relationships and find a supportive circle of friends

4-Learn new skills or hobbies and find activities that make them happy and fulfilled.

Improving self-esteem and body confidence among teenagers is vital in promoting positive mental health, positive relationships, and overall well-being. Low self-esteem and negative body image can heavily impact a teenager's daily life and lead to long-term mental health problems. School administrators, healthcare providers, parents, and community organizations can help by supporting programs and resources that promote positive body image and self-acceptance. Additionally, teenagers should take action to protect their own mental health by cultivating healthy habits, avoiding negative messaging, and building strong support networks. By working together, we can support teenagers and ensure that they develop a healthy and positive self-image.

Sources

National Library of Medicine
WebMD
The New York Times

Stress awareness month for teens

Stress has a significant impact on physical and mental health in teens.

April is Stress Awareness Month, and it's important to remember that teenagers often face a high level of stress due to external pressures in school, at home, and in their social lives. This can manifest as an increased heart rate, faster breathing, or tense muscles. Though some stress is natural and helps motivate children to get things done, too much stress can become overwhelming. As community members, healthcare providers, and parents we must provide the support and resources necessary for preteens and teenagers to cope with their stressors. Healthy coping mechanisms include physical exercise, talking to others about worries, or finding activities they enjoy. 

The Impact of Stress on Teens  

Stress has a significant impact on physical and mental health in teens. This includes physical symptoms like headaches, fatigue, stomach aches, and irritability, as well as emotional symptoms like depression and anxiety. Additionally, chronic or extreme levels of stress can have long-term effects on the developing brain. For example, high cortisol levels associated with long-term stress have been linked to decreased cognitive performance in teens.  

Managing Stress in Teens  

There are a variety of factors that can contribute to stress in teens. These include school demands and frustrations, negative thoughts or feelings about themselves, changes in their bodies, problems with friends, unrealistic expectations, strife at home, strained sibling relationships (including sibling bullying), illness in the family, and financial stress on the family. 

It is important for parents to recognize the signs of stress in their teens and help them develop healthy coping skills. This includes getting enough sleep, exercising regularly, and engaging in activities that bring joy. Additionally, parents should encourage their teens to talk openly about their feelings and provide support when needed. 

As a parent, it is important to acknowledge your teen’s emotions and fears and take them seriously by listening. Avoid labelling your teen as "shy" or "anxious" and use positive reinforcement. Show love and empathy, make time for daily talks, promote healthy habits such as diet and exercise, and build a strong connection with your teens. If more help is needed, seek out professional support from a pediatrician or trusted psychologist/counselor. School counselors can also provide additional assistance. 

Stress Awareness Month serves as an important reminder for all of us to be mindful about the impact of stress on teenagers. By recognizing the signs of excessive stress and providing resources for managing it appropriately, we can help create a healthier environment for our young people so that they can thrive emotionally during this challenging time in their lives. Together, let’s make sure our teenagers know that they are not alone in this struggle.  


Sources
American Academy of Child & Adolescent Psychiatry
American Psychological Association
CDC Coping with Stress

The L.A. Trust supports LAUSD Narcan policy update

Overdose deaths in the United States have skyrocketed in recent years, fueled in large part by an exponential rise in synthetic opioid use, primarily fentanyl. In 2016 the National Institute of Health reported fentanyl as the number one killer in overdoses, with about 20,000 deaths. Five years later in 2021, that number rose to almost 70,000 overdose deaths. With the nation seeking answers, headlines report students overdosing in Los Angeles schools, including a 15-year-old who passed on in a Los Angeles Unified School District (LAUSD) school bathroom.

In response to this crisis, the LAUSD announced that schools will be provided with naloxone, a nasal spray that can quickly reverse the effects of an opioid overdose. The district is providing Narcan, a brand name for naloxone, and has trained staff on its proper administration. As part of this ongoing effort, LAUSD also announced plans to update its policy permitting students to carry Narcan. This step will ensure the safety and well-being of at-risk students and demonstrates the district's proactive, compassionate, and practical response to the opioid crisis.

The LAUSD Narcan student policy update received enthusiastic support from numerous student advocacy organizations, including The Los Angeles Trust for Children's Health (The L.A. Trust), Children’s Hospital Los Angeles, UCLA Health, Azusa Pacific University, and Youth Health Services. The L.A. Trust was proud to be a part of the coalition that called for district-wide access to Narcan. As a non-profit organization dedicated to improving the health and well-being of students in the district, The L.A. Trust sees Narcan access and availability as another tool to keep our students safe, preventing overdoses and saving lives.

Used correctly, Narcan blocks the brain receptors that respond to opioids like heroin, oxycodone, and fentanyl. Administered as a nasal mist, Narcan reverses the symptoms of an overdose such as shallow breathing, slowed heart rate or unresponsiveness, and can help stabilize the user until medical personnel arrive on the scene.

The L.A. County Department of Public Health also added their voice to the calls for Narcan, strengthening the coalition’s shared cause and ultimately shaping policy. LAUSD Chief Medical Director Dr. Malhotra said, “Collaboration among these organizations proved to be more effective than going alone, and we are grateful for each other's backup. Overall, the efforts of these outside influences were crucial in shaping this Narcan policy update.”

While having Narcan readily available in schools can mean the difference between life and death, some individuals have opposed its use in schools due to concerns it would encourage student drug use. However, research has shown that Narcan does not lead to an increase in drug abuse. In fact, some studies have shown that the use of Narcan can reduce opioid abuse. In addition, Narcan can cause opioid withdrawal symptoms, which is an effective abuse deterrent.

