A review of the chance to grow project: A care project for pregnant and parenting adolescents

This paper reports on the process and outcome of an innovative program for pregnant and parenting adolescents, the Chance to Grow Project. One hundred sixty-one pregnant adolescents were exposed to intensive decision-making counseling and case management services. These young women were followed for 24 months, as were 87 pregnant teens who served as a comparison group. The results of the analysis suggest a number of important findings. These include a much higher placement for adoption of the babies of the program participants, higher levels of school retention, economic self-sufficiency, and more responsible sexual behavior on the part of the participants. This article describes the Chance to Grow Project in detail and suggests some important practice implications which can be drawn from this analysis.The Chance to Grow Project and its associated evaluation was funded by Office of Adolescent Pregnancy Programs, Office of Population Affairs, Department of Health and Human Services (Federal Grant Number APH 000128-05); Robert H. Brethen Foundation; Christ Child Society; Louise Kramer Foundation; Mathile Family Foundation; Charles McNamee Foundation; Gerald and Carole Miller Family Foundation; Montgomery County Community Human Services; United Way of Dayton; and the University of Dayton.     

Longitudinal Evaluation of a Teenage Pregnancy Case Management Program in Oklahoma

The purpose of this study was to evaluate the efficacy of a school-based case management intervention in reducing teen-pregnancy. A nonrandomized intervention/comparison schools mixed-method evaluation design was employed. Participants included 203 pregnant and parenting teens with annual follow-up over a 3-year period. The results indicated that the time to repeat pregnancy was delayed among pregnant teens, high school drop-out rates were reduced among parenting teens, and pregnant teens were less likely to deliver before 36 weeks in the intervention versus the comparison school. Case management at a school setting is a promising approach to decrease repeat teen pregnancy.     

The Adolescent Family Life Program and Adoption Research

Abstract

The Office of Population Affairs administers the Adolescent Family Life Program. Authorized in 1981, the Adolescent Family Life Act funds adolescent pregnancy prevention programs as well as care programs for pregnant and parenting teens. It also funds research into related issues, including adoption. A primary purpose of the Adolescent Family Life Program is to develop and test approaches that encourage adoption as an alternative to abortion. However, both abortion and adoption rates have dropped since the program was instituted. While existing research has answered some of the questions surrounding adoption, there is need for additional research into the factors associated with adoption. The Office of Population Affairs is actively seeking creative, well-conceived proposals that address some of the as yet unanswered questions.     

Pregnant and Postpartum Adolescents' Perceptions of the Consequences of Child Abuse

A study of 263 pregnant and postpartum indigent and minority teens was conducted in order to examine their perceptions of the consequences of child abuse and their own child abuse history. Teens identified drug and alcohol abuse and teen suicide as the most serious consequences of abuse. Interestingly, they did not identify pregnancy as a consequence. Twenty-seven percent reported a history of abuse. Identifying behavioral and emotional consequences of abuse is important because it affects both the well-being of the adolescent mother and her child. An experience of abuse and its behavioral consequences may interfere with a teen's ability to benefit from parenting intervention programs. Therefore, parenting programs may wish to consider the necessity of screening for a history of abuse as well as adding components on behavioral problems adolescent mothers are concerned about. Additionally, there is a need to reach out to pregnant, parenting and future parents in other settings such as prisons, psychiatric, and residential centers, since issues of abuse may coexist with other behaviors.     

A Study of An Alternative School for Pregnant and/or Parenting Teens: Quantitative and Qualitative Evidence

In response to multiple problems faced by pregnant and parenting teens, many alternative school-based comprehensive programs have been established throughout the United States. By collecting data from a sample of enrollees of such a school-based comprehensive program and comparing them with data collected from a sample of non-enrollees, the present study systematically evaluates the program. The results of the study seem to suggest that the program participants were more likely to have higher educational aspiration, better reproductive health outcomes, higher contraceptive use, and more breast-feeding practice and intention than those of their non-participating counterparts. The implications of the study findings for comprehensive school-based program for pregnant and/or parenting teens are discussed.Ruhul Amin is a Senior Fellow at the Center for Health Disparities Solutions and Senior Research Scientist in the Institute for Urban Research, Morgan State University, Baltimore, MD 21239. Dorothy C. Browne is the Director of the Institute for Urban Research, Jamir Ahmed is a research assistant at the Center for Health Disparities Solutions and Takanori Sato is research assistants at the Institute for Urban Research, Morgan State University, Baltimore, MD 21239.     

