Table 3.

Description of how Aqui para Ti (APT) addresses the Institute of Medicine’s (IOM) Adolescent Health Services Delivery Recommendations

IOM Recommendations	APT Innovations & Examples
Focus on the needs of vulnerable adolescents including immigrant populations	Delivers appropriate care for Latino youth and families Trains providers to use Latino values to guide their approach and interactions Acknowledge that cultural literacy contributes to trust Organizes work so that it is family-centered to promote parental skills, well-being, & decision making
Providers must build trust & open communication with adolescents	Provides adolescent-friendly care Providers are trained in interpersonal skills fostering non-judgmental, respectful communication They utilize strength-based, youth-guided approach that promotes youth decision-making
Define & train WHAT? to adolescent care competencies	Utilizes an adolescent-focused interdisciplinary team whose members either have skills or experience working with youth or are trained in a defined set of competencies
Prevention, health promotion, and behavioral health should be routine	Utilizes appropriate, standard, screening tools and modularized coaching approaches for health behavior, mental health, and health promoting factors
Protect confidentiality	Assures family-friendly approach to confidentiality
Develop coordinated, linked, & interdisciplinary services for behavioral, reproductive, and mental health	Utilizes case management to coordinate across the health care system and with community resources by: Referring to vetted behavioral health providers and community agencies Connecting with schools
Adolescents should have access to care	Screens all youth and families regarding ability to access services & address barriers to care through case management

Data from National Research Council and Institute of Medicine. Adolescent Health Services: Missing Opportunities. Washington, DC: The National Academies Press; 2009.