GenderGender is a relevant determinant of health for adolescent mothers as they are at risk of repeat pregnancies and at a greater risk of sexually transmitted diseases if they are sexually active (Aujoulat et al, 2010). Repeat pregnancies for adolescent mothers are a common concern identified in the literature (Aujoulat et al., Chablani and Spinney, 2011 and Stiles, 2010). This is why most interventions for teen mothers include comprehensive health care, including counseling and education about contraception. Interventions and strategies identified in the literature Researchers have worked to identify strategies to engage and improve the health status of adolescent mothers. Strategies in the literature focus on increasing education, social support, and personal coping. An overarching theme identified across these various strategies is the importance of involvement and the influence of the relationship between the healthcare professional and the client. However, the literature search found no interventions that worked to improve income and social status, nor directly address the concern of ineffective parenting skills. Circle of Care Project Chablani and Spinney focused on the Circle of Care (COC) project as a means to identify and engage high-risk adolescent parents (2011). COC is a partnership between the community organization Roca and Massachusetts General Hospital. For this project, researchers focused on teen mothers who do not have a stable family environment, such as those who are part of gangs, or are involved in the justice system, as these situations lead to a high risk of unhealthy behaviors and parenting outcomes negative (Chablani & Spinney, 2011). This group of clients is generally excluded from parenting programs....... middle of paper ...... the positive aspect of this program is that it reduced depressive symptoms after 12 weeks. The multidisciplinary approach offers multiple perspectives to the support that teenage mothers will receive. Although it appears to work in the short term, the results of Brown and colleagues' 2007 study demonstrate that this program does not work in the long term for teen mothers. The study determined that greater social support was associated with fewer depressive symptoms, a significant health concern for adolescent mothers (Brown et al, 2007). Provincial and local interventions and strategies The community of Saint John and the province of New Brunswick provide minimal resources to adolescent mothers. A search for community programs specifically designed for teen mothers yielded only three: Early Childhood Initiatives, Young Mothers' Support Group, and First Steps Housing Project.