I think this is a SPECTACULAR idea, and have been thinking along the same lines myself. I'm wondering, though, if you would need an NP license to do the whole birth control thing? I think there may be some legal issues involved here, especially if you will be doing any check-up type services; for instance, if something is missed by you or your associates and the pregnancy has a negative outcome? I would be afraid that the girls may see your services as something in lieu of regular physician or midwife visits, and that could come back to bite you later. As for the birth control, I think you may need at least a certified NP for his/her prescriptive ability, and ultimately, I'm sure it depends on the state you live in. I do NOT think that any of these things should stop you, and while you are researching how to make this program more comprehensive, you and the church that is supporting you could CERTAINLY do many things to help these girls out, such as counseling, referrals, making appointments, TONS of education on MANY various topics, from bonding to how to deal with babies who won't stop crying to newborn care to birth control, etc. If the church has a van, you may be able to offer transportation to clinics on certain days, or something like that- in our area, the teens just don't have a way or the means to get to appointments. They can be very unmotivated, and we all know what this can do to a pregnancy. I commend you for being so determined with this, and I hope that you can get it off the ground. Good luck!