State governments, school systems, and local communities are increasingly aware that social problems must be addressed in the context of education reform since many of these problems limit students' ability to learn. Unchecked, these problems have a high social and financial cost in that they prevent young people from becoming self-sufficient adults. One of the problems which is being addressed in many areas of the South is teen pregnancy. Many schools are establishing on-site clinics as part of the solution to the rise in the birthrate among 15-19 year olds. This paper presents models of these clinics as one approach to the complex problems of teenage parenting and pregnancy. These clinics attend to the health needs of pregnant teenagers in comprehensive ways that are more affordable, accessible, and appropriate than traditional health care facilities. Most of these clinics are free, but a few charge a small fee. All require parental permission. School-based clinics from four Southern states are described. (VM)