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 Member to Member

Member states were asked the following question: 

What is your state’s plan for the Personal Responsibility Education Program (PREP)? 


Antoinette MeansAntoinette Means
Office Chief for Women's Health
Bureau of Women's and Children's Health
Arizona Department of Health Services

The Bureau of Women’s and Children’s Health (BWCH) within the Arizona Department of Health Services is responsible for administering the Personal Responsibility Education Program (PREP) initiative. Arizona will use these funds to target youth 12-19 years of age with a primary focus on youth 12-17 years of age, Hispanic or African American, and youth in foster care or aging out of the foster care system. The geographic areas to be served include sixteen communities in four counties that were selected based on the following criteria; total population of youth 15-19 years of age, total births to youth 15-19 years of age, total birth rate for youth 15-19 years of age and the absence of any other comprehensive teen pregnancy prevention program. Arizona identified six evidence based curricula for inclusion in the state’s PREP initiative; ¡Cuídate!, Be Proud! Be Responsible!, Draw the Line/Respect the Line, Making A Difference, Reducing the Risk, and Teen Outreach Program. Each of these curricula has been proven effective with our target populations. In addition, they can be provided in either a community based or school setting and with the exception of ¡Cuídate!, there is a history of providing these curricula in Arizona. The three adult preparation topics that will be integrated into our teen pregnancy prevention efforts are Healthy Relationships, Financial Literacy, Healthy Life Skills and Educational and Career Success which can be substituted for Financial Literacy when working with high school students. BWCH will issue a Request for Grant Applications in the near future and coordinate training for the curricula selected by the successful grant applicants. It is an exciting and challenging time for program staff as we expand our teen pregnancy prevention efforts in partnership with our local and federal partners.  


Carol Hinton, RN, MSCarol Hinton
Adolescent and School Health Coordinator
Bureau of Family Health
Iowa Department of Public Health 

Lindsay Miller
Community Health Consultant
PREP Grant Coordinator

Denise Wheeler, CNM, MS, ARNP
Family Planning Coordinator 

The vision for Iowa’s PREP program is: Iowa youth are empowered to make healthy choices and positive decisions regarding sexual behavior as they prepare for successful adulthood. The Iowa Department of Public Health (IDPH) engaged a variety of state and community partners by convening an advisory council of 15 public and private organizations representing over 30 adolescent reproductive health-related programs. The advisLindsay Millerory council assumed primary responsibility for key decisions about the PREP state plan based on a comprehensive needs assessment and resulting target populations.  


IDPH undertook an intensive community needs assessment and prioritization process to identify geographic and population risk factors to guide project implementation. Fifteen indicators (risk factors) were identified by the PREP statewide advisory council. The selected risk indicators include: teen birth rates, premature birth rate, rapid repeat pregnancies, the number of children living in poverty, high school drop-out rates, maternal education, attempted suicide in the past 12 months, binge alcohol use, illicit drug use, child maltreatment, domestic violence, juvenile crime and arrest rates, sexually transmitted infection rate, and homeless youth and youth in foster care. Data were compiled for the selected 15 indicators for all of the state’s 99 counties and high-risk communities were identified. 


Iowa’s PREP program will target youth ages 10 to 19 who are: African American, Hispanic, living in Foster Care (institutionalized group homes), and residing in counties with the highest teen birth rates. IDPH chose three priority evidence-based programs (EBP) based on the needs assessment and target populations. The Bureau of Family Health partnered with the Bureau of HIV, STDs and Hepatitis to prioritize HIV/AIDS as an adolescent health issue. The PREP advisory council also conducted a prioritization process to identify the three priority Denise Wheeleradulthood preparation subjects that will be included in Iowa’s PREP program. These include: healthy relationships, adolescent development and healthy life skills.  


IDPH will use a competitive bid process (Request for Proposals) to determine local partners with the capacity to implement Iowa’s PREP program with fidelity, and program adaptations as appropriate. Until the RFP is posted, IDPH is not able to share which programs have been selected as the three priority EBPs. IDPH will contract with one of the state’s three regent universities to conduct a comprehensive state-based project evaluation. 







