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Ensuring that a child has a good start in life requires a partnership that extends beyond that of the parents and that precedes a child's conception. Sharing this vision among agencies that have contact with marginalised young people led to the use of an infant simulator to attract ‘at risk’ young people into a program that helps ensure that the choice to conceive is not only informed but also has the potential to promote mental health. Participants demonstrated that they increased their knowledge of the health and other implications of having a baby and some took active measures to improve their health.

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