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Division of Adolescent Medicine

The Division of Adolescent and Young Adult Medicine provide clinical, research, preventive care and advocacy for adolescents from 12 to 24 years of age in a variety of clinical settings, such as the hospital-based adolescent clinic as well as in school based clinics and community settings. The Division of Adolescent and Young Adult Medicine offers continuing comprehensive primary and subspecialty care, prevention and outreach services, and research opportunities to young people from adolescence through early adulthood (12-24 years) throughout Maryland with a primary focus on the Baltimore metropolitan area.

Clinical Programs

Adolescent Clinic

The Division of Adolescent and Young Adult Medicine offers continuing comprehensive primary and subspecialty care to young people from adolescence through early adulthood (12-24 years). Division faculty members have expertise in medicine, nursing, psychology, nutrition, statistics, health education, social work and outreach.

Patients conditions and sub-specialty services include:  

  • Annual/Sport/Camp/Work physicals

Reproductive care includes: 

  • Family planning services with regards to pregnancy evaluation, emergency contraception, oral contraceptives, Depo-Provera, sub dermal implants and new contraceptive technologies.
  • Gynecological complaints with regards to sexually transmitted infections and abnormal menses.
  • Management of chronic conditions i.e. asthma, chronic fatigue, headaches, diabetes, chronic anemia etc.
  • Management of complicated medical problems
  • HIV/AIDS counseling and testing, primary and subspecialty care including comprehensive counseling, case management, and weekly support groups.
  • Evaluation, counseling and case management related to sexual/physical abuse.
  • Evaluation and counseling for psychosocial issues related to sexually transmitted infections, pregnancy, substance abuse and depression.
  • Gay, Lesbian, Bisexual, Transgender, and Questioning Youth services with regards to comprehensive primary care including management of hormonal therapy, counseling related to gender identity, and health education related to HIV prevention.
  • Chronic Pelvic Pain Clinic utilizes an interdisciplinary team (including the Division of Gynecology) to evaluate and treat adolescents with chronic, undiagnosed pelvic pain.

STAR TRACK

Special Teens At Risk-- Together Reaching Access, Care, and Knowledge (STAR TRACK) provides comprehensive, individualized, age and culturally appropriate, primary HIV, and psychosocial supportive care to HIV infected and at-risk youth ages 12-24 in the Baltimore EMA. The program was established in 1989 as the first in the state of Maryland to provide comprehensive care for HIV+ adolescents and has provided services to more than 500 clients, becoming the first Diagnostic and Evaluation unit exclusively for youth. Through intensive community outreach projects, the program serves as a vital point of entry to care for many newly HIV-infected youth who acquire the infection sexually. We promote a healthy lifestyle and focus on ways to reduce risky sexual behaviors.

STAR TRACK has an interdisciplinary team with physicians, nurse practitioners, psychologist, social worker, clinical care coordinators, health educators and youth advocates, who work together to provide comprehensive care for HIV-infected and at-risk adolescents and young adults. Prevention services include outreach and testing in the community, health promotion, education, and health education trainings. Currently, we remain the only program in Maryland specializing in comprehensive care to adolescents and young adults living with HIV, and serve as a national model of “one-stop-shopping” care services for adolescents. We collaborate with organizations and agencies throughout Maryland to provide advocacy, training, outreach, educational and screening services to improve the health of adolescents.

Counseling, Testing, and Referrals (CTR) is our HIV and STD screening program. CTRs goal is to offer HIV risk assessment, counseling, and testing to increase the percentage of HIV infected in MD who learn their status and receive early treatment for their HIV disease. Target populations are MSM, men who have sex with men, IDU, injection drug users, and high-risk females. The CTR team also provides STD screenings for Chlamydia and gonorrhea.

Linkage to Care is an essential function of our HIV CTR program. Through internal and external collaboration with health care professionals, our HIV CTR program works closely with the clinical and non-clinical staff within STAR TRACK to ensure a comprehensive referral and linkage to care system is in place. Often this involves clinical and non-clinical staff functioning as coordinators to intervene in helping clients increase their self-efficacy in acquiring HIV care related resources. Professionally trained peers or Youth Advocates have been integral in ensuring a newly diagnosed client is engaged in their linkage to care process. We also work across external agencies from local health departments, local departments for juvenile services, and local GED and job training youth programs to address barriers in linkage to care. This includes consistent communication and documentation of efforts to link newly infected youth.

Family Planning services are provided in both clinical and community settings through primary care services and innovative outreach and health education services at community sites. Family planning services focus on enhancing adolescent and young adults knowledge of the availability of private and confidential reproductive services and resources.

ST-AMP

The STAR TRACK Adherence to Medication Program (ST-AMP) uses mobile, video and web-based technologies to improve adherence to HIV medication and appointment attendance. With ST-AMP, patients new to HIV treatment or experiencing adherence issues are sent a general text message as a reminder to take their HIV medication. After patients take their medications they send a reply text with a general message to indicate that they took their medication. Patients needing additional assistance with adherence to medication send video text messages of themselves taking their medication as a form of direct observation therapy (DOT). This program has improved adherence to medication tremendously. ST-AMP has successfully expanded to include adherence to primary medical care and case management. Patients are able to text a STAR TRACK service provider 24-hours a day (including weekends!) with questions regarding their medical care. The ST-AMP program has also expanded beyond mobile text messaging to include internet-based social networking sites. STAR TRACK patients are able to securely contact staff through facebook for case management needs and to follow-up on medical care.