It is important to remember that Narcan is not a cure for opioid addiction, and nothing can replace comprehensive addiction treatment and support to address its root cause. Having Narcan readily available can, however, be a critical step in saving lives.

We must continue working together to protect young people from further losses caused by the opioid epidemic. Advocacy efforts like ours and the subsequent policy changes, such as this one taken by LAUSD, are critical to providing potentially life-saving treatment, in which every second counts. It is inspiring to see such collaboration among dedicated individuals and groups who are passionate about improving student health and safety in our schools.

Prevent oral cancer with the HPV vaccine

Student-led tabling event on HPV prevention at Monroe HS.

Human papillomavirus, or HPV, is the most common sexually transmitted infection in the United States. According to recent research, HPV is linked to several types of cancers, including throat cancer and oral cancer. Although many people are aware of the importance of the HPV vaccine in preventing cervical cancer, not many realize that it can also help prevent throat cancers and oral cancers. The HPV vaccine is most effective when given before a person becomes sexually active. That's why it is recommended for preteens at ages 11 or 12, as this is around the time, they start entering puberty and may be exposed to HPV. However, the vaccine can still provide some protection if given to older individuals who have not been exposed to all of the HPV strains covered by the vaccine. Additionally, the vaccine has been approved for use in individuals as young as 9 years old. Men and women up to age 45 can get vaccinated.  

Oral HPV can be transmitted through oral sex or via other means, such as deep tongue kissing, contact with infected skin or mucous membranes, and sharing of personal items such as toothbrushes. It is also possible to contract the virus from an infected mother during childbirth. Approximately 10% of men and 3.6% of women are estimated to have oral HPV, occurring more frequently among older individuals. In most cases, HPV will clear within one to two years, although it may persist in some people. While most people can clear the virus on their own within a couple of years, some may develop chronic infections. Cancer may form in the oropharynx, which includes the tonsils, soft palate, and base of the tongue. Researchers have found that certain strains of HPV are more likely to lead to throat cancer, and the risk increases with the number of sexual partners. 

Often teenagers don't get vaccinated against HPV simply because they are unaware of the risks and benefits associated with the vaccine. But The L.A. Trust is working hard to change that through a range of measures such as raising awareness that HPV vaccination is available at Student and Family Wellness Centers located in schools, and student-led tabling events on HPV prevention during school hours. The L.A. Trust also collaborates with public and private partnerships to increase awareness and promote sexual and reproductive health practices among students. We believe that by providing education, screening and treatment to students, they have the potential to lead healthier lives and achieve more in school.

The HPV vaccine is a three-part series of injections given over a period of six months that helps protect against certain strains of the virus that can cause cancer. The vaccine works by stimulating an immune response to help prevent infection with those strains. It’s important to note that while the vaccine isn’t 100% effective, it does significantly reduce the risk of developing cancer caused by those strains.

Vaccinating children against HPV protects them from developing cancer in adulthood, provides lifetime immunity from HPV, and reduces the risk of contracting and spreading the virus, thereby protecting others. Getting vaccinated at a young age is crucial to ensure maximum protection. The HPV vaccine is highly effective in preventing the most dangerous strains of the virus, which cause approximately 70% of cervical cancers and 90% of genital warts.  

The vaccine has been extensively tested and has been deemed safe by numerous health organizations, including the World Health Organization and the Centers for Disease Control and Prevention. Moreover, vaccinating children also helps build herd immunity, which protects not only the vaccinated individuals but also the unvaccinated members of the community, particularly those who cannot be vaccinated due to medical conditions. So, vaccinating your child against HPV not only protects their health but also contributes to the well-being of the community as a whole.  

With all these benefits combined, it should be easy to see why vaccinating your child against HPV is so important! The bottom line is this: if you have kids, get them vaccinated against HPV. It could save their lives.  

Sources:

CDC Oral HPV cancer information
CDC parent information on HPV
Mayo Clinic HPV
Oral HPV
National Library of Medicine

The impact of sleep deprivation on adolescents

Adolescence can be a challenging time due to physiological changes that result in the loss of sleep. To ensure our youth get adequate rest, it is essential to introduce interventions such as encouraging physical activity, creating consistent bedtimes, and implementing later school start times. These proactive steps will reduce risks of mental and cognitive impairment assuring today's teenagers get the best chance at leading a healthy life.

Minors’ biological clocks often run on different timelines than adults due to the rapid changes that occur during puberty. The circadian rhythm that regulates sleeping patterns can be delayed by up to two hours, which means teens may not feel tired until 11:00 p.m. or later. This is one reason why most teenagers don’t fall asleep until late at night—their bodies simply aren’t ready for sleep. This also explains why they tend to sleep in late on weekends; it’s their body's way of catching up on much-needed rest.

Regrettably, a lack of sleep can have serious consequences for young people. Research has established that shorter sleep durations increase the risk of obesity, especially among young people between the ages of 10 and 24. Furthermore, lack of sleep has been linked to higher stress levels and decreased cognitive performance in school. Adolescents who don't get enough rest are more likely to engage in risky health behaviors such as smoking cigarettes, drinking alcohol, using marijuana, and participating in violent activities. These behaviors can lead to long-term health issues if left unchecked.

