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Limits of the comprehensive services model: The case of adolescent pregnancy programs
Author(s) -
Perlman Sylvia B.,
Weatherley Richard A.
Publication year - 1986
Publication title -
journal of policy analysis and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.898
H-Index - 84
eISSN - 1520-6688
pISSN - 0276-8739
DOI - 10.1002/pam.4050050209
Subject(s) - social welfare , logic model , service (business) , welfare , teen pregnancy , pregnancy , health services , service model , mechanism (biology) , economic growth , business , public relations , political science , medicine , environmental health , economics , public administration , marketing , population , philosophy , epistemology , biology , law , genetics
During the past 15 to 20 years a comprehensive services model, incorporating health, social, and educational components, has been the preferred mechanism for addressing the problems associated with adolescent pregnancy. This paper offers an assessment of the model based on a study of ten communities in four states. The widely recognized service needs of pregnant teenagers give the model a compelling logic, but we find inherent obstacles that seriously constrain its implementation. These constraints are exacerbated in an era of social welfare cutbacks. We conclude that short‐term local sewice programs, although better than no services at all, are unlikely to meet their objectives.