Access Community Health Network
Access Community Health Network is a community health network that serves youth in 60 distinct service locations across metropolitan Chicago. Access Community Health Network is implementing the Chicago Pregnancy Initiative to reduce repeat teen pregnancies among African American and Latino youth in Chicago. The intervention evaluates the degree to which paternal involvement results in fewer subsequent pregnancies among young mothers in the intervention group compared to pregnant and parenting youth in the comparison group, higher rates of immunizations and higher rates of school retention, graduation or GED attainment. The project is delivered across 11 Access Community Health Network centers on the west and south sides of Chicago and focuses on the fathers/male partners of the teen mother participants. The male partner/father component consists of individual case management services that include assessments, care plan developing and goal setting and weekly group education and support sessions delivered by male involvement specialists using a 6-week prenatal curriculum and a 6-week postpartum curriculum covering topics on life skills development and parenting education, legal advocacy, physical and mental health services, and workforce development.
Contact: Misty Drake, 312-526-2122
Baylor College of Medicine
The Baylor Teen Health Clinic network, operating under Baylor College of Medicine, is a system of comprehensive healthcare and education clinics serving youth ages 13-25 in the city of Houston. This grantee provides services in 5 Baylor Teen Health Clinic sites with participants recruited during pregnancy with services continuing through the child's 2nd birthday. The intervention uses the Centering Pregnancy group model for prenatal care which is designed as a youth development approach to case management involving partners and families. The intervention uses positive youth development strategies as a conceptual framework to guide the enhancement of this intervention. The prenatal intervention component consists of 10-2-hour group sessions focused on the tenets of the Centering Pregnancy curriculum, the 40 developmental assets and strategies pulled from positive youth development programming. The effectiveness of the intervention will be evaluated using a quasi-experimental parallel group design with pre-, post- and follow-up testing.
Contact: Ruth S. Buzi, L.C.S.W., Ph.D., 713-873-3656
Center for Youth and Families
Little Rock, Arkansas
Centers for Youth and Families (CYF) is a private, not-for-profit agency located in Little Rock, Arkansas. CYF's THRIVE program provides home visiting and monthly peer support group services for pregnant and parenting teens ages 15-18 in 5 sites targeting 9 urban and rural counties. All participants receive home visiting as well as peer support groups focused on the health, educational and social aspects of being an adolescent parent. A subset of participants and their parents receive an enhanced intervention that includes: 1) parent education sessions for the parenting adolescents from the Born to Learn and Nurturing Parenting Program curricula; 2) sessions for grandparents using the Families in Action curriculum, which emphasizes family relationship building, school involvement, positive peer relationships, and self-esteem; and 3) additional monthly family home visits. THRIVE is evaluated using a randomized design with a pre-test and a 12 and 24 month follow-up survey.
Contact: Pam Plummer, 501-666-6833
Children's Hospital of Boston
Project Connect is an initiative that operates out of the Young Parents Program (YPP) at Children's Hospital, Boston (CHB) and utilizes the skills of other organizations such as Healthy Baby/Healthy Child (HB/HC) nurse home visiting program. The model builds on the lessons learned and strengths of each program, adding critical new elements of randomized control trial of parenting and life skills interventions, and home visiting. Prenatal services encourage breast-feeding, and support infant care and parenting. CHB provides a medical base with coordinated, continuous health care services, psychosocial support, parenting/life skills groups and individual services for teen mothers and fathers. Integrated fathers' services emphasize male parenting roles, communication, life skills training, violence prevention and positive youth development. The evaluation is testing the impact of the overall comprehensive clinical care of Project Connect, and will assess the additional contribution of the parenting and life skills intervention. The evaluation uses an experimental randomized intervention-control group design that looks at the addition of two types of psycho-educational materials administered to the intervention group focused on parenting skills and life skills. The main hypotheses focus on measuring the impact of parenting and life skills intervention at different stages on participants, as compared to a control group.