Given the risks associated with inadequate sleep habits among teens, it is critical that teens get their needed rest. Fortunately, there are interventions available for those who want to help. Adults can help by encouraging physical activity during the day; setting consistent bedtimes; minimizing exposure to bright screens before bed; ensuring comfortable sleeping conditions (warm enough but not too warm); limiting caffeine intake; and talking openly about the importance of getting a good quality rest each night.

Adolescents need to pay attention to the quality of the sleep they are getting, as it can have long-term impacts on their mental and physical health. Poor sleep can lead to a variety of negative outcomes, including difficulty concentrating, irritability, mood swings, and weakened immune systems. To prevent these potential consequences, it is important to assess sleeping patterns, identify any problems that may be present, and take proactive steps towards improving them. Taking the time to focus on healthy, consistent sleep now can make all the difference in maintaining wellness later on.

Destigmatizing STIs for youth

Students tabling an STI campaign at Locke High School.

April is STI (sexually transmitted infection) Awareness Month in the United States. This is an ideal time for healthcare providers, school administrators, and community organizers to make a special effort to educate young people about the risks of STIs and ensure they have access to the necessary resources to protect themselves. It is especially crucial for marginalized youth who may not have access to quality sex education and other health resources. 

STIs are on the rise among young people in the United States, with cases of chlamydia, gonorrhea, and syphilis increasing. The Centers for Disease Control and Prevention (CDC) reported that almost half of all new STI cases impact young people ages 15-24. To combat this trend, it is critical to provide young people with the necessary resources so they can make informed decisions about their sexual health. These young people may not have trustworthy adults in their lives who can answer their questions about sex or provide them with condoms or other forms of protection. Moreover, they may not have access to transportation or financial resources to go to a clinic for testing or treatment.

The L.A. Trust advocates for sexual and reproductive health for students’ well-being, and because students with access to education, screening and treatment achieve more in school and have a better start on life. The L.A. Trust promotes chlamydia screenings and HPV vaccination at Student and Family Wellness Centers, helps students build awareness among their peers, and facilitates public and private partnerships that promote sexual and reproductive health.

The importance of educating young people on sexual health cannot be overemphasized. Young people must be equipped to protect themselves, and one way to do this is to give them accurate information about sexually transmitted infections. This includes information on how sexually transmitted infections spread and how to minimize the risk of contracting them. For example, young people should know that not engaging in sexual activity is the only foolproof way to avoid an STI; however, if they decide to be sexually active, using condoms or other forms of protection can significantly decrease their risk. The effects of untreated STIs can be severe and long-lasting. If left unchecked, untreated chlamydia or gonorrhea can cause infertility in both men and women. If not treated early enough, syphilis can cause serious damage to organs such as the brain, heart, and liver. 

In addition to providing accurate information about STIs, it is also crucial to work towards reducing the stigma surrounding these infections. Shame or embarrassment surrounding STIs can prevent individuals from seeking testing or treatment. By creating safe spaces where people feel comfortable discussing sexual health openly without fear of ridicule or shame, we can help break down these barriers. 

Efforts towards destigmatizing STIs must go hand-in-hand with efforts towards providing accessible healthcare services for all individuals regardless of socioeconomic status or location. Community-based organizations play a critical role in connecting marginalized youth with resources like free testing clinics or mobile healthcare units that travel directly into underserved areas. 

In conclusion, April's designation as STI Awareness Month is an important reminder that we must prioritize educating our youth on sexual health throughout the year, and especially during this time when awareness efforts are amplified. By providing accurate information about sexually transmitted infections while working towards reducing stigma around these illnesses through open dialogue and accessible healthcare services, we can equip our youth with the necessary tools for healthy futures. 

Sources:
CDC 2021 Data
CDC STI
Sexual Health Disparities
STI awareness month

Preventing teen dating violence is a community effort

Collaboration and education are key in preventing teen dating violence.

Teen dating violence impacts countless young people each year. It can come in many forms, including physical, emotional, and sexual abuse, and can happen to anyone regardless of their gender, race, or socio-economic status. While teen dating violence is not an easy topic to discuss, it is crucial that teens learn the warning signs so they can stay safe.

According to the Centers for Disease Control and Prevention, about one in twelve high school students report being physically harmed by their partner. This alarming statistic highlights the urgent need for increased awareness and education. Teen dating violence can have long-lasting effects on a young person's mental and physical health including depression and anxiety that can impact their future relationships and ability to trust others. Abusive relationships have also been shown to cause an increase in drug use and unprotected sex.

Teen dating violence comes in many different forms - not just physical violence. Emotional abuse can be just as or more damaging and includes behaviors like controlling actions and language, jealousy, isolation from friends and family, and verbal attacks. By knowing these signs of teen dating violence, youth can recognize unhealthy behaviors in a relationship.

When young people are feeling isolated or stressed, their risk for teen dating violence increases. Given the isolation and many other challenges brought on by the COVID-19 pandemic, it's more important than ever to talk about teen dating violence. Maryjane Puffer, Executive Director of The L.A. Trust said, “By providing support and resources, we as the caring adults can help young people build healthy relationships that strengthens their emotional well-being.”

Preventing teen dating violence starts with education. Schools and community organizations play a critical role in educating young people about healthy relationships and the warning signs of abuse. Many schools and community organizations offer programs that help teens build confidence by establishing healthy boundaries in their relationships and knowing when and where to seek help if necessary.

Parents and caregivers also play an important role in preventing teen dating violence. Many teens are hesitant to talk about this subject with adults; hence it's essential for parents and caregivers to create a safe environment for discussion where teens feel comfortable sharing their honest thoughts and feelings.

