1. Session #5: Step 6 Situational Assessment

2. Step 6: Situational Assessment Training for areas of discretion Training for areas of discretion OT Page 48 OT Page 48 Conversation is guided by Advocate, using questions on Patient Intake Form Conversation is guided by Advocate, using questions on Patient Intake Form Let patient share her concerns, but do not allow conversation to become a “counseling session” Let patient share her concerns, but do not allow conversation to become a “counseling session”

3. Step 6: Situational Assessment RETURN VISIT Advocate will use PR Return Visit Form to review current situation Advocate will use PR Return Visit Form to review current situation Changes since last visit Changes since last visit Update on relationship status Update on relationship status Has she shared her pregnancy with anyone Has she shared her pregnancy with anyone Has she followed up with referrals on PSA Has she followed up with referrals on PSA

4. Session #6: Step 7 Options Presentation

5. Step 7: Options Presentation OT Page 49 OT Page 49 Conversation is completely managed by Advocate, using brochures and scripts. Conversation is completely managed by Advocate, using brochures and scripts. Patient can ask questions, but it is important for Advocate to be established as the content expert. Patient can ask questions, but it is important for Advocate to be established as the content expert. Patient will often not know what information she needs, or what questions to ask. Patient will often not know what information she needs, or what questions to ask. Advocate managing this discussion will put the patient at ease and establish credibility and professionalism in her mind Advocate managing this discussion will put the patient at ease and establish credibility and professionalism in her mind All three options are presented at every appointment, unless patient refuses a presentation. All three options are presented at every appointment, unless patient refuses a presentation.

6. Step 7: Options Presentation Abortion: Procedures, Risks & Side Effects Abortion: Procedures, Risks & Side Effects Review portion of brochure with patient that matches with her LMP Review portion of brochure with patient that matches with her LMP ALWAYS refer medical questions to Nurse ALWAYS refer medical questions to Nurse Questions about strange LMP Questions about strange LMP Questions about date of conception Questions about date of conception Questions about healthy pregnancy Questions about healthy pregnancy

7. Step 7: Options Presentation Parenting Resources Parenting Resources Brief discussion of resources she may need Brief discussion of resources she may need Health Insurance Health Insurance OB/GYN OB/GYN Financial Aid for college Financial Aid for college Material Assistance Material Assistance Birthing/Parenting classes Birthing/Parenting classes Tell patient they will be discussed in detail later Tell patient they will be discussed in detail later

8. Step 7: Options Presentation Adoption Adoption Scripted overview of adoption (OT p. 50) Scripted overview of adoption (OT p. 50) 10 Questions… brochure (created and ordered from Bethany Christian Services) 10 Questions… brochure (created and ordered from Bethany Christian Services) Refer all specific adoption questions to a local adoption specialist Refer all specific adoption questions to a local adoption specialist Note: PRC should not get involved in coordinating private adoptions Note: PRC should not get involved in coordinating private adoptions

9. Step 7: Options Presentation Special Notes Research abortion providers in your area Research abortion providers in your area Know what information is being given by those providers when patients call Know what information is being given by those providers when patients call Know your local adoption agencies Know your local adoption agencies Network with social service agencies to build your referral base Network with social service agencies to build your referral base

10. Step 7: Options Presentation RETURN VISIT Advocate will use PR Return Visit Form Advocate will use PR Return Visit Form Ask if patient has any questions about options Ask if patient has any questions about options Occasionally she will need to review the options presented at the first visit. In that case, Advocate should follow script just as in Initial Visit Occasionally she will need to review the options presented at the first visit. In that case, Advocate should follow script just as in Initial Visit This is often when patient will ask medical questions, to be referred to nurse This is often when patient will ask medical questions, to be referred to nurse

11. Brochure Orders All brochures used during the initial patient visit are ordered through CompassCare. All brochures used during the initial patient visit are ordered through CompassCare. Use the Brochure Order Form and Instructions. Use the Brochure Order Form and Instructions.