Research

Adolescent Trial Network - AYAC: The Adolescent and Young Adult Center (AYAC) at University of Baltimore is one the ATN sites in the country. The Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) has the capacity for developing and conducting selected behavioral, community-based translational, prophylactic, therapeutic, microbicide and vaccine trials. The ATN is the first clinical research group to address the particular challenges and unique clinical management demands of HIV-infected adolescents and the prevention needs of at-risk youth through common protocols. The primary mission of the ATN is to conduct research, both independently and in collaboration with existing research networks and individual investigators, in HIV-infected and HIV-at-risk pre-adolescents, adolescents, and young adults up to age 25 years. Prevention research, not the development of antiretroviral therapy trials, remains a large focus of research for pre-adolescents. The ATN network conducts primary, secondary and tertiary prevention studies for HIV positive and at risk adolescents all over the country at collaborating sites. Adolescent and Young Adult Center at University of Baltimore is one the ATN collaborating sites that has participated in over 35 different clinical trials focusing on community, behavioral and therapeutic research.

CHARM (Chlamydia Adolescent/Adult Reproductive Management Study): This study’s main objective is to discover the essential correlates of the chamydia trachomatis infection of the human reproductive tract using genomics technology. This study aims to identify chamydial antigens that may lead to the development of vaccines and develop a better understanding of the physiological nature of chlamydia that will give insights into the targets for possible chemotherapeutic interventions. Complimentary to these aims, this study is evaluating the possible emergence of clamydial antibiotic resistance, resilience of the local microbiota when faced with chlamydia infection, and the role that the site of infection plays on a molecular level and how that all plays a role into the development of a safe Chlamydia vaccine and safe anti-chamydial therapeutic treatments.

Sexual Minority Needs Assessment for Suburban Maryland Region: This study was focused on conducting a qualitative community based needs assessment of SMY ages 13-24 in Suburban Maryland (Prince Georges County & Montgomery County) to determine the landscape of current resources, needs & gaps, and the context within which risk for HIV & STIs most often occur for these youth; identify best practices for finding, engaging, and retaining Sexual Minority Youth (SMY) in prevention programming; and contribute to the knowledge base for the development of youth-positive culturally and linguistically competent HIV/STI risk reduction programming. 

Innovative Youth Programs

HIV Stops With Me is a national social marketing campaign that aims to prevent the spread of HIV while also reducing the stigma associated with the disease. The campaign features real HIV positive people talking about real issues. The Division of Adolescent and Young Adult Medicine collaborated with IDHEA to recruit young sexual minority youth (SMY) spokesmodels from Baltimore to be a part of this national campaign to represent sexual minority population, youth, and Baltimoreans living with HIV.

Project Health’s aim is to build community capacity and infrastructure to provide culturally competent HIV partnerships that provide prevention services, expand the network of linkage into care, & coordinate community partnerships that improve access to & outcomes of prevention and care services to MSM & SMY populations within Baltimore City and the Central Region of Maryland (Ann Arundel County, Baltimore County, Harford County, and Howard County). Project Health is designed to outreach to the LGBT community by creating popular opinion leaders at social venues and business that serve the LGBT community. Project Health trains local health department staff on LGBT interventions and promotes referrals of adolescent to STAR TRACK HIV services. Project Health also has a MSM (Men who have Sex with Men) Outreach Team that provides targeted HIV prevention and education services to the community. Peer outreach staff work to ensure that YMSM are educated about what makes them most at risk for HIV and ensures their informed so that people can make the best decisions with respects to sexual health.

RISE is an intervention for MSM that provides a healthy, self-affirming environment in which participants are able to explore multiple psychosocial issues related to self-acceptance and disclosure, leading to increased readiness for enrollment into health services. RISE is a two-day intervention that recruits African American YMSM into a curriculum that addresses the impact of homophobia and internalized oppression as it relates to sexual high-risk behaviors.

YMSM Support Group: Meet every 3rd Thursday of the month. Young Men who have Sex with Men (YMSM) ages 18-29, are welcome. Topics focus on issues that impact YYMSM in Baltimore. These groups are facilitated by peer-leaders and overseen by a SMY specialist. Here you will find support from members of the community as well as have the opportunity to support other young men who are experiencing similar issues and concerns.

Faculty

  • Vicki Tepper, Ph.D., Division Head 
  • Douglas Watson, M.D. 
  • David Bowman, M.D., Medical Director, Adolescent and Young Adult Center 

Staff

  • Susan Lovelace, CRNP 
  • Julie Bates, RN, BSN, ACRN 
  • Patricia Patrick, MOA 
  • Alicia Sanchez, Phlebotomist 

Contact Information

737 W. Lombard St., Suite 215, Baltimore, MD 21201
Phone: (410) 328-TEEN (8336)
Fax: (410) 328-4379
Appointments for The Adolescent and Young Adult Clinic: (410)328-TEEN (8336)