Background:
California experiences higher rates of maternal morbidity and mortality compared with the United States, especially among high risk groups. Teens engage in risky health behaviors that predispose them to adverse birth outcomes, some of which are preventable. "Teen Care" provides interconception care through home visitation to 300 pregnant and parenting teens under the age of eighteen years old and residing in a northern California county. Our agency is the sole provider of case management services to pregnant and parenting teens, receiving referrals from community organizations and currently serving 770 teens.

Objectives:
Participants will be able to:
1. Identify steps to incorporate preconception care into an existing pregnant and parenting teen program
2. Understand use of a teen-friendly interconception reproductive life planning tool.

Methods:
"Teen Care" program components include reproductive life planning and vitamin supplementation and case management interconception care services for teens at risk of adverse birth outcomes. This is accomplished through (a) proctored web-based risk self-assessment conducted electronically, (b) case-manager-assisted web-based educational interventions tailored to risk factors based on the Problem Knowledge Couplers (PKC) program for preconception/interconception care, (c) coordination with the primary care medical provider, and (4) follow-up for three years. This project will assist teens to perform self-assessment to identify interconception risk factors and take ownership for changing health behaviors. Teens identified with changeable risk factors will receive individually tailored culturally appropriate interventions including teen-friendly group classes.

Results:
Teen-friendly reproductive life planning tool for interconceptional use with teens will be shared along with design of program and interim outcomes which include changeable health behaviors, such as smoking and other healthy lifestyle outcomes.

Conclusion and implications for practice:
There continues to be opportunity for incorporating interconception care assessment and intervention into existing public health and social service case management and home visiting programs. "Teen Care" is an example of integration of content into an existing program and can be used as a model for Healthy Families America, school teen pregnancy, public health nursing and Title V funded case management programs serving pregnant and parenting teens.