The Carrera Program is an intensive, year-round, multi-year after-school program for male and female high school students, which operates twelve months a year and 5-6 days a week. The target population is high-risk youth aged 13 to 15 who participate in the program until they complete high school, and the program has been implemented in six sites in New York City. The program incorporates a youth development approach in order to address underlying factors associated with teenage pregnancy and childbearing, including economic disadvantage, reduced academic performance, limited job opportunities and inadequate health care. The ultimate goals of the program are to increase health care (including reproductive health), increase knowledge of sexuality, reduce sexual activity, increase contraceptive use, and reduce pregnancy. The program provides seven activity and service components, which include employment and academic assistance, family life and sexuality education, performing arts experience, sports training, and mental and physical health care. The cost of this very intensive program is $4,000 per teen per year in New York City. An experimental evaluation of the Carrera program shows positive impacts for females - increasing health receipt, reducing the likelihood of being sexually experienced and of becoming pregnant, and increasing the likelihood of having used a condom and a hormonal method at last sexual intercourse. Program males reported more positive health care receipt, but were less likely to report using a condom and a hormonal method at last intercourse than males in a control group who did not receive the Carrera program services.