|Health Factors:||Sexual Activity|
|Decision Makers:||Educators Local Government State Government Grantmakers Healthcare Professionals & Advocates Nonprofit Leaders Public Health Professionals & Advocates|
|Population Reach:||<1% of WI's population|
|Impact on Disparities:|
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Case management initiatives for pregnant or parenting teens provide participants with a range of services based upon their needs. Caseworkers may provide support and counseling, assist in creating plans for goals such as finishing high school, work to create support networks among a teen’s family, friends, and partner, or connect teen parents to health care or social services. Case management may take place in schools or other community locations.
There is some evidence intensive case management reduces repeat pregnancies among black and Hispanic adolescent mothers while they participate in the intervention (Blank 2010, Kan 2012, Lewis 2012, McDonell 2007). Additional evidence is needed to confirm longer term effects and determine which aspects of case management are most effective.
In several studies, case management services provided by culturally matched, school-based social workers combined with comprehensive health services and peer education have been shown to reduce repeat pregnancies among black adolescents in an urban area (Blank 2010). A South Carolina-based study finds that case management programs may also strengthen support networks, improve academic outcomes, and increase graduation rates among black teenage mothers in rural areas (McDonell 2007).
Research suggests that programs to reduce repeat pregnancy among pregnant and parenting teens are more likely to be effective when easy access to services, contraceptive education (Rowlands 2010), home visiting (Cochrane-Lopez 2012, Rowlands 2010), and tailored messages are included (Kan 2012) and when programs are presented in individual rather than group formats (Klerman 2004). For case management programs that include home visits, more frequent home visits appear to reduce repeat pregnancy more effectively than usual care (Kan 2012, Blank 2010); frequent visits can also increase use of long acting reversible contraception (Kan 2012).
Lifeworks’ Teen Parent Services and the Tandem Teen Prenatal and Parenting Program provide comprehensive case management services for teenage parents in Austin, Texas. Lifeworks is a nonprofit offering comprehensive social services for youth and families; their Teen Parent Service offers case management, connections to community resources, parenting groups, and support in school and community settings (Lifeworks-TPS). Tandem is an interagency collaboration led by People’s Community Clinic that provides pregnant and parenting teens and their children with medical, mental health, education, vocational, and social support (PCC-Tandem).
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