This article examines how specialized primary health care is a useful approach in the intervention of adverse health, developmental, educational, and social outcomes for children born to teen parents. The Teen Tot Clinic at Hasbro Children's Hospital in Providence, Rhode Island is an example of such a health care program; it provides services such as well and acute-illness care and works to keep adolescent parents engaged in school and successfully negotiating family planning and contraception issues. A key task for health care providers in a clinic like Hasbro's is to teach teen parents both what to expect as their child develops and how to increase their child's chances of growing up healthy. For example, professionals at the clinic should help the young parent recognize and respond to her child's signals as well as encourage singing, holding, and talking to babies. For teaching to be successful, health care providers must keep in mind the challenges teen parents face, such as past experiences of abuse and immature thought processes and cognitive difficulties.