This report analyzes problems in New York State efforts to reduce unwanted adolescent pregnancy and its associated problems. Following an executive summary and introduction, the report consists of five sections. Section 1 details the framework and background for the Task Force recommendations. Section 2 provides an overview of current efforts to address adolescent pregnancy in New York State. Section 3 describes gaps and barriers which inhibit the State's capability of effectively dealing with the issue. Section 4 presents seven recommendations and a series of implementation steps. The recommendations are: (1) The State Education Department, and other agencies, should be sure that students are given a relevant education. (2) Access to quality, comprehensive, and affordable health care should be ensured for children and adolescents. (3) New York State should ensure coordination of services for pregnant adolescents at the State and local levels. (4) Programs and policies should encourage self-sufficiency. (5) The State should ensure that a continuum of appropriate living arrangements is available for pregnant and parenting adolescents. (6) The State should ensure that the promotion of employment opportunities is an integrated part of its approach to addressing adolescent pregnancy. (7) New York should effectively and consistently use the media to address the issue of adolescent pregnancy and counter negative messages youth currently receive. Finally, the fifth section outlines the future agenda of the Task Force. (KH)