The two most critical factors determining the life course of adolescent mothers are high school graduation and subsequent childbearing. Each time a teen mother graduates from high school and delays a second pregnancy, she carves a new path for herself and her family.


The Illinois Subsequent Pregnancy Program (ISPP) was one of the few programs in the country that focuses on delaying a “second” pregnancy among adolescent mothers. This program grew directly out of empirical research on adolescent welfare mothers in Chicago which suggested that teen mothers could make it with one child, but a second baby while still a teenager most often meant high school dropout and welfare dependency (Mosena, UChicago, 1986).

ISPP provided an integrated model of adolescent service delivery with intensive home visiting and group training. OFY staff had the unique opportunity to develop the program model, curriculum, and record-keeping system working with ISPP Home Visitors in seven local agencies serving teen mothers in 52 communities across the state of Illinois. Among 5,000 first time adolescent mothers who participated in ISPP: 97% delayed a second pregnancy and 95% remained in or graduated from high school. The MacArthur Foundation supported a ten-year evaluation of the state-wide program, which reported that high school graduation rates among adolescent mothers were twice the national average for parenting teens (Philliber Research, 2011). Despite the effectiveness of the Illinois Subsequent Pregnancy Program, the 2015 state budget crisis and the new administration in Springfield decided that teen mothers were no longer a priority and all SPP project funding was stopped.

In 2016, we began to rebuild our SPP program in Chicago. We chose the North Lawndale neighborhood because of the high teen birth rate and proportion of teen births in this community. One quarter, 24.3%, of the babies born in North Lawndale are to 15-19 year olds [CDPH, 2009]. North Lawndale has one of the highest teen birth rates in Chicago at 58 per 1,000 (Chicago is 21.5). High school graduation rates are low, with one-fifth (20%) failing to graduate or get a GED; only 13% graduate from college (ACS, 2020). A majority of the children in North Lawndale, 57%, are reported to live in poverty (, 2017).

Program Activities

ISPP supported participants through two primary interventions: a personal, long-term relationship with a home visitor and intense training through group participation. Second-year participants were trained to work as Subsequent Pregnancy Peer Educators in their own schools and communities. Participants were African American, Caucasian, Mexican and Puerto Rican, ages 12-18.

Peer Education

After participating in ISPP for one year and completing eight weeks of summer training, young mothers could become Subsequent Pregnancy Peer Educators. As Peer Educators, they worked with hundreds of first-time adolescent mothers through school and community presentations and one-on-one communication.

Peer Educators’ Community Impact

  • Working with fifth grade teachers to redesign curriculum for family life education
  • Appearing on local cable television and radio programs advocating self sufficiency
  • Starting a second-hand children’s clothing store
  • Raising money for a crisis fund and book bags for elementary school students
  • Painting and redecorating a women’s shelter
  • Working as ISPP Home Visitors after attending college

ISPP Achievements

  • Impacted over 5,000 young mothers from 50 Illinois communities
  • Only 3% of participants had a second pregnancy while in the program
  • 95% of participants remained in or graduated from high school
  • 90% of seniors who were eligible graduated in 2014