Adoption's forgotten clients: Birth siblings

Many birthmothers who make an adoption plan for the child they are carrying have other children they are currently parenting. It is our concern that the needs of these children are too often overlooked. This paper describes how one adoption agency has begun to address the special and unique needs of birthmothers and the children they are parenting. Critical issues for the birthmother and her children are outlined with suggestions for interventions at various life stages.     

Minding the (Information) Gap: What Do Emerging Adult Adoptees Want to Know About Their Birth Parents?

Abstract

The formation of an adoption information gap was examined for a group of 169 emerging adults (M?=?25.0?years) who were adopted as infants. Participants completed interviews and questionnaires at adolescence and emerging adulthood (late teens to 20s). The Adoption Curiosity Pathway model guided research questions about formation of an adoption information gap, which exists when there is a difference between what an adopted person knows and what he or she desires to know regarding his or her adoption. In addition, specific issues were identified about which emerging adults were curious. Differences in these specific issues were examined across gender and openness arrangement with birth parents at emerging adulthood. The most frequently sought information was medical and health history. Logistic regression analyses revealed that the formation of an adoption information gap, which contains the specific items of curiosity, was more likely for those who were less satisfied with the amount of openness with birth parents during both adolescence and emerging adulthood. Implications for practice are presented.     

Adoptions by Single Parents

Adoptions by single parents are thought by the public and by adoption professionals to be a plan for children needing adoption which is less advantageous for the child than a two parent adoption. For this reason, children who are difficult to find homes for are often placed with single parents; these are usually older children whose experiences have led to emotional and behavioral problems. Single persons who wish to parent an infant often adopt a child from another country. A review of the literature concerning single parent adoptions, and examination of the findings of a longitu- dinal study, indicate that the single persons who adopt are well able to carry out the responsibilities of parenting. They handle the special issues of adoption competently. Because children placed with single parents are frequently children with complex needs, and because single parents do not have a partner to share the responsibilities of parenting, continuing support from family and friends, the commu- nity, and from the adoption agency are important. Children adopted by single parents are as well adjusted as children adopted into two parent homes. There is some evidence that single parent homes may have unique strengths and be the placement of choice for some children.     

African American Adolescent Girls in Impoverished Communities: Parenting Style and Adolescent Outcomes

The relationship between parenting style and adolescent functioning was examined in a sample of 302 African American adolescent girls and their mothers who lived in impoverished neighborhoods. Although previous research has found that authoritative parenting, as compared with authoritarian, permissive, and disengaged parenting, is associated with positive adolescent outcomes in both European American, middle‐class and large multiethnic school‐based samples, these parenting categories have not been fully explored in African American families living at or near poverty level. Data were collected from adolescent girls and their self‐identified mothers or mother figures using in‐home interviews and self‐administered questionnaires. Parenting style was found to be significantly related to adolescent outcome in multiple domains including externalizing and internalizing behaviors, academic achievement, work orientation, sexual experience, and pregnancy history. Specifically, teens whose mothers were disengaged (low on both parental warmth and supervision/monitoring) were found to have the most negative outcomes.     

Identity Transformation and Family Caregiving: Narratives of African American Teen Mothers

This article explores connections between informal caregiving and identity transformation as experienced by pregnant teens. Based on in‐depth interviews with 51 African American teen mothers, the article examines teens’ pregnancy narratives as an example of narrative repair, illuminating how attending to processes that connect one’s identity to the care of others can work to empower individuals to resist threats to a positive sense of self or a damaged identity. The authors suggest that family caregiving can provide an important context that supports identity transformation not only among pregnant teens as they strive to become good mothers but among those experiencing other types of disruptions to their lives.     

Are There Homeless Youth in My Community? Differences of Perception Between Service Providers and High School Youth

While teen homelessness, like all homelessness, is increasing, there have been few solid estimates of the actual number of teens effected. A twofold methodology to count homeless teens was used in the Seacoast region of New Hampshire and Maine. Social service agencies were contacted to obtain a count of homeless adolescents, and over 3000 high school age teens were surveyed in the seacoast ofNew Hampshire and southwestern Maine to identify how many were homeless. By using different definitions of homelessness, it was found that a minimum of 5% of all teens in high school reported that they had been homeless sometime during the past year. When using a broadened definition of homelessness, it was found that 20% of the teens regularly stayed with others. However, this experience was not identified by social service providers, who reported that teen homelessness simply was not a problem in their communities. In order to more accurately describe the phenomenon experienced by teens, it is proposed that the term “homelessness” should be replaced with a more inclusive word, such as “housing distress.”     

