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A Community-Based Approach to Teenage Pregnancy Prevention

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Title: PowerPoint Presentation Author: Leisa J. Stanley Last modified by: Jennifer Skala Created Date: 7/28/2003 4:38:55 PM Document presentation format – PowerPoint PPT presentation

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Title: A Community-Based Approach to Teenage Pregnancy Prevention


1
A 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
2
Project 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

3
Coalescing 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

5
TPPI 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

7
Advocacy 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

8
Primary 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)

9
Primary 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)

10
Secondary 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

11
Outcomes
  • 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.

12
Advocacy 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

13
Evaluation 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
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