Bystander intervention is another crucial prevention strategy for teen dating violence. Teens who witness abusive situations or suspect unhealthy relationships among friends must speak up! Bystander intervention can include checking up on friends, providing support and resources, and reporting abusive incidents.

In conclusion, preventing teen dating violence requires a collaborative effort from all members of a community. By working together to provide education, prevention strategies, and supportive resources, we can empower young people to recognize and respond to abusive behavior. Together we can empower our teens with the education and emotional tools to establish healthy relationships and build the kind of lives they deserve. Parents, caregivers, educators, advocates, and peers all have a part to play  in creating a safe and supportive environment for young people to thrive in. Let's join forces to put an end to teen dating violence once and for all!

The importance of teen sexual and reproductive health

As young people navigate their teen years, they face various health concerns, including those related to their sexual and reproductive health. It is an important time in their lives when they require accurate information, support, and resources to help them make good choices about their bodies and futures.

Locke High School students educating their peers on sexual and reproductive health.

Teen sexual and reproductive health is an important part of overall wellness for adolescents. Good sexual health involves more than just the physical aspects; it covers social well-being, mental and emotional too. Without comprehensive education about sexuality and reproductive health topics, teens may not have access to accurate information that can help them make good choices. Additionally, without supportive adults who can answer questions with sensitivity and empathy, today’s teens may be left feeling ashamed or embarrassed talking about these topics altogether.

Providing teens with accurate information is only one aspect; caring adults must also ensure that all youth have access to preventative services such as contraception counseling and STD testing/treatment if needed. Available resources are essential for helping teens make responsible decisions about their sexual activities and protecting themselves from potential harm or illness down the line.

Teens need comprehensive sexuality education that covers a wide range of topics, including body image, contraception, gender identity, healthy relationships, consent, anatomy and expression. This education should be age appropriate and tailored to the developmental needs of each teen. Young people should feel safe discussing these topics with their educators or healthcare providers without fear of judgement. Providing a safe space also encourages honest communication between adults and teens when it comes to questions or concerns around sexual health issues. 

Not all teenagers have equal access to information and resources related to sexual reproductive health. Marginalized communities like LGBTQ+ teens or those who come from disadvantaged backgrounds may face more obstacles in getting the help they need. For this reason, The L.A. Trust advocates for sexual and reproductive health because students with access to education, screening and treatment achieve more in school and have a better start on life.

Having the right information readily available, can empower teens to make informed decisions while reducing the risk of negative outcomes. This gives them a sense of independence and self-accountability while having a positive impact on their physical and mental well-being. These youth are our future, and they deserve a chance to put their best foot forward and live their healthiest life.                                                                                                                                                                

5 Strategies for empowering teens to prevent dating violence

Teen dating violence is a pervasive and complex problem that affects millions of young people. But with the right education and prevention efforts, we can empower teens to recognize the warning signs of abusive relationships and seek help when they need it. In this post, we'll explore five strategies for preventing teen dating violence and empowering young people to build healthy, positive relationships.

1.       Provide Education and Resources for Healthy Relationships: Young people need access to information and resources that can help them establish healthy relationships. This includes education on healthy communication, consent, and boundaries, as well as information about where to turn if they experience or witness abuse. By providing this information, we can help young people build the skills and confidence they need to recognize and avoid unhealthy relationships.

2.       Create Safe and Supportive Environments: Creating safe and open environments is crucial for preventing teen dating violence. Educators, parents, and caregivers should focus on creating spaces where teens feel comfortable discussing their experiences and concerns, and where they can receive support and guidance when needed. By creating these safe spaces, we can help young people feel empowered to speak up and seek help when they need it.

3.       Teach Bystander Intervention: Bystander intervention is a key strategy for preventing teen dating violence. By teaching young people how to recognize and respond to abusive behavior, we can create a culture of respect and accountability that empowers everyone to take responsibility for their own actions and help others. Whether in person or online, bystander intervention can help prevent abusive behavior from escalating and support those who may be in danger.

4.       Address Emotional Abuse: While physical abuse is often the focus of discussions around teen dating violence, emotional abuse is also a serious problem. Educators, parents, and caregivers should focus on helping young people understand the warning signs of emotional abuse and how to seek help if they are experiencing it. By addressing emotional abuse, we can help young people build healthy relationships based on mutual respect and support.

5.       Prioritize Prevention and Education During the COVID-19 Pandemic: The COVID-19 pandemic has presented unique challenges for young people, including increased isolation and stress. It's more important than ever to prioritize prevention and education efforts to help young people build the skills and confidence they need to navigate these challenges and build healthy relationships that support their emotional and mental well-being.

Preventing teen dating violence requires a comprehensive approach that involves education, prevention, and intervention efforts from parents, educators, and community organizations. By working together and implementing these strategies, we can empower young people to recognize and respond to abusive behavior, establish healthy relationships, and build the kind of lives they deserve.

The crucial role School-Based Health Centers play in underserved communities

School-based health care gives children an invaluable resource for their physical and emotional well-being.

February is National School-Based Health Center Awareness Month, making it an ideal time to recognize the crucial role that school-based health centers (SBHCs) play. For many children and adolescents, SBHCs are a critical resource. These centers provide comprehensive health services to underserved communities, thus eliminating barriers to healthcare and helping ensure that students receive the care they need to stay healthy.

Convenience is one of the biggest advantages of having an SBHC on school grounds. Transportation can be a significant barrier to accessing healthcare for some students, particularly those whose parents cannot take them to appointments or who do not have access to transportation. With an SBHC located within their school, these students can easily access healthcare when needed.