Shared Parenting After Divorce: A Review of Shared Residential Parenting Research

One of the most complex and compelling issues confronting policymakers, parents, and the family court system is what type of parenting plan is most beneficial for children after their parents' divorce. How much time should children live with each parent? An increasing number of children are living with each parent at least 35% of the time in shared residential parenting families: How are these children and their parents faring? In what ways, if any, do divorced parents who share the residential parenting differ from parents whose children live almost exclusively with their mother? How stable are shared residential parenting plans? By reviewing the existing studies on shared parenting families, these questions are addressed.     

An Effective Adoption Education Program That Can Be Replicated

ABSTRACT

The article details the creation, development and organization of a public adoption education agency. Founded in 1986, Adoption Option, Inc. has become a catalyst for a broad array of adoption education activities in Southwestern Ohio. These activities center around a three-step education initiative which targets three groups: (1) people who have direct contact, and a counseling role, with pregnant women/teenagers and their partners and families; (2) adolescents who are being schooled in family life, sexuality and health programs; and (3) the general public. The three program areas for carrying our the agency's mission are: (1) a training program for individuals who counsel and assist women and teens with unplanned pregnancies which provides factual information about adoption and how to present it in a non-directive way; (2) educational programs to put adoption into school-based health curricula aimed at students ages 12-18; (3) a media initiative to convey accurate information about adoption. The agency and its successful programs can be replicated by individuals who are interested in making their communities more adoption-literate and adoption friendly.     

Factors Associated with Adoption and Adoption Intentions of Nonparental Caregivers

ABSTRACT

Data from the 2011–2012 National Survey of Children's Health and the 2013 National Survey of Children in Nonparental Care were used to fit a multinomial logistic model comparing three groups to those who never considered adoption: those who ever considered but are not currently planning adoption, those planning adoption, and those who adopted. Adoption may be more likely when the caregiver is a non-kin foster parent, a foster care agency was involved, and/or financial assistance is available. Those with plans to adopt but who have not adopted may face adoption barriers such as extreme poverty, lower education, and being unmarried.     

Retirement plan participation and features and standard of living of Americans 55 or older

This Issue Brief is the third in a series of Employee Benefit Research Institute (EBRI) publications based on data collected in 1998 and released in 2002 as the Retirement and Pension Plan Coverage Topical Module of the 1996 Survey of Income and Program Participation (SIPP). This report completes the series by examining the survey's more detailed questions concerning workers' employment-based retirement plans. Specifically, it examines the percentage of workers who are participating in a plan, and also workers' reasons for not participating in a plan when working in a job where a plan is sponsored; the features of, or decisions made concerning salary reduction plans; historical participation in employment-based retirement plans; and a comparison of the standard of living of individuals age 55 or older with their living standard in their early 50s. As of June 1998, 64.3 percent of wage and salary workers age 16 or older worked for an employer or union that sponsored any type of retirement plan (defined contribution or defined benefit) for any of its employees or members (the "sponsorship rate"). Almost 47 percent of these wage and salary workers participated in a plan (the "participation rate"), with 43.2 percent being entitled to a benefit or eligible to receive a lump-sum distribution from a plan if their job terminated at the time of survey (the "vested rate"). The predominant reason for choosing not to participate in a retirement plan was that doing so was unaffordable. The eligible participation rate for salary reduction plans was 81.4 percent. Fifty-six percent of all workers have participated in some type of retirement plan sometime during their work life through 1998. For those ages 51-60, almost 72 percent have ever participated in a plan. The median account balance in salary reduction plans in 1998 was $14,000. In 1998, 12.9 percent of salary reduction plan participants eligible to take a loan had done so, and the average outstanding loan balance was $5,196. Nearly 80 percent of those age 55 or older reported that their standard of living is about the same or better now than it was when they were in their early 50s. The incidence of both pension income and health insurance from a former employer had a significant impact on retirees' ability to maintain their standard of living. In addition, those who spent their entire most recent lump-sum distribution were more likely to have a much worse standard of living in retirement than those who rolled over their entire most recent distribution.     

