Adolescent fathers in urban communities: exploring their needs and role in preventing pregnancy

Reductions in the number of adolescent pregnancies in the US demand greater recognition of the role of adolescent males, especially in urban environments, and their developmental needs. With its person-in- environment orientation, the social work profession is in a strong position to ameliorate this gap in services. Key developmental issues for teenage males include "hanging out" with peers in networks that communicate information about social behaviors such as premarital sex, separation from one's parents, securing employment so that there can be financial independence, courtship and the consolidation of a male (e.g., macho) image, and identity formation. Since the resources necessary for positive identity formation are frequently unavailable in poor urban centers, impregnating an adolescent female may become an alternative source of self-esteem. Social workers should, with the assistance of the target population, carry out an assessment of all resources available in a given community to meet the developmental needs of adolescent males, identify significant gaps, determine the extent to which available resources are being used appropriately and develop strategies--in collaboration with young males--to provide access to existing resources or create new ones. A community forum framework has been most effective as a launching vehicle for pregnancy prevention programs.     

'Dealing With It': Experiences of Young Fathers in and Leaving Care

The interface between two major UK Government priorities—reducingunwanted teenage pregnancies and supporting teenage parents,and improving the health and well-being of young people in andleaving local authority care—has been the focus of recentresearch. The overall aims of this study were to explore factorscontributing to early pregnancy and parenthood among young peoplein and leaving local authority care; to determine the kindsof support available to these young people; and to identifywhat enables or prevents the delivery of the support they need.Via in-depth interviews, and in four contrasting geographicalareas, data were collected from young people and service providersacross England. This paper analyses data of relevance to theexperience of young fathers who have been looked after—toconsider how the needs of these young men might be better addressedthrough policy and practice. In-depth interviews conducted withyoung fathers and service providers highlighted three key aspectsof their experience that must be addressed if future needs areto be better provided for. These are: social exclusion, trustand more flexible forms of service provision. The implicationsof these issues for future policy and programme developmentare discussed.     

Keeping the Faith: The Impact of Human Services Restructuring on Catholic Social Welfare Services

Church related agencies are major providers of community services in Australia (Lyons, 2001:34‐35). While the history of church related welfare service provision is not well known in Australia it is asserted that many have a long tradition of outreach and service provision to marginalised groups regardless of the government social policy of the day (ACSWC, 2000; Mendes, 2003). This paper examines the current environment of human services restructuring and the impact of the shift to contractualism on one church related provider: Catholic social welfare provision in Australia. It explores the significance of the church's social teachings and history on concerns that service innovation, diversity and advocacy are currently under threat. Finally it calls for greater appreciation of the distinctive contribution of church related agencies and what they have to offer in service delivery and as contributors to the social policy discourse.     

The problem of teenage pregnancy: an educational imperative

Unmarried pregnant teenagers comprise the most significant challenge to contemporary US social welfare policy. In 1986, never-married women who first gave birth in adolescence represented 37% of all poor, female-headed families. Education has been widely recognized as both a cause and a consequence of adolescent motherhood. Failure to complete high school is a major predictor of poverty and the duration of receipt of welfare benefits. The pattern is intergenerational: teenagers whose parents have not completed high school are substantially more likely to become pregnant and have an out-of-wedlock birth than are their peers whose parents have at least a secondary education. Even when socioeconomic factors are controlled for, unmarried teenage mothers average two years less education than their peers. More critical, the literature suggests, than the number of years of schooling is performance in and attitudes toward school. An adolescent who is performing below grade level and aware that her occupational choices are limited as a result is more likely to choose to become an unwed mother than to seek abortion or adoption. This finding suggests the importance of identifying teenagers with risk factors for out-of-wedlock birth (e.g., coming from single-parent households, low socioeconomic family status, chronic school underachievement) and providing them with enriched educational and occupational motivation and opportunities.     

Conspiracy beliefs about HIV/AIDS and birth control among African Americans: implications for the prevention of HIV, other STIs, and unintended pregnancy

In this article, we examine the potential role that conspiracy beliefs regarding HIV/AIDS (e.g., "HIV is a manmade virus") and birth control (e.g., "The government is trying to limit the Black population by encouraging the use of condoms") play in the prevention of HIV, other STIs, and unintended pregnancies among African Americans in the United States. First, we review prior research indicating that substantial percentages of African Americans endorse conspiracy beliefs about HIV/AIDS and birth control. Next, we present a theoretical framework that suggests how conspiracy beliefs influence sexual behavior and attitudes. We then offer several recommendations for future research. Finally, we discuss the policy and programmatic implications of conspiracy beliefs for the prevention of HIV, other STIs, and unintended pregnancy .     

