Guidry J, Hebert L J, Stern C
J La State Med Soc. 1989 Aug;141(8):37-40.
The Teen Advocate Program is a case management demonstration project developed with a block grant from the Maternal and Child Health Section of the Louisiana Department of Health. Family Counseling of East Baton Route Parish, a community-based agency, was contracted to develop outreach services for high risk adolescents. The purpose of the program is to provide structure, advocacy, and coordination, empowering teens to use primary and preventive health care providers. The initial referral base of clients was provided from a clinic of teen mothers and their infants, and an adolescent family planning clinic, both located at the East Baton Rouge Parish Health Unit. This interdisciplinary case management outreach services makes this model unique because it offers an organized, structured preventive health care intervention to teens at high risk of becoming pregnant. Goal attainment scales developed revealed that 96% of the study population improved. Sixty-seven percent have good attendance at clinics. Among the client population of teen mothers, there has only been a 4% repeat pregnancy rate. For the first six months of existence, there were no documented pregnancies among the adolescent seeking contraceptive counseling. The study results confirmed the positive influence of case management in preventing adolescent pregnancy. This model is being expanded to address other high risk adolescent behaviors.
青少年倡导项目是一个案例管理示范项目，由路易斯安那州卫生部母婴健康科提供的一笔整笔拨款资助开展。东巴吞鲁日教区的家庭咨询机构是一个社区机构，受委托为高危青少年开展外展服务。该项目的目的是提供组织架构、倡导和协调，使青少年有能力利用初级和预防性医疗保健服务提供者。最初的客户转介来源是一家青少年母亲及其婴儿诊所，以及一家青少年计划生育诊所，这两家诊所都位于东巴吞鲁日教区卫生单位。这种跨学科的案例管理外展服务使该模式独具特色，因为它为有怀孕高风险的青少年提供了有组织、有结构的预防性医疗保健干预。制定的目标达成量表显示，96%的研究人群有了改善。67%的人在诊所的出勤率良好。在青少年母亲客户群体中，重复怀孕率仅为4%。在项目开展的头六个月里，寻求避孕咨询的青少年中没有记录到怀孕情况。研究结果证实了案例管理在预防青少年怀孕方面的积极影响。这个模式正在扩展，以解决其他高危青少年行为问题。
