Purpose: This pilot study examined the preliminary effectiveness of the Empowered Young Parents Program (EYPP) for child welfare and/or legal system involved pregnant, expectant, or parenting youth (PPY) in promoting health outcomes. Method: A one-group pretest–posttest (N = 25) design was used to evaluate changes in the participants. Results: At posttest participants reported lower perceived stress, depressive symptoms, and experiences of intimate partner violence. They also reported a higher likelihood of having someone to talk to about reproductive healthcare. Discussion: The study suggests the EYPP may be an effective prevention service for supporting the needs of PPY and further rigorous trials are needed.
AhrensK. R.DuBoisD. L.RichardsonL. P.FanM. Y.LozanoP. (2008). Youth in foster care with adult mentors during adolescence have improved adult outcomes. Pediatrics, 121(2), e246–e252. https://doi.org/10.1542/peds.2007-0508
2.
AlhusenJ. L.RayE.SharpsP.BullockL. (2015). Intimate partner violence during pregnancy: Maternal and neonatal outcomes. Journal of Women's Health (2002), 24(1), 100–106. https://doi.org/10.1089/jwh.2014.4872
3.
AndersonV. R.WalerychB. M. (2019). Contextualizing the nature of trauma in the juvenile justice trajectories of girls. Journal of Prevention & Intervention in the Community, 47(2), 138–153. https://doi.org/10.1080/10852352.2019.1582141
4.
AparicioE. M. (2017). “I want to be better than you”: Lived experiences of intergenerational child maltreatment prevention among teenage mothers in and beyond foster care. Child & Family Social Work, 22(2), 607–616. https://doi.org/10.1111/cfs.12274
5.
AparicioE. M.GioiaD.PecukonisE. V. (2018). “I can get through this and I will get through this”: The unfolding journey of teenage motherhood in and beyond foster care. Qualitative Social Work, 17(1), 96–114. https://doi.org/10.1177/1473325016656047
6.
AparicioE. M.PecukonisE. V.O'NealeS. (2015). ‘The love that I was missing’: Exploring the lived experience of motherhood among teen mothers in foster care. Children and Youth Services Review, 51, 44–54. https://doi.org/10.1016/j.childyouth.2015.02.002
7.
BanduraA. (1986). Social foundations of thought and action: A social cognitive theory. Prentice Hall.
8.
BarrR.BritoN.ZoccaJ.ReinaS.RodriquezJ.ShaufferC. (2011). The Baby Elmo Program: Improving teen father–child interactions within juvenile justice facilities. Children and Youth Services Review, 33, 1555–1562. https://doi.org/10.1016/j.childyouth.2011.03.020
BekaertS.SmithBattleL. (2016). Teen mothers’ experience of intimate partner violence: A metasynthesis. Advances in Nursing Science, 39(3), 272–290. https://doi.org/10.1097/ans.0000000000000129
11.
BrenerN. D.CollinsJ. L.KannL.WarrenC. W.WilliamsB. I. (1995). Reliability of the youth risk behavior survey questionnaire. American Journal of Epidemiology, 141(6), 575–580. https://doi.org/10.1093/oxfordjournals.aje.a117473
12.
BruceJ. S. (2016). Sexual and reproductive health policies for foster youth in California: A qualitative study of child welfare professionals’ experiences and perceptions of policies. Children and Youth Services Review, 61, 184–200. https://doi.org/10.1016/j.childyouth.2015.12.016
ChapmanH.GillespieS. M. (2019). The revised Conflict Tactics Scales (CTS2): A review of the properties, reliability, and validity of the CTS2 as a measure of partner abuse in community and clinical samples. Aggression and Violent Behavior, 44, 27–35. https://doi.org/10.1016/j.avb.2018.10.006
16.
ChenY.CheungS.HuangC.-C. (2022). Intimate partner violence during pregnancy: Effects of maternal depression symptoms and parenting on teen depression symptoms. Journal of Interpersonal Violence, 37(9–10), NP7034–NP7056. https://doi.org/10.1177/0886260520967754
Coleman-CowgerV. H.GreenB. A.ClarkT. T. (2011). The impact of mental health issues, substance use, and exposure to victimization on pregnancy rates among a sample of youth with past year foster care placement. Children and Youth Services Review, 33, 2207–2212. https://doi.org/10.1016/j.childyouth.2011.07.007
19.
