Final Impacts of the Teen Options to Prevent Pregnancy Program

Impact Report from the Evaluation of Adolescent Pregnancy Prevention Approaches
Publisher: Cambridge, MA: Mathematica Policy Research
Jul 27, 2016
Dana Rotz, Dara Lee Luca, Brian Goesling, Elizabeth Cook, Kelly Murphy, and Jack Stevens

Key Findings:

  • The T.O.P.P. program succeeded in reducing rates of repeat pregnancy and unintended pregnancy among low-income teen mothers.
  • The T.O.P.P. program was successful in increasing participants’ use of LARC methods and reducing the incidence of unprotected sexual intercourse.
  • We found no evidence that T.O.P.P.’s focus on reducing barriers to highly effective contraceptive methods had any unintended spillover effects on other sexual risk behaviors that the program did not target.

This study reports final impact findings from a large-scale demonstration project and evaluation of Teen Options to Prevent Pregnancy, an 18-month clinic-based intervention designed specifically for pregnant and parenting adolescents. The study reports final impacts of the program on rates of repeat pregnancy measured at the end of the 18-month intervention. An earlier report examined the program’s shorter-term impacts on contraceptive use and sexual risk behaviors after the first six months of the program.