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: Pregnant Women – Eligibility, Recruitment, Enrollment and
Source: 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
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.
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
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:
? Health services
? Emotional counseling
? Prenatal counseling
? Financial and social services
? Child support
2. The Family Support Worker will work with the family to create a Family
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
? 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
? 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.