CollinsJ. L. (2016). Integrative review: Delivery of health care services to adolescents and young adults during and after foster care. Journal of Pediatric Nursing, 31(6), 653–666. https://doi.org/10.1016/j.pedn.2016.07.005
20.
CollinsM. E.SpencerR.WardR. (2010). Supporting youth in the transition from foster care: Formal and informal connections. Child Welfare, 89(1), 125–143.
21.
CombsK. M.TaussigH.BegunS.RinehartD. J. (2018). Pregnancy and childbearing among young adults who experienced foster care. Child Maltreatment, 23(2), 166–174. https://doi.org/10.1177/1077559517733816
22.
CourtneyM. E.CharlesP.OkpychN. J.NapolitanoL.HalstedK.CourtneyM.HallC., et al. (2014). Findings from the California Youth Transitions to Adulthood Study (CalYOUTH): Conditions of foster youth at age 17. Chapin Hall at the University of Chicago.
23.
CrosbyR.SalazarL. F.DiclementeR. J.YarberW. L.CaliendoA. M.Staples-HorneM. (2004). Health risk factors among detained adolescent females. American Journal of Preventive Medicine, 27(5), 404–410. https://doi.org/10.1016/j.amepre.2004.07.017
24.
CyrM.McDuffP.WrightJ. (2006). Prevalence and predictors of dating violence among adolescent female victims of child sexual abuse. Journal of Interpersonal Violence, 21(8), 1000–1017. https://doi.org/10.1177/0886260506290201
25.
DenbyR. W.GomezE.AlfordK. A. (2016). Promoting well-being through relationship building: The role of smartphone technology in foster care. Journal of Technology in Human Services, 34(2), 183–208. https://doi.org/10.1080/15228835.2016.1168761
26.
DenbyR.HenryD.WolfeS.Klein-CoxA. (2020). Using the 3-5-7 Model® to promote relational competence in youth who are in foster care: Creating a fidelity measurement system. [Unpublished manuscript].
27.
DenbyR.TudorJ.HenryD.WolfeS.GomezE.AlfordK. A. (2017). Implementation science and fidelity measurement: A test of the 3-5-7 Model®. Social Service Series No. 8. Las Vegas: The Lincy Institute at the University Nevada, Las Vegas.
28.
DierkhisingC. B.HerzD.HirschR. A.AbbottS. (2019). System backgrounds, psychosocial characteristics, and service access among dually involved youth: A Los Angeles case study. Youth Violence and Juvenile Justice, 17(3), 309–329. https://doi.org/10.1177/1541204018790647
29.
DworskyA.CourtneyM. E. (2010). The risk of teenage pregnancy among transitioning foster care youth: Implications for extending state care beyond age 18. Children and Youth Services Review, 32(10), 1351–1356. https://doi.org/10.1016/j.childyouth.2010.06.002
EastmanA. L.PalmerL.AhnE. (2019). Pregnant and parenting youth in care and their children: A literature review. Child and Adolescent Social Work Journal, 36(6), 571–581. https://doi.org/10.1007/s10560-019-00598-8
32.
FontS. A.CancianM.BergerL. M. (2019). Prevalence and risk factors for early motherhood among low-income, maltreated, and foster youth. Demography, 56(1), 261–284. https://doi.org/10.1007/s13524-018-0744-x
33.
GillA.GraceR.WaniganayakeM.HadleyF. (2020). Practitioner and foster carer perceptions of the support needs of young parents in and exiting out-of-home care: A systematic review. Children and Youth Services Review, 108, Article 104512. https://doi.org/10.1016/j.childyouth.2019.104512
34.
GouldenA.HoekstraK.KingB. (2023). A scoping review of programs for young mothers with child welfare involvement in Canada and the United States. Child and Adolescent Social Work Journal, 40, 299–312. https://doi.org/10.1007/s10560-021-00782-9
35.
GowenL. K. (2011). Introduction: Healthy relationships. Focal Point, 25, 3–4.
36.
GreesonJ. K. P.BowenN. K. (2008). “She holds my hand”: The experiences of foster youth with their natural mentors. Children and Youth Services Review, 30(10), 1178–1188. https://doi.org/10.1016/j.childyouth.2008.03.003
37.
