Maternal, Infant, and Early Childhood Home Visiting legislation permits states to fund "promising practices"--with the understanding that these models will have a rigorous evaluation component. This article describes an innovative, low cost paraprofessional home visiting model developed in Pennsylvania by the Maternity Care Coalition. In…

Minnesota provides supplemental state funding to existing federal Head Start and Early Head Start (EHS) grantees to increase their capacity to serve additional infants, toddlers, and pregnant women. The initiative was started in 1997 when the state legislature earmarked $1 million of the general state Head Start supplemental funds for children…

Missouri's Early Head Start/Child Care Partnership Project expands access to Early Head Start (EHS) services for children birth to age 3 by developing partnerships between federal Head Start, EHS contractors, and child care providers. Head Start and EHS contractors that participate in the initiative provide services through community child care…

Teaching pregnancy prevention to large groups offers many challenges. This article describes the use of film clips, with guided discussion, to teach pregnancy prevention. In order to analyze the costs associated with teen pregnancy, a film clip discussion session based with the film "The Gloucester 18" was the keynote of a youth summit. The lesson…

Out-of-wedlock pregnancy among adolescents in sub-Saharan Africa is a major concern, because of its association with health, social, psychological, economic and demographic factors. This article describes the development of the Teenage Mothers Project, a community-based intervention to improve psychological and social well-being of unmarried…

As part of their 10-year $60 million Teenage Pregnancy Prevention Initiative, The California Wellness Foundation funded 18 state and local organizations to conduct policy advocacy to strengthen teen pregnancy prevention policies. This article describes how some of these grantees accomplished noteworthy goals, including the passage of the…

Kansas Early Head Start (KEHS) provides comprehensive services following federal Head Start Program Performance Standards for pregnant women and eligible families with children from birth to age 4. KEHS was implemented in 1998 using Child Care and Development Block Grant (CCDBG) quality set-aside dollars augmented by a transfer of federal…

Maine has two initiatives that build on Early Head Start (EHS). The first initiative, Fund for a Healthy Maine, has since 2001 provided tobacco settlement money to existing Head Start and EHS programs to expand the number of children who receive full-day, full-year services. Local programs have the option of using these funds for EHS, depending on…

The clash between Western and Indigenous ways of knowing has been epitomized by the "parachuting model" of the Western researcher who drops onto the reservation, collects data, and leaves, never to be heard from again. The strengths of indigenous science, for example, observation and contextual factors, are either ignored or…

Science-Based Approaches (SBAs) have a number of specific characteristics. First, the development and implementation of an SBA must be fully informed by rigorous research. Second, an SBA must use strategies accepted in the scientific community as thorough and reliable. Third, the evaluation of an SBA must have shown it to be effective in achieving…

In 1981, the first grants for what later came to be called "abstinence-only" programs were authorized under the Adolescent Family Life Act (AFLA). Sponsored by congressional family planning opponents, AFLA was promoted as a "family-centered" alternative to contraceptive counseling and services to teenagers; instead, this…

This paper describes the conception, planning, implementation and evaluation of an access programme arising out of an innovative collaboration between two charities, Straight Talking and the National Childbirth Trust. The access programme was designed at the request of a group of young mothers who had finished compulsory education and subsequently…

The reproductive health of American adolescents has been, and continues to be, a matter of serious concern. America's teen birth rate--already the highest among developed nations--is again on the rise, and rates of sexually transmitted diseases among American teens are very high. As such, the development and identification of effective…

Describes the use of multilevel models (MLMs) for studies in which individuals are randomized by groups to treatment condition. Uses data from the Safer Choices study, an evaluation of a theory-based multi-component program to prevent sexually transmitted diseases and pregnancy, to illustrate the application of MLMs for both continuous and…

This memo provides information on staffing and services provided at the North Division High School adolescent health clinic for two phases of the clinic's operation: calendar year 1989, when the Milwaukee Comprehensive Community Health (MCCH), Inc. operated the clinic; and from July 1 to December 31, 1990, when the clinic was under the…