The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera)

Scientific Rating:
3
Promising Research Evidence
See scale of 1-5
Child Welfare System Relevance Level:
Medium
See descriptions of 3 levels

About This Program

The information in this program outline is provided by the program representative and edited by the CEBC staff. The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) has been rated by the CEBC in the area of: Teen Pregnancy Services.

Target Population: Young people and their families from disadvantaged urban, rural and suburban neighborhoods; youth may come from single-parent homes and reside in neighborhoods characterized by higher than national rates of poverty, teen pregnancy, and crime, unemployment, and high school dropouts

For children/adolescents ages: 10 – 19

Brief Description

CAS-Carrera is designed to develop young people’s capacity and desire to avoid parenthood and other risky behaviors during adolescence, and help them break the cycle of poverty and despair affecting their full development. CAS-Carrera uses a holistic, above-the-waist approach to help young people develop ambitious personal goals, improve their sexual literacy, and cultivate aspirations for a productive future. Guided by a philosophy that sees youth as at-promise not at-risk, CAS-Carrera begins working with boys and girls in middle school - at age 10 or 11, and follows them through high school graduation and college admission. The program’s logic model centers on the understanding young people prevent teen pregnancy when their future is filled with promise and exciting possibilities.

The CAS-Carrera program model can be implemented in two ways:

  • Offered as a traditional after-school, youth development approach each day (and Saturdays), including a summer program
  • Integrated within a public or charter school day, working with succeeding grades each year until the entire school is receiving the model

Program Goals:

The goals of The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) are:

  • Reduce teen pregnancies by developing young people’s capacity and desire to avoid early parenthood and other risky behaviors, and to help them break the cycle of poverty and despair affecting their full development

The primary desired outcomes include:

  • Greater knowledge of sexuality and reproductive health
  • Lower rates of pregnancy
  • Higher rates of abstinence
  • Higher rates of contraceptive use
  • Improved access and receipt of medical care/reproductive health services
  • Increased exposure to the world of work/employment opportunities
  • Increased exposure to college and careers
  • Higher high school graduation and college admission rates than contrast groups

Essential Components

The essential components of The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) include:

  • Seven integrated and age-appropriate components:
    • Education: Daily homework help, remediation, and enrichment with trained teachers and tutors driven by Individual Academic Plans (IAP) for each participant
    • Employment/Job Club: Weekly exposure to the world of work, including earning stipends, opening bank accounts, exploring career choices, and participating in entrepreneurial projects
    • Family Life and Sexuality Education (FLSE): Weekly comprehensive, medically accurate sexuality education sessions taught in an age-appropriate fashion by a trained professional
    • Self-Expression: Weekly music, dance, writing and drama workshops led by theater and art professionals, where children can discover talents and build self-esteem
    • Lifetime Individual Sports: A fitness program emphasizing sports that build self-discipline and can be played throughout life, including golf, squash, swimming, and others
    • Full Medical and Dental Care: Comprehensive medical and dental services provided in partnership with local providers
    • Mental Health Services: Weekly discussion groups led by licensed social workers/clinicians; individual counseling, case management, and crisis intervention as needed

Child/Adolescent Services

The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) directly provides services to children/adolescents and addresses the following:

  • High rates of teen pregnancy; boys causing pregnancies; school failure and school dropout; inadequate medical and dental care; undiagnosed mental health problems; financial illiteracy; poor college and career exposure; limited opportunities for individual sports and self-expression; and lack of hope for a fulfilling life
Services Involve Family/Support Structures:

This program involves the family or other support systems in the individual's treatment: Parental consent is required for program participation. CAS-Carrera believes parents/caregivers play a powerful role in their children’s success. Likewise, the program emphasizes that parents/caregivers should be the first and primary sources of sexuality information and support for their children. For these reasons, strong parental involvement is encouraged in the CAS-Carrera Adolescent Pregnancy Prevention Program through the Parent Family Life and Sexuality Education (PFSLE) curriculum. PFLSE provides the opportunity for parents/caregivers to engage in a multi-week series designed to help caregivers increase their sexual literacy, improve communication skills with family members, and develop a holistic definition of sexuality.

Delivery Settings

This program is typically conducted in a(n):

  • Community Agency
  • School

Homework

The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) includes a homework component:

Homework may be assigned depending on the activity and/or corresponding curriculum guidance. CAS-Carrera also provides regular school homework help, tutoring, and enrichment opportunities.

Languages

The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) does not have materials available in a language other than English.

Resources Needed to Run Program

The typical resources for implementing the program are:

Dedicated program and staff space, access to technology

Minimum Provider Qualifications

Provider/staffing qualifications are delineated by role. Mental health staff members are required to be Master’s level, licensed clinicians. Emphasis is placed on youth development experience and superior engagement skills in all staff positions.

Education and Training Resources

There is a manual that describes how to implement this program, and there is training available for this program.

Training Contact:
Training is obtained:

CAS-Carrera provides pre-service and ongoing training and technical assistance (TA) on the overall program model, the core principles and philosophy, component milestones and related curricula, and performance management. In addition, tailored trainings and TA sessions are provided to address site specific and emerging needs.

