This paper focuses on the causes, consequences and prevention of the alarming number of pregnancies among black teenagers. Teenage pregnancy is a symptom of the failure to have one's basic spiritual, intellectual/emotional, and physical needs met. Unmet infantile needs cause adolescents to search for romantic relationships in which they can gratify those needs and make up for a lack of nurturing between their mothers and themselves. The needs remain unmet because such early liaisons are not conducive to physical, mental and spiritual growth. Consequences of teenage pregnancy are presented in two interviews with a teenage mother and a teenage father. Preventing teenage pregnancy requires meeting adolescents' needs by teaching them respect for authority, responsibility, how to develop selective friendships, how to become giving persons, and how to develop a positive self-image. Toward this goal an interrrelated program is presented with various plans of action that focus on the roles of the following: (1) family; (2) parents; (3) community; (4) peer counselors; (5) private industry; (6) volunteer programs; (7) schools; (8) the religious sector; (9) prevention programs by and for men; and (10) the media. Included are some casework aids in reaching and working with unmarried fathers. (PS)