Objective: To propose an assessment and intervention model for adolesc
ent mothers that evaluates the influence of physical, cognitive, affec
tive, and interpersonal development on such areas of psychological dys
function as unprotected sexual activity, substance abuse, and psychopa
thology. Method: More than 100 studies were reviewed to identify corre
lations between discrete developmental events and evidence of psycholo
gical dysfunction in adolescent mothers. Results: The adolescent's nas
cent developmental skill in one domain of functioning (e.g., cognitive
) frequently exerts a synergistic effect on other areas of functioning
(e.g., affective). This synergy increases the likelihood of psycholog
ical dysfunction. In turn, psychological dysfunction affects the emerg
ing relationship between the adolescent mother and her infant. Conclus
ion: The interaction between the nascent developmental status of the a
dolescent caregiver and her psychosocial environment enhances the prob
ability of a maladaptive exchange between mother and infant. A model d
esigned to overcome the adolescent's developmental limitations and pro
mote adaptive interaction with the infant may avert dyadic interperson
al failure.