This brief was developed as part of a portfolio of youth-focused projects on sexual risk avoidance and cessation sponsored by the U.S. Department of Health and Human Services. The brief presents two initial, complementary conceptual models—one for sexual risk avoidance and a second for sexual risk cessation—that aim to guide efforts to prevent youth risk behaviors and promote optimal health. The models identify a range of factors that research shows may influence youth decision making, sexual behavior, and related outcomes. These influencing factors occur at the environmental, interpersonal, or individual level, and many can be modified through intervention. To this end, the models may be used to guide and support efforts to develop and refine programs, tailor educational messages to youth, and empower parents and other adults to help youth avoid or cease sexual and non-sexual risk behaviors. In particular, the sexual risk cessation conceptual model is supporting the development of a sexual risk cessation program model and related supplemental curriculum module, intended to help sexually-experienced youth avoid sexual activity in the future.
HHS conducts regular reviewsVisit disclaimer page of the evidence base for teen pregnancy prevention programs. To that end, seven new programs have demonstrated evidence of effectiveness, which increases the number of programs meeting the criteria from 37 to 44.
The Family and Youth Services Bureau is sponsoring a federal evaluationVisit disclaimer page of the PREP program. This report describes the overall goals of the study, explains how sites were selected, and provides an overview of the four sites.
In January 2015, ACF gave Congress a report about the progress of PREP programs across the nation. The reporting period for the report was August 1, 2013, through July 31, 2014. This brief summarizes the findings.
Between February and May 2019, the Administration for Children and Families (ACF) held 10 regional listening sessions with more than 600 stakeholders on issues related to youth and family homelessness. This executive summary is based on feedback from the regional listening sessions using participants' comments/notes, forum transcripts, and audio recordings. Organized by the ACF Office of Regional Operations and the Family and Youth Services Bureau, the listening sessions allowed ACF leaders to learn about trends, barriers, and local innovative responses from a diverse group of stakeholders including parents with lived experience, grantee and non-grantee service providers, educators, faith-based and community providers, and state and local government leaders. The sessions were an opportunity to share information about ACF's resources with attendees and to ask attendees for ways that ACF programs might be improved to better serve families and youth who are experiencing homelessness.
This report documents the final findings from a large-scale demonstration project and evaluation of Teen Options to Prevent Pregnancy, an 18-month intervention designed specifically for pregnant and parenting adolescents with three key components: (1) telephone-based care coordination, (2) facilitated access to contraception, and (3) access to a social worker. The study reports the impacts of the program on sexual risk behaviors and repeat pregnancy at the time of program completion.