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A Community-Based Approach to Teenage 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 Project Partners Healthy Start Coalition

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a community based approach to teenage pregnancy prevention

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

project partners
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
coalescing the community what we did to make teenage pregnancy prevention a priority
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
slide4
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
slide5

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

slide6
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
advocacy for tppi chip
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 children’s services council – funding priority
  • Legislative Support
    • Special local bill to fund school nurses - $500,000
primary prevention 1998
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)
primary prevention 19989
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)
secondary and tertiary prevention 1998
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 (<= 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
outcomes
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.
advocacy fundraising
Advocacy & Fundraising
  • Funding Issues
    • Workforce Alliance Board – 67% budget reduction
    • Local Children’s 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 Children’s Services Council funding other 50%
evaluation framework
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 (demographics;services)
    • Interim Indicators – pilot this fall (attitudes; beliefs)
    • Outcome Indicators (pregnancies; juvenile justice)
  • Key to advocacy and fundraising