In addition, SBHCs offer a wide range of services that can help address various health issues. These include physical exams and immunizations as well as mental health counseling, reproductive health services, and nutrition counseling. By providing these services onsite at schools, clinics give students access to the care they need without them having to leave campus or find ways to get to a doctor’s office or clinic.

SBHCs play a critical role in keeping students healthy and in class, which can help reduce absenteeism due to illness or injury and support academic success. Research has shown that students with chronic illnesses are often absent from school due to their conditions, but with the right care and support from an SBHC, they can stay in school more consistently and keep up with their studies. Furthermore, studies have found that visiting an SBHC is associated with an increase in school attendance. Preliminary analysis of the Data xChange attendance and student health data for 14,030 users reveal that students’ attendance increased by 5.4 school days per year following any type of visit to a school-based health center, and it increased by 7 school days per year after a school-based health center visit for a mental health diagnosis. This is especially beneficial for disadvantaged communities where health disparities can lead to decreased educational opportunities for some children and adolescents.

Maryjane Puffer, Executive Director of The L.A. Trust said, “By investing in school-based health centers, we are investing in the health and well-being of our future generations. We cannot afford to ignore the needs of our most vulnerable communities, and SBHCs are a critical component in addressing health disparities and promoting health equity.”

As a final point, school-based health centers are crucial resources for underserved communities, providing access to healthcare services that might not otherwise be available to students. SBHCs address the unique needs of children and adolescents by offering convenient, comprehensive, and age-appropriate healthcare services on school grounds. By reducing barriers to healthcare, promoting healthy attendance, and addressing health disparities, SBHCs help ensure that all students have the opportunity to thrive and succeed in school and beyond. As such, school-based health centers play an essential role in creating healthy and equitable communities for all.

Brush It Up! The L.A. Trust launches online fundraiser for children's oral health

Brush It Up! is a peer-to-peer awareness and fundraiser to be held through videos, fun challenges, and social media February 21 – 24, 2023.

Kicking off National Children’s Dental Health Month, The Los Angeles Trust for Children’s Health is proud to announce Brush It Up!, an online fundraising campaign to be held from February 21 to 24. The online event will feature daily videos with The L.A. Trust staff and oral health puppets Billy and Friends, highlighting surprising facts and fun challenges about children’s oral health. The goals of the campaign are to raise awareness of children’s oral health and funds to increase access to high quality oral health care, education, and resources to students in need in Los Angeles.

Since the start of the pandemic, children’s oral health has been on a rapid decline, particularly among high-need populations. To address this issue, The L.A. Trust has committed to dissolving barriers to oral health care by raising awareness, increasing access to dental care, and addressing the shortage of oral health providers in low-income communities.

“Good oral health is an essential part of overall health and wellness, and we are proud to host this online fundraiser to support our mission,” said Maryjane Puffer, Executive Director of The L.A. Trust. “We are committed to promoting oral health and improving the lives of those in our community, and we need everyone’s support to make that happen.”

Brush It Up! will bring together The L.A. Trust board, staff, and friends to spread the word about the importance of oral health and raise funds for this critical cause. Supporters can donate money online and spread the word among their social networks. Our headline sponsors are Liberty Dental Plan and DentaQuest. Additional supporting sponsor is Big Smiles Dental.

Join The L.A. Trust in its mission to improve children’s oral health and Brush It Up! For more information about Brush It Up! and The L.A. Trust, or to make a donation, please visit here or contact Julie Eden, J.Edens@thelatrust.org.

Celebrating National Children's Dental Health Month: A call to action for healthy smiles

A kindergarten student at an LAUSD dental screening.

February is National Children's Dental Health Month, a time to emphasize the significance of oral health in children's overall wellbeing. Sadly, many underserved communities face numerous barriers that make dental care for children challenging, including lack of oral health education and financial limitations. During this month and all year round, it's crucial to focus on expanding access to dental care for all children, especially those from underserved communities.

Educating Children on Oral Hygiene

The initial step in celebrating National Children's Dental Health Month is to educate children on the importance of maintaining oral health. Parents can lead by example by teaching their children to brush twice a day with fluoride toothpaste and floss daily. They should also explain why oral hygiene is vital and how poor habits can lead to serious health problems such as cavities and gum disease.

Schools Can Make a Difference

Schools play an integral role in this cause by providing basic oral health education and screenings, just like LA Unified is doing in its elementary schools. This kind of programming ensures that each student receives dental care during the academic year and helps connect families with dentists who accept Medicaid or other forms of insurance. Schools can also provide resources such as toothbrushes, toothpaste, and floss, so students can take responsibility for their oral health at home.

Maryjane Puffer, Executive Director of The L.A. Trust speaking at the Oral Health Advisory Board meeting this month.

The L.A. Trust Oral Health Initiative

The L.A. Trust's Oral Health Initiative has been a driving force in oral health since 2012. The initiative has formed partnerships with providers and partners to bring free oral health education, screenings, and referrals to children without dental care. The L.A. Trust works annually with Los Angeles Unified and providers to screen and educate over 1,700 kindergartners and third graders. The initiative also supports the broader community by bringing together public health officials and private dental providers through its Oral Health Advisory Board meetings.

“Good oral health is essential for a healthy life, and it's our responsibility to ensure that all children, especially those in underserved communities, have access to the dental care and education they need for a healthy smile,” says Maryjane Puffer, Executive Director of The L.A. Trust. “Let us celebrate National Children's Dental Health Month by committing to oral health as a priority for all children.”