GreesonJ. K. P.BriggsE. C.KisielC. L.LayneC. M.AkeG. S.KoS. J.GerrityE. T.SteinbergA. M.HowardM. L.PynoosR. S.FairbankJ. A. (2011). Complex trauma and mental health in children and adolescents placed in foster care: Findings from the National Child Traumatic Stress Network. Child Welfare, 90(6), 91–108.
HenryD. L. (2012). The 3-5-7 model: A practice approach to permanency. Sunbury Press.
41.
HerrmanJ. W.Finigan-CarrN.HaighK. M. (2017). Intimate partner violence and pregnant and parenting adolescents in out-of-home care: Reflections on a data set and implications for intervention. Journal of Clinical Nursing, 26(15-16), 2409–2416. https://doi.org/10.1111/jocn.13420
42.
HerzD. C.DierkhisingC. B. (2019). OJJDP Dual System Youth Design Study: Summary of findings and recommendations for pursuing a national estimate of dual system youth. https://www.ojp.gov/pdffiles1/ojjdp/grants/252717.pdf
43.
HerzD. C.DierkhisingC. B.RaithelJ.SchretzmanM.GuiltinanS.GoergeR. M.ChoY.CoultonC.AbbottS. (2019). Dual system youth and their pathways: A comparison of incidence, characteristics and system experiences using linked administrative data. Journal of Youth and Adolescence, 48(12), 2432–2450. https://doi.org/10.1007/s10964-019-01090-3
HoltropK.CantoA. I.SchelbeL.McWeyL. M.RadeyM.MontgomeryJ. E. (2018). Adapting a parenting intervention for parents aging out of the child welfare system: A systematic approach to expand the reach of an evidence-based intervention. American Journal of Orthopsychiatry, 88(3), 386–398. https://doi.org/10.1037/ort0000308
46.
HowellK. H.Miller-GraffL. E.HasselleA. J.ScraffordK. E. (2017). The unique needs of pregnant, violence-exposed women: A systematic review of current interventions and directions for translational research. Aggression and Violent Behavior, 34, 128–138. https://doi.org/10.1016/j.avb.2017.01.021
47.
JonesS. E.BrenerN. D.QueenB.Hershey-AristaM.HarrisW. A.MpofuJ. J.UnderwoodJ. M. (2024). Reliability of the 2021 National Youth Risk Behavior Survey Questionnaire. American Journal of Health Promotion, 38(6), 843–851. https://doi.org/10.1177/08901171241239735
48.
Jonson-ReidM.ScottL. D.McMillenJ. C.EdmondT. (2007). Dating violence among emancipating foster youth. Children and Youth Services Review, 29(5), 557–571. https://doi.org/10.1016/j.childyouth.2006.12.008
49.
KatzC. C.CourtneyM. E.SapiroB. (2020). Emancipated foster youth and intimate partner violence: An exploration of risk and protective factors. Journal of Interpersonal Violence, 35(23–24), 5469–5499. https://doi.org/10.1177/0886260517720735
50.
KatzC. C.OkpychN. J.CharlesP.WallE.CourtneyM. E. (2023). Prevalence and predictors of intimate partner violence among youth with foster care histories. Journal of Interpersonal Violence, 38(19-20), 10611–10639. https://doi.org/10.1177/08862605231175910
51.
KhuranaA.CookseyE. C.GavazziS. M. (2011). Juvenile delinquency and teenage pregnancy: A comparison of ecological risk profiles among midwestern White and Black female juvenile offenders. Psychology of Women Quarterly, 35(2), 282–289. https://doi.org/10.1177/0361684310384103
52.
KimM.GarciaA. R.JungN.BarnhartS. (2020). Rates and predictors of mental health service use among dual system youth. Children and Youth Services Review, 114, 1–10. https://doi.org/10.1016/j.childyouth.2020.105024
53.
KingS.BarrR.WoolardJ. (2015). Cost-effective juvenile justice reform: Lessons from the just beginning “Baby Elmo” teen parenting program, 93 N.C. L. Rev. 1381.
54.
KingB.Putnam-HornsteinE.CederbaumJ. A.NeedellB. (2014). A cross-sectional examination of birth rates among adolescent girls in foster care. Child and Youth Services Review, 36, 179–186. https://doi.org/10.1016/j.childyouth.2013.11.007
55.
