To help reduce teen pregnancies and their negative consequences, as well as sexually transmitted infections (STIs) and associated risk behaviors, Congress authorized the Personal Responsibility Education Program (PREP) as part of the 2010 Patient Protection and Affordable Care Act (ACA). Most of the PREP funding ($55.25 million of $75 million, annually) was designated for formula grants to states and territories. PREP is administered by the Administration on Children, Youth and Families (ACYF) within the Administration for Children and Families (ACF) of the U.S. Department of Health and Human Services (HHS). State PREP grantees had discretion to design their programs in alignment with four primary expectations. State PREP programs are expected to (1) be evidence-based, (2) provide education on both abstinence and contraceptive use, and (3) educate youth on at least three of six adulthood preparation topics. States are also encouraged to target their programming to high-risk populations, such as youth residing in geographic areas with high teen birth rates, adjudicated youth, youth in foster care, minority youth, and pregnant or parenting teens. This report documents states' program decisions, drawing from data collected through telephone interviews with state grantee officials in 44 states and the District of Columbia. Key findings indicate: (1) Over 93 percent of the 300,000 expected PREP program participants will be served by programs that are among the 31 that HHS has identified as evidence-based, through a systematic review of teen pregnancy prevention effectiveness evaluations; (2) Three-fourths of program providers will operate in high-need geographic areas, and states report that their program providers expect to serve primarily African American and Hispanic youth, youth in foster care, and adjudicated youth; (3) States are taking various approaches to educate youth on both abstinence and contraception and incorporate adulthood preparation subjects; and (4) State PREP grantees are uniformly creating an infrastructure to support successful replications of evidence-based programs through training, TA, and monitoring. (Author abstract modified)
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The Personal Responsibility Education Program (PREP): Launching a Nationwide Adolescent Pregnancy Prevention Effort.