In conclusion, National Children's Dental Health Month is a call to action to prioritize the dental health of our children. By educating children on oral hygiene and increasing awareness among school administrators and healthcare providers, we can help ensure that all children have access to the dental care they need and deserve. Let us work towards a future where every child has a healthy smile, regardless of their background or financial status. National Children's Dental Health Month is an opportunity to celebrate and advocate for our children's dental health today and every day.

The HPV vaccine for children: why it’s important

Human papillomavirus, or HPV, is the most common sexually transmitted infection in the United States. It can cause cervical cancer as well as other types of cancer, such as throat and oral cancers. There is a vaccine available to help protect against these types of cancer in young people. The HPV vaccine is most effective when given before a person becomes sexually active. That's why it is recommended for preteens at ages 11 or 12, as this is around the time they start entering puberty and may be exposed to HPV. However, the vaccine can still provide some protection if given to older individuals who have not been exposed to all of the HPV strains covered by the vaccine. Additionally, the vaccine has been approved for use in individuals as young as 9 years old. Men and women up to age 45 can get vaccinated.

The HPV vaccine is a three-part series of injections given over a period of six months that helps protect against certain strains of the virus that can cause cancer. The vaccine works by stimulating an immune response to help prevent infection with those strains. It’s important to note that while the vaccine isn’t 100% effective, it does significantly reduce your risk of developing cancer caused by those strains.

There are several reasons why children should be vaccinated against HPV. Vaccinating children against HPV protects them from developing cancer in adulthood, provides lifetime immunity, reduces the risk of contracting and spreading the virus, and protects others from the virus as well. Getting vaccinated at a young age is crucial to ensure maximum protection. The HPV vaccine is highly effective in preventing the most dangerous strains of the virus, which cause approximately 70% of cervical cancers and 90% of genital warts. The vaccine has been extensively tested and has been deemed safe by numerous health organizations, including the World Health Organization and the Centers for Disease Control and Prevention. Moreover, vaccinating children also helps build herd immunity, which protects not only the vaccinated individuals but also the unvaccinated members of the community, particularly those who cannot be vaccinated due to medical reasons. So, vaccinating your child against HPV not only protects their health but also contributes to the well-being of the community as a whole.

With all these benefits combined, it should be easy to see why vaccinating your child against HPV is so important! The bottom line is this: if you have kids, get them vaccinated against HPV. It could save their lives.

Improving nutrition for underserved students

Good nutrition is essential for the overall health and well-being of all individuals, but it is especially important for students in underserved communities. Students who do not have access to healthy, nutritious meals may struggle with academic performance, behavior, and overall health.

There are several reasons why good nutrition is especially important for socioeconomically disadvantaged students. First, these students may not have access to the same resources as their more privileged peers. Many underserved students come from low-income families and may not have the means to purchase healthy, high-quality foods. This can lead to a reliance on cheap, unhealthy options, such as fast food and processed snacks, which can contribute to the development of chronic health conditions like obesity, type 2 diabetes, and heart disease.

In addition to physical health, good nutrition is also essential for mental health and academic performance. Proper nutrition can help students concentrate and focus in school, leading to better grades and overall academic success. Malnutrition, on the other hand, can lead to cognitive impairments, such as difficulty with problem-solving and memory, which can make it harder for students to learn and succeed in school.

There are several ways that schools and communities can help ensure that underserved students have access to healthy, nutritious meals. For example, Los Angeles Unified has implemented school meal programs that provide free or reduced-priced meals to low-income students. These programs help ensure that all students have access to healthy food, regardless of their family's income level.

The L.A. Trust works with students in 19 schools located in underserved communities throughout Los Angeles to advocate for healthy living and nutrition. Funded by the L.A. Trust, adult allies work in schools with student health leaders to provide materials, resources, and mentorship to students. Funded by the L.A. Trust, student health leaders plan and implement outreach campaigns to reach peers, model, and influence healthy behaviors.

Another option is to work with local organizations and community members to establish food pantries, farmers markets, and other resources that provide healthy, affordable food options for underserved students and their families. This can help address food insecurity and improve access to healthy foods in underserved communities.

Good nutrition is essential for the overall health and well-being of underserved students. By implementing programs and resources that provide access to healthy, nutritious meals, schools and communities can help ensure that all students have the opportunity to succeed academically and live healthy, fulfilling lives.

A big win for The Los Angeles Trust for Children’s Health

Student Advisory Board members set up peer to peer student health campaign.

The L.A. Trust is thrilled to announce that it will be part of a $4 billion investment in the newly launched California Community Schools Partnership Program (CCSPP).  The Los Angeles County Office of Education (LACOE) Community Schools Initiative invited The L.A. Trust and UCLA’s Center for the Transformation of Schools (CTS) to partner in a bid to become one of the eight Regional Technical Assistance Centers in the state to receive funding. It was announced last November that our proposal was awarded as part of $58 million in contracts.  

These historic grants will strengthen current County Offices of Education efforts to grow community schools by providing technical assistance in everything from fundraising to setting up peer-to-peer student health campaigns. Schools that wish to transition to community schools (and who need guidance in applying for funds to do so), as well as schools that have already begun functioning as community schools, are eligible for this technical assistance. 

