Teen Pregnancy Services

Nurse-Family Partnership® (NFP) is an intensive, strengths-based, trauma- and violence-informed community health program whose goals are to improve the health and lives of first-time moms and their children living in poverty. Specially trained registered nurses regularly visit first-time moms-to-be (adolescents and adults), starting early in pregnancy and continuing through children's second birthday. NFP nurses aim to leverage their clinical expertise in applying behavior change and human ecology theories to deliver this client-centered program. Ideally, NFP participants develop close relationships with their nurse. It is hoped that the nurse becomes a trusted resource for advice on everything from safely caring for their child to taking steps to provide a stable, secure future for their family. In addition to living in poverty, NFP moms also often are experiencing, or at risk of experiencing, homelessness; addiction or substance misuse; involvement with child welfare or juvenile or criminal justice systems; intimate partner violence; severe developmental disabilities; behavioral or mental health needs; or a high-risk pregnancy.

The Wyman's Teen Outreach Program® (TOP®) promotes the positive development of adolescents through curriculum-guided, interactive group discussions; positive adult guidance and support; and community service learning. TOP® is focused on key topics related to adolescent health and development, including building social, emotional, and life skills; developing a positive sense of self; and connecting with others. Specific curriculum lesson topics include health and wellness (including sexuality), emotion management, and self-understanding among many others. In addition, the development of supportive relationships with adult facilitators is a crucial part of the model, as are relationships with other peers in the program.TOP® has been adapted to fit the needs of special populations, including youth in foster care, justice involved youth, and LGBTQ youth. Any adaptations need Wyman's prior approval which can be requested through the program representative whose contact information is located at the end of this entry. Please note, the adapted versions have not been reviewed or rated by the CEBC.

APP provides support to first-time pregnant and parenting teens through intensive home visiting and peer group education. Each APP serves a caseload of 15-25 teens that may enter the program at any time during their pregnancy or after their child's birth. Participants in the program receive monthly home visits using either the Partners for a Healthy Baby or Parents as Teachers home-visiting curriculum, along with 24 hours of prescriptive group education with their peers. Supporting adolescent parents to prevent a repeat pregnancy, complete their high school education, acquire job skills, and improve their parenting skills helps them become self-sufficient and better able to support themselves and their families. It also establishes a strong, stable foundation upon which their child will be raised. By investing in teen parents today, APP strives to protect the future of two generations - the young parents themselves and their babies.

The purpose of the CAMI is to increase motivation among adolescent mothers to consistently use condoms and contraception with the long-term goal of reducing rapid repeat births. CAMI consists of 60-minute sessions conducted in two-parts by trained counselors who meet one-on-one with pregnant and/or parenting adolescent mothers, ages 12 through 18 years old. During the first part of each session, participants use the computer-based CAMI program to answer questions about current sexual relationships and contraceptive use intentions and behaviors. Based on the responses generated, CAMI counselors conduct a stage-matched Motivational Interviewing session to enhance participant's motivation to consistently use condoms and contraception in order to reduce the risk for a repeat pregnancy.

Love Notes 4.0 builds assets and appeals to young people’s aspirations. It offers young people new conceptual frameworks to help them make informed decisions instead of sliding into unplanned choices that can negatively impact their lives.

Its theory of change hypothesizes that interventions must build young people’s skills for cultivating healthy relationships, selves, and sexual behaviors: planning and pacing relationships and sex, self-efficacy and resilience around relationships, proven communication skills, and understanding the benefits of deciding when it comes to family formation.

In 13 engaging lessons, participants use a strengths-based approach to discover, often for the first time, how to make wise choices about partners, sex, relationships, pregnancy, and more.

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

FGC is a community-based family support program designed to reduce repeat pregnancy and school drop-out rates among adolescent mothers. The program aims to provide teen mothers in high-risk neighborhoods with a comprehensive set of educational and support services, offered within family and neighborhood contexts. Young women are recruited for the program by perinatal counselors/coaches when they arrive at participating hospital clinics for prenatal visits. Thereafter, they are offered a range of intervention components, coordinated by case managers at FGC. Program components include home visits, crisis intervention, bimonthly parenting classes, supervised daycare, transportation services, recreational opportunities, and advocacy and referral services.