Adolescent-Centered Environment Assessment Process

Adolescent-Centered Environment Assessment Process (ACE-AP)

Adolescents experience unique health care needs that often go unmet. At AHI, we know that health centers face many competing demands to provide excellent care to all of their patients. We also know that health centers can play a key role in meeting the needs of adolescent patients and empowering them to establish lifelong healthy behaviors. Our ACE-AP removes barriers to change and streamlines implementation to improve care delivery to adolescents.


What is the ACE-AP?

More than just a checklist, the ACE-AP is a facilitated, comprehensive self-assessment and guided improvement process that includes customized resources, recommendations, technical assistance, and implementation plans using Plan, Do, Study, Act (PDSA) improvement cycles. We developed the ACE-AP in partnership with a multidisciplinary team of health professionals and Teen Advisory Council members.

AHI can facilitate the ACE-AP in-person or virtually. We will guide your site through a self-assessment of your organization’s environment, policies and practices related to youth-friendly services. The ACE-AP addresses the following 12 key areas of adolescent-centered care:

  • Access to Care

  • Adolescent Appropriate Environment

  • Confidentiality

  • Best Practices & Standards of Care

  • Reproductive & Sexual Health

  • Behavioral Health

  • Nutritional Health

  • Cultural Responsiveness

  • Staff Attitudes & Respectful Treatment

  • Adolescent Engagement & Empowerment

  • Parent/Caregiver Engagement

  • Outreach & Marketing

Who We’ve Worked With

Casper Children's Center
Lander Medical Clinic
Laramie Pediatrics
University of Wyoming Family Medicine

Northern Nevada HOPES

Trinity Muscatine
UnityPoint Health
All Care Health Center

Lanier High Teen Wellness Clinic

Hornet Health Center
Ironmen Health Center
Arthur Hill High School SBHC
RAHS Beecher High School
Mumford High School
RAHS Northwestern High School
Port Huron High School SBHC
Saginaw High School SBHC
Western Health Center
Youthville Health Center
RAHS Lincoln High School
RAHS Lincoln Middle School
RAHS Pathways to Success
RAHS Scarlet Middle School
RAHS Ypsilanti Community Middle School
RAHS Ypsilanti Community High School

Washington, DC
Children's National Medical Center- Dunbar Senior High School SBHC
MedStart Health- Anacostia Senior High School SBHC
Unity Health Care- Woodson Senior Health School SBHC

Will County Community Health Center in Illinois (Silver-Level Certified Adolescent Champions).

  • “The staff at AHI were incredibly approachable and courteous. They celebrated the progress we made, and were always available to answer questions and help us talk through next steps. The ACE assessment process helped us identify changes that could be implemented fairly quickly and at a low cost, but were of high importance. Quality improvement takes time and effort.  Knowing how and where to start is difficult. The assessment provided us with a starting point and a vision for moving forward.”

    Health Consultant Iowa Department of Public Health, Iowa

What Clients Are Saying

  • “The ACE-AP process provided us a new way to think about working with clinical partners, strategic ways to measure and make improvements, and the ability to change broader policies that benefit the young people we serve.”

    Clinic Director Lanier Health Center, Mississippi
  • "[Working with AHI] we have made more changes to our practice in the past year than we have in the past five years."

    Pediatrician Michigan Medicine, Michigan

We Can Help!

Looking for customized support to make your health center more youth-friendly? We facilitate the ACE-AP with health care providers across the United States. Contact us today for more information!