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~~' 3 _-.. Acceptance of family planning services is not a prerequisite to any other aspect of our other programs. - The methods of F.P. available at our clinic include the oral, con- traceptives (Norinyl 1+50, Norinyl 1-F-~30, Brevicon, A~nulen, Ovulen, and Norinyl 2 mgm., others by prescription), IUD (Lippes Loop), the diaphragm, contraceptive cream, jelly or foam, and the condom. The rhythm method using the basal temperature or mucos secretions is~alsa -• .-• taught upon request. - 3. Su ortive Services - - . _- - Current supportive services of the family planning program include _' activities in the areas of outreach, health education and an agreement - • •- ._.-. with the Dept. of Social Services for a Social Worker to certify clients • for Title XIX/3OC. - Outreach efforts are supplied by two Family Planning Personal Care _ .and Family Aides, one housed in Chapel Hi11 and one in Hillsborough. Both PCFA's assist in clinical activities by setting up for clinics, •~ assisting the physician in the examining room, and following-up on abnormal pap smears, and positive GC tests. Additionally, the PCFA's home visit all new family planning patients to ensure they Hilly under- ` stand how to properly use their selected method of contraception, as well as provide an opportunity for such patients to ask questions and voice concerns regarