Teen Choices is a voluntary program aimed at reducing repeat teen births. It targets girls who are currently pregnant with or parenting their first child. Referrals come from a variety of sources. The younger teens are given the higher priority for inclusion. The program uses a multi-strategy approach, including a comprehensive assessment, goal-directed and client-determined support plan, and intensive care coordination and support using a home visiting model. The comprehensive assessment includes a health assessment, a socio-economic evaluation, and an evaluation of family interaction and support mechanisms. The goal-directed support plan addresses education, career planning, health care needs, daily living skills, parenting skills, and developing and maintaining a healthy caring relationship with a supportive adult. The frequency of contacts is based on the support required to move the teen toward making healthy life choices.

The goal of this program is to reduce the repeat birth rate for teen women in Collier County and to encourage positive choices for teen mothers to ensure a brighter future for them and their children.

Collier County Health Department started the program in 1998 and has continued to manage it. Over 150 girls have been case managed.