As the community schools movement takes hold, many are wondering what differentiates a community school from a charter, a traditional, or other type of school. A community school serves as a hub for the community, providing educational and social services to students and their families. Community schools often have partnerships with local organizations, businesses, and government agencies to provide services such as health care, counseling, and after-school programs. These schools aim to support the whole child and address the non-academic barriers to learning that students may face, such as poverty, lack of access to healthcare, and inadequate housing.    

State Superintendent of Public Instruction Tony Thurmond said. “These Regional Technical Assistance Centers (RTACs) will work on the ground with local educational agencies and school sites to provide essential guidance. This is the moment for us to double down on our commitment to transform public education through the implementation of the CCSPP." 

Community schools are a key initiative of California’s historic transformation of public schools that includes universal free school meals; universal transitional kindergarten; before- and after-school learning; and investments in teacher training, coaching, recruitment, and retention. 

Community schools have existed for years, but the CCSSP is California’s first statewide initiative to provide funding, support, and standardization of the program through common guiding pillars: integrated services, including trauma-informed health services; expanded learning time and opportunities; collaborative leadership and practices for educators and administrators to support school climate; and engaging students, families, and the community. 

Research shows that community schools can result in better school attendance, better grades and test scores, higher enrollment in college-prep classes, and higher graduation rates. The L.A. Trust is grateful for the vote of confidence from LACOE and the opportunity to increase our service footprint. We are excited and inspired to expand and implement our mission. Let’s get to work! 

Balancing priorities in times of economic uncertainty

California's proposed 2023-24 state budget prioritizes youth mental health and community schools.

After two years of surplus and historic investment, economic uncertainty and a projected $22.5 billion budget deficit has California leaders taking a more measured approach to the 2023-24 state budget. At the unveiling of his proposed budget last Tuesday, Governor Newsom promised to continue the large initiatives funded during the surplus years, including $4 billion for community schools and $4.7 billion for youth mental health needs. Proposed new investments include $3.5 million ongoing for opioid overdose response on middle and high school campuses and additional funds for local prevention efforts. Far from final, the proposed budget is the first step in a long negotiation process that ends when the Legislature approves a final budget by the June 15th deadline.  

In the meantime, schools across Los Angeles are beginning to implement two ambitious initiatives at the center of The L.A. Trust advocacy platform. Last year, L.A. County schools were awarded $92 million in implementation grants and $1.7 million in planning grants in the first round of California Community Schools Partnership Program funding. The L.A. Trust is thrilled to help schools implement these transformative investments as we partner with the L.A. County Office of Education and the UCLA Center for the Transformation of schools to serve as the Regional Technical Assistance Center for L.A. County.   

Likewise, funding for school-based interventions through the $4.2 billion Children and Youth Behavioral Health Initiative (CYBHI) will begin opening this year. The L.A. Trust School Health Policy Roundtable submitted recommendations to the state regarding CYBHI that we will uplift locally though partnerships with our county mental health department, Medi-Cal health plans, and school and community partners.  

These and other initiatives present an exciting opportunity to advance youth-centered systems of support in schools that help students thrive. We look forward to collaborating across sectors to achieve this vision.  

Share our priorities? We’d love to partner. Contact Gabby Tilley at g.tilley@thelatrust.org to learn more.

Students advocate for hydration stations at Washington Prep High School

Student advocates and speakers pose in front of the hydration station at Washington Prep High School.

The L.A. Trust was proud to be a part of the Water Station launch event at George Washington Preparatory High School this past December. The new water station effort was spearheaded by young leaders from the Washington Prep Student Advisory Board (SAB). These SAB water advocates, through a successful partnership with school administrators and facilities staff, raised awareness of the issue and the benefits of hydration stations to help the school identify and evaluate potential locations for hydration stations. The school had several water fountains throughout the campus, but some did not work properly, and some were deemed unsafe or inadequate during the pandemic. Recognizing the need, students took it upon themselves to advocate for hydration stations.

SAB advocate filling up the donated water bottle at the new hydration station.

The SAB members wanted to promote healthy habits and make a positive impact in their school community. They raised awareness about the importance of staying hydrated, and the environmental impact of disposable plastic water bottles. Hydration stations are water fountains that are specifically designed to fill reusable water bottles, and they can be a convenient and eco-friendly alternative to disposable plastic water bottles.

The L.A. Trust and the Metropolitan Water District donated water bottles for all 800 students at Washington Prep High School. Water-wise materials were distributed to students and campus staff by We Tap.

To commemorate the event and to recognize the students for being leaders and leaving their mark, Washington Prep Principal Tony Booker announced that the SAB member names will be listed on tiles to be placed above the hydration station in the lunch area.

Maryjane Puffer, Executive Director of The L.A. Trust said, “It is vital that we give students the tools to advocate for themselves, as they will be the innovators of tomorrow who can truly make a positive impact on the world.”

SAB advocates at Washington Prep High School.

Hydration is an essential part of maintaining good health and is especially important for the growing bodies of our young people. Investing in hydration stations at schools is an investment in our students' wellness and well-being. By advocating for this simple resource, these SAB members became empowered as young leaders who can make a difference both now and in their futures. The experience provided an opportunity to learn about the policy and political process, teamwork and leadership skills. Advocacy in high school is not limited to just hydration stations, it can also be used to create change and rally support for other improvements in our schools.

Speakers at the launch event included Patrice Marshall Mckenzie representing LAUSD Board Member District 1, Dr. George McKenna; Tony Booker, Washington Prep. Principal; Mark Hovatter, LAUSD Facilities Director; Kate Nutting, General Manager Southwest District Manager; Evelyn Wendell, Executive Director of WeTap; Joseph Chavez, Jr., Metropolitan Water District; and Marsha Ellis, Director of Programs at The L.A. Trust.

