Family Growth Center: A Community-Based Social Support Program for Teen Mothers and Their Families

Richard Solomon, M.D., Linda Solomon, M.Ed.

FOCUS

SUMMARY

This is a comprehensive, community-based family support program designed to reduce repeat pregnancy and school drop-out rates among adolescent mothers. The program aims to promote
the health and development of teen mothers and their children, providing resources and supports to families so that parents can carry out their responsibilities in a competent manner. Services are offered in both home and neighborhood settings over a multi-year period.

The program targets teen mothers in high-risk neighborhoods (i.e. low socioeconomic status, high
infant mortality, low educational status). Young women are recruited when they arrive for perinatal visits at participating hospitals. Case Managers conduct home visits in the first six months of the infant's life; after six months, the mother and family are offered an array of center-based services at a designated Family Growth Center location. Activities include parenting classes, counseling, transportation services, recreation, grandparents groups, advocacy and referral services.

The original pilot program took place in Pittsburgh in the early 1990s. In the evaluated field study, teen mothers participating in the program had significantly lower repeat pregnancy rates than the control population (3/34 versus 11/29), as well as significantly lower school drop-out rates (3/34 versus 12/29).

SUITABLE FOR USE IN

The Family Growth Center recognizes the family and
neighborhood as two of the most important contexts
of a teenagers life. As such, implementation of the program takes place across multiple locations,
including the teen mothers home, a neighborhood FGC Center, and the participating local hospital(s) in your geographic region. The location of your FGC Center will need to be jointly determined by your staff
and community.

ORIGINAL INTERVENTION SAMPLE

Age, Gender
The original sample included 34 intervention and 29 control first-time pregnant teen mothers and their infants.

Race/Ethnicity
97% African-American, 3% White

PROGRAM LENGTH

This is an intensive, multi-year intervention designed to begin when teens enter the pre-natal units (or newborn nursery units) of their community hospital. Teens, infants and families are visited by case managers in the teens home for the first six months. They are then introduced to the Family Growth Center array of services. Use of these services may continue for at least two years; continuation of services beyond this period is up to the discretion of your program.

STAFFING REQUIREMENTS/TRAINING

Program Director/Program Coordinator: (one or two positions depending on your program
resources)
senior-level positions, considerable experience and advanced degrees in education, social work, child development or other related fields required.
Perinatal coaches: either trained staff at participating hospital(s), or program staff with appropriate training in perinatal coaching.
Case Managers: requires advanced credentials in social work or family and child development (e.g., M.S.W. or L.C.S.W.)
Parent Support Coordinators: an M.Ed. or M.S.W. degree preferred, plus experience working with teens, families and/or young children. Bilingual communication skills highly desirable.
Advocates: a Bachelor of Arts and experience in a
relevant field preferred; bilingual communication skills highly desirable.
Transportation staff: clean Department of Motor Vehicles records and appropriate state class licenses required to drive FGC van/auto.

   Primary Pregnancy Prevention
   Secondary Pregnancy Prevention
   STD/HIV/AIDS Prevention

ORIGINAL SITE
   School-Based
   Community-Based
   Clinic-Based

APPROACH
   Abstinence
   Behavioral Skills Development
   Community Outreach
   Contraceptive Access
   Contraceptive Education
   Life Option Enhancement
   Self-Efficacy/Self-Esteem
   Sexuality/STD/HIV/AIDS Education

COMPONENTS
   Adult Involvement
   Case Management
   Group Discussion
   Lectures
   Peer Counseling/Instruction
   Public Service Announcements
   Role Play
   Video
   Other
Games, audiotape, recreational activities
   

PASHA PROGRAM PACKAGE

The PASHA Program Package for this program includes:

  • PASHA User's Guide
  • Facilitator's Manual
  • Curricular Guidelines for FGC Parenting Classes booklet
  • Staff Orientation Manual
  • Case Manager Log
  • Advocate Logs Booklet
  • Transportation Information and Transportation Logs booklet
  • Sample Client Administrative File
  • Infant Mental Health Seminar booklet
  • Packet of FGC Master Forms
  • FGC Original Evaluation Instruments booklet
  • Prevention Minimum Evaluation Data Set (PMEDS)
  • Local Evaluator Consultant Network Directory

  • Telephone technical support on implementation and evaluation for 1 year