Welfare Reform and Teenage Girls*

Objectives. Although the problems of teenage girls figured prominently in the passage of welfare reform legislation in 1996, there has been relatively little research on the effects of the new law on this population. This article attempts to fill this gap. Methods. The article employs a difference‐in‐difference methodology to assess program impacts, making use of data from the March Current Population Survey for the years 1989–2001. Results. The main findings are that the 1996 legislation increased school attendance among all teenage girls and reduced the rate of teenage childbearing. Conclusion. These are important behavioral changes that should positively affect the program's long‐term success.     

Longitudinal associations among adolescents’ organized activity involvement and sociopolitical values

Organized activities represent a potentially important context for the development of adolescent sociopolitical values, but few studies have examined longitudinal associations between youths’ sociopolitical values and activity involvement. Adolescents (N = 299, Time 1 M_age = 15.49, SD = .93, 62% female) reported on their organized activity involvement (volunteering, church, sports, arts/music, school and community clubs) and sociopolitical values (materialism, social dominance, authoritarianism, patriotism, spirituality) at baseline and one year later. Greater involvement in arts/music predicted lower spirituality and patriotism one year later and greater involvement in church predicted higher levels of spirituality and lower levels of social dominance one year later. Higher levels of materialism predicted less involvement in arts/music one year later and higher social dominance values predicted less involvement in volunteering one year later. Findings support the importance of organized activities in sociopolitical development, and suggest that sociopolitical values may guide decisions concerning future organized activity involvement.     

Relations among Sadness Regulation,Peer Acceptance,and Social Functioning in Early Adolescence: The Role of Gender

Using a multi‐informant approach, this study examined emotion regulation within the social context of White and Black adolescent peer groups by assessing two aspects of sadness expression management (i.e., inhibition, disinhibition) and their linkages to peer acceptance and social functioning as a function of gender and ethnicity. Seventh‐ and eighth‐grade adolescents (N = 155, 52 percent female, 54.8 percent Black) completed self‐reports and peer nominations of sadness management and sociometric ratings of peer acceptance. Parents rated their child's social competence and social problems. Results revealed specific patterns of sadness regulation across informants that were associated with social functioning and varied by gender, but not ethnicity. Boys were more likely than girls to minimize sadness displays; boys who violated this pattern had lower peer acceptance and higher parent‐rated social problems. In contrast, although girls were rated as displaying overt sadness more frequently than boys, this was unrelated to peer acceptance.     

Young maternal age and low birth weight risk: An exploration of racial/ethnic disparities in the birth outcomes of mothers in the United States

This study considers how low birth weight (LBW) prevalence varies by race/ethnicity and maternal age and explores mechanisms that explain disparities. Results show that maternal age patterns in LBW risk for African Americans differ from Whites and foreign- and U.S.-born Hispanics. Background socioeconomic disadvantage, together with current socioeconomic status and smoking during pregnancy, explain almost all of the LBW disparity between white teenage mothers and their older counterparts. These findings suggest that social disadvantage is a primary driver in unfavorable birth outcomes among white teenage mothers compared to older white mothers. Alternatively, background disadvantage and other social characteristics explain very little of the LBW disparities among African Americans and U.S.- and foreign-born Hispanics. Overall, these results indicate LBW disparities by maternal age are a complex product of socioeconomic disadvantage and current social and behavioral factors, such that LBW risk does not operate uniformly by race/ethnicity or maternal age.     

Understanding Adolescent Female Prostitution: A Literature Review

Correspondence to Dr Jill Jesson. Aston Business School, Aston Triangle, Birmingham B47 7ET. Summary Sexual behaviour and sexuality are currently topical issuesof concern for child care social workers. Social workers arespending more and of more of their time with children who comeinto care because of sexual abuse, or who have an involvementin the ‘rent’ scene or Prostitution. In additionmany teenage young women come into care because of social orparental concern over their lsquo;promiscuous’ behaviour.The review of research on adolescent prostitution offers severalexplanations for involvement in prostitution. which vary accordingto the discipline of the author. Explanations vary from pathologicaland personal psychology factors to the wider social aspectsof the family and local environment. This literature reviewwas used as a basis for research which examined the incidenceof female prostitution for a social services department. Thisis a relatively new field of interest and consequently thereis very little British research published on the issue of adolescentprostitution, or on under age (16) prostitution. There is nopublished research on girls in care and prostitution. We needto know much more about the reality of young people's livesbefore social workers can offer a meaningful response.     