Fall season dental screenings for kids

Esther Yepez and Maryjane Puffer at 116th Street Elementary School providing oral health education.

Throughout the month of October, The L.A. Trust partnered with Big Smiles Dental to increase the number of dental screening consent forms collected from 22 LAUSD elementary schools (grades K-5). The L.A. Trust is currently working with LAUSD to phase out the consent forms. However, the forms are still being used today.

The L.A. Trust oral health team served as “boots on the ground,” in a two-step process. First, they visited all 22 schools classroom by classroom to provide oral health education. Billy and friends good oral health puppets, led demonstrations on how to brush properly and played interactive games where the students learned about healthy and not-so-healthy snacks to avoid cavities. At the end of the screenings, students received a wrist band that reminded their parents to return the consent forms for their dental screenings which were scheduled to take place on school premises two weeks after the oral health presentations.

For the second step, The L.A. Trust team returned to the 22 school sites with Billy the puppet and friends to do a short 10- minute presentation for the students as they waited their turn to see the dentist. The presentation consisted of a short Sesame Street video that talked about oral health and another video called “No More Nasties,” which talked about brushing and flossing. The dental screenings are free of charge for students, as are the dental services provided to them. Anything the child needs that day can be serviced if the parents fill out the consent form and opt for any of the services provided.

Jasmine Cisneros at South Park Elementary School.

Tooth decay is the most common chronic disease of childhood, and yet it is also the most preventable. Early and consistent oral health care is critical to preventing dental caries (tooth decay) in children. The American Academy of Pediatric Dentistry (AAPD) recommends that children visit the dentist at the time of first tooth eruption and no later than at one year old and every six months after that. Unfortunately, this need for oral health care often goes unmet, leaving our youth vulnerable to advancing decay. Barriers to accessing oral health care include a lack of awareness about the importance of routine oral health care; lack of dental insurance; and a shortage of oral health providers to treat low-income children in their communities.

The L.A. Trust Oral Health Initiative

Since 2012 The L.A. Trust’s Oral Health Initiative has been forging partnerships with providers and partners to bring free oral health education, screenings and referrals to children who lack dental care. We work with Los Angeles Unified and providers to facilitate screenings and education for more than 1,700 kindergartners and third graders. The L.A. Trust also supports the broader community by convening public health officials and private dental providers through our Oral Health Advisory Board meetings. During the lockdown period of COVID-19, The L.A. Trust also launched Operation Tooth Fairy, raising oral health awareness and distributing more than 50,000 toothbrushes.

Wellness Center report cards show improvements

School-based administrators, clinicians, and student health advocates from Los Angeles school-based Wellness Centers shared best practices for student health.

This past October The L.A. Trust hosted the Wellness Network Learning Collaborative conference at the California Endowment in Downtown Los Angeles. It was the first in-person conference in two years, and administrators, clinicians, and student health advocates were excited to see each other away from the computer monitor. The semi-annual event focused on sharing best practices for increasing student health across L.A. Unified.

Spotlight on SBIRT (Screening, Brief Intervention, and Referral to Treatment)

The highlight of the Learning Collaborative featured Dr. Barth-Rogers, chief medical officer of the UMMA Wellness Center at Fremont High School in South Los Angeles. She provided an update on the UMMA Clinic’s best practices in harm-reduction and incorporating SBIRT through the Wellness & Adolescent Substance Use Prevention (WASUP) Project. Dr. Barth-Rogers said, “I think collecting the data is one of the most challenging aspects of the screening process, and we are still improving.” She continued, “At UMMA, it's really important for us as an organization to have accurate and reliable data, and we are constantly monitoring the data to make improvements.”

Wellness Center Report Cards

L.A. Unified’s Dr. Ron Tanimura, Director of Student Medical Services, provided an update on the 17 Wellness Centers with an aggregated report card that showed a 63% increase in overall student visits. Each Wellness Center representative pored over reports on their Wellness Centers’ data provided by The L.A. Trust’s Data xChange for the school year 2021-2022. Data included statistics on unique patient visits, services provided, demographics and more. Dr. Tanimura led the discussion on Wellness Center metrics and discussed the history and future of the Wellness Network. He thanked The L.A. Trust for gathering and presenting these metrics and emphasized the importance of reliable data. “We can’t tell a story without this type of data.”

Feedback and discussion on the Wellness Report Cards was led by LAUSD’s Gloria Velasquez, Organization Facilitator for Student Medical Services and Alex Zepeda, Senior Data & Research Analyst at the L.A. Trust. Marsha Ellis, Director of Programs from The L.A. Trust and Victor Luna, Organization Facilitator, LAUSD helped round out the meeting by clarifying the process for the School Integration Tool.

Moving Forward

Senior Policy Manager, Gabby Tilley brought some clarity on the legislative landscape for school-based health centers. Maryjane Puffer, Executive Director for The L.A. Trust, provided updates on what to expect in the coming months with ongoing initiatives, including the Youth Mental Health Collaborative, Data xChange expansion, Rapid Adolescent Prevention Screening (RAAPS) and the Oral Health Initiative. 

Attendees were excited to see friends and colleagues in person after more than two years. The group came together for student health and were inspired by the work that has been done and invigorated by the work that still needs to be done. We look forward to the next Wellness Network Learning Collaborative in June 2023. See you there!