Contact: Joanne Cox; 617-355-5227
Children's Research Institute
Washington, District of Columbia
The Healthy Generations Program at Children's National Medical Center in collaboration with the Y-FI Program at Unity Health Care, Inc. is evaluating a co-parenting intervention that serves adolescent-headed families at 3 sites within the District of Columbia. The Generations Program targets high risk pregnant teens, their infants, fathers/male partners, and other significant family members. All participants are served through “teen-tot” clinics where comprehensive primary medical care is provided for teens and their children together in a medical setting. Additionally, the Generations Together intervention is a pre- and post-natal co-parenting intervention that includes 1) prenatal group sessions on co-parenting and pediatric topics related to infant care, 2) home visits with the teen parents (both together and individually), and 3) parenting support sessions delivered during pediatric well-child visits for the duration of one year. The program's content addresses co-parenting support, conflict management, mother-father relationship issues, extended family involvement, parenting and infant development, and assessing the parents' individual needs. Ultimately, the project aims to decrease repeat pregnancies, improve educational attainment, maintain high child immunization rates, increase supportive co-parenting and positive father involvement, decrease psychological distress, and increase positive parenting.
Contact: Lee Beers, M.D., 202-476-3797
City of Bridgeport
The City of Bridgeport's Parent Aide Program is a home visitation support and parenting education strategy designed to assist pregnant and parenting teens who are identified as at risk for child abuse and neglect. The program serves African American and Hispanic pregnant and parenting teens up to the age of 19, their infants, family members, and young fathers. During weekly home visits, the Parent Aides focus on prenatal and parenting education, nutritional counseling, child development, safety issues, child care, community resources, and appropriate discipline techniques in order to enhance the teen parents' efficacy in her new role, as well as reduce the incidence of child abuse and neglect. City of Bridgeport measures:1) increased maternal competence in appropriate parenting approaches and skills; 2) teen mothers continued education; 3) increased connection to social supports and community resources; 4) child immunizations, 5) decrease in repeat pregnancies, and 6) increased paternal competence in appropriate parenting approaches and skills. All participants in the intervention and comparison groups complete pre and post-tests, and participate in up to 7 data collection interviews (English or Spanish) at baseline, 6-, 12-, 18-, 24-, 30, and 36 months.
Contact: Carmen Ayala; 203-576-8468
New York, New York
Inwood House is a community-based agency serving New York City pregnant and parenting teens who are disconnected from family support with histories of abandonment, abuse and neglect. The program goals are to reduce early repeat pregnancy, increase infant immunization adherence, increase educational attainment, increase engagement with father of baby, increase retained custody of baby, and provide mothers a network of social support and resources. The project provides services from a variety of unconventional sites such as residential facilities for pregnant teens in foster care or who are homeless or runaways. Inwood House's intervention uses a two-generation approach focusing on providing teenage parents the social-emotional skills to succeed as parents, students, employees, and citizens while providing early-childhood developmental supportive services. For example, doula services are offered to teens as childbirth labor support. Also, a subset of adolescent and their parents participate in the parenting-focused video feedback home visiting component (SPIN) that strengthens and promotes parent-child bonding, mentoring support and engagement with partners and family members. A longitudinal evaluation with random assignment of program participants will assess the short-term and long-term effects of the intervention.
Contact: Elizabeth Bassano, 212-861-4400 x8069
Kansas Children's Service League
Kansas City, Kansas
Kansas Children's Service League (KCSL) is a statewide not for-profit agency located in Kansas City, Kansas. In addition to the standard medical, educational and social services provided to infants and adolescent parents, participants of the Generations Project (GP) receive: 1) a parent/guardian education and training group sessions consisting of 10 sessions designed to develop protective factors, postpone pregnancy, encourage immunization, and promote education; 2) the use of web/cellular technologies to establish ongoing support and communication with participants; and 3) intensive, in-home mental health services for participants with an identified need. The overall aims of the Generations Project aims to reduce the incidence of repeat pregnancies; increase number of children with adolescent parents who conform with recommended immunization schedules; increase educational attainment for adolescent parents and overall improvement of physical health of the adolescent parent and their primary support, their parent(s). The intervention is evaluated using a randomized control evaluation design.
