This may involve specific counseling and/or education in any or all of the following issues: use of tobacco, alcohol, illicit drugs, sexual behavior, family planning, abstinence, motor vehicle use, accidents/injuries, violence and intentional injuries, depression, suicidal ideation, or other risk behavior.

Written documentation of both screening/assessment and education/counseling is required during past calendar year.

May use UDS table 3a lines 14-20 for CDC-YRBS definition
UDS table 3a lines 12-22 corresponds to AMA/AAP definition

Youth Online is an interactive system comparing comprehensive results from the Youth Risk Behavior Survey: http://apps.nccd.cdc.gov/yrbss/

MMWR report of 32 state and 18 local surveys of students in grades 9--12 during February--December 2003. http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5302a1.htm

HP 2010 (Developmental): Focus is to increase the proportion of persons appropriately counseled about health behaviors:
http://www.safetypolicy.org/hp2010/1-3.htm

If chart audit, sample from the sample frame of persons meeting denominator criteria.

Scientific research clearly shows that personal health behaviors play a major role in premature morbidity and mortality. The Youth Risk Behavior Surveillance System,YRBSS, was developed in 1990 to monitor priority health risk behaviors that contribute markedly to the leading causes of death, disability, and social problems among youth and adults in the United States. These behaviors, often established during childhood and early adolescence, include:

• Tobacco use.
• Unhealthy dietary behaviors.
• Inadequate physical activity.
• Alcohol and other drug use.
• Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection.
• Behaviors that contribute to unintentional injuries (e.g., motor vehicle), fighting and violence (intentional injuries).
• Feelings of sadness, depression, suicide

This measure assists national efforts in monitoring the prevalence of youth behaviors which most influence short and long term health outcomes. Adolescents establish patterns of behavior and make lifestyle choices, such as motor vehicle crashes, violence, substance use, and sexual behavior that affect their current and future health and well-being. Adolescents and young adults are adversely affected by serious health and safety issues. Behaviors such as regular well balanced diets and exercise, associated with decreased incidence of chronic conditions in adulthood, are often not achieved. Environmental factors such as family, peer group, school, and community characteristics also contribute to the challenges that adolescents face.

For adolescent health guidelines & resources, see: http://www.cdc.gov/node.do/id/0900f3ec801e457a

Experts agree that to attain positive impact on adolescent health, government agencies, schools, community-based organizations and representatives must work together in a cohesive, comprehensive approach. This measure shows the health center’s staff degree of involvement in community-wide interventions addressing adolescent health behaviors. The measure also indicates health center staff/administrators’ level of understanding regarding adolescent risk behaviors and interventions directed at preventing unhealthy outcomes. Analysis of measure requires adherence to practice guidelines, patient/provider education.
screening, reminder, recall and follow-up.

For various youth and adolescent risk behavior measures and discussion, see:
http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=362
http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=363
http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=364
http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=365
http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=528
http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=5416
http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=7788