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Pregnancy Counseling -
Typical Process for Birth Parents

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1. At Service Initiation

Birth Parent Actions

  • Initial call to the Agency
  • Attend initial appointments
  • Complete inquiry/intake forms

Agency Actions

  • Answer questions
  • Schedule first appointment
  • Assess immediate needs
  • Determine involvement of birth father
  • Determine involvement of extended family
2. Ongoing Counseling

Birth Parent Actions

  • Keep appointments
  • Secure medical care
  • Sign release to doctor
  • Apply for Medicaid
  • Develop support system
  • Identify the birth father
  • Involve birth father in counseling as appropriate
  • Involve extended family in counseling as appropriate
  • Examining short and long term goals
  • Explore supports and resources necessary in parenting
  • Decision making related to pregnancy
  • Explore housing needs
  • Explore educational, vocational, and other needs
  • Explore feelings regarding pregnancy
  • Explore relationship between birth parents
  • Begin to educate self on labor and delivery, lamaze, etc.

Agency Actions

  • Develop service plan
  • Assist client in securing medical care
  • Obtain release to doctor
  • Assist in securing Medicaid application
  • Assist and support client in telling significant others about the pregnancy
  • Objectively explore available options on an ongoing basis
  • Involve birth father as appropriate
  • Involve extended family as appropriate
  • Provide information on parenting
  • Refer to available resources in community
  • Assist with alternative living arrangements if needed
  • Education on labor and delivery
  • Education on hospital procedures
3. If Parenting

Birth Parent Actions

  • Realistically explore resources needed for parenting
  • Explore budgeting and financial needs
  • Secure appropriate living arrangements
  • Explore rights and responsibilities of the birth father
  • Begin securing material needs
  • Explore child support and other resources
  • Explore impact of parenting on other areas of life
  • Explore hospital procedures
  • Explore child care options

Agency Actions

  • Assist birth parents in locating needed services, resources, and materials
  • Assist with financial planning
  • Educate on infant care
  • Educate on parenting skills
  • Teach stress management
4. If Relinquishing

Birth Parent Actions

  • Fully explore parenting options
  • Learn about open adoption
  • Provide information to identify and notify birth father
  • Anticipate feelings regarding the child
  • Identify desired characteristics of adoptive family
  • Identify needs regarding openness
  • Review family profiles and make decision on adoptive family
  • Participate in pre-birth meetings
  • Complete medical history
  • Complete social history
  • Be honest about feelings before and after delivery
  • Develop hospital and delivery plan
  • Notify worker of labor or birth
  • Reconsider decision to relinquish
  • Authorize foster-adopt placement
  • Release/relinquish parental rights
  • Participate in placement ceremony
  • Maintain ongoing open relationship

Agency Actions

  • Educate on open adoption
  • Facilitate grieving process
  • Review homestudy process and admission requirements of adoptive couples
  • Represent adoptive families through profile reviews
  • Schedule and facilitate pre-birth meetings
  • Facilitate and negotiate hospital and delivery plan
  • Overview relinquishment and placement process with birth and adoptive family
  • Complete all birth father notification procedures
  • Support and counsel during hospital stay
  • Secure infant medical information from hospital
  • Schedule and make all arrangements for relinquishment and placement
  • Sent claim to paternity check to the state
  • Check claim to paternity after five days
  • Prepare birth mother affidavit regarding identity of birth father
  • Prepare legal risk statement if needed
  • Facilitate relinquishment and placement
  • Provide copies of all documents signed
  • Obtain completed medical history and infant profile from birth parents
  • Complete agency affidavit
5. Follow-Up

Birth Parent Actions

  • Continue counseling
  • Maintain direct relationship with adoptive family
  • Stay in touch with the Agency
  • Offer support for other birth parents

Agency Actions

  • Be available for follow-up counseling
  • Write relinquishment and placement summaries
  • Facilitate post-placement meetings as needed
  • Provide mediation services as requested
 
   

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