TY - JOUR
KW - Adolescent
KW - Cohort Studies
KW - Condoms/utilization
KW - Family Health
KW - Female
KW - Humans
KW - Massachusetts
KW - Maternal-Child Health Centers
KW - Models, Organizational
KW - Mothers/psychology
KW - Patient-Centered Care
KW - Pilot Projects
KW - Pregnancy
KW - Pregnancy in Adolescence/prevention & control
KW - Primary Prevention
KW - Program Evaluation
KW - Prospective Studies
KW - Questionnaires
KW - Social Support
AU - J. E. Cox
AU - M. P. Buman
AU - E. R. Woods
AU - O. Famakinwa
AU - S. K. Harris
A1 - 
AB - 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.
BT - American Journal of Public Health
C5 - Healthcare Disparities; Medical Home
CP - 10
CY - United States
DO - 10.2105/AJPH.2012.300766
IS - 10
JF - American Journal of Public Health
N2 - 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.
PP - United States
PY - 2012
SN - 1541-0048; 0090-0036
SP - 1879
EP - 1885
EP - 
T1 - Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children
T2 - American Journal of Public Health
TI - Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children
U1 - Healthcare Disparities; Medical Home
U2 - 22897537
U3 - 10.2105/AJPH.2012.300766
VL - 102
VO - 1541-0048; 0090-0036
Y1 - 2012
ER -