Training is provided in a variety of formats including in-person and on-site, as well as via distance learning and webinars. Agencies that are local to New York City/northeast region may receive training in the program’s New York offices or on-site; national program replications can receive training at the program’s National Accreditation and Training Center (NATC) in Durham, North Carolina or on-site.

Number of days/hours:

Minimum of 3-5 full days; monthly 2-hour maintenance training; weekly supervision

Implementation Information

Since The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) is rated on the Scientific Rating Scale, information was requested from the program representative on available pre-implementation assessments, implementation tools, and/or fidelity measures.

Show implementation information...

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) as listed below:

CAS-Carrera has due diligence criteria and tools related to assessing organizational alignment and capacity to effectively implement a program replication. These materials are shared with providers to help them determine their readiness for implementation and are provided support from CAS-Carrera. Contact Shelia Reich, Deputy Director, National Implementation & Quality Assurance at sheliar@childrensaidsociety.org for more information.

Formal Support for Implementation

There is formal support available for implementation of The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) as listed below:

CAS-Carrera provides training, technical assistance (TA), and overall fidelity management supports for all program replications.

Fidelity Measures

There are fidelity measures for The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) as listed below:

All CAS-Carrera program sites are trained to use their performance management system, the Carrera Management Information System (CMIS), which allows programs to efficiently measure and report on key metrics including attendance and progress toward component milestones. CAS-Carrera Fidelity Managers also regularly monitor key measures through site visits, observations, and data collection.

Contact Shelia Reich, Deputy Director, National Implementation & Quality Assurance at sheliar@childrensaidsociety.org for more information.

Implementation Guides or Manuals

There are implementation guides or manuals for The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera) as listed below:

Program materials and overall support for pre-program implementation include:

  • Core program principles and philosophy
  • Program planning
  • Implementation and maintenance
  • Component training
  • Performance management

Contact Shelia Reich, Deputy Director, National Implementation & Quality Assurance at sheliar@childrensaidsociety.org for more information.

Research on How to Implement the Program

Research has not been conducted on how to implement The Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program (CAS-Carrera).

Relevant Published, Peer-Reviewed Research

This program is rated a "3 - Promising Research Evidence" on the Scientific Rating Scale based on the published, peer-reviewed research available. The practice must have at least one study utilizing some form of control (e.g., untreated group, placebo group, matched wait list study) establishing the practice's benefit over the placebo, or found it to be comparable to or better than an appropriate comparison practice. Please see the Scientific Rating Scale for more information.

Child Welfare Outcome: Child/Family Well-Being

Philliber, S., Kaye, J. W., Herrling, S., & West, E. (2002). Preventing pregnancy and improving health care access among teenagers: An evaluation of the Children’s Aid Society-Carrera Program. Perspectives on Sexual and Reproductive Health, 34(5), 244-251.

Type of Study: Randomized controlled trial
Number of Participants: 484

Population:

  • Age — 13-15 years
  • Race/Ethnicity — Intervention: 60% Black, 39% Hispanic, and 1% Other. Control: 52% Black, 45% Hispanic, and 3% Other
  • Gender — 268 Female and 216 Male
  • Status — Participants were nonpregnant or parenting adolescents age 13-15 years who were recruited by the intervention agencies through a variety of recruitment strategies, including conducting outreach in schools, distributing flyers, contacting families on their mailing lists and recruiting adolescents who were already involved in their recreational activities.

Location/Institution: 6 sites in New York City

Summary: (To include comparison groups, outcomes, measures, notable limitations)
This study reports findings from teenage pregnancy prevention programs based on the Children’s Aid Society (CAS)-Carrera program. Measures were developed by the program to assess barriers to healthy social development, sexuality related knowledge, and reproductive and primary health care outcomes. Results indicated that female CAS-Carrera program participants had significantly lower odds than females in the control group of being sexually active and of having experienced a pregnancy. They also had significantly elevated odds of having used a condom and a hormonal method at last coitus. Program participants of both genders had elevated odds of having received good primary health care. However, participation in the program created no significant impact on males’ sexual and reproductive behavior outcomes. Limitations included generalizability due to subject ethnicity and possible contamination of control group.

Length of postintervention follow-up: Varied – 79% of program participants were still involved at the 3-year time point, while only 36% of the control participants were still involved.

References

Coalition for Evidence-Based Policy: (2012). Social programs that work: Carrera Adolescent Pregnancy Prevention Program. Retrieved from http://evidencebasedprograms.org/wordpress/1366/carrera-adolescent-pregnancy-prevention-program/

Haberland, N. (2015). The case for addressing gender and power in sexuality and HIV education: A comprehensive review of evaluation studies. Retrieved from this link

Office of Adolescent Health. (2015). TPP Resource Center: Evidence-based programs. Retrieved from https://www.hhs.gov/ash/oah/grant-programs/teen-pregnancy-prevention-program-tpp/evidence-based-programs/index.html

Contact Information

Name: Shelia Reich, MSW
Title: Deputy Director, National Implementation
Agency/Affiliation: The Children’s Aid Society Carrera Program
Website: www.stopteenpregnancy.com
Email:
Phone: (718) 208-5939

Date Research Evidence Last Reviewed by CEBC: June 2016

Date Program Content Last Reviewed by Program Staff: April 2016

Date Program Originally Loaded onto CEBC: March 2013