Programs and Resources for Pregnant Woman and Young Families

Zuckerberg San Francisco General and local community organizations currently provide multiple programs to help pregnant women and young families address non-medical, social and psychological determinants of health. Solid Start aims to identify these programs and work to increase collaboration so that every door becomes an open door to the network of social and mental health services that can work together to support vulnerable families.

 

The table below outlines a number of programs, the services they provide, referral processes and points of contact. 

 

ZSFG BASED PROGRAMS

First-time parent only, enrolled by 28 weeks .

Program Name:

Services:

For:

Eligibility:

Referral

Contact:

Centering Pregnancy

Centering Pregnancy is a group based model, co-led by an SFGH midwife and Homeless Prenatal Program staff person. There are 10 women per group, all pregnant and due around the same time. The initial prenatal visits are individual, then at about 4 months, the groups began.

There are ten 2-hour sessions over pregnancy. Groups include self-care activities (weight urine, bp), discussions, and individual time with midwife.

Pregnant Individuals

Almost everyone is offered the option of participating. (A small number are not eligible due to medical conditions).

Prenatal intake nurse can refer to program.

Margy Hutchison, Leadership Council Chair, Nurse-Midwives of SFGH

margy.hutchison@ucsf.edu

 415-206-4202

Child and Adolescent Services

The Child and Adolescent Services program provides intensive psychotherapy for children 0 -18. The average client is over 5 years.

Children 0-18

The child must be a resident of San Francisco and on Medi-Cal or Healthy Kids. There must be a medical necessity for enrollment, such as an impairment of functioning.

The program receives referrals from pediatrics providers, outside agencies and self-referral.

Referrals can be made through e-referral, fax or phone.

Marisol Romero, UCSF/SFGH Infant Child Adolescent Psychiatry

marisol.romero@ucsf.edu 415-206-9687

Kempe Behavioral Health Partnership

Adult Psychiatric consultation to the Pediatric High-Risk Clinic ('Kempe Clinic'). The psychiatrist is co-located in the Kempe clinic and sees parents and caregivers of children enrolled in the clinic. The psychiatrist also provides consultation to the pediatric team. 

Parents and Caregivers of Pediatric Patients

A Child Enrolled in the ZSFG Kempe Clinic. 

Referrals can be made by providers by phone, email or in-person

Melanie Thomas, MD Psychiatrist

melanie.thomas@ucsf.edu

High Risk Obstetrics Psychiatry (HROB)

Mental, Social, and Behavioral Health services to pregnant and newly postpartum women in the SFHN network. 

Pregnant and Newly Postpartum Individuals

A patient at ZSFG or SFHN for prenatal care 

Referrals come through e-referrals from CNMs, PCPs, NPs and OBs.

Melanie Thomas, MD Psychiatrist

melanie.thomas@ucsf.edu

 

HIVE

HIVE Clinic provides multidisciplinary preconception, prenatal, gynecologic and sexual health care to women living with HIV as well as HIV-affected couples including serodifferent couples.

Individuals Living With or Affected by HIV Who are Pregnant or Desire to be Pregnant.

Must be living with HIV and/or have a sexual partner living with HIV, and are pregnant or desire pregnancy.

Call HIVE social worker Becca Schwartz at 415-206-4240, or e-mail Monica Hahn ([email protected]) or request through e-referral.

Karishma Oza, MPH       HIVE Program Coordinator [email protected]

Phone: (415) 206-8919

 

Infant Parent Program

IPP is San Francisco’s pioneering infant mental health program specializing in serving children birth to five years of age with a particular commitment to underserved, vulnerable and at-risk populations. Services provided to this population include outpatient, usually home based, infant-parent psychotherapy (birth -3 years of age), perinatal mental health services, and community and hospital-based infant and early childhood mental health consultation. 

Children 0-5; Pregnant Individuals; Primary Caregivers of the Children

Psychotherapy: the caregiver and or infant/ child must meet medical necessity for a mental health diagnosis.

All other services are grant funded and do not require patient eligibility.

Two-part referral process.

1. Call 415-206-5270 and provide basic demographic information

2. You will be directed to talk with the intake psychologist.

Referrals are from several sources including ZSFG prenatal and pediatric providers, Child Protective Services, Foster Care Mental Health and community-based providers.

