Division of HIV & STD Programs December 18, 2018 Kristin Meyer, PhD Director, Youth Prevention Programs Co-PI, Keeping It Real Together (KIR-T)

Teens & Sex: What’s Going On?

10 Million Infections/Year Young people under the age of 25 represent nearly half of all Americans infected with STIs in a given year. They’re at higher risk because there are more susceptible in some cases, they may have multiple partners in a short period of time, They don’t always get recommended STD tests and may have difficulty getting to a clinic when they want or need to. CDC.org

Chlamydia and Gonorrhea Among Adolescents Disproportionate impact on minorities Asymptomatic Consequences of untreated infection Infertility; problems in pregnancy Increased HIV risk Increased risk of transmitting HIV Eyes and joints can be affected Chlamydia and gonorrhea are especially concerning to those of us in public health because so often people don’t know they’re infected. (Only about 10% of men with chlamydia and 5 to 30% of women will develop symptoms; gonorrhea: symptoms esp for women can be very mild and easily confused with bladder or vaginal infection). And young adults are particularly at risk due to biological conditions, rapid changes in romantic relationships (they may move from one monogamous partnership to another more rapidly than the infectivity period of chlamydia and unknowingly transmit the bacteria to a new partner. Those who do develop symptoms may not until several weeks after exposure.) and inconsistent use of barrier methods like condoms and dental dams. Untreated or repeated infections can seriously threaten the lifetime fertility—so these are infections with potential life-long consequences. We also know that being infected with any STD makes a person more vulnerable to HIV infection.

What Keeps Youth From Services? Intimidated or insecure

What Keeps Youth Away? Intimidated or insecure Worried $$ for services Being infected or pregnant Seeing someone they know

What Keeps Youth Away? Intimidated or insecure Worried Unsure what to expect at the clinic

What Keeps Youth Away? Intimidated or insecure Worried Unsure what to expect Transportation

What Keeps Youth Away? Intimidated or insecure Worried Unsure what to expect Transportation Concerns about privacy Will others find out?

LA County Initiatives

PocketGuideLA.org Launched in July 2018

Pocket Guide LA

PocketGuideLA.org Resource Guide for Youth Clinics across LA County Every listed clinic Visited & assessed for: Care quality Range of services Youth-friendliness

Site Evaluation Clinic Assessment Front Desk survey Clinic Manager survey

Front Desk survey Clinic Assessment Site Evaluation Clinic Manager survey

Clinic Manager survey Clinic Assessment Site Evaluation Front Desk survey Clinic Manager survey

Confidential Medical Release CA Minor Consent Laws STD/HIV Testing STD/HIV Treatment HPV Vaccine & PrEP Abortion Family Planning No Parental Involvement Needed AGE 12+ ANY AGE We also have laws in place protecting the rights of minors to access SRH care without the consent of an adult. Unlike many other states, this means youth can get tested for pregnancy, STDs (including HIV), they can receive contraceptives WITHOUT involving their parents. To further facilitate access, youth also have the right to LEAVE SCHOOL for confidential medical services. Confidential Med Release: Schools can excuse students to attend confidential med apt Any svcs they can obtain on their own consent Confidential Medical Release

Using PocketGuideLA.org From www.pocketguidela.org: Enter zipcode

Using PocketGuideLA.org Or click Select Services A list of options appears

PocketGuideLA.org Can search for Basic Services

PocketGuideLA.org 3. Or select Specialty Services by scrolling down

Walk-in or same-day appointments Clinic hours PocketGuideLA.org 4. Or search by Languages spoken Walk-in or same-day appointments Clinic hours

Clinic List Appears Each listing shows: Clinic Address Services & Hours Phone

Clinic List Appears Clinics appear on map

Users can zoom in on the map Click on a specific site to highlight it

PocketGuideLA.org Site Also Includes Information on: Youth Rights Payment Options Confidentiality Typical visit details FAQs

Please contact us for more information Kristin Meyer, PhD Director of Youth Prevention Services (213) 744-3287; kmeyer@ph.lacounty.gov Division of HIV and STD Programs Thank you!