KolbeL. J.KannL.CollinsJ. L. (1993). Overview of the youth risk behavior surveillance system. Public Health Reports, 108 (Suppl 1), 2–10.
56.
KretschmarJ. M.ButcherF.KanaryP. J.DevensR. (2015). Responding to the mental health and substance abuse needs of youth in the juvenile justice system: Ohio’s Behavioral Health/Juvenile Justice Initiative. American Journal of Orthopsychiatry, 85(6), 515–521. https://doi.org/10.1037/ort0000139
57.
L’AbateL.CusinatoM.MainoE.ColessoW.ScillettaC. (2010). Relational competence theory: Research and mental health applications. Springer-Science.
58.
LeeS. Y.VillagranaM. (2015). Differences in risk and protective factors between crossover and noncrossover youth in juvenile justice. Children and Youth Services Review, 58, 18–27. https://doi.org/10.1016/j.childyouth.2015.09.001
59.
LiebermanL. D.BryantL. L.BoyceK. (2015). Family preservation and healthy outcomes for pregnant and parenting teens in foster care: The Inwood House theory of change. Journal of Family Social Work, 128(2), 21–39. https://doi.org/10.1080/10522158.2015.974014
60.
LoveL. T.McIntoshJ.RostM.TertzakianK. (2005). Fostering hope: Preventing teen pregnancy among youth in foster care. National Campaign to Prevent Teen and Unplanned Pregnancy.
61.
ModrowskiC. A.ChaploS. D.KerigP. K. (2022). Advancing our understanding of the risk factors associated with crossover youth in the child welfare and juvenile justice systems: A trauma-informed research agenda. Clinical Child and Family Psychology Review, 25, 283–299. https://doi.org/10.1007/s10567-021-00370-4
62.
NarendorfS. C.MunsonM. R.LevingstonF. (2013). Managing moods and parenting: Perspectives of former system youth who struggle with emotional challenges. Children and Youth Services Review, 35, 1979–1987. https://doi.org/10.1016/j.childyouth.2013.09.023
Nwabuzor OgbonnayaI.WardM. R.RoseM. L.PetersonE.FergusonK. (2024). A systematic review of interventions to reduce intimate partner violence among young people in child welfare and legal system settings. Journal of Family Violence, 39(5), 955–971. https://doi.org/10.1007/s10896-023-00525-7
OshimaK. M.NarendorfS. C.McMillenJ. C. (2013). Pregnancy risk among older youth transitioning out of foster care. Children and Youth Services Review, 35(10), 1760–1765. https://doi.org/10.1016/j.childyouth.2013.08.001
67.
OsterlingK. L.AustinM. J. (2013). Substance abuse interventions for parents involved in the child welfare system: Evidence and implications. Evidence for Child Welfare Practice, 5(1-2), 157–189. https://doi.org/10.1300/j394v05n01_07
68.
OstermanM. J. K.HamiltonB. E.MartinJ. A.DriscollA. K.ValenzuelaC. P. (2023). Births: Final data for 2021. National vital statistics reports: from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.
69.
PhuaD. Y.KeeM. Z. L.MeaneyM. J. (2020). Positive maternal mental health, parenting, and child development. Biological Psychiatry, 87(4), 328–337. https://doi.org/10.1016/j.biopsych.2019.09.028
70.
RadeyM.SchelbeL.McWeyL. M.HoltropK.CantoA. I. (2016). “It’s really overwhelming”: Parent and service provider perspectives of parents aging out of foster care. Children and Youth Services Review, 67, 1–10. https://doi.org/10.1016/j.childyouth.2016.05.013
RaghavanR.ShiP.AaronsG. A.RoeschS. C.McMillenC. (2009). Health insurance discontinuities among adolescents leaving foster care. Journal of Adolescent Health, 44(1), 41–47. https://doi.org/10.1016/j.jadohealth.2008.08.008
74.
ResnickM. D.BearmanP. S.BlumR. W.BaumanK. E.HarrisK. M.JonesJ.TaborJ.BeuhringT.SievingR. E.ShewM.IrelandM.BearingerL. H.UdryJ. R. (1997). Protecting adolescents from harm. Findings from the national longitudinal study on adolescent health. Journal of the American Medical Association, 278(10), 823–832J. https://doi.org/10.1001/jama.278.10.823
75.
