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Seminar Series: Amy Lewin, Family Science

Evaluating an Innovative Model of Primary Care for Teen Parent Families
When Mar 23, 2015
from 12:00 PM to 01:00 PM
Where 1101 Morrill Hall
Contact Name
Contact Phone 301-405-6403
Attendees Elaine Anderson
Melissa Brown
Melissa Chua
Philip Cohen
Nicole DeLoatch
Ricardo Espinoza
William Fennie
Sandy Hofferth
Jonathan Jackson
Yoonjoo Lee
Sike Li (Lydia)
Lucia Lykke
Sara Mosher
Ashley Munger
Rihanna Murray
Tyler Myroniuk
Deirdre Quinn
Michael Rendal
Kevin Roy
Liana Sayer
Allison Schroeder
Rachel Shattuck
Edmond Shenassa
Mahesh Somashekhar
Julia Steinberg
Reeve Vanneman
Andrew Williams
Yeats Ye
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About the Talk

While steadily declining over the last 20 years, the U.S. teen birth rate remains astonishingly high compared to other countries, and significant racial disparities exist. The rate among African-American and Hispanics is approximately 41 per 1,000 adolescent females, nearly twice the rate of Whites in the U.S. Teen childbearing is associated with adverse outcomes for both mothers and children, including pregnancy and birth complications, school dropout, and depression among mothers. Support for teen mothers, including secondary pregnancy prevention, has become an important public health goal, but no specific intervention has emerged as an efficacious and widespread model of care. The Teen-Tot model, which provides comprehensive medical, behavioral, and social services to the entire teen parent family, exemplifies the Family-Centered Medical Home and has been espoused by The American Academy of Pediatrics. This model can be integrated into existing primary care settings, which makes it potentially relatively low cost and sustainable. Yet, high quality evidence on the relative effectiveness of the model is wanting. This study evaluates a Teen-Tot program located in Washington, DC that integrates mental health and social services into primary care for teen parent families.

The study compares a cohort of teen mothers and their children enrolled in the intervention with a cohort of demographically similar families enrolled in standard community-based pediatric care. Baseline measurements occurred when infants were 2 months old, on average, and follow-ups occurred at child age 12 months and 24 months. A convenience sample of 150 mother-child dyads was recruited based on a priori power calculations. Outcomes of interest include maternal depression, maternal educational attainment, rapid repeat pregnancies, positive father involvement, and child development and behavior.

This presentation will describe preliminary findings from the 12 month follow-up. Input will be sought regarding directions of future analyses and intervention development. Implications for policy and practice will be discussed.

About the Speaker


Dr. Amy Lewin is an Assistant Professor in the Department of Family Science. Prior to her arrival at University of Maryland in 2014, she was on the faculty of Children’s National Medical Center in Washington DC. Her primary areas of interest are teen pregnancy and parenting, father involvement and coparenting, increasing access to mental health care for families, and social and familial determinants of health and mental health.

Visit Professor Lewin's webpage

Please note that, at the present time, Morrill Hall is not accessible for handicapped individuals.

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