Contact: Tracie Lansing, LMSW, 785-274-3100
Lake County Health Department
The Strong Families Today and Tomorrow (SFTT) Program is an AFL Care Services project serving the Lake County communities of Waukegan, North Chicago, Zion and Round Lake, Illinois. Based on youth development and other theories that impact health beliefs and change, SFTT uses a variety of evidence-based individual and group interventions to provide a continuum of services to pregnant and parenting teens. Services include in-school programming consisting of prenatal education and support groups, as well as intensive home-based programming for girls in the 3rd trimester of pregnancy and up to 12 weeks postpartum. New teen parents will participate in an intensive six-month follow-along program which will include parent education and other supportive services. The main emphasis of the program is to engage teen parents, their partners and families in skill-building training that will support positive, long-term relationships and strong families. Further, interventions strive to provide teen parents with the opportunities they need for economic success in the future. The SFTT Program provides an objective well-constructed evaluation that will contribute to knowledge about service provision for pregnant and parenting teens and their families and offer information useful for program development and replication. The evaluation documents the extent to which a mix of intervention strategies for pregnant and parenting teens positively affects: 1) health outcomes for mother and child; 2) the rate of subsequent pregnancies among participants; 3) the rate of education attainment; 4) the development of strong parenting skills; 5) rate of immunizations; and 6) development of relationship building knowledge and skills.
Contact: Susan Bekenstein; 847-377-8188
Oswego County Opportunities, Inc.
Fulton, New York
Oswego County Opportunities, Inc. (OCO) serves rural Oswego County in upstate, New York. The goals of OCO's AFL program are to decrease rapid repeat pregnancy; increase family engagement, health of mother and baby, educational attainment, and self-sufficiency of the teen mom. The project includes an enhancement designed to strengthen the relationship between the teen mom and her mother or support person. Programming utilizes the Partners for a Healthy Baby home visiting curriculum plus life management services during the first year of baby's life through group meetings and individual home-based sessions. This experimental evaluation will assess the effectiveness of the intervention.
Contact: Eric Bresee, 315-342-7532
Our Family Services, Inc.
Prepared Teens program is an AFL Care Demonstration Project led by Our Family Services, Inc. in collaboration with Teenage Outreach Pregnancy Services (TOPS). The Prepared Teens program serves pregnant and parenting teenagers ages 13 to 18, their extended family members and male partners. The intervention combines six inter-related research supported strategies (case management, registered nurse education, mentoring, education, father/family involvement, and peer support). Through implementation of these six strategies, teen mothers will decrease their risk for repeat pregnancy, increase physical/emotional well-being and improve educational attainment. A quasi-experimental comparison group design will be used to study the outcomes of the program.
Contact: Laurie Mazerbo; 520-323-1708
San Diego Unified School District
San Diego, California
The San Diego Adolescent Pregnancy and Parenting Program (SANDAPP), a program of the San Diego Unified School District, is conducting a project to serve pregnant and parenting adolescents and their families residing in the Central and South Regions of San Diego County, including both urban and suburban communities. The target population served includes pregnant/ expectant (fathers of the child) and parenting adolescents, their children, parents and siblings. The AFL Project provides intensive mental health case management services and parenting classes to pregnant and parenting adolescents, their children, parents, siblings and the fathers of the children. Services are provided weekly and may include individual therapy with the adolescent parent, the father of the child or the sibling, family therapy, couples therapy, dyadic therapy (mom and teen parent), parent-child interaction therapy, life skills/parenting classes for the adolescent parent, or parenting classes for the parent of the adolescent parent. The project compares intensive services with the state AFLP services, consisting of monthly home case management services, assessment, supportive counseling, and referrals for service needs.
