The Teen and Tot Program (TTP) is a specialized program focused on adolescent pregnancy and parenting, located within Boston Medical Center’s Adolescent Center. TPP is the only program in Massachusetts that provides prenatal, postpartum, adolescent and pediatric primary care for both the mother and baby within a single clinic. Based on our 20+ year experience working with a vulnerable and resilient population, Teen and Tots aspires to become the leading center for excellence in caring for the whole teen parents and child, improving the health and wellness and changing lives through pregnancy and parent services.

We strive to address health disparities among vulnerable populations (especially our children of young mothers and dad) with the goal of moving them from charity to equity, providing equal opportunity and health equity for all. BMC proactively engages with our teen  aged parents to ensure they have the medical and non-medical tools and resources they need to be strong parents and reduce the instances of repeat pregnancy and improved birth outcomes. Our aim is to move them upstream by breaking down barriers that limit our young parents’ potential and to provide equitable care by purposely reconstruction systems to meet our patients’ goals. We want to deliver equitable care with Innovative programs beyond traditional healthcare services that improve health outcomes.

Dr, Joseph and her team understand that in order for our patients to be successful parents, they need support for their own emotional and spiritual needs, especially as many teenage parents suffer from various forms of trauma and toxic stress.The support provided by the program is extensive, offering education in subjects like postpartum recovery, navigating school and work issues, support and education for young fathers, housing and benefits information, nutrition, etc., and improves the health and wellness for parents and children. Although being a young parent is very difficult, our program aims to provide the support needed for our resilient teen parents to complete their education and go on to do great things.

TTP proactively engages with our teen-aged parents to address inequities by ensuring they have the medical and non-medical tools and resources they need to be strong parents and reduce the instances of repeat pregnancy and improve birth outcomes.

TTP is a comprehensive, innovative program of care, support and education for pregnant and parenting adolescents and their children. It was created so that teenagers up to the age of 23 and their children up to the age of 4 can come to their medical appointments together, and have the same physician who can address the needs of both parent and child. Teen parents face significant barriers to proper maternal health and prenatal care like unemployment, access to care with transportation insecurity, financial restraints, and higher risk of domestic violence all of which have been exacerbated by the COVID-19 pandemic. Therapy and behavioral health are key components of our patients 'overall medical wellbeing and providing more consistent options to our patients will drive more positive health outcomes for teen-aged parents and their children.

Our staff specializes in the unique needs of adolescents, so TTP encourages teens to use all of the services the Adolescent Center provides. This includes medical group visits such as CenteringPregnancy for pregnant teens and CenteringParenting for parents and babies. The comprehensive approach provides teen parents access to various medical services such as standard adolescent care which includes primary care for mothers, fathers and children.

Teen and Tot Group

Available Case Management Services services include:

The Teen and Tot Program’s hallmark service is a ten-week prenatal education class free of charge in a friendly and welcoming environment. Each class focuses on different aspects of the newborn, targeted to the needs of teenage parents - both mothers and fathers. Subjects covered include:

  • Breastfeeding
  • Contraception
  • Delivery and postpartum recovery
  • Housing and benefits information
  • Newborn and toddler development
  • Nutrition
  • Prenatal care
  • School and work issues
  • Support and education for young fathers

Classes are held weekly and food is provided. Family members and friends are welcome to attend.

This program is supported in part by the Boston Public Health Commission, Boston Healthy Start Initiative.