1. Adolescent Family Life Program Office of Population Affairs Office of Adolescent Pregnancy Programs November 2009

2. Organizational Structure  Office of Population Affairs (OPA)  Regional Health Administrators  Office of the Surgeon General  Office of Minority Health  Office on Women‘s Health  Office of HIV/AIDS Policy  Office of Disease Prevention and Health Promotion  Office of Research Integrity  Medical Reserve Corps  Office of Human Research Protections  National Vaccine Program  Presidential Advisory Council on HIV/AIDS  President‘s Council on Physical Fitness & Sports  President‘s Council on Bioethics  Advisory Committee on Blood Safety & Availability  Commissioned Corps of the US Public Health Service Office of Public Health and Science (OPHS) US Department of Health and Human Services

3. Organizational Structure Office of Population Affairs (OPA) Deputy Assistant Secretary for Population Affairs (DASPA) - Vacant Evelyn Kappeler, Acting Director, OPA Office of Family Planning Susan Moskosky, MS, RNC Director 10 Regional Program Offices Office of Research & Eval. Office of Adolescent Pregnancy Programs Alicia Richmond-Scott Acting Director

4. Adolescent Family Life (AFL) Program Overview  AFL Program was enacted in 1981 as Title XX of the Public Health Service Act (P.L.97-35).  AFL Program is administered within OPA by the Office of Adolescent Pregnancy Programs (OAPP)  Competitive grant program which supports: -Care and Prevention Demonstration projects that develop, implement, and evaluate innovative strategies to address issues related to adolescent pregnancy -Research on the causes and consequences of adolescent pregnancy  2010 (President’s Budget)$29,778,000

5. AFL Demonstration Grants Grantee Profile AFL Care Grants: 31 current grantees  Serve pregnant adolescents, adolescent partners, their infants, young fathers and/or male partners and extended families.  Focus on improving outcomes for pregnant and parenting adolescents and delaying a repeat pregnancy  Implement and test various interventions for pregnant and parenting adolescents  Provide comprehensive health, education and social services

6. AFL Demonstration Grants Grantee Profile AFL Care Primary Services  Pregnancy testing & maternity counseling  Adoption counseling & referral services  Primary & preventive health services including prenatal & post-partum care  Nutrition information & counseling  STI screening & treatment, including HIV/AIDS  Referral to pediatric care  Educational services for family life and problems associated with adolescent parenting  Educational and vocational services  Mental health services and referral; physical health services  Counseling and referral for family planning services

7. AFL Care Demonstration Grants Features  Educational review for scientific and medical accuracy  Parental Consent  Funding for 5 years  Match Requirement  Sliding fee scale  Independent Evaluation up to 25%  Required core data instrument for evaluation  Provide 10 core services directly or by referral  Require IRB review and approval