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BOOK —10 Irf,L23 13.E. CHILDREN'S SERVICES NETWORK GUIDE - DISCUSSION ON STANDARDIZED OUTCOMES GUIDED BY YEAR 2000 NATIONAL OBJECTIVES The Board reviewed several articles: Backup for item 13E County Commission Meeting Tuesday, January 27, 1998 The definition of Standardized Outcomes as found In the Children's Services Network Guide, is, "A goal or benchmark used to evaluate the effectiveness of a program. These outcomes should be guided by the Year 2000 National Objectives." (Chapter 1, Definition "Y") Year 2000 National Objectives were established by the U.S. Department of Health and Human Services/Public Health Service. The PHS Office of Disease Prevention and Health Promotion (ODPHP), a program office within the Office of the Assistant Secretary for Health, oversaw development of the objectives. The Year 2000 objectives were built upon the 1990 objectives effort which contained 15 priority areas. Year 2000 objectives were expanded to cover 22 priority areas. Of concern Is the fact that a small group of bureaucrats in Washington D.C. have determined what should be the Standardized Outcomes for Indian River County. For example, under priority area "Family Planning," objectives 5.5 and 5.6 are in conflict with local School District policy. 5.5 - Several years ago Healthy Start was denied access to school classrooms to do a survey similar in content. 5.6 - School District policy (copy attached) Is abstinence. Current studies by respected researchers, published in peer review journals, undergirds and supports their policy. The Board of County Commissioners should fully support the local School District policy of abstinence as the only constructive rationale for healthy behavioral choices for Indian River County youths based on a plethora of evidence published in the most respected medical journals. Family Healthy People Planning 5.1: Reduce pregnancies among girls aged 17 and younger to no more than 50 per 1.000. ' Contributor. S. Jean Emans. MD 5.4, 18.3, 19.9: Reduce the proportion of adolescents who have engaged in sexual intercourse to no more than 15% by age 15 and no more than 40% by age 17. 5.5: Increase to at least 40% the proportion of ever sexually active adolescents aged 17 and younger who have abstained from sexual activity •,for the previous 3 months. 5.6: Increase to at least 90% the proportion of sexually active, unmarried people aged 19 and younger who use contraception. especially combined - method contraception that both effectively prevents pregnancy and provides barrier protection against disease. 5.8: Increase to at least 85% the proportion of people aged 10 to 18 who have discussed human sexuaiitylincludin— g value surrounding sexuality, with their parents and/or have received information through another parentally endorsed source, such as youth, school. or religious programs. 5.10, .14.12: Increase to at least 60% the proportion of primary care providers who provide age-appropriate preconception care and counseling. Source: American Medical Association. (1990). Healthy Youth 2000. Chicago. IL: American Medical Association. JANUARY 27, 1998 -36-