RossC.SmithJ. G.GawelM.WaltersT. L.SongY.CongX.ShookN. J. (2024). “They're scared that somebody's gonna judge them”: Female African American youth in foster care's perspectives on sexual and reproductive health communication with caregivers. Journal of Pediatric Nursing, 75, 8–15. https://doi.org/10.1016/j.pedn.2023.11.024
76.
SchelbeL.GeigerJ. M. (2017). Parenting under pressure: Experiences of parenting while aging out of foster care. Child & Adolescent Social Work Journal, 34(1), 51–56. https://doi.org/10.1007/s10560-016-0472-2
77.
ShpiegelS.AparicioE. M.SmithR.Grinnell-DavisC.KingB. (2022). Early fatherhood and socioeconomic outcomes among young men transitioning from foster care in the United States. Children and Youth Services Review, 133, Article 106346. https://doi.org/10.1016/j.childyouth.2021.106346
78.
ShpiegelS.CascardiM. (2015). Adolescent parents in the first wave of the national youth in transition database. Journal of Public Child Welfare, 9, 277–298. https://doi.org/10.1080/15548732.2015.1043687
79.
ShpiegelS.CascardiM. (2018). The impact of early childbirth on socioeconomic outcomes and risk indicators of females transitioning out of foster care. Children and Youth Services Review, 84, 1–8. https://doi.org/10.1016/j.childyouth.2017.11.001
80.
SilangK.SanguinoH.SohalP. R.RiouxC.KimH. S.Tomfohr-MadsenL. M. (2021). Ehealth interventions to treat substance use in pregnancy: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(19), Article 9952. https://doi.org/10.3390/ijerph18199952
81.
StrausM. A.HambyS. L.Boney-McCoyS.SugarmanD. B. (1996). The revised conflict tactics scales (CTS2) development and preliminary psychometric data. Journal of Family Issues, 17(3), 283–316. https://doi.org/10.1177/019251396017003001
VillagranaK. M.CarverA. T.HolleyL. C.OgbonnayaI. N.StottT.DenbyR.FergusonK. M. (2022). "They show us we're important": Facilitators of service utilization among expectant and parenting young people with foster care histories. Child and Adolescent Social Work Journal, 39, 749–762. https://doi.org/10.1007/s10560-022-00855-3
84.
VillagranaK. M.CarverA. T.HolleyL. C.OgbonnayaI. N.StottT.DenbyR.FergusonK. M. (2024). “You have to go hunting for information”: Barriers to service utilization among expectant and parenting youth with experience in foster care. Child & Family Social Work, 29(2), 571–583. https://doi.org/10.1111/cfs.13116
85.
VorhiesV.GloverC. M.DavisK.HardinT.KrzyzanowskiA.HarrisM.FaganM.WilknissS. (2009). Improving outcomes for pregnant and parenting foster care youth with severe mental illness: An evaluation of a transitional living program. Psychiatric Rehabilitation Journal, 33(2), 115–124. https://doi.org/10.2975/33.2.2009.115.124
86.
WagersS. M.PiqueroA. R.NarveyC.ReidJ. A.LoughranT. A. (2021). Variation in exposure to violence in early adolescence distinguishes between intimate partner violence victimization and perpetration among young men involved in the justice system. Journal of Family Violence, 36(1), 99–108. https://doi.org/10.1007/s10896-020-00170-4
Webster-StrattonC. (2005). The incredible years: A training series for the prevention and treatment of conduct problems in young children. In HibbsE. D.JensenP. S. (Eds.), psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice (pp. 507–555). American Psychological Association.
89.
Webster-StrattonC.HermanK. C. (2009). Disseminating incredible years series early-intervention programs: Integrating and sustaining services between school and home. Psychology in the Schools, 47(1), 36–54. https://doi.org/10.1002/pits.20450
90.
WhitneyS.LutherA. W. M.FerroM. A. (2022). Psychometric properties of the perceived stress scale in youth with mental illness. Journal of Child and Family Studies, 31, 2801–2812. https://doi.org/10.1007/s10826-022-02387-x
91.
YoungB.DiamondB. (2024). Babies having babies: Incarcerated adolescent parents and their emotional well-being. Youth Violence and Juvenile Justice, 22(1), 3–21. https://doi.org/10.1177/15412040231191725
