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multiphase plan with built-in agility for

swift course adjustment as indicated

and congruent with evolving readiness,

capacity, momentum, and landscape.

See Figure 2 for the starting points.

We focused on areas of immediate

influence and oversight authority:

social workers, foster and kinship care-

givers, and youth and young adults in

foster care. These starting points also

laid the pathway for pregnancy pre-

vention as a breakthrough strategy for

successful transition to adulthood (see

Figure 3).

5. Identify and cultivate

dedicated leaders

Identify a group of internal and

external champions to spearhead

planning, mobilize resources, trouble-

shoot, study lessons learned along the

way, adjust course, pursue emergent

opportunities, and guide and anchor

advancement. This requires passion,

sustained attention, specialized

skillsets, influence, consistent partici-

pation, and lots of time.

We established a three-level

oversight structure to optimize the

harnessing of momentum, broad

support, and sustainability. Each

group level maintained a structured

meeting and written communications

schedule to monitor progress, adjust

course if indicated, celebrate successes,

troubleshoot challenges, and sustain

meaningful engagement.

„

„

We convened a larger external

Steering Committee of community

partners representing the juvenile

dependency court; education;

housing; foster youth; public health;

child welfare social workers, super-

visors, and managers; foster and

kinship caregiver education; policy

advocacy; research; transition age

youth service providers; early child-

hood in-home visitation providers;

mental health; and funders. This

group was tasked with developing

the strategic plan, developing

policy, guiding implementation of

recommendations, and overseeing

continuous quality improvement.

Figure 1: Pregnancy Prevention as a Breakthrough

Strategy for SuccessfulTransition to Adulthood

Figure 2: Starting Points

Youth/Young

Adult

Caregivers

Social

Workers

„„

Pregnancy & STI

Prevention Evidence-

Based Curriculum

„„

Youth Engagement

„„

Resource Guide

„„

PHN

„„

Middle & High School

Comprehensive Sexual

Health Education

„„

Pregnant & Parenting

Planning Conference

„„

In-Home Visitation

for Expectant/New

Parents

„„

Askable Adults

„

Training

„„

Reasonable &

Prudent Parenting

Standard

„„

Resource Guide

„„

Medical Provider

Report with

prompts for

reproductive

health, HPV &

OBGYN referral

Improved Practice,

Improved Outcomes

Community Partners /

Steering Committee

Reproductive Health & Parenting

Policy & Procedure

„„

Resource Guide

„„

Training (induction & ongoing)

„„

Data Collection

October 2016

Policy&Practice

27

See Teen Pregnancy on page 40