1. Teamwork Makes The Dream Work

2. Oceana CountyMichigan 61.048.3 County Population: 26,523

3.  Risk of pregnancy among teens in Oceana County r/t high rates of binge drinking, poverty, lack of education, and a high rate of uninsured individuals.  Binge drinking: 19.4% - 17.1%  Poverty: 29.3% - 22.4%  HS Education: 83% - 88.4%  Uninsured: 17.6% - 15.1%

5.  After school program

6.  Sex education classes  PYD programs

7.  Family planning clinic

8.  Health Belief Model

9.  Planned Parenthood  TPPI-Teen Pregnancy Prevention Initiative Family Planning Contraception TETO- Talk Early Talk Often Sex Education class  The National Campaign to Prevent Teen and Unplanned Pregnancy

10. Sex Education Classes  Questionnaire: includes sex, age, ethnic background, how long they have been having sex, and if they use contraception.  Each year after sex education class is complete calculate the number of teen pregnancies in Oceana school district. Reaching Out  Check-up appointment 3 months afterwards: includes questions on the use of drugs/alcohol, if safe sex practices are performed, and if birth control is being used effectively.  After 3 months the answers should be related to knowledge about the consequences of alcohol/drug use, and positive feedback on safe sex practices and the use of birth control.

11. Center for Disease Control (2013). Teen pregnancy prevention. http://www.cdc.gov/TeenPregnancy/PreventTeenPreg.htm D’Amico, E. J., Tucker, J. S., Miles, J. N., Zhou, A. J., Shih, R. A., & Green Jr, H. D. (2012). Preventing alcohol use with a voluntary after-school program for middle school students: results from a cluster randomized controlled trial of CHOICE. Prevention Science, 13(4), 415-425. District Health Department #10. (2012). Health profile chartbook; Oceana County. Retrieved from: http://dhd10.org/imagesOceana_Chartbook_January_19_2012.pdf http://dhd10.org/imagesOceana_Chartbook_January_19_2012.pdf Frost, J. J., Finer, L. B., & Tapales, A. (2008). The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings. Journal of Health Care for the Poor and Underserved, 19(3), 778-796. Gavin, L. E., Catalano, R. F., David-Ferdon, C., Gloppen, K. M., & Markham, C. M. (2010). A review of positive youth development programs that promote adolescent sexual and reproductive health. Journal of Adolescent Health, 46(3), S75-S91. Hayden, J. (2009). Introduction to health behavior theory. Jones and Bartlett Publishing: Sudbury, MA. Retrieved from http://books.google.com/booksid=qxQFEIq2c38C&printsec=frontcover#v=onepage&q&f=false http://books.google.com/booksid=qxQFEIq2c38C&printsec=frontcover#v=onepage&q&f=false Martin, J., Hamilton, B., Ventura, S., Osterman, M., and Matthews, T. (2013). Births: final data for 2011. National Vital Statistics Report, 62(1), 6. Meyrick, J. (2002). An evaluation resource to support the teenage pregnancy strategy. Health Development Agency. Retrieved from http://scholar.google.com/scholar?hl=en&as_sdt=0,23&q=An+evaluation+resource+to+support+the+teenage+Preg nancy+Strategy# http://scholar.google.com/scholar?hl=en&as_sdt=0,23&q=An+evaluation+resource+to+support+the+teenage+Preg nancy+Strategy# Michigan Government (2013). Teen pregnancy prevention initiative. Retrieved from: http://michigan.gov/documents/mdch/TPPI_Overview_302996_7.pdf http://michigan.gov/documents/mdch/TPPI_Overview_302996_7.pdf Planned Parenthood (2013). Retrieved from: http://www.plannedparenthood.org/health-topics/ The National Campaign (2013). Retrieved from: http://www.thenationalcampaign.org/about-us/default.aspx

12. http://www.youtube.com/watch?v=SAhHqt_OFt8