Michelle R. Ricco, BS, CPMMichelle Ricco
Family Planning Program Manager
Maternal & Child Health Section
Division of Public Health Services
New Hampshire Department of Health and Human Services 

New Hampshire is committed to supporting services that help young people avoid teen pregnancy, subsequent teen pregnancies and sexually transmitted infections, by providing the means to build a healthy foundation for adult life.  

Given that New Hampshire has held the “lowest teen birth rate” title in the nation for a number of years, PREP provided us with a unique opportunity to assess teen birth data more closely and determine where we had the greatest need. It was clear when looking within our state that the use of average values obscures the disparate high teen birth rates that face many New Hampshire cities and towns.  


The two target areas in New Hampshire with both the highest rates and significant numbers of teen births were Sullivan County with a teen birth rate of 41.0 births per 1,000 from years 2000-2006[1] and the city of Manchester with a teen birth rate of 39.4 births per 1,000 from the years 2000-2006.[2] Additionally, the data showed that we needed to target older teens, as they represent 75 percent of the teen births in New Hampshire. Our target population will be teens/young adults ages 17 through 19 and pregnant/parenting teens/young adults up to the age of 21.  


The implementation of PREP will allow state agency leaders, such as Title V, Title X and the Department of Education, to work in partnership with community-based stakeholders to target evidence-based programming in communities where those interventions would most likely succeed.


[1] New Hampshire Birth Data, Maternal and Child Health Section, Analyzed 2010

[2] New Hampshire Birth Data, Maternal and Child Health Section, Analyzed 2010.


Kelly L. Holland
Public Health Program Manager, State Adolescent Health CoordinatorKelly Holland
Pennsylvania Department of Health

The Pennsylvania Department of Health is planning on using the PREP funds to implement evidence-based teen pregnancy prevention programs in the following facilities: psychiatric residential treatment facilities, licensed residential drug and alcohol treatment facilities, and residential programs serving delinquent youth, which includes residential programs serving delinquent children licensed by the Department of Public Welfare’s Office of Children, Youth and Families (OCYF), OCYF youth development centers, and OCYF youth forestry camps. A request for application process will be used to select up to 17 PREP implementation sites. These sites will be required to implement either the Rikers Health Advocacy Program or Street Smart. The sites will also be required to supplement these programs with lessons from Sex Ed 101 to address all contraception options and the adulthood preparation subjects. In addition, we will be issuing two requests for proposals for this project. One RFP will be for training on the Rikers Health Advocacy Program and ongoing training for the PREP implementation sites, as well as, evaluation of the program. The second RFP will be for Lesbian, Gay, Bi-sexual, Transgender, and Questioning youth cultural competency training and assessments at PREP implementation sites.  




Tisha Gay Reed, DirectorTisha Gay Reed
Adolescent Pregnancy Prevention Initiative
Office of Maternal, Child and Family Health
West Virginia Department of Health and Human Resources

The West Virginia Adolescent Pregnancy Prevention Initiative (APPI), part of the Family Planning Program in the Office of Maternal, Child and Family Health selected six highly qualified community-service agencies to deliver evidence-based curricula in seven project sites targeting youth in foster care, homeless youth, youth in the criminal justice system, youth living in poverty and African-American youth. The grantees had the option of selecting one of the evidence-based curricula that have been proven through rigorous evaluation to reduce teenage pregnancy, behavioral risks underlying teenage pregnancy or other associated risk factors. Reducing the Risk, SiHLE and Making Proud Choices! were chosen as the most effective programs when considering the youth populations selected. APPI will host the training sessions in order to ensure fidelity to the curricula and allow for the federal PREP funding to pay for direct services, rather than training. APPI is committed to providing programs that seek to educate young people about topics such as responsible behavior, relationships, and pregnancy prevention and youth development programs that seek to reduce teenage pregnancy and a variety of risky behaviors through a broad range of approaches.