Balancing Options Counseling with the Infant Adoption Program 3rd National Title X Grantee Meeting

1. Balancing Options Counseling with the Infant Adoption Program3rd National Title X Grantee Meeting Phoenix, Arizona September 19, 2006

2. Background Lutheran Social Services of South Dakota is an Infant Adoption Awareness Training Program grantee serving Region VIII, compromised of six states: Colorado North Dakota Montana South Dakota Utah Wyoming Pilot Project - Region VIII - Funded as a special project through Regional Training Center. Collaboration between JSI and Coleman Associates Adapt and Implement the principles of redesign to the Title X clinic setting. Good deal of experience with this model in the CHC world but questioned if it would work in family planning sites. Evaluate - what worked and what did not and from qualitative and quantitative standpoint.Pilot Project - Region VIII - Funded as a special project through Regional Training Center. Collaboration between JSI and Coleman Associates Adapt and Implement the principles of redesign to the Title X clinic setting. Good deal of experience with this model in the CHC world but questioned if it would work in family planning sites. Evaluate - what worked and what did not and from qualitative and quantitative standpoint.

3. Background:Overall Project Goal To work collaboratively (nationally and regionally) to improve awareness and increase knowledge about adoption among health care workers in Region VIII, especially those in rural areas and other underserved areas, including Native American reservations.

4. Background:Measurable Objectives To increase the number of health care workers in Region VIII who are trained in the area of infant adoption awareness by increasing marketing efforts and offering flexible training designed to meet participant needs. To increase training opportunities in underserved geographic areas, allowing participants to attend training close to where they reside. To improve and expand upon the existing curriculum by continuing to collaborate with other IAATP grantees.

5. Background:Partnership with JSI R&T The IATI project partnered with the Title X training grantee for Region VIII, JSI Research and Training Institute in 2003. The partnership has: Allow shorter combined trainings of Understanding Infant Adoption and Title X Options Counseling requiring the Title X staff. Increase legitimacy and visibility of the IATI to the Title X providers Provide conference information as well as guidance in training techniques used for Title X. Connect the IATI with a Native American Title X employee. The Lutheran Social Services staff has attended Regional Title X meetings to promote the IATI project trainings. The JSI Director of Training has been a part of the curricula development committee. JSI has attended the yearly IATP Region VIII Trainer Update

6. Background:Trainers The majority of trainers have been training under the IAATP program since the start of the program in 2001. At minimum, no trainer can train for this project unless they have two years of adoption practice experience in the field of infant adoption. All trainers are required to be employed in the adoption field.

7. Current Trainings Beginning in April 2006, five states in Region VIII have received the Infant Adoption/Options training. Approximately 100 Title X providers received training.

8. Evaluation Trainees rated their achievement of IATI objectives following their training. Ratings were: Objective 1: Articulate federal expectations and my role in providing pregnancy options � 97.2% Ojective 2: Separate my personal values from professional values in providing options counseling � 99.7%

9. Evaluation

10. Training Targets�. Approximately 1,435 entities who serve pregnant women in Region VIII. Includes: State health department professionals School nurses Pregnancy centers. Hospitals Non-profit OB/GYN clinics Non-profit primary care clinics Indian Health Service staff ICWA staff Planned Parenthood staff Abstinence programs Family consumer science teachers

11. Next Steps Project will focus particularly on staff of the Title X and 330 clinics in Region VIII. Project will facilitate 144 trainings per year, training approximately 1,500 health professionals each year. Over the next five years, we expect to train approximately 7,500 participants.

12. Next Steps Trainings will be presented through three different delivery options: An �area training� where participants come together from various facilities and an �on-site� training where participants are trained in their own healthcare facility. We will strive to continue training in rural areas as well as on Native American reservations. A computer-based training. A two-hour refresher session available to past participants to update information and encourage skill development.

13. Next Steps In order to meet local needs we have and will continue to: Offer four-hour trainings to those who can not spend the whole day in training. Offer two separate sessions of four-hour training to those facilities with a small staff. Offer four-hour training in conjunction with a Title X trainer�s �Options Counseling� so that the family planning staff can attend both trainings in one day.

14. Next Steps The IATI collaborative recently began developing a marketing plan that would assist recruitment efforts as well as follow-up with the past participants. We will conduct focus groups within the first four months of the next grant period involving Title X/330 health care providers (including Native American providers) assessing current recruitment and marketing strategies to better engage our target population in the project. Focus groups will be conducted with the assistance of the Region VIII Title X Training Director.

15. Next Steps Continuing this year, the JSI Training Director will be involved in training as a co-presenter. Native American health care trainers will be available to assist in training needs.

16. Contact Information Patrice Zink: Phone: 303-262-4309 E-mail: pzink@jsi.com