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A Resource Guide of Best Practices
for Pregnant and Parenting Teen Programs
Case Management and Family Support
Services
Sections
Rationale
Strategies
Identification of Community Resources
Counseling and Advocacy
Training of Case Managers
Best Practices
Rationale
Case management and coordination of family services are vital
in providing comprehensive services to pregnant and parenting
teens and their children. The benefits of school-based case
management include the provision of a single point of contact
for the student in the coordination of services (child day care,
preventive health care, prenatal care, attendance monitoring,
etc.). The case manager should be a liaison between home and
school and help students develop skills to access community
services, as well as build confidence and capacity to be
self-sufficient.
Case management services may be provided by school personnel
or through a community program. An effective case management
approach coordinates the various social service agencies serving
teen parents and their families, helping to reduce duplication
of services and increasing the likelihood of adherence to
individual service plans.
Strategies
Identification and Outreach
Identifying pregnant and parenting teens for school-based programs
necessitates advertising available services, establishing access to
services, and developing a productive working relationship within
and outside of the school. Successful programs have used the
following strategies:
posters, fliers, brochures;
presentations
to faculty;
networking
with counselors, school nurses, administrators, teachers;
presentations
to Student Assistance Programs in schools;
ongoing
contacts with Family Support Centers;
contacts
with other agencies working with teen parents;
prenatal
clinic contacts; and
contacts
with family planning centers.
Engaging Students and Their
Families
Family engagement is an important and necessary part of case
management services to teen parents. The nuclear family and
extended family, including grandparents, often have a great
deal of involvement with young parents. Involving them in
counseling and other social support services may help achieve
a successful service plan completion.
Good case management involves building a trusting relationship
with teen parents and their families, and empowering them to
work in partnership for decision making. Home visits also can
be a helpful tool in assessing the family's strengths and needs.
Assessment of Strengths and Needs/Development
of the Service Plan
Case managers interview students to assess and identify social,
academic, family and health care needs, emphasizing strengths,
self-sufficiency and accountability. A service plan is developed
that includes:
identification of strengths;
identification
of realistic goals;
identification
of needed resources;
development
of a contract with students, which clearly identifies responsibilities,
goals and consequences; and
regular
review of plans and revisions as the situation warrants.
Monitoring and Record Keeping
Case managers monitor and evaluate service delivery and modify
service plans with the student and family as needed. Confidential
case management notes and narratives should be kept to follow the
student's progress over time.
Records are kept on:
attendance
and academic performance;
levels
of family and social functioning;
progress
in areas including health care, child care, life plans;
agency
contacts and referrals; and
evaluation
of service delivery.
Identification of Community Resources
Case managers act as advocates for the student in school, the
service network, the community and the family. Services may
include:
help to access needed services and develop productive working relationships
within the service network;
assurances
the student did seek and obtain the community-based services;
acting
as a mediator between the student and provider as needed; and
evaluating
with the student and family whether the agreed-upon activities and services
were effective and whether personal goals were met.
Counseling and Advocacy
Case managers provide support and access to counseling with
appropriate referrals to service providers that focus on:
academic and career counseling;
one-on-one
counseling;
group
counseling; and
family
mediation.
Frequency of Contact
Frequency of student/case manager contact depends on the needs
of the teen parent.
Training of Case Managers
Specific knowledge or experience related to teen pregnancy and
parenting as well as effective social work practices are a
necessity for good case management. Knowledge areas should include:
methods of family support;
knowledge
of child and adolescent development;
knowledge
of child abuse laws and mental health, sexual abuse, violence, mediation
techniques, family planning, etc.;
nutritional
needs of children and pregnant adolescents;
knowledge
of available community resources including WIC, shelters, health services;
and
needs
assessment training.
| Best
Practices |
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Pittsburgh
Public Schools |
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The teen parenting program works with Family Centers to
coordinate home visits and deliver home study materials.
Family Center staff are trained as Parent Educators
through the Parents As Teachers (PAT) program and do
monthly PAT home visits working with mother and child on
child development and parenting. Newly hired caseworkers
shadow experienced caseworkers for a week of training to
observe techniques in working with teen parents.
Contact: Kathy Short (412) 488-2524
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Greater Johnstown
School District |
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Home visitation provides an opportunity for the case
manager to assess and encourage family strengths. Greater
Johnstown Teen Parent Staff take pictures of teen
parents' children during home visits for use in family
development activities. This is a relatively simple,
inexpensive activity. In many instances, the young people
had no access to a camera, and this is their first
opportunity to experience an activity common to many
families.
Contact: Jane Matthews (814) 533-5538
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Delaware County
Intermediate Unit |
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The time period when a student is recovering from
childbirth provides a natural context for making a
home visit. The following issues are addressed: health
and nutrition for mother and child; follow-up health care;
immunizations; and basic infant care. Discussion focuses
on any barriers that would interfere with the student's
return to school.
Contact: Adele Peters (610) 622-0211
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Central Susquehanna
Intermediate Unit |
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Case management, using certified Parents As Teachers (PAT)
educators, provides a home visitation program which
empowers the teen parent as the first and most influential
teacher of her child. Each visit includes an age
appropriate activity with the child as well as a discussion
about development and educational handouts for the parent.
Contact: Jeanette Lewis (570) 523-1155 x317
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