This early volume in the long-running series focuses primarily on community issues. As in all volumes in the series, leading nurse practitioners provide students, researchers, and clinicians with the foundations for evidence-based practice and further research.

Adolescenceâ€"beginning with the onset of puberty and ending in the mid-20sâ€"is a critical period of development during which key areas of the brain mature and develop. These changes in brain structure, function, and connectivity mark adolescence as a period of opportunity to discover new vistas, to form relationships with peers and adults, and to explore one's developing identity. It is also a period of resilience that can ameliorate childhood setbacks and set the stage for a thriving trajectory over the life course. Because adolescents comprise nearly one-fourth of the entire U.S. population, the nation needs policies and practices that will better leverage these developmental opportunities to harness the promise of adolescenceâ€"rather than focusing myopically on containing its risks. This report examines the neurobiological and socio-behavioral science of adolescent development and outlines how this knowledge can be applied, both to promote adolescent well-being, resilience, and development, and to rectify structural barriers and inequalities in opportunity, enabling all adolescents to flourish.

More than 1 million teenage girls in the United States become pregnant each year; nearly half give birth. Why do these young people, who are hardly more than children themselves, become parents? This volume reviews in detail the trends in and consequences of teenage sexual behavior and offers thoughtful insights on the issues of sexual initiation, contraception, pregnancy, abortion, adoption, and the well-being of adolescent families. It provides a systematic assessment of the impact of various programmatic approaches, both preventive and ameliorative, in light of the growing scientific understanding of the topic.

Preventing teen pregnancy has become a national goal, but a one-size-fits-all strategy for achieving it may never be found. Because varying social and cultural factors lead to pregnancy among different ethnic/class groups, understanding these factors is essential in designing pregnancy prevention programs that work. This book explores the factors that lead to childbearing among Latina adolescents. Pamela Erickson draws on both quantitative data and case histories to trace the pathways to motherhood for Latina teens. After situating her study within current research on teen pregnancy, she looks specifically at teen mothers enrolled in programs at Women's Hospital in East L.A. She describes the teens' relationships to their babies' fathers and their own families and discusses how these relationships affect whether teen mothers want to become pregnant, their use of prenatal, postpartum, and family planning services, and their ability to prevent a repeat pregnancy. Erickson describes culturally appropriate intervention efforts and assesses the limitations of prevention programs in institutional settings such as schools and clinics.

By all indicators, the reproductive health of Americans has been deteriorating since 1980. Our nation is troubled by rates of teen pregnancies and newborn deaths that are worse than almost all others in the Western world. Science and Babies is a straightforward presentation of the major reproductive issues we face that suggests answers for the public. The book discusses how the clash of opinions on sex and family planning prevents us from making a national commitment to reproductive health; why people in the United States have fewer contraceptive choices than those in many other countries; what we need to do to improve social and medical services for teens and people living in poverty; how couples should "shop" for a fertility service and make consumer-wise decisions; and what we can expect in the futureâ€"featuring interesting accounts of potential scientific advances.

Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Schools, as one form of complex organizational settings, are regulated by often invisible expectations, understandings, and values that comprise the culture of the institutions. This volume moves beyond important and well studied relational and personal variables to an examination of school culture and motivation.

Unwed teenage pregnancy is a national problem - and a puzzle for clinicians and social psychologists. For how are we to understand a pattern of behavior that is strongly motivated and yet likely to end in unfortunate outcomes? Moreover, why does the pattern of unwed teenage pregnancy repeat in successivegenerations in some families, despite education and previous experience, whereas in other families the pattern is broken? Reporting on intensive social and psychological research in a rural African American community in Louisiana, Anne Dean offers a compelling view of this phenomenon that integrates historical and economic analysis with a sensitive psychological inquiry into the minds of mothers and daughters and the patterns of communication between them. Teenage Pregnancy: The Interaction of Psyche and Culture transcends earlier investigations by going beyond conventional research strategies to test psychodynamic theories about the formation of internal worlds. Drawing on the work of Erik Erikson and Hans Loewald, Dean not only finds empirical justification for psychodynamic theories of psychic structure, but also extends the scope and methodology of attachment research in an exciting new direction. Specifically, her analysis reveals how different kinds of attachment relationships between mothers and daughters manifest themselves in adolescence as internal working models that become the templates for interpreting, and acting upon, contradictory economic, social, and familial expectations. In demonstrating how social factors and cultural schemas interact with psychodynamic motives and structures, Teenage Pregnancy has widespread applicability to social science research in general. And it offers psychodynamically oriented clinicians working with adolescents the opportunity to become better acquainted with the ways in which mother-daughter relationships gain expression in the identity choices of teenage girls.