Community-Based Care Management For Teen/Young Adult Mothers and Fathers
Community-Based Care Management For Teen/Young Adult Mothers and Fathers
Teenagers who become parents often struggle with new challenges as they try to take care of
 their children and themselves. Programs that provide teens with support, education, and
 counseling may help teens to become the best parents they can be and reach their own goals.
 Health care providers who take care of pregnant and parenting teenagers are trying to find
 out what types of programs are most helpful for the physical, emotional, and social health of
 pregnant and parenting teenagers. The purpose of this study is to find out what kinds of
 activities help teens be successful as parents and achieve success in their lives.
Pregnant teenagers and teenagers who have children less than 2 weeks old and who attend
 either University Family Medicine, the Maryland Women's Center, Teen Tot Clinic, University
 Care at Edmonson Village, Weinberg Community Health Center, or Maryland General Outpatient
 clinics will be asked to participate in a home visiting and care management program and
 study. Those agreeing to participate are placed into one of two groups. One group receives a
 Home Visiting and Care Management Program along with their usual medical care. The other
 group receives only their usual medical care.

 If placed into the home visiting group, the teen is given a home visitor (also called a Care
 Manager). The Care Manager arranges to meet with the teen every month until the teen's baby
 is 2 years old. The meetings last about 1 hour and usually take place in the teen's home.

 The Care Manager provides 4 Core Services to the teen:

 1. Baseline and ongoing monthly needs assessment for healthcare, mental health, school/job
 attainment, daycare, housing stability;

 2. Computer Assisted Motivational Interviewing (CAMI) sessions with teen mother. In CAMI
 sessions, the teen answers questions on a laptop computer that assess partner
 relationships, sexual behaviors, & risk for repeat pregnancy. Following the assessment,
 the trained Care Manager conducts motivational interviewing, a counseling technique
 aimed at assisting the teen to improve contraceptive and condom use, focus on goals, and
 promote school continuation;

 3. Parenting instruction with a culturally sensitive, developmentally relevant parenting
 curriculum; and

 4. Coordination and linkage with primary care and community partners (e.g. UMB Division of
 Community Psychiatry) with respect to health care, mental health care, and other
 services.

 If the teen grants permission, we will try to contact her baby's father and invite him to
 participate in similar activities.
Inclusion Criteria:

 -  Pregnant teenagers

 -  Ages 12-18 years old

 -  >= 24 weeks gestation

 -  Attending any of 5 West Baltimore prenatal care sites.

 -  Male partner (baby's father) if the pregnant teenager agrees to let the program
 contact him to invite participation.

 Exclusion Criteria:

 -  Age < 18 years and no parent/guardian able to grant consent.

 -  Male partner of a pregnant teen/teen mother if she does not grant consent to let us
 contact him and invite participation.