RAISING THE BAR: IMPACTS AND IMPLEMENTATION OF THE NEW HEIGHTS PROGRAM
I. INTRODUCTION
The United States teen birth rate recently reached a record low of 24.2 births per 1,000
females ages 15 to 19 (Centers for Disease Control and Prevention [CDC] 2015). This represents
a significant decrease over the past 20 years, when the rate was nearly twice as high.
Despite this progress, there is still much work to do. Great disparities in the teen birth rate
exist by race and ethnicity; the birth rate for Hispanic and African American teens is nearly
double that of non-Hispanic whites (CDC 2015). Each year, 250,000 teens become parents (or
subsequent parents), and the extraordinary challenges they face have not diminished since the
seminal publication of
Kids Having Kids
(Maynard 1997). Teen parents are still more likely to be
from low-income families, unmarried, and experience multipartner fertility (Penman-Aguilar et.
al. 2013; Maynard and Hoffman 2008; Hoffman 2008), and they still face daunting challenges in
building stable and healthy lives for themselves and their children (Mollborn 2007; Brien and
Willis 2008).
Lacking sufficient resources for housing, food, health care, and
child care, teen mothers
have difficulty attending and completing high school, contributing to low educational attainment
and employment (Hoffman and Maynard 2008). Teen pregnancy and parenting is the leading
cause of high school girls dropping out of school, representing 30 to 40
percent of all female
dropouts (Freudenberg and Ruglis 2007); only about half of teen mothers receive a high school
diploma by age 22 (Perper et al. 2010).
Federal programs address both at-risk young families and teen dropout prevention, but these
programs are not coordinated to specifically address the needs of teen parents. For example, the
Federal Home Visiting Program (operated by the Health Resources and
Services Administration
within the U.S. Department of Health and Human Services [HHS]) supports evidence-based
programs that improve the health and well-being of the children in young families. The U.S.
Department of Education’s High School Graduation Initiative, administered by the Office of
Academic Improvement, provides funding to states and localities to implement evidence-based
dropout prevention programs. However,
until recently, federal programs have not explicitly
focused on a clear programmatic gap—improving outcomes, including educational attainment, of
the highly vulnerable teen parent. And within this gap, there is a lack of evidence on just what to
do.
In 2010, the Office of Adolescent Health (OAH), HHS, launched the Pregnancy Assistance
Fund (PAF) to fill this gap. This unique program focuses on helping expectant and
parenting
teens improve their immediate outcomes, such as access to health care and education, which in
turn is hypothesized to delay a subsequent pregnancy and improve the long-term well-being of
themselves and their children. The program allows for flexibility in programmatic approaches,
substantive focus,
and settings, with an expectation that grantees provide a comprehensive mix
of supports and services and that over the next decade the PAF program will build an evidence
base on effective multifaceted programs for teen parents.
1