Multi-Systemic Influences on the Family Functioning of Teens Attending Pregnancy Prevention Programs

This exploratory study used Bronfenbrenner's (1979) multi-systemic framework to determine the factors predicting scores on the McMaster Family Assessment Device (FAD) with a sample of low SES and culturally diverse (White non-Hispanic, African-American, and Hispanic) teenagers attending both primary and secondary pregnancy prevention programs. Factors studied at the individual (micro) level involved the adolescent's pregnancy status; at the level of the immediate social environment (meso), family structure was assessed, and SES and race were studied as broader social environment influences (macro). Overall, scores on the FAD were high, indicating unhealthy functioning according to teen self-reports. Support was indicated for the Bronfenbrenner model with all three systems levels exerting an influence on family functioning. Adolescents who had grown up in homes without their parents seemed most at risk for perceptions of poor family functioning although racial differences were found. Overall, minority teens rated their families as higher functioning. Pregnancy and parenting as a teenager also appeared to put a strain on family functioning. Implications for service delivery are discussed.     

Substance-Using Pregnant and Parenting Adolescent Girls: Considerations for Preventive Intervention Using a Resilience Lens

Evidence is needed to develop substance use prevention programs addressing the needs of adolescent mothers, yet there remains a paucity of research examining the lived experience and context of substance use among adolescent girls who report the use of substances while pregnant and parenting. This mixed-method research considers substance use and pregnancy simultaneously rather than as separate issues and suggests how findings might inform preventive intervention programming using a lens of resilience theory. Participants were pregnant and parenting adolescent girls in Grades 8 to 12 who reported the use of substances while pregnant or parenting. Fourteen participants completed an interview describing their experience of pregnancy and motherhood and the context of their substance use. Thirty-three participants completed an adapted American Drug and Alcohol Survey describing their substance use. Findings suggest potential strengths and vulnerabilities that could be addressed in preventive intervention approaches for this distinct population of girls.     

INFORMING RETIREMENT SAVINGS DECISIONS: A FIELD EXPERIMENT ON SUPPLEMENTAL PLANS

Although supplemental saving plans can be an important part of an individual's financial security in retirement, contribution rates remain low, particularly among those with lower salaries and less education. We report findings from an intervention that provided information on key aspects of the employer‐provided supplemental saving plans to older public employees in North Carolina. Among workers participating in a supplemental plan, individuals who received an informational flyer increased their contributions in the months following the intervention relative to the control group. In contrast, individuals who were not enrolled in a retirement saving plan were not moved to begin contributing to a supplemental plan. The results suggest that informational interventions can induce workers who are already engaged in the saving process to reassess their level of retirement preparedness. (JEL C93, D14, D9)     

Some factors related to contraceptive behavior among Wind River Shoshone and Arapahoe females

During the summer of 1972 in-depth interviews were conducted with 96 Shoshone and Arapahoe Indian women living on the Wind River Reservation in Central Wyoming. All were aged 15-49 and were users of the reservation health service. It was found the women fell into 4 groups: current contraceptive users, 42.7%; pregnant or seeking to become pregnant, 10.4%; infertile due to menopause or sterilization, 18.8%; and fertile never-users, 28.1%. The contraceptive users tended to be older, married, and have as many children as they want. The fertile never-users tended to be in their teens and generally unmarried. When asked why they did not use contraception their answer was 'because I am not married.' It is suggested that general education on contraception be provided the younger women so that when they achieve desired family size they will be informed as to family planning methods. It was found that religious belief against contraception was important to the young never-users, but not to the women who had completed their families. In fact, 73% of the users said their religion, which most identified as Roman Catholicism, had no influence on their contraceptive use while 27% said they were aware of church disapproval but used contraception anyway.     

Family influences on adolescent sexual and contraceptive behavior

Studies of adolescent pregnancy risk are relevant to understanding responsible adolescent sexual behavior because most investigators have focused on the key proximal determinants of pregnancy--sexual intercourse and contraceptive use--rather than analyzing pregnancy status per se. Lesser pregnancy risk is associated with teens remaining sexually abstinent, postponing onset of intercourse, and having intercourse less often or with fewer partners, as well as by using contraception at first or most recent intercourse and by using contraception consistently over time. Living with a single parent, in a lower SES family, having older sexually active siblings or pregnant/parenting teenage sisters, being a victim of sexual abuse, and residing in disorganized/dangerous neighborhoods all place teens at elevated risk of adolescent pregnancy. Parent-child closeness or connectedness, and parental supervision or regulation of children, in combination with parents values against teen intercourse (or unprotected intercourse), decrease the risk of adolescent pregnancy. Studies about parent-child sexual communication and adolescent pregnancy risk are less conclusive, largely because of methodological complexities.