Personal Responsibility Education Innovative Strategies Program Fact Sheet
Family and Youth Services Bureau
To support the organizations and communities that work every day to reduce the risk of youth homelessness, adolescent pregnancy and domestic violence.
A future in which all our nation’s youth, individuals and families—no matter what challenges they may face—can live healthy, productive, violence-free lives
Through the Personal Responsibility Education Innovative Strategies Program (PREIS), the Family & Youth Services Bureau (FYSB) supports entities that implement innovative strategies for preventing adolescent pregnancy, sexually transmitted infections (STIs), including HIV/AIDS. PREIS projects conduct rigorous evaluations of a broad range of approaches to teen pregnancy prevention with a focus on interventions that fill gaps with new and promising program models. These innovative approaches must be medically accurate, age appropriate, and adhere to principles of trauma-informed care.
PREIS programs must serve youth, ages 10—19, who are at high-risk for pregnancies. This group includes youth in or aging out of foster care, homeless youth, youth with HIV/AIDS, victims of human trafficking, pregnant and/or parenting youth who are under age 21, and youth who live in areas with high teen birth rates. Programs must place substantial emphasis on both education on abstinence and contraception education for the prevention of pregnancy and STIs. PREIS projects must also educate young people in at least three of the six congressionally mandated adult preparation subject areas below:
- Healthy relationships, including marriage and family interactions
- Adolescent development, such as the development of healthy attitudes and values about adolescent growth and development, body image, racial and ethnic diversity, and other related subjects
- Financial literacy
- Parent-child communication
- Educational and career success, such as developing skills for employment preparation, job seeking, independent living, financial self-sufficiency, and workplace productivity
- Healthy life skills, such as goal-setting, decision making, negotiation, communication and interpersonal skills, and stress management
Section 2953 of the Patient Protection and Affordable Care Act of 2010 (Public Law (Pub. L.) No. 111-148) established PREP. PREP is authorized and funded by Section 513 of the Social Security Act (42 U.S.C. § 713), as amended by Section 50503 of the Bipartisan Budget Act of 2018 (Pub. L. No. 115-123) extended by Section 3822 of the CARES Act, 2020 (Pub. L. No. 116-136).
Measuring Progress & Performance
The U.S. Department of Health & Human Services (HHS) oversees the effectiveness of each PREP project. The Administration for Children & Families (ACF) collects the following broad categories of performance measures to facilitate this oversight:
- Measures of structure, cost, and support for implementation
- Measures of attendance, reach, and dosage
- Participant characteristics
- Measures of participants’ behavioral intentions and perceptions of the program and its intended effects
Grantees use these performance measures to track their progress in achieving program goals; monitor program providers and implementation sites; plan for training and technical assistance needs; share progress with funders and other stakeholders; identify opportunities for coordination, collaboration, and referrals; and enhance planning for sustainability.
Grant Award Process
FYSB awards funds on a competitive basis in the form of five-year cooperative agreements at approximately $9 million annually. The first cohort of PREIS (fiscal year (FY) 2010—FY2015) consisted of 11 grantees. In FY2019, $9.7 million was awarded to 12 organizations. Additional information on PREIS projects can be found in the PREIS Grantee Profiles.
Through the Personal Responsibility Education Program Innovative Strategies (PREIS), FYSB supports research and demonstration projects that implement innovative strategies for preventing pregnancy among youth ages 10-19 who are homeless, in foster care, live in areas with high teen birth rates, come from racial or ethnic minority groups, or have HIV/AIDS. Projects can also target pregnant women and mothers who are under 21 years old and their partners. PREIS is administered by FYSB in collaboration with the Office of Adolescent Health’s Teen Pregnancy Prevention Research and Demonstration Program.