An evaluation of a groupwork intervention for teenage mothers and their families

This paper describes the implementation of a specific, community‐based, multi‐family group (MFG) intervention strategy (Families and Schools Together [FAST] babies) aimed at improving the outcomes for infants of teenage mothers in 11 Canadian communities. The aims of this social work group intervention were (1) to engage the teenage mothers into a socially inclusive experience that might challenge the social disapproval they often experience, (2) to enhance the mother–infant bond, while increasing feelings of parental efficacy, and (3) to enhance the social context of the teenage mother by reducing stress, social isolation and intergenerational family conflict. Groups were co‐led by teams of service users (a young mother, a grandmother of the baby of a teenage mother and a father of the baby of a teenage mother) collaborating with multi‐agency professionals (health visitors and social workers). Teams that reflected the ethnic diversity of the participating family members were trained to facilitate eight weekly group meetings. They showed respect for the young women's ‘voice’, and supported her ‘choice’ to prioritize motherhood as her defining identity. The meetings comprised a range of activities, including crafts and singing, discussion of ‘conflict scenarios’ in cross‐familial, cross‐generational groups, infant massage delivered to babies by the young mothers, grandmother support groups, and a shared community meal. Where necessary, teams made referrals for specialist help. One hundred twenty‐eight young mothers came once to 17 groups, and 90% graduated having attended a minimum of six sessions. Evaluation data from mothers and grandmothers showed positive change when comparing pre and post, based on standardized questionnaires. One‐tailed, paired t‐tests showed statistically significant increases in parental self‐efficacy for the teenage mothers, improved parent–child bonds, reductions in stress and family conflict, and increases in social support. Given that rates of teenage pregnancy in the UK are among the highest in Europe, this paper concludes with a discussion of the feasibility and possible merits of introducing FAST babies to England.     

Opportunity,outlook and coping in poor,urban, African American,late-age,female adolescent contraceptors

This article explored the concepts of resilience, equal opportunity, and coping within a person-process-context model among urban Black adolescents in the US. Data were obtained from narrative accounts and interviews among 20 pregnant and 16 nonpregnant Black female adolescents aged 17 and 19 years. Respondents were recruited from prenatal and family planning clinics of a large metropolitan hospital and were representative of a low-income community with many female household heads and at-risk behaviors. The instruments included a 24-item structured interview of demographic data, and the 56 item semi-structured Pregnancy Adulthood Negotiation of Status Interview (PANSI). The interview elicited responses based on concrete experience, dialogue for assessing knowledge, and an ethic of caring and personal accountability. Contextual analysis revealed seven themes: adulthood preparation, role model formulation, decision-making, protective sensibility, sex and gender role commitment, opportunity mobility, and mate selection. All females shared similar demographics. Most resided in female-headed households and were high school graduates. The subsample differed in behaviors and attitudes on church affiliation, college attendance, registered voter status, sense of care and protection of self and others, self expectancies of social mobility, dating, and mate selection. Nonpregnant females were more likely to have part-time work experience and have mothers with post-high school achievement. Low-income nonpregnant adolescents were effective contraceptors and had social mobility aspirations. Narratives suggest that nonpregnant adolescents had an inner strength and belief, and commitment to advancement of career and vocational goals. The affiliations acted as social supports. These women used skillful coping mechanisms. Clinical social workers should reinforce resilience and work values.     

Being there: a family centre worker's role as a secure base for adolescent girls in crisis

Childcare social work practice with troubled adolescent girls can benefit from drawing on attachment theory, not only as a frame-work for understanding their relationship history and current behaviour but also as a framework for defining the nature and potential value of a specific kind of relationship provided by the social worker. This paper offers an analysis of the relevance of attachment theory for work with adolescent girls, particularly models of secure and insecure attachments, and examines practice experience in a family centre setting. The young women referred to the family centre had experienced a range of adversities, including sexual, physical and emotional abuse, which had seriously affected their development. They were drifting outside the systems of family, education and local authority care, because none of these could hold onto them. The paper describes how the social worker aimed to change their internal working model by offering them a different kind of relationship experience. She provided a secure base from which they could begin to develop trust, to repair their self-esteem and to build a sense of self-efficacy – the necessary ingredients for resilience and for more successful future relationships.     

