PMID- 32748287
OWN - NLM
STAT- MEDLINE
DCOM- 20200924
LR  - 20220416
IS  - 1573-6628 (Electronic)
IS  - 1092-7875 (Print)
IS  - 1092-7875 (Linking)
VI  - 24
IP  - Suppl 2
DP  - 2020 Sep
TI  - Implementing Case Management with Positive Youth Development to Empower Young 
      Mothers in California.
PG  - 141-151
LID - 10.1007/s10995-020-02985-5 [doi]
AB  - OBJECTIVES: With funding from the Pregnancy Assistance Fund, the Maternal, Child, 
      and Adolescent Health Division (MCAH) of California redesigned its existing 
      Adolescent Family Life Program (AFLP) for expectant and parenting young women 
      into a more intensive and structured intervention, AFLP with positive youth 
      development (PYD). This paper presents key findings from a federally funded, 
      rigorous implementation study of the two programs. METHODS: This implementation 
      study collected data from 13 agencies from January 2016 through December 2017, 
      including interviews with 69 case managers and 18 supervisors; focus groups with 
      130 program participants; surveys of 66 case managers and 1330 young women; and 
      observations of 42 visits with program participants. The study combined 
      qualitative and quantitative analysis methods. RESULTS: As designed, PYD was a 
      much more structured and intensive program than AFLP. Case managers and 
      supervisors saw value in the PYD model and new approach but needed more support 
      and guidance than expected in order to deliver it with fidelity. MCAH provided 
      additional trainings and technical assistance to address challenges. In practice, 
      although staff noted differences in approach and content, the youth experience 
      with the two programs was similar. CONCLUSIONS FOR PRACTICE: Integrating the PYD 
      framework into case management systems may foster youth self-sufficiency and 
      resiliency. However, the rigid structure of the program was often challenging to 
      implement in practice. Organizations interested in implementing prescribed case 
      management approaches should consider allowing opportunities for flexibility in 
      implementation and providing more detailed preservice training to prepare staff 
      for real-world implementation.
FAU - Asheer, Subuhi
AU  - Asheer S
AUID- ORCID: 0000-0003-0155-2117
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA. 
      sasheer@mathematica-mpr.com.
FAU - Keating, Betsy
AU  - Keating B
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA.
FAU - Crowley, Jacqueline
AU  - Crowley J
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA.
FAU - Zief, Susan
AU  - Zief S
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA.
LA  - eng
GR  - HHSP233201450026A/U.S. Department of Health and Human Services/
PT  - Journal Article
PL  - United States
TA  - Matern Child Health J
JT  - Maternal and child health journal
JID - 9715672
SB  - IM
MH  - Adolescent
MH  - California
MH  - Case Management
MH  - Female
MH  - Humans
MH  - Mothers/*education/psychology
MH  - *Parenting
MH  - Pregnancy
MH  - *Pregnancy in Adolescence
MH  - Program Evaluation/*methods
PMC - PMC7497374
OTO - NOTNLM
OT  - Case management services
OT  - Expectant and parenting youth
OT  - Implementation study
OT  - Positive youth development
COIS- The authors declare that they have no conflict of interest.
EDAT- 2020/08/05 06:00
MHDA- 2020/09/25 06:00
PMCR- 2020/08/03
CRDT- 2020/08/05 06:00
PHST- 2020/08/05 06:00 [pubmed]
PHST- 2020/09/25 06:00 [medline]
PHST- 2020/08/05 06:00 [entrez]
PHST- 2020/08/03 00:00 [pmc-release]
AID - 10.1007/s10995-020-02985-5 [pii]
AID - 2985 [pii]
AID - 10.1007/s10995-020-02985-5 [doi]
PST - ppublish
SO  - Matern Child Health J. 2020 Sep;24(Suppl 2):141-151. doi: 
      10.1007/s10995-020-02985-5.