Contact: Cindy Grossman; 619-235-5002
The Children's Shelter
San Antonio, Texas
The Children's Shelter facilitates a strong education and case management model project entitled Project MAS (Mothers and Schools). Project MAS is based on a developmental assets model that believes that repeat pregnancies can be reduced or eliminated by teen mothers' involvement in core program activities. These gains are expected to be accompanied by increased and extended academic achievement, and moderated by support provided by their babies' fathers, their parents and other extended family members. Further, teen dads are expected to experience gains in parental and vocational skills through their involvement in program activities. As a center and community based care program, Project MAS offers the services and support necessary to eliminate barriers to school retention and to facilitate completion of parenting education. Consenting teens are randomly assigned to receive basic case management and education services or wrap around services (which includes the basic services). Teens receive services for 12 months. Data is collected at baseline, 12 months, and 18 month follow up.
Contact: Annette Rodriguez; 210-212-2573
University of Maryland
The University of Maryland, Baltimore is implementing the BRIDGES to HEALTH/DADs Care demonstration project. The project serves underserved, low income (95% Medicaid), minority (95% African-American), pregnant and parenting teenagers (18 years old or younger), their children, the children's fathers, and other family members. Pregnant adolescents are recruited from the community and randomly assigned to receive either standard adolescent prenatal clinic services or to receive the intervention. Intervention clients receive comprehensive assessments, home visits, parenting education, and computer assisted motivational interviewing (CAMI) designed to promote healthy relationships and reduce repeat pregnancy. Additional services are needs-driven and client-centered. The project has capitalized on what has previously been learned in serving pregnant and parenting adolescents and their families in Baltimore, MD. In CAMI sessions, the teen answers questions on a laptop computer that assesses partner relationships, sexual behaviors, & risk for repeat pregnancy. Following the assessment, the trained case manager conducts motivational interviewing, a form of behavior change counseling that aims to promote healthy relationships, improve contraceptive and condom use, focus on goals, and promote school continuation. The CAMI intervention is also used with adolescent fathers to increase motivation for healthy relationships and sexual decision-making, particularly around contraceptive/ condom use. The evaluation being implemented will compare the outcomes of those youth assigned to receive comprehensive services to those who receive basic services.
Contact: Beth Barnet, MD; 410-328-2550
University of Wisconsin – Milwaukee
University of Wisconsin-Milwaukee is implementing the Milwaukee Young Parenting Program in collaboration with several major Milwaukee institutions committed to improve the quality of care to pregnant and parenting adolescents. This program is geared to be flexible in order to accommodate for the social and cultural differences among pregnant and parenting teens to meet the needs of diversity. The primary goal is to refine, adapt, and test the efficacy of the Young Parenthood Program (YPP) which specifically addresses the psychosocial developmental needs of pregnant and parenting adolescents and her partners through co-parenting counseling services and active case management. Couples are recruited through three prenatal clinics targeting African American and Latino adolescents between the ages of 14-18. The randomized evaluation design looks at outcomes of clients receiving intensive enhanced services as compared to those clients who receive standard services consisting of monthly home case management services, assessment, supportive counseling, and referrals for service needs.
Contact: Paul Florsheim, PhD; 414-229-2490
Washington Hospital Center
Washington, District of Columbia
Teen Alliance for Prepared Parenting (TAPP) is a clinic-based, case management program of Washington Hospital Center, a non-profit, urban, community hospital. The randomized multi-site intervention provides enhanced care services for pregnant/parenting adolescents and their adult parent(s) in primarily African American and Latino communities with the highest rates of teen pregnancy, infant mortality, poverty, and violence throughout the District of Columbia. The project is delivered at three clinic sites. Control group participants receive standard TAPP clinical, psychosocial, and youth development services. Treatment group participants receive TAPP services augmented with SPIN Video Home Training, a strengths-based intervention that targets Parent Child Connectedness between the adult parent and teen mother. TAPP-SPIN is a relational parenting and family support program in which staff identifies and assesses parents' and families' strengths and uses those strengths to help parents build new skills and improve family functioning. The evaluation of the project assesses whether TAPP-SPIN participants have significantly better outcomes relative to control group participants in regards to subsequent pregnancy rates, completion of well-baby visits and immunizations, education continuation and completion rates, the strength of the relationship between the teen and her parents, and the documented parenting skills and quality of the interactions between teen parent and her baby.
Contact: Loral Patchen, 202-877-0748