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Teen Pregnancy Prevention and Parenting Programs

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Title: Teen Pregnancy Prevention and Parenting Programs


1
Teen Pregnancy Prevention and Parenting Programs
  • Danielle Eaton

2
Healthy Teen Network (HTN)
  • National Nonprofit membership organization that
    provides resources, education, support, and
    advocacy to individuals and organizations working
    in the areas of teen pregnancy prevention, teen
    pregnancy, and teen parenting

3
Two Programs that HTN Replicates
  • Nurse-Family Partnership (NFP)
  • Plain Talk

4
Nurse-Family Partnership
  • Home visiting program for low income, first-time
    parents
  • Provides home visits by registered nurses that
    begin in the second trimester of pregnancy and
    continue on a regular basis until the child is
    two years old
  • NFP has a 20-year track record of success in
    terms of healthier births and a dramatically
    reduced incidence of child abuse and neglect
  • Has been successfully replicated in 300 counties
    in 22 states and reaches 15,000 young women each
    year

5
Plain Talk
  • A neighborhood-based initiative aimed at helping
    adults, parents, and community leaders develop
    the skills and tools they need to communicate
    effectively with young people about reducing
    adolescent sexual risk-taking
  • Has been replicated in multiple communities
    across 8 states

6
GENESIS
  • Serves Boulder County teen parents from pregnancy
    through the childs third birthday
  • Goal promote healthy parenting practices within
    teen parent families in Boulder County
  • Services
  • Transportation to medical appointments
  • Re-entry into school/GED programs
  • Linkage to job training programs
  • Childbirth education classes
  • Maternity and child clothing and other baby items
  • Counseling and support
  • Education on pregnancy and parenting
  • Assistance with family planning
  • Referral and linkage to community resources
  • Peer group activities
  • Other Services Home-Based Contraception Program
    (HBC)

7
Home-Based Contraception Program
  • The HBC Program registered nurse
  • provides follow-up and support on contraceptive
    use
  • Information on sexually transmitted infections
  • Reinforces GENESIS messages regarding the
    importance of spacing births by at least 2 years
  • In 2005 there were no clients who participated in
    the HBC Program that experienced a subsequent
    birth within 2 years of the birth of their first
    child

8
Programs for Pregnant and Parenting Teens in
Massachusetts
  • Healthy Families Home Visiting Program
  • Provides services for all firs-time parents in
    Massachusetts under 20
  • Trained home visitors build relationships with
    new parents, provide child development
    information and connect families with community
    resources
  • Young Parent Support Program (YPS)
  • Licensed social workers and nurses provide
    support, parenting education and counseling to
    pregnant and parenting teens
  • Teen Living Programs (YPP)
  • Homes for teen parents and their children who
    have no other safe place to live in order to meet
    the TAFDC living arrangement requirement
  • Young Parents Program (YPP)
  • Programs for teen parents who are receiving TAFDC
    and who have not completed high school
  • Offer education that can lead to a GED or high
    school diploma as well as job skills training and
    help with placement into a job, work program,
    skills training or higher education
  • Teen Parent Child Care (TPCC)
  • Special child care programs for children of teen
    parents
  • Offer child care for your child and support
    services to you while you finish high school,
    work, higher education or training programs

9
Teenage Parenting Program (TAPP)
  • Provides comprehensive case management services
    for any pregnant and parenting teen (up to age 19
    for females and 21 for males), their children,
    and families
  • Comprised of 2 programs
  • The Adolescent Family Life Program (AFLP)
  • Cal-Learn

10
Adolescent Family Life Program
  • A free, voluntary program where case managers
    provide assessment, advocacy, appropriate
    guidance, support, referrals, and assistance in
    accessing and utilizing needed resources and
    services

11
Cal-Learn
  • A compulsory, incentive/disincentive case
    management program for pregnant/parenting teens,
    ages 18 and under who are recipients of Cal-Works
    grant assistance
  • School attendance and progress towards graduation
    are mandated, monitored and rewarded
  • Reimbursement for child-care, transportation
    expenses and school supplies are provided to
    support the parenting teens attendance in school
  • Case managers assist parenting teens in obtaining
    educational goals, exploring career options and
    life goals, and connecting them to employment
    opportunities

