Approved by Health Advisory on 2/11/09 Approved by Policy Council 3/7/09 Approved by Board________ SPCAA Early Head Start Program Draft for PC and Board Approval, April, 2009 Policy & Procedure Program for Pregnant Women Subject: Services Source: Pregnant Women – Eligibility, Recruitment, Enrollment and Performance Standard Reference: 1304.40 (c), 1304.40 (i)(6) The SPCAA Early Head Start program is designed to meet the needs of the mothers-to-be and her family in a way that ensures a healthy outcome for the newborn child and mother. Early Head Start will assist pregnant women to access comprehensive prenatal and postpartum care and provide assistance for mothers to secure services and resources for new born children PROCEDURES: Eligibility and Recruitment 1. Pregnant women will be recruited with flyers, announcements, newspaper, and by-word-of-mouth in local community centers, grocery stores, community resource offices, etc. in the service area. 2. Family Support Workers will do an initial intake, recruitment application, and for families who are not eligible for or are not able to immediately enroll in for the program, the FSW will provide referral information. Enrollment 1. Pregnant women will complete an enrollment form providing EHS staff with information on their health and pregnancy status. The information shared by the client will assist the FSW with ensuring that the needs of the clients are met during monthly home visits. Information gathered will include the following: Prenatal care information Prenatal care provider information Complications with pregnancy- from current and previous pregnancies Completed prenatal/postnatal nutritional assessment forms Review the My Pyramid in Action Tips for Pregnant Moms and My Pyramid in Action: Dietary Supplements during Pregnancy and Breastfeeding. Services 1. Pregnant women enrolled in the program will be required to complete all forms including the Family Needs Assessment Survey which addresses several areas, including the following areas: Shelter Health services Nutrition Emotional counseling Prenatal counseling Financial and social services Child support 2. The Family Support Worker will work with the family to create a Family Partnership Agreement. 3. The Family Support Worker will assist pregnant women in making and keeping prenatal and other appointments, including dental appointments. 4. The Family Support Worker will help mothers develop questions to ask the health provider and assist in developing a birth plan for delivery. 5. The Family Support Worker will make a home visit at least once per month, more if needed. During monthly home visits, the Family Support Worker (FSW) will utilize the Partners for a Healthy Baby Curriculum and complete the Home Visit Planning Form. This form allows for documentation of information shared with the client, and any concerns they may have. 6. As needed, the FSW will provide mental health information and referrals to services such as substance abuse prevention and treatment. The FSW will also address emerging needs of each family such as domestic violence, job assistance and training, or utility assistance. If applicable, the FSW will make a referral to the Medicaid Case Management Program. 7. The FSW will provide pregnant women and other family members, as appropriate, with prenatal education including: Fetal development (including risks from smoking and alcohol), Labor and delivery, Postpartum recovery (including maternal depression), Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, Car Seat Safety, and Developmental Milestones Benefits of breast feeding (those choosing breast feeding are encouraged to come to the center to feed their babies in a designated area.) A brochure and referral to the Stork’s Nest. Baby Basic’s guide to a healthy pregnancy Baby Basic’s pregnancy planner 3 Ring Binder to hold handouts from the Partners for a Healthy Baby Curriculum A 12 month calendar for upcoming appointments Referral to WIC, (if applicable.) Information on Project APPLE, which specializes in substance abuse prevention and treatment for pregnant women. 8. As staff becomes aware of the birth of the child, the FSW will schedule a visit with the client within two weeks of the child’s birth. During this visit the Newborn Health Visit form will be completed with the Head Start/Early Head Start Nurse and FSW. The information documented may indicate additional services needed by the client. At this visit, the client will be asked to complete the Edinburgh Postnatal Depression Scale (EPDS). The FSW will forward the completed form to the Head Start Mental Health Manager for review and if a referral is needed, the Mental Health Manager will work with the FSW to assist the family with locating and acquiring services. If the new mom is referred for additional services based on review of the Edinburgh Scale by the Mental Health Manager and the mother refuses to seek the services, the EHS Assistant will document and file the refusal on a family contact note signed by the mother. The FSW will strive to continue in a supportive relationship with the postnatal mothers who refuse referral due to the Edinburgh Scale. The home visit contact can also identify other needs related to other family members or the household. 9. After the baby is born, the mothers remain and complete the program in six weeks. The new born baby is then recruited and enrolled in the next available slot in the EHS program.