Family HealthWorking to ensure the health and well-being of Louisiana’s families.
LPHI provided support and technical assistance to develop six school-based health centers in greater New Orleans and worked with 24 schools to develop comprehensive school wellness programs, reaching nearly 15,000 students.
The Adolescent Mapping Project maps key systems assets and barriers to improve access to reproductive health services and education for young people in Orleans and Ouachita Parishes.
In 2010, LPHI received a grant from the Office of Adolescent Health to implement the 4 Real Health Program, which reached 850 adolescents and provided them with community and clinic-based health education.
Programs and Initiatives
Based on recommendations from LPHI’s Adolescent Mapping Project (AMP), Connections: Bridging Teens+Sex+Health was established in 2016. Connections has three tiers: Connection to Education, Connection to Care, and Connection to Community. Connection to Education provides technical assistance to schools to improve and expand comprehensive sex education using the WISE (Working to Institutionalize Sex Ed) Method. WISE is a national initiative that supports school districts in implementing sex education. Connection to Care works with clinics and schools to develop a more robust referral network to link adolescents to reproductive health services in the greater New Orleans area based on CDC’s Project Connect intervention. Connection to Community currently includes two adolescent health coalitions, the Louisiana Adolescent Reproductive Health Coalition and the Ouachita Youth Coalition. We are also developing an emerging interfaith coalition. LPHI founded the Louisiana Adolescent Reproductive Health Coalition, which comprises members from around the state who advocate for improved policy regarding adolescent sexual health. The Ouachita Youth Coalition is led by our partner, Children’s Coalition for Northeast Louisiana and focuses on improving the health of young people in Ouachita Parish.
Reproductive Health Integration Initiative (RHII)
Community health centers are an essential part of the health care landscape in Louisiana and are leaders in setting standards for community-based, patient-centered care. LPHI is partnered with the Louisiana Department of Health (LDH) Office of Public Health (OPH) Bureau of Family Health and the Louisiana Primary Care Association (LPCA) in a strategic partnership to improve the quality of and access to reproductive health care statewide.
School Food Initiatives
Research conducted over the last four years suggests that environmental factors and school policies are associated with under consumption of healthy foods. LPHI and Propeller: A Force for Social Innovation and a School Food Authority (The Healthy School Food Collaborative) have piloted low cost policies and environmental interventions designed to promote consumption of healthy school lunch among New Orleans public school students. Findings have provided valuable evidence to inform policy and system changes related to school food administration and practices. Research efforts have spanned three phases. Phase 1 included grades K-5 in eight schools and measured the food consumption at a single lunch-period per school. Phase II collected plate waste data at eight schools for 40 consecutive school days to enhance the reliability of the data. Phase III compared the results of a policy intervention to a comprehensive intervention with multiple components.
The Louisiana Department of Health’s Bureau of Chronic Disease Prevention and Health Promotion partnered with LPHI to assess current fundraising practices in schools and to develop a roadmap for implementing healthy fundraising. Findings from the assessment revealed challenges and success stories on creative strategies to ensure the healthiest foods are being sold in school. The Roadmap to Healthy Fundraising in Louisiana Schools was released in the fall of 2016.
Trauma Informed Care in Schools
In addition to supporting the integration of behavioral health services in school based health centers across the greater New Orleans region, the portfolio supports ongoing citywide efforts around trauma-informed care in schools and with community based organizations. LPHI, in partnership with the New Orleans Health Department and local trauma experts, plays a role in the Trauma-Informed School Learning Collaborative, which launched in 2015 to support schools in implementing trauma-informed approaches. This collaborative effort provides assistance for schools to become trauma-sensitive schools—building awareness of the prevalence of trauma and increasing schools’ capacity to respond to traumatized students’ unique needs.
Inter-Pregnancy Care (IPC) Project
The Inter-Pregnancy Care (IPC) project seeks to a) improve the health of low-income women and children by reducing pre-term and low-birth weight infants born in the Greater New Orleans area; and b) connect women with adverse birth outcomes to evidence-based care. A model of IPC was adapted from Grady Memorial Hospital and a sample of Greater New Orleans Community Health Connection (GNOCHC) clinics have been selected to become IPC Centers for Excellence. A few areas of focus within the project have included engaging key stakeholders to link women with adverse birth outcomes to participating clinics and working with Louisiana’s Medicaid managed care organizations and participating clinics on transitions, continuity of care, and linkage protocols to assure maternal health across prenatal, post-natal, and inter-pregnancy periods.