Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children.
OBJECTIVE
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.
Division of General Pediatrics, Children's Hospital Boston, MA, USA. joanne.cox@childrens.harvard.edu
Joanne E
JE
Cox
Matthew P
MP
Buman
Elizabeth R
ER
Woods
Olatokunbo
O
Famakinwa
Sion Kim
SK
Harris
D000293:Adolescent; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data; D005192:Family Health; D005260:Female; D006801:Humans; D008404:Massachusetts; D008430:Maternal-Child Health Centers; D017146:Models, Organizational; D009035:Mothers / Q000523:psychology*; D018802:Patient-Centered Care; D010865:Pilot Projects; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D011322:Primary Prevention; D015397:Program Evaluation; D011446:Prospective Studies; D012944:Social Support; D011795:Surveys and Questionnaires