Department of General and Community Pediatrics, Children's National Hospital, Washington, District of Columbia.
Department of Pediatrics, Division of Military Child and Family Research, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Pediatrics. 2023 Jul 1;152(1). doi: 10.1542/peds.2023-061319.
Over 140 000 adolescents in the United States became parents in 2021. Expectant and parenting youth face health and socioeconomic challenges, which in turn affect the health of their children. This case study describes the formation and outcomes of a citywide network, the District of Columbia Network for Expectant and Parenting Teens (DC NEXT), an interdisciplinary collaboration that aims to prioritize the voices of expectant and parenting teens and build their capacity to make healthy decisions about relationships, sex, parenting, and education. By employing the 5 principles of collective impact, DC NEXT has been able to successfully bring together multiple stakeholders and a context team of teen parents with lived experience. Accomplishments include direct engagement with 550 youth, caregivers, and community members, completing a health and well-being survey, improving access to essential programs and resources, and training hundreds of staff members to provide trauma-informed, human-centered care. DC NEXT may serve as a model for others seeking to develop interdisciplinary community-based advocacy coalitions.
2021 年，美国有超过 14 万名青少年成为父母。孕妇和育儿青年面临着健康和社会经济方面的挑战，这反过来又影响了他们孩子的健康。本案例研究描述了一个全市范围的网络——哥伦比亚特区期待和育儿青少年网络（District of Columbia Network for Expectant and Parenting Teens，简称 DC NEXT）的形成和结果，这是一个跨学科的合作，旨在优先考虑期待和育儿青少年的声音，并培养他们在人际关系、性、育儿和教育方面做出健康决策的能力。通过采用集体影响的 5 项原则，DC NEXT 成功地将多个利益相关者和一个具有亲身经历的青少年父母背景团队聚集在一起。其成果包括与 550 名青少年、照顾者和社区成员进行直接接触，完成一项健康和福祉调查，改善获得基本项目和资源的途径，并培训数百名工作人员，以便提供以创伤为中心、以人为本的护理。DC NEXT 可以作为其他寻求发展跨学科的基于社区的倡导联盟的模式。
