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Justice Index · Advocacy Lab · Field Guide

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Health & Family

Health and family supports are the quiet engines behind stability. This section tracks teen pregnancy & parenting trends, Medicaid/EPSDT continuity, home visiting, and day-to-day scaffolding like childcare and transportation that keep progress from unraveling.

What We Track

  • Teen Pregnancy & Parenting: trends since 2015, disparities, and school/work impacts.
  • Coverage & Continuity: EPSDT/Medicaid enrollment and service continuity during supervision/aftercare.
  • Home Visiting & Case Management: initiation, completion, and short-term outcomes.
  • Supports for Young Parents: childcare access, flexible scheduling, credit recovery, and transport.
  • Cross-system Hand-offs: referrals between courts, health providers, schools, and housing programs.

Pathways & Supports (Typical)

  1. Identification: screening for pregnancy/parenting status and health needs at intake or reentry.
  2. Enrollment: confirm/restore Medicaid; connect to EPSDT, WIC, and home visiting when eligible.
  3. School & Work: re-enrollment plan with flexible options (alt-ed, credit recovery, CTE, WBL).
  4. Stability: childcare and transportation supports; coordinate with MH/SUD services as needed.
  5. Follow-up: 30/90/180-day checks for attendance, service completion, and housing stability.

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Data & Methods

We normalize rates to appropriate denominators (e.g., age-specific population 15–19 for teen birth rates). Small-n cells are pooled across 2–3 years and flagged. When reporting definitions change, we mark breaks in series so dashboards and briefs remain comparable.

Related

Transparency note: We disaggregate indicators by race/ethnicity and rurality where possible and annotate pooled values or proxy measures to keep interpretations honest.