Gender is a determinant of health relevant to adolescent mothers as they are at risk for repeat pregnancies and at a higher risk for STIs if she is sexually active (Aujoulat et al, 2010). Repeat pregnancies for adolescent mothers is a common concern identified in the literature (Aujoulat et al., Chablani and Spinney, 2011, and Stiles, 2010). This is the rational for most interventions for adolescent mothers to include comprehensive healthcare,including contraception counseling and education.
Interventions and Strategies identified in the literature
Researchers have worked to identify strategies to engage and improve the health status of adolescent mothers. Strategies in the literature focus on increasing education, social support, and personal coping. An overall theme identified in these various strategies is the importance of engagement and the influence of the relationship between the health care worker and the client. Nevertheless, the literature search did not find any interventions that worked to improve income and social status, nor directly address the concern of ineffective parenting skills.
Circle of Care Project
Chablani and Spinney focused the Circle of Care (COC)project as a means to identify and engage high-risk adolescent parents(2011). COC is a partnership between the community-based organization Roca and the Massachusetts General hospital. For this project, researchers focused on adolescent mothers who do not have a stable home environment, such as those who are members of gangs, or have justice system involvement, as these situations lead to a high risk of unhealthy behaviours and negative parenting outcomes(Chablani & Spinney, 2011). This client group is typically excluded from parenting programs. An indispensable characteristic of this project is that it is focused on transformational relationships between the client and the youth worker. The project is stage based and was designed in response to the literature indicating that this population did not respond to traditional home visits, due to a lack of readiness and engagement. Chablani and Spinney identify the project’s goal is to improve the outcomes for high risk parents and their children(2011). The program provided comprehensive health care, primary health care under the direction of a nurse practitioner for this population(Chablani & Spinney, 2011). This component of the program recognized gender as a health determinant linked to concern of repeat pregnancies, along with the prevention of STIs. After one year following the COC project, of 81 participants at the beginning of the project, 90% were still actively involved in the program (Chablani & Spinney). This is significant,as it is a high involvement rate. These adolescent mothers would likely not have been involved in the traditional programs.
The FAST model
McDonald et al. used the FAST model ( Families and School together) combined with multi-family groups in 11...