Topic: Teen Pregnancy Services
Definition for Teen Pregnancy Services:
Teen Pregnancy Services are defined by the CEBC as services that are designed to support pregnant and parenting adolescents in the child welfare system or to prevent teen pregnancy in this high-risk population. The topic area consists of a range of services that includes preventive reproductive health services, pregnancy and prenatal services, and parenting and postpartum services appropriate for foster youth. Studies have shown that adolescent girls in foster care are more than twice as likely as their peers not in foster care to become pregnant by age 19, and half of 21-year-old men aging out of foster care report they had gotten someone pregnant, compared to 19 percent of their peers who were not in the system. In addition, the children born to teen mothers are at elevated risk for participating in the foster care system. Pregnant and parenting foster youth are challenged by the importance of maintaining a safe prenatal environment, learning the skills to effectively meet the physical needs of a newborn, learning how to avoid a subsequent closely spaced pregnancy, and learning how to be a responsive, safe, and nurturing parent. In addition, caregivers of pregnant and parenting foster youth may need assistance with clarifying their role and help in providing support to their youth as the youth develop parenting skills.
- Target population: Adolescents in the child welfare system, including pregnant or parenting youth
- Services/types that fit: Physical and mental health services, case management, assessment, and support services
- Delivered by: Child welfare workers, mental health professionals, or trained paraprofessionals
- In order to be included: Program must specifically target the prevention of teen pregnancy or provide services for pregnant and parenting teens
- In order to be rated: There must be research evidence (as specified by the Scientific Rating Scale) that examines outcomes of the services, such as reductions in teen pregnancy, an increase in time between repeat pregnancies, or improved well-being for the parent or child
Programs in this Topic Area
The programs listed below have been reviewed by the CEBC and, if appropriate, been rated using the Scientific Rating Scale.
One Program with a Scientific Rating of 1 - Well-Supported by Research Evidence:
- Nurse-Family Partnership (NFP)First-time, low-income mothers (no previous live births)
One Program with a Scientific Rating of 2 - Supported by Research Evidence:
- Wyman's Teen Outreach Program® (TOP®)Male and female adolescents in grades 6-12 who may come from disadvantaged circumstances
Four Programs with a Scientific Rating of 3 - Promising Research Evidence:
- Adolescent Parenting Program (APP)First-time pregnant and parenting youth aged 12 to 19 years old, and who must be enrolled in school or a GED-completion program ...
- Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program, The (CAS-Carrera)The Children’s Aid Society Carrera Adolescent Pregnancy Prevention ProgramYoung people and their families from disadvantaged urban, rural and suburban neighborhoods; youth may come from single-parent homes and reside ...
- Computer-Assisted Motivational Intervention (CAMI)Pregnant and/or parenting adolescents ages 18 and younger
- Family Growth Center, The (FGC)The Family Growth CenterAdolescent mothers ages 13-17 years and their infants ages birth-2 years in high-risk neighborhoods
Seven Programs with a Scientific Rating of NR - Not able to be Rated:
- Baby FAST Groups for Young MothersBabies (Birth to 2 years old) who are at high risk for child neglect and abuse, their young mothers (14 to 21 years ...
- Love Notes EBPYoung people and young parents ages 14-25
- Making Proud Choices! – non-responderYoung adolescents
- Pregnancy Free ClubParenting teens age 14 to 19 years old who attend an alternative high school for pregnant and parenting students and their children ...
- Reducing the Risk (RTR)High school students
- Safer Sex Intervention (SSI)Sexually active female adolescents and young adults
- Teen Parenting Service Network (TPSN)Pregnant and parenting teen wards of the state between the ages of 13 and 21 years old and their children up to ...
Why was this topic chosen by the Advisory Committee?
The Teen Pregnancy Services topic area is relevant to child welfare because child welfare programs should be aware of research evidence for programs that can help prevent teen pregnancy in foster youth and enhance opportunities for foster youth who become parents. When teens in foster care become pregnant or become parents, the child welfare system must take responsibility for these youth and ensure that they understand the importance of maintaining their health, continuing their education, and effectively parenting their children, as well as, managing their relationships, including the other parent of the child and the important adults in their life. It is a complex situation requiring skills and interventions important to the welfare of at least two minors.
Danna Fabella, MSW
Linkages Project Director
Child and Family Policy Institute of California
Richard P. Barth, PhD, Dean
School of Social Work, University of Maryland