GenderGender is a relevant health determinant for adolescent mothers as they are at risk of repeat pregnancies and a higher risk of STIs if they are sexually active (Aujoulat et al, 2010) . Repeat pregnancies among 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 adolescent mothers include comprehensive health care, including contraceptive counseling and education. Interventions and Strategies Identified in the Literature Researchers worked to identify strategies to engage and improve the health status of adolescent mothers. Strategies described in the literature focus on increasing education, social support, and personal adaptation. A general theme identified across these various strategies is the importance of engagement and the influence of the health worker-client relationship. However, the literature search found no interventions that improved income and social status, or directly addressed the problem of ineffective parenting. Circle of Care ProjectChablani and Spinney focused the Circle of Care (COC) Project as a means to identify and engage high-risk teen parents (2011). COC is a partnership between the community organization Roca and Massachusetts General Hospital. For this project, researchers focused on teen mothers who lack a stable home environment, such as those who are gang members or involved in the justice system, because these situations lead to a high risk of unhealthy behaviors. and negative parenting outcomes (Chablani and Spinney, 2011). This group of clients is typically excluded from parenting programs....... middle of article...... the main benefit of this program is that it alleviated depressive symptoms after 12 weeks. The multidisciplinary approach brings multiple perspectives to the support adolescent mothers will receive. Although it appears to work in the short term, the results of the study by Brown et al. of 2007 demonstrate that this program does not work in the long term for teenage mothers. The study determined that higher social support was associated with fewer depressive symptoms, an important health problem for adolescent mothers (Brown et al, 2007). Provincial and Local Interventions and StrategiesThe community of Saint John and the province of New Brunswick provide minimal resources to teenage mothers. A search for community programs specifically designed for teen mothers produced only three: Early Childhood Initiatives, Young Mothers Support Group, and First Steps Housing Project..