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Comprehensive clinic-based programs for pregnant & parenting teens

Health Factors: Sexual Activity
Decision Makers: Local Government State Government Healthcare Professionals & Advocates Public Health Professionals & Advocates
Evidence Rating: Scientifically Supported
Population Reach: <1% of WI's population
Impact on Disparities: Likely to decrease disparities

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Description

Comprehensive clinic-based programs for pregnant or parenting teens address the complex needs of teenage mothers. Programs include health care and family planning services, and help participants with non-clinical needs through case management, counseling, social support, and connections to social services. Services are often provided by both medical teams and social workers. Programs are often geared toward preventing rapid repeat pregnancy, a second pregnancy within 12-24 months. Teenage childbearing poses economic, social, and medical risks to mothers and their infants; risks are magnified by repeat pregnancies during adolescence (Rowlands 2010).

Expected Beneficial Outcomes

Reduced teenage pregnancy
Reduced rapid repeat pregnancies
Increased vaccination
Increased use of contraception
Increased condom use

Evidence of Effectiveness

There is strong evidence that comprehensive clinic-based programs that support pregnant and parenting teens reduce rapid repeat pregnancies among participants (Corcoran 2007, Akinbami 2001). Such programs also appear to promote clinic attendance and increase immunization completion for infants (Akinbami 2001).

Comprehensive programs based in large urban hospital and clinic facilities with multi-disciplinary teams have been shown to reduce repeat pregnancies among minority and low income adolescent mothers through 18 months post-partum (Corcoran 2007, Akinbami 2001). An assessment of the Philadelphia-based Health Care Program for First-Time Adolescent Mothers and their Infants, for example, indicates that black teenage mothers with Medicaid are less likely to experience a repeat pregnancy within 18 months than non-participating peers (SPTW) and an assessment of the Generations program in Washington DC indicates increased contraceptive and condom use for 12 months among black teenage mothers (Lewin 2016). An evaluation of the Colorado Adolescent Maternity Program (CAMP) indicates that participants who choose to use long-acting reversible contraception (LARCs) appear least likely to become pregnant again (Stevens-Simon 2001).

Integrated clinical and social services, combined mother and infant care, contraceptive education, and a multi-disciplinary youth-oriented approach appear to increase program effectiveness. Providing easy access to services and reaching young women at antenatal and postnatal consultations for their first pregnancy may also increase program effectiveness (Rowlands 2010).

Implementation

United States

Queens Hospital Center's Comprehensive Adolescent Program for Teenage Mothers and Their Children, and the Health Care Program for First-Time Adolescent Mothers and their Infants are examples of programs that provide comprehensive services within the clinical context (National Campaign-EPD)

Implementation Resources

National Campaign-EPD - National Campaign to Prevent Teen and Unplanned Pregnancy. Effective programs database (EPD): Interventions with evidence of success. Accessed on April 19, 2017
Socio-PASHA - Sociometrics. Teen pregnancy (PASHA). Accessed on April 19, 2017
SPTW - Social Programs That Work (SPTW). Full list of programs. Accessed on April 19, 2017

Citations - Description

Rowlands 2010* - Rowlands S. Social predictors of repeat adolescent pregnancy and focused strategies. Best Practice & Research Clinical Obstetrics Gynecology. 2010;24(5):605–16. Accessed on April 19, 2017

Citations - Evidence

Akinbami 2001 - Akinbami LJ, Cheng TL, Kornfeld D. A review of teen-tot programs: Comprehensive clinical care for young parents and their children. Adolescence. 2001;36(142):381-93. Accessed on April 19, 2017
Corcoran 2007* - Corcoran J, Pillai VK. Effectiveness of secondary pregnancy prevention programs: A meta-analysis. Research on Social Work Practice. 2007;17(1):5–18. Accessed on April 19, 2017
Lewin 2016* - Lewin A, Mitchell S, Beers L, Schmitz K, Boudreaux M. Improved contraceptive use among teen mothers in a patient-centered medical home. Journal of Adolescent Health. 2016;59(2):171-176. Accessed on April 27, 2017
Rowlands 2010* - Rowlands S. Social predictors of repeat adolescent pregnancy and focused strategies. Best Practice & Research Clinical Obstetrics Gynecology. 2010;24(5):605–16. Accessed on April 19, 2017
SPTW - Social Programs That Work (SPTW). Full list of programs. Accessed on April 19, 2017
Stevens-Simon 2001* - Stevens-Simon C, Kelly L, Kulick R. A village would be nice but... It takes a long-acting contraceptive to prevent repeat adolescent pregnancies. American Journal of Preventive Medicine. 2001;21(1):60-65. Accessed on May 2, 2017

Citations - Implementation

National Campaign-EPD - National Campaign to Prevent Teen and Unplanned Pregnancy. Effective programs database (EPD): Interventions with evidence of success. Accessed on April 19, 2017

Page Last Updated

May 1, 2017

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