California’s Plan for the Prevention of Unintended Pregnancy

II. ROLE OF FOSTER CARE AND GROUP HOME PROVIDERS

Required Duties and Responsibilities
A. Providers shall incorporate the reasonable and prudent parent standard to create normalcy for the youth and NMD.

B. Providers shall respect the private storage space and personal belongings of the youth and NMD as it relates to their reproductive and sexual health care.

C. Providers shall facilitate access and transportation to reproductive and sexual health related services unless otherwise arranged.

D. Providers shall notify the case management worker (county social worker or probation officer) of any barriers the youth or NMD experiences in accessing reproductive and sexual health care services or treatments.

E. Providers, in consultation with the case management worker (county social worker or probation officer), shall ensure that youth and NMDs who remain in long-term foster care receive age-appropriate, medically accurate, culturally sensitive pregnancy prevention information. 1

F. Providers shall ensure that youth and NMDs receive an annual medical exam as required by the new “Child Health and Disability Prevention Program Bright Futures Periodicity Schedule for Health Assessments by Age Groups” schedule.

Recommended Duties and Responsibilities
G. Providers should cultivate an open, honest and supportive environment where youth and NMDs feel comfortable to talk about sensitive issues such as sex, abstinence, abortion, contraceptive use, STIs, reproductive and sexual health and SOGIE.

H. Providers should support the healthy sexual development of youth and NMDs and shall not impose their personal biases, judgments and/or religious beliefs.

I. Providers should strive to use everyday situations as teachable moments to begin discussions with the youth and NMD (for example, watching TV shows, reading articles or talking about real-life situations such as a friend’s pregnancy).

III. ROLE OF THE CASE MANAGEMENT WORKER (COUNTY SOCIAL WORKER OR PROBATION OFFICER)

Required Duties and Responsibilities
A. The case management worker (social worker or probation officer) shall provide youth and NMDs with a copy of the Foster Youth Rights upon entry into foster care and at least once every six months at the time of scheduled contact.

B. The case management worker (social worker or probation officer) shall provide youth and NMDs with access to age-appropriate, medically accurate information about reproductive and sexual health care, unplanned pregnancy prevention, abstinence, use of birth control, abortion and the prevention and treatment of STIs.

C. The case management worker (social worker or probation officer) shall inform youth, in an age appropriate manner, of their rights to consent at any age to pregnancy-related care, including contraception, abortion, and prenatal care. The case management worker (social worker or probation officer) shall inform youth of their right to consent at age 12 or older to the prevention, diagnosis and treatment of STIs.

D. The case management worker (social worker or probation officer) shall inform youth and NMDs about their confidentiality rights regarding medical services15and seek the youth’s and NMD’s written consent prior to any disclosure of their sexual or reproductive health information. The case management worker (social worker or probation officer) shall inform youth and NMDs of their right to withhold consent to such disclosure(s).

E. The case management worker (social worker or probation officer) shall ensure youth are up-to-date on their annual medical appointments.

F. The case management worker (social worker or probation officer), in collaboration with the foster care provider, shall ask the youth and NMD if they are facing any barriers in accessing reproductive and sexual health care services or treatment, and shall ensure any barriers are addressed in a timely manner.

G. The case management worker (social worker or probation officer) shall not impose their personal biases and/or religious beliefs upon the youth and NMD.

Recommended Duties and Responsibilities
H. The case management worker (social worker or probation officer) should have open conversations with foster youth younger than age 12 about puberty and sexual and reproductive health topics at a developmentally and emotionally appropriate level.

I. The case management worker (social worker or probation officer) should include reproductive health education as a Case Management Service objective for youth 12-years-old and older at a developmentally and emotionally appropriate level.

J. The case management worker (social worker or probation officer) should document the youth’s and NMD’s reproductive and sexual health care and services in a sensitive manner to ensure their privacy and compliance with federal and state confidentiality laws.

K. The case management worker (social worker or probation officer) should provide youth and NMDs with information about how to make doctor appointments, a list of medical provider options and the youth’s medical insurance information.