Teen pregnancy in the United States has declined significantly in the last two decades. Despite these declines, rates of teen birth, HIV, and STIs in the United States remain among the highest of any industrialized nation. Socio-economic, cultural and structural factors such as poverty, limited access to health care, racism and unemployment…

This paper draws on the experience of various states in its discussion of questions, issues, and decisions that policymakers face as they plan their states' family support initiatives. The discussion is organized into three parts that correspond roughly with the stages of policy formation, program development, and program implementation and…