Innovative Game Transforms Youth Sexual Reproductive Health Education in Rwanda

Educational Talent Search provides personalized college and career counseling to first-generation and low-income students. Counselors work with students from 8th grade through high school graduation, offering one-on-one support with college applications, financial aid forms, scholarship searches, and career planning. The program has seen nearly 90% of seniors enrolling in post-secondary education, far above its 56% target.

Sources of Strength is a student-led mental health prevention program operating in about 35 Maine middle and high schools, coordinated by NAMI Maine and the state CDC. The program trains peer leaders to act as "connectors" who listen to struggling classmates and guide them to trusted adults before problems escalate. Students report that peer support makes it easier to discuss struggles with someone experiencing similar pressures.

Operation Fresh Start is tackling workforce barriers faced by economically disadvantaged young adults through its Legacy program, which combines classroom instruction with hands-on construction and conservation work. Participants receive individualized learning plans, financial stipends and wraparound support to help them stay on track. In 2024, the program helped 36 young adults earn high school diplomas, 32 earn pre-apprenticeship certifications and reported an average three grade-level increase in reading and math among participants.

Health centers like Barjobi Health Center III offer youth and teens judgment and stigma-free sexual and reproductive healthcare services, as well as opportunities to connect with each other over games and activities. However, these youth-centric health centers are facing closures and significant budget cuts as the biggest funding provider, USAID, has phased out.

In the early 2000s, Minnesota implemented a systematic approach to address inadequate mental health access for students by contracting with outside agencies to place licensed mental health providers directly in public schools. The state expanded funding from $4.7 million in 2008 to over $20 million today, growing from therapists in just five schools to now serving 82% of the state's public school districts.

Facing a youth mental health crisis, some schools are using digital screening tools like BIMAS-2 and DESSA to identify students needing behavioral support. Districts in Green Bay and Alexandria report positive results, but widespread adoption meets resistance due to costs, parent concerns, and limited capacity for follow-up support.

Lumen High School enrolls pregnant and parenting teens, providing a “learn-as-you-go” approach to learning that makes it possible for them to parent and stay in school. The school provides full-day child care, free baby supplies, mental health counseling and other supports to help get students to graduation day. All the Lumen High School students who graduate have been accepted into college, with 95% enrolling or choosing to start working within the six months after graduation.

Riverside County launched College Comeback to address the COVID-19 related decline in graduating high school students going to college. Six counselors each spend 25 hours a week reaching out to the high school class of 2020 and holding one-on-one appointments to help students navigate application deadlines, financial aid, and California Dream Act forms, as well as provide information about technical programs and military service. Counselors’ stipends come from money previously allotted for travel, and since they are also trained mental health professionals, counselors provide emotional support as well.

A "near-peer" mentoring program offers a promising model for similar initiatives working to prevent "summer melt" for low-income students in the summer between their graduation from high school and arrival at college. College-age mentors provide in-person coaching and respond to texts about financial aid and other concerns.

To reduce unplanned pregnancies, Delaware "embarked on an ambitious experiment" that worked to eliminate barriers that prevented women from pursuing alternative forms of birth control, such as cost and convenience. After two years, rates of unplanned pregnancies decreased by 15 percent.