12
Parent to Parent
  • A program designed to assist parents of newborns
  • Volunteers offer parents support, information and
    encouragement during the first months of the
    babys life
  • The volunteer is there to help find answers to
    important parenting questions, locate community
    resources, listen to concerns, and chare in the
    joy of a new child

13
The Teen Pregnancy Prevention 2000 Initiative
(TPPI)
  • What is it?
  • A 5 year demonstration project that lasted
    between 1993 and 1998 in Colorado
  • The TPPI expended 7.7 million over 5 years
    within 5 grantee communities
  • The Colorado Trust permitted to choose the types
    of programs they wanted to adopt to address teen
    pregnancy
  • Each community was also provided 50,000 from the
    Colorado Trust per year over 4 years to implement
    its proposed projects

14
Goals of the TPPI
  • Community settings need to be supportive of the
    needs of families and youth
  • Strengthening families is an important
    concomitant of helping youth
  • Communities can offer a positive vision for youth
    that in turn will encourage healthy decision
    making, empowerment, and hope for the future
  • While each community shared common visions, they
    each also developed an individualized plan with
    different target goals and objectives
  • Most goals and objectives focused on
    community-level awareness building and resource
    development

15
The Five Communities
  • Arvada
  • Aurora
  • Colorado Springs
  • Delta-Montrose
  • West Denver

16
Survey Conducted the Second Year of the Project
  • 234 surveys were mailed
  • 57.6 were returned
  • Results from the survey factors contributing to
    Teen Pregnancy according to the stakeholders
  • Dropping out of school (96)
  • Alcohol (96)
  • Self-esteem (95)
  • Sexual Abuse (92)
  • Hopeless Future (91)
  • Economics/Poverty (88)
  • Family History (88)
  • Teens Denial (77)
  • Adults Denial (71)
  • Lack of knowledge regarding pregnancy risks (61)
  • Welfare (59)
  • Lack of Morals (55)
  • Contraceptive Unavailability (54)

17
Focus Groups Held During Third Year
  • Confirmed need for additional youth- and family-
    centered recreation programs
  • Including recreation, sports, family oriented
    programs, and parenting classes

18
Was TPPI a Success as a Teen Pregnancy Prevention
Effort?
  • Age-specific fertility rates declined in each of
    the TPPI project areas
  • Few programs, however, were prolonged or
    extensive enough to produce community-level
    changes in age-specific fertility rates
  • Some programs have reported success in reducing
    the second pregnancy rates
  • Changes in the community setting in which teen
    pregnancy occurs will ultimately have an effect
    on the prevention of teen pregnancy
  • Many community-level efforts place emphasis on
    creating greater awareness and understanding of
    teen pregnancy as a top priority

19
Challenges and Suggestions
  • Challenges
  • Finding a noncontroversial middle ground from
    which to work
  • How teen pregnancy should be approached
  • What are the most effective strategies to be used
  • Suggestions
  • Continue in the same programmatic areas
    education, resource development, and increasing
    community involvement and dialogue

20
  • The strategy used in the TPPI Project is one
    that
  • Is currently recommended by the National Campaign
    to Prevent Teen Pregnancy
  • Is part of the Centers for Disease Control and
    Preventions Community Coalition Partnership
    Program for the Prevention of Teen Pregnancy

21
What I Learned
  • Teen pregnancy approaches need to be long term
  • Community awareness, resource development, and
    collaboration/networking are all important
    factors to remember for successful teen pregnancy
    prevention and parenting programs

22
References
  • Drisko, J. G., Gallagher, K.M. (2003). The Teen
    Pregnancy Prevention 2000 Initiative. London
    Sage Publications.
  • http//www.healthyteennetwork.org
  • http//www.co.boulder.co.us/health/commhlth/genesi
    s/about.htm
  • http//www.massteenpregnancy.org/parenting/program
    s.html
  • http//www.sbcphd.org/family/tapp.html
  • http//www.cswnet.combwhitled/prof/centers/teenpp
    /sbtppp.html
  • http//www.cswnet.combwhitled/prof/centers/teepp/
    ymdhftpp.ht ml
  • http//www.fccouncil.net/programs.htm
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