Teenage Pregnancy Program (Generations) - Departments & Programs - Children's National Medical Center Departments & Programs - Children's National Medical Center
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Teenage Pregnancy Program (Generations)

The Generations Program is one of only a handful of comprehensive “teen-tot” programs in the US designed to provide primary health care for adolescent parents (up to 19 years old) and their children. The program currently serves more than 500 families in the Washington, DC area, and accepts parents age 18 (or younger) and their children or age 19 (or younger) with special-needs children.

Children receive:
  • Well-child physical examinations
  • Immunizations
  • Developmental assessments
  • Care during illnesses
Parents receive:
  • Physical examinations
  • Gynecologic care
  • Family planning services/birth control
  • Psychosocial and nutritional services
  • Parenting education
Participants receive a free parent education binder, a free book for their children at every check-up between 6 months and 6 years, information on the developmental status of their children, a photo of the parent and child at each visit, and a free career booklet. The Generations staff uses a team-based approach to improve health, developmental, and behavioral outcomes for children and their adolescent parents. The team:
  • Assists with family planning
  • Educates teen parents about prevention of sexually transmitted infections, including HIV
  • Enhances parental knowledge of safety, nutrition, and normal infant and toddler development
  • Improves adolescent problem-solving skills and violence prevention
  • Strengthens adolescent parenting behavior
  • Increases the rate of return to school and high school graduation
  • Encourages career/job planning and development for adolescent parents.
In addition, the Generations program has strong links to community-based services such as the Women, Infant, and Children (WIC) program.

Positive outcomes
Compared to city and national averages, teen parents who are enrolled in this program are more likely to be in school, more likely to graduate from high school, and much less likely to become pregnant again. In addition, their children have higher immunization rates and increased enrollment in Head Start, among other positive outcomes.

The health care offered is both convenient—teens and their children are seen by the same doctor at the same time and place—and comprehensive.

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