Title: A Community-Based Approach to Teenage Pregnancy Prevention
1A Community-Based Approach toTeenage Pregnancy
Prevention
- Leisa J. Stanley, PhD(c),MS
- Associate Executive Director
- Healthy Start Coalition of Hillsborough County
CityMatCH Conference Pittsburgh, PA August 23-25,
2003
2Project Partners
- Healthy Start Coalition
- Leisa J. Stanley, PhD(c), MS Associate Executive
Director - Pamela Sullins, RN, Director of Development
- John Harris, MPA, Information Systems Manager
- Hillsborough County School System
- Mary Ellen Gillette, RN, Former Director of
School Health and Social Services - Hillsborough County Health Department
- Faye Coe, RN, Assistant Community Health Nursing
Director - Tampa Bay YMCA
- Bobbi Davis, PhD, Grants Administrator
- Renee Rivera, Program Manager, Success Centers
3Coalescing the Community What we did to make
teenage pregnancy prevention a priority
- Child Watch
- October 1994
- 30 key community business leaders
- Speech Facts versus Myth of Teenage Pregnancy
- Site Visits
- Report State of Teenage Pregnancy in
Hillsborough County
4- Teen Pregnancy Prevention Initiative (TPPI)
- 1995-1996 community planning
- 68 community agencies
- Developed model for teenage pregnancy prevention
- Primary prevention of first pregnancy
- Secondary prevention of second pregnancy and
healthy pregnancy outcome - Tertiary finish school, child care, job
training/placement
5TPPI MODEL Teenage Pregnancy Prevention
Intervention
SECONDARY
TERTIARY
PRIMARY
School Health Mental Health l ESPDT
Positive Youth Development Programs
- Curriculum
- Project Achieve
- ENABL
- Human Growth and Dev.
- AIDS Education
- Life Management
GED
Job Training
After School Programs
SCHOOLS Care Coordination
School Athletics
Childcare
Early Sexual Abuse ID and Intervention
Education Support/ Tutoring Programs
Parenting
Mentoring Programs
Sibling Programs
Youth Shelters
Home Visitation Program Healthy Start, etc.
Parenting
Early Substance Abuse ID and Prevention
Community-Based Medical WIC
Male Responsibility Programs
6- Child Health Investment Project (CHIP)
- 1996-1997 - advocacy
- Need to secure hub of model in school system
- Involvement of same agencies as in TPPI
- Nurse in every school
- Identification of at-risk youth in school
- Referrals out to community-based agencies
- Contact for community to become involved in
schools - Linkage of students with health insurance/medical
providers
7Advocacy for TPPI/CHIP
- Briefing papers/proposals/presentations supported
by data and research - Written endorsements from 15 key agencies
- Editorials in two major papers
- Tampa Tribune
- St. Petersburg Times
- Presentations to key funders
- School Board
- County Health Plan
- Board of County Commissioners
- Local childrens services council funding
priority - Legislative Support
- Special local bill to fund school nurses -
500,000
8Primary Prevention - 1998
- YMCA Success Centers
- Four Success Centers
- Location selected by zip code and school district
based on teen birth rate in that area - After school program and all day summer program
- Served 297 youth in the 5th-9th grades
- Services/educational areas (11,378 contacts)
- Gender Specific (2625 contacts)
- Developmental (4562 contacts)
- Community Service (840 contacts)
- Educational/Vocational (2676 contacts)
- Progress Meeting (668 contacts)
9Primary Prevention - 1998
- School System Prevention Specialists
- Five prevention specialists in ten middle schools
- Same areas as Success Centers
- Teach ENABLE curriculum to 2800 6th graders
- Provide individual and group counseling to 405
middle school students (6th-8th grades) - 3095 contacts
- 1091 individual contacts
- 2044 group contacts
- Gender Specific (536 contacts)
- Educational/Vocational (584 contacts)
- Developmental (1158 contacts)
- Community Services (384 contacts)
- Progress Meeting (210 contacts)
10Secondary and Tertiary Prevention - 1998
- Healthy Start - Intensive Teen Parenting Program
- 4 community health nurses 1 social worker
- Minimum of bi-weekly home visits or school visits
- Services
- Served 356 pregnant and parenting teens (lt 16
years old) - 6000 services provided
- 2151 face to face encounters 708 non face to
face encounters - Education provided included family planning,
parenting education, breastfeeding education
smoking cessation - Education and referrals regarding completing
school/GED - Securing subsidized child care Internet
Parenting Class
11Outcomes
- Reduction in Teenage Live Birth Rate
- 10-14 year old 35.5 reduction
- 15-17 year old 31.4 reduction
- Repeat Live Births 6.9 reduction
- Reduction in Low Birth Weight Births to Teens
- Reduction in Infant Deaths to Teens
- 5 pregnancies this past year for females enrolled
in primary prevention programs. 1 dropped out of
school.
12Advocacy Fundraising
- Funding Issues
- Workforce Alliance Board 67 budget reduction
- Local Childrens Services Council
- County Commission
- Advocacy
- Newspapers (press releases, editorials and Letter
to the Editor) - Elected officials
- Presentations and office visits
- Presence at board and county commission meetings
- BOCC voted to fund 50 of need in partnership
with local Childrens Services Council funding
other 50
13Evaluation Framework
- Empowerment Evaluation Model
- Included all of our partners (continuous)
- Outlined data to collect and what to measure
- Evaluation Components Logic Model
- Process Indicators (demographicsservices)
- Interim Indicators pilot this fall (attitudes
beliefs) - Outcome Indicators (pregnancies juvenile
justice) - Key to advocacy and fundraising