Abstract
The Life Course Perspective (LCP), or Model, is now a guiding framework in Maternal and Child Health (MCH) activities, including training, supported by the Health Resources and Services Administration’s Maternal and Child Health Bureau. As generally applied, the LCP tends to focus on pre- through post-natal stages, infancy and early childhood, with less attention paid to adolescents as either the “maternal” or “child” elements of MCH discourse. Adolescence is a distinct developmental period with unique opportunities for the development of health, competence and capacity and not merely a transitional phase between childhood and adulthood. Adequately addressing adolescents’ emergent and ongoing health needs requires well-trained and specialized professionals who recognize the unique role of this developmental period in the LCP.
Similar content being viewed by others
References
Fine A., Kotelchuck M. Rethinking M.C.H. (2010). The life course model as an organizing framework concept paper. Washington, DC: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau; Version 1.1. <http://mchb.hrsa.gov/lifecourse/rethinkingmchlifecourse.pdf>.
Pies C., Parthasarathy P., Kotelchuck M., Lu M. (2009) Making a paradigm shift in maternal and child health: A Report on the National MCH life course meeting. Martinez, CA: Contra Costa Health Services. <http://cchealth.org/groups/lifecourse/pdf/2009_10_meeting_report_final.pdf>.
Kotelchuck M., Stein R., Edwards K., Haughton B. (2010) Integrating the life course model in MCH training programs––archived presentation. Washington, DC: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau; Sept 15. <http://www.mchcom.com/archivedWebcastDetail.asp?id=232>.
U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Division of Research, Training and Education. A life course approach resource guide developed by the MCH Training Program. Washington, DC; 2011. <http://mchb.hrsa.gov/lifecourseapproach.html>.
U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. MCHB’s current and future life course activities – web presentation. Washington, DC; 2011 May 19. <https://services.choruscall.com/links/hrsa110519.html>.
U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Long Term MCH Training: Leadership Education in Neurodevelopmental and Other Related Disabilities (LEND) grant guidance (HRSA-11-036; CFDA 93.110). Washington, D.C.; 2011. <https://grants.hrsa.gov/webExternal/FundingOppDetails.asp?FundingCycleId=9ECFBA4F-2390-4CDD-B5C8-5490129DEF07>.
US. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. National Strategic Plan for MCH Training 2012-2020 DRAFT Goals and Strategies. Washington, DC; 2011. <http://spw.mchtraining.net/>.
Sawyer, S. M., Afifi, R. A., Bearinger, L. H., Blakemore, S. J., Dick, B., Ezeh, A. C., et al. (2012). Adolescence: A foundation for future health. Lancet, 379(9826), 1572–1582.
US. Dept. of Health and Human Services. Healthy People 2020. Washington, DC [rev. 10 Jan. 2012]. <http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=2>.
WHO. (2002). Adolescent Friendly Health Services: An agenda for change. Geneva: World Health Organization.
Braveman, P., & Barclay, C. (2009). Health disparities beginning in childhood: A life-course perspective. Pediatrics, 124, S163–S175.
Ortman J.M., Guarneri C.E. (2012). United States Population Projections 2000–2050. http://www.census.gov/population/www/projections/analytical-document09.pdf Accessed October 7.
Resnick, M. D. (2005). Healthy youth development: Getting our priorities right. Medical Journal of Australia, 183(8), 398–400.
McNeely, C., & Blanchard, J. (2009). The teen years explained: A guide to healthy adolescent development. Baltimore: Johns Hopkins Bloomberg School of Public Health, Center for Adolescent Health.
Kreipe, R. E. (2006). Adolescent health and youth development: Turning social policy into public health practice. Journal of Public Health Management and Practice, 12, S4–S6.
Resnick, M. D. (2011). A better understanding of mortality in young people. Lancet, 377(9772), 1128–1130.
UNICEF (2012). The state of the world’s children 2011-adolescence: an age of opportunity. http://www.unicef.org/publications/index.html (accessed March 13).
Aratani, Y., Schwarz, S. W., & Skinner, C. (2011). The economic impact of adolescent health promotion policies and programs. Adolescent Medicine State of the Art Reviews, 22(3), 367–386.
Editorial, Lancet. (2012). Putting adolescents at the centre of health and development. Lancet, 379(9826), 1563.
Resnick, M. D., Catalano, C., Sawyer, S., Viner, R., & Patton, G. (2012). Call to action: Seizing the opportunities of adolescent health. Lancet, 379(9826), 1564–1567.
Viner, R. M., Ozer, E. M., Denny, S., Marmot, M., Resnick, M. D., Fatusi, A., et al. (2012). Adolescence and the social determinants of health. Lancet, 379(9826), 1583–1594.
Catalano, R. F., Fagan, A. A., Gavin, L. E., Greenberg, M. T., Irwin, C. E., Ross, D. A., et al. (2012). Worldwide application of prevention science in adolescent health. Lancet, 379(9826), 1595–1606.
Mathers, C. D., & Loncar, D. (2006). Projections of global mortality and burden of disease from 2002 to 2030. Public Library of Science Medicine, 3(11), e442.
Johnson, M. K., Crosnoe, R., & Elder, G. H. (2011). Insights on adolescence from a life course perspective. Journal of Research Adolescence, 21, 273–280.
Lawrence, R. S., Gootman, J. A., & Sim, L. J. (Eds.). (2009). Adolescent health services: Missing opportunities. Washington, D.C.: National Academies Press.
Emans S.J., Austin S.B., Goodman E., Orr D.P., Freeman R., Stoff D., Litt I.F., Schuster M.A., Haggerty R., Granger R., Irwin Jr. C.E., and the participants of the W.T. (2010) Grant Foundation conference on Training Physician Scientists. Improving adolescent and young adult health: Training the next generation of physician scientists in transdisciplinary research. Journal of Adol Health ;46(2):100-109.
Irwin, C. E., Jr, Adams, S. H., Park, M. J., & Newacheck, P. W. (2009). Preventive care for adolescents: Few get visits and fewer get services. Pediatrics, 123(4), e565–e572.
US. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. MCH training strategic plan 2012–2020. Core values. http://spw.mchtraining.net/introduction/core-values/.
Acknowledgments
The authors acknowledge the support of HRSA/MCHB for the Leadership Education in Adolescent Health (LEAH) Interdisciplinary Training Program, the seven projects currently funded (Boston Children’s Hospital; Indiana University; Johns Hopkins University; University of Alabama at Birmingham; University of California, San Francisco; University of Minnesota; University of Washington) and the two projects funded in the last cycle (Baylor College of Medicine; University of Rochester).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shlafer, R., Hergenroeder, A.C., Jean Emans, S. et al. Adolescence as a Critical Stage in the MCH Life Course Model: Commentary for the Leadership Education in Adolescent Health (LEAH) Interdisciplinary Training Program Projects. Matern Child Health J 18, 462–466 (2014). https://doi.org/10.1007/s10995-013-1243-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-013-1243-8