The Long-Term Effects of Adolescent Childrearing

Data from the National Longitudinal Survey of Mature Women are used to explore the effect of adolescent childrearing on the hourly wages of women in the labor force. Women who were adolescent mothers earn less than other married or previously married women because of a persistent inability to achieve comparable educational levels. Adolescent mothers from more favorable socioeconomic backgrounds do better than other adolescent mothers in terms of education and income but, relative to women from the same background who postponed childrearing, their losses are substantial. Adolescent mothers are also more likely than other women to be or to have been single heads of households, with the economic disadvantages of that status. Public policy approaches to the prohlems of teenage parenthood must consider rhe provision of income resources and child care supports to enable young mothers to complete high school in order to further their chances for eventual self-support.     

PRIMARY PREVENTION OF ADOLESCENT PREGNANCY

The scope and problems of adolescent pregnancy are far reaching. Social workers need strategies to help teenagers avoid early, unwanted pregnancy. This paper gives a promising approach to such primary prevention. Delivered in small groups, the cognitive-behavioral prevention strategy taps theory and empirical data on adolescent sexuality, contraception, and social work group methods. Prevention training incorporates facts about human reproduction and birth control, problem solving, decision making, and interpersonal skills. Results from two field studies describe short-term and longitudinal benefits of the prevention strategy. The paper discusses its benefits and how other social workers can advance cognitive-behavioral prevention.     

Caregiver‐endorsed strategies to improving sexual health outcomes among foster youth

Foster youth are at an increased risk of unintended pregnancies and sexually transmitted infections (STIs) compared with peers. We conducted 11 semistructured focus groups with 86 foster and kinship caregivers in three child welfare jurisdictions to understand their strategies for monitoring and communicating with youth in foster care around sexual health topics, with the overall goal of developing a training for caregivers to reduce STI and unintended pregnancies among youth in foster care. We used thematic analysis to analyse the data. Three main themes emerged: (1) strategies to communicate with youth about sexual health (trust‐building, open/direct communication, tailoring information to each individual youth, creative conversation‐starters, and self‐education), (2) strategies for monitoring youth (e.g., tailoring monitoring to youth development/characteristics, clearly communicating rules, co‐development of rules, spending time with youth/friends/friends' parents, using technology, using a social support system), and (3) other strategies to promote positive youth development (advocating for youth, engaging youth in goal‐setting). Trainings that provide caregivers with (1) information on sexual health and normal adolescent development and (2) strategies and skills to help caregivers engage in open, evidence‐informed communication, and monitor youth in a tailored, developmentally‐informed manner are likely to improve reproductive health and other outcomes among youth in foster care.     

Teenage Awareness of Family Planning Matters

Despite the rhetoric surrounding the adequacy of existing sex education/or young persons, little attempt has been made by local researchers to quantify teenage sexual awareness. While previous researchers have used Likert-type inventories to quantify sexual knowledge indirectly, the ‘perceived adequacy’ approach does not provide a realistic basis for evaluating sexual awareness. A 24-item multiple choice Sexual Knowledge Inventory was therefore developed by the author and administered in group form to 447 teenagers sampled from six private schools in the Brisbane Statistical Division. Data indicated that the family unit has failed to provide many young persons with reliable information about family planning matters. Multiple regression analysis revealed exposure to a formal school-based sex education program to be the most powerful predictor of awareness, with birth order, family size and social status background also emerging as significant predictors of family planning knowledge.     

A Pedagogical Model of Clinical Supervision of Adolescents as Therapeutic Caretakers for Children and Each Other

This article describes a model of supervision provided to adolescents who function as therapeutic “caretakers” with children in a unique neighborhood community mental health organization located in the South Bronx. Rooted in theories of community mental health, social support, and pedagogy, the article describes the recruitment process, training, and supervision given to the organization's adolescent “caretakers” to ensure that they will develop the attitudes and skills needed in their therapeutic interactions with children. Particular emphasis is placed on “in vivo” supervisory processes derived from the organization's pedagogical model. The model's usefulness is not limited to training adolescent therapeutic caretakers and is readily applicable to training professional or nonprofessional helpers in a variety of settings (e.g., collaborative partnerships with schools and community agencies where personnel are trained to serve directly or in an auxiliary role as therapeutic change agents).