Kadija Johntson, LCSW Director, Infant-Parent Program

kadija.johnston@ucsf.edu

415-206-5082

Child Trauma Research Program

A clinical research program providing child/parent psychotherapy for children 0-5 and serving pregnant individuals and children with a history of or current experience of trauma. 

Children 0-5; Pregnant Individuals; Primary Caregivers

History or current experience of trauma

Anyone can make a referral including self-referrals by calling the referral intake line: 415-206-5311

Maria Torres, UCSF Department of Psychiatry

maria.torres@ucsf.edu 415-206-5311

Multi Disciplinary Assessment Center

The purpose of the MDAC is to provide family-centered assessment services, diagnosis, service linkages, short term intervention and case management to children and families needing neurological, psychological, and medical assessment for suspected/actual developmental delay.

Children 0-5;

Children 6-18

If the child is > 6 yrs, must be Medi-Cal AND a part of the SFHN.

Appropriate referrals include:

• Assistance with diagnosis of autism • Mental health concerns in addition to developmental delay.             • Behavioral concerns           • Neurocognitive testing following traumatic brain injury •Concerns that an IEP (individualized education plan) and/or GGRC plan of services does not fit the needs of a child.

Referrals from ZSFG and outside agencies can be made through e-referral or a referral form can be faxed in. For questions call (415) 206-6129.

Amy Whittle, Physician Champion

amy.whitt[email protected]ucsf.edu

(415) 206-3605

ZSFG Health Advocates

The ZSFG Health Advocates is a program designed to improve patient care by bringing volunteers, social workers and legal aid providers together to triage and partner with patients to address social and legal needs that are barriers to good health. 

 

None

Volunteers approach families in clinic to see if assistance would be welcomed. Providers can also fill out a referral form for Health Advocates who then contact the families later by phone.

Joanie Rothstein, Managing Director

[email protected]

 

Medical-Legal Partnership at the ZSFG Family Health Center

The SFMLP at the FHC offers full legal representation for eligible clients in areas including: housing and habitability, public benefits, domestic violence issues, consumer rights, and legal barriers to employment.

Adults; parents, families

FHC Patients with any legal issues can be referred to the MLP. The attorney will then perform a further screen to determine if they are eligible for Bay Legal's services. If they are not, MLP attorney will refer them to another legal organization if applicable.

On-site referrals on Thursday afternoons: Patients directly referred by provider or Behavioral Health Team (LCSW or BAs); Patients identified through health advocate screening.

Offsite referrals: Patients directly referred by provider or Behavioral Health Team (LCSW or BAs) via email, phone, pager, or eReferral

Georgia Sleeth, Project Coordinator

[email protected]

415-206-6539

           
 

                                        COMMUNITY PROGRAMS

   

Project Name

What are the services provided by the program? 

Target Population

Eligibility Criteria

How is client referred?

For more info contact:

Black Infant Health Program

The mission of the Black Infant Health Program is to close the gap in Black infant and maternal mortality by offering prenatal and postpartum support group. Onsite childcare is offered and once the postpartum series is complete individuals are offered 60 more days of individual case management/life planning.

Pregnant and Postpartum Individuals Who Identify as Black

Pregnant; Identifies as Black

Referrals by providers and mental health workers can be faxed or phoned in. Fax to 

415 776 4453, ATTN: Anastasia Gordon.

Anastasia Gordon, Community Outreach Liaison

415-776-4457
[email protected]

Public Health Nurse Home Visiting Program

The PHN Home Visiting Program provides visits to high risk prenatal and postpartum individuals and their families. 

Pregnant Individuals; Postpartum Individuals

Pregnant or Postpartum Individuals in the SFHN

Any provider can refer through contacting the program coordinator

Aline Armstrong, Program Coordinator

[email protected]

 

SFDPH Nurse Family Partnership

This program allows nurses to deliver two years of support first-time parents/primary caregivers  In San Francisco. This is a relationship based intervention where nurses work with the family for an extended period and visit frequency is not fixed. 

First-time parents

First-time parent, enrolled by 28 weeks gestation

Refer by contacting Diane Beetham, Director of Public Health Nursing

[email protected]