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Young & Healthy Programs

Program Description

The problem with health care services in Pasadena is not one of availability, but of affordability and accessibility. The greatest obstacle to good health is poverty. Approximately one-third of the children living in Pasadena have no form of health insurance, including access to Medi-Cal. The majority of children under 18 (54.7%) enrolled in Pasadena Unified Schools live in an area of town which claims the lowest per capita income and the greatest concentration of poverty.

The Pasadena Unified School District reflects these statistics: the majority of the students are from families in the three lowest (of six) census income categories based on zone/block characteristics; over 54% are in the two lowest income categories; and only 1.3% are in the highest income bracket. Over 28.6% of these students are from homes receiving Aid for Families with Dependent Children and over 12,700 students participate in a federally supported free/reduced-price lunch program. (The AFDC and subsidized lunch figures, while conveniently obtained, are inadequate to describe the extent of poverty within the District.) These statistics paint a disturbing picture of a polarized city where nearly half the children lack access to many of the basic resources that are readily available to the other half. These facts prompted the formation of the Health Coalition for Children and Youth in 1988, which in turn developed Young & Healthy in 1990.

Program Activity

Young & Healthy staff members accept telephone requests for services from Pasadena area schools, the Pasadena Public Health Department, homeless shelters, day care centers and other agencies serving low-income uninsured children. Care is taken to rotate referrals among all the volunteer doctors. Specially designed forms help us keep accurate track of referrals, diagnosis and recommendations, follow-up needs, and parent satisfaction. These also support the important ongoing evaluation of our work.

The program includes the following professionals and services:

  1. Dentists
    Approximately 50 volunteer dentists are available on a rotational basis to provide acute dental services to children in their offices. In addition there are two other dental programs:
    • A monthly dental education program for first grade students to teach them how to care for their own teeth.
    • The USC Mobile Dental Clinic comes once a year to provide comprehensive dental care for 120 children in the community with the greatest needs. Over $190,000 of dental care is provided at each of these clinics.

  2. Pre-K Dental Initiative
    Young & Healthy began to implement a comprehensive Pre-K Dental Program in 2004 that has had and will continue to have significant and beneficial impact on our community. This program includes:
    • the ongoing free care provided by approximately 50 volunteer dentists
    • a free, annual Mobile Dental Clinic for 120 local children, in collaboration with the USC School of Dentistry
    • our fun and effective dental education program for more than 1200 first-graders each year
    • development and delivery of education and prevention services targeting prenatal mothers, parents of pre-school aged children, medical and dental health professionals, and school nurses. This expansion will also mean growth in Young & Healthy's existing relationship with the USC Dental School, and the availability of screening and treatment services for both pre-school children and prenatal mothers.

      Many thanks to our generous donors who make this program possible: Patron Saints Foundation, QueensCare Charitable Division, Rose Hills Foundation, and the S. Mark Taper Foundation.


  3. Pediatricians and other Specialists
    About 240 local volunteer pediatricians, physical therapists, optometrists, podiatrists and other specialists are available on a rotating basis to provide medical treatment to students in their offices. Some physicians have adopted children as their clients and created a long-term medical home for them. Surgical and other outpatient services are also available.


  4. Mental Health Staff and Volunteer Professionals
    Young & Healthy provides a wide range of mental health services to children and families in the greater Pasadena area. A range of general mental health concerns, can be addressed by approximately 20 volunteer licensed mental health care professionals and interns are available to provide free individual counseling to students on a first-come, first-served basis.

  5. Case Management
    After the initial referral, a full-time case manager and/or a nurse follow up on each child referred to one of our professional providers. They help parents obtain any additional or ongoing care their child might need, and equip them with information about other kinds of community resources.


  6. Pharmacists/Labs
    Nine local pharmacies provide free prescriptions, and Huntington Memorial Hospital provides lab tests to Young & Healthy children as recommended by physicians and dentists.


  7. Funds for Lab Work, X-rays and Related Services "Alma Stokes Healing Fund"
    Young & Healthy has established the Healing Fund to cover follow-up medical costs for special medical procedures that are not donated. This fund is primarily supported by the Pasadena Children's Guild, but donations are solicited from individuals, foundations, and community groups.


  8. Community Volunteers
    Over 390 trained community volunteers helping with a variety of Young & Healthy projects: some assist school nurses with routine and special tasks, some help out in the Young & Healthy office, assist in fundraising, work during the USC Mobile Dental Clinics, provide translation and transportation services, and participate in the Dental Education Program for first-graders, and help at special events, and Board members, etc.

  9. Parent Enrichment / Education
    Parent education is a part of each component of Young & Healthy. Pediatricians, dentists and health professionals offer classes for parents on a regular basis. Topics include: "Peds Basic Asthma Class," "Caring for Your Sick Child," "How to Create a Safe Home," "First Aid," "Child Nutrition" and "Oral Health", as well as a variety of classes on childhood psychological issues. Young & Healthy staff offers classes on "Finding Health Resources for Your Child."


  10. Allen Advocacy Program
    Since the Federal Government released funds to the states in July 1998 to increase their offerings of affordable health insurance for children, Young & Healthy has begun a systematic outreach and enrollment effort in Pasadena. Even though we are addressing the health care needs of many uninsured children in this community, we know it would be best if all children had good health insurance. A full-time bilingual Family Advocate position was created on our staff to help identify and assist those who qualify with the application process.

Health Insurance

Young & Healthy believes that every child has the right to have access to quality health care. Along with helping families find care for their child, we believe it is imperative for each child to have "quality health insurance". Fortunately Young & Healthy maintains strong ties with certified application assistants in the community , these CAA's are able to help each family receive and maintain insurance benefits for their children. Our Family Advocate is able to help with the following insurance programs:

Healthy Families: A low cost state funded insurance program for children from the ages of 0-19 years of age, who are born in the United States or are documented. It covers medical, dental, vision and hospitalization. The cost is $7 - $15 per child, with a family cap of no more than $45 for families with 2 or more children.

Medi-Cal: A low or no cost health insurance that is a state funded program that covers children, 0-18 years of age and pregnant mothers. Full scope Medi-Cal recipients must be documented, there is emergency Medi-Cal available for those children who are currently un-documented. Full scope Medi-Cal covers medical, dental, vision and hospitalization.

Healthy Kids: Provides comprehensive health care insurance at low cost to children between 0-18 years of age. Children are eligible if they fall between these ages, are not eligible for no-cost Medi-Cal or Healthy Families, and their families reside in Los Angeles County.

California Kids: Specializing in coverage for children who are undocumented and new to the United States. This insurance plan covers medical, dental and vision office visits. There is a low cost start up fee and also a small monthly fee per child for families that are eligible. This program does not cover hospitalization.

KP Cares/Kaiser Permanente: This is an option for families who are not eligible for Healthy Families, Medi-Cal or California Kids, due to a higher income status. KP cares also offers coverage for children who are undocumented. There is full medical and hospitalization coverage available through this program.

Replication

Young & Healthy was featured on the "Solutions" segment of ABC World News Tonight with Peter Jennings on April 4, 1997. We believe strongly in our volunteer model and want to provide replication assistance to any community requesting advice. Since the TV program aired, Young & Healthy has received over 150 inquiries from 24 states. Information packets, including an order form for replication training materials, are sent to each caller. Several California communities, such as Claremont, Glendale, West Covina, Riverside, and Sonoma County, and communities in Ohio and Florida have already been successful in replications. Our offer of technical support is ongoing.