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. 2012 Oct;102(10):1879-85.
doi: 10.2105/AJPH.2012.300766. Epub 2012 Aug 16.

Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children

Joanne E Cox  1 , Matthew P Buman, Elizabeth R Woods, Olatokunbo Famakinwa, Sion Kim Harris
Affiliations

Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children

Joanne E Cox et al. Am J Public Health. 2012 Oct.

Abstract

Objectives: This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes.

Methods: In this prospective, single cohort demonstration project, adolescent mothers (14-18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed.

Results: A total of 181 adolescents enrolled, with 79.6% participating for 2 years. At 2 years, 90.2% of children were completely immunized. Children and adolescent mothers met standards for health care visits, and adolescent condom use improved. Rates of cumulative repeat pregnancy were 14.7% and 24.6%, school attendance 77.6% and 68.7%, and employment 21.2% and 32.3% at 1 and 2 years, respectively.

Conclusions: A medical home model with comprehensive and integrated medical care and social services can effectively address the complex needs of adolescent parents and their children.

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Figures

FIGURE 1—
FIGURE 1—
Elements of medical home model for Raising Adolescent Families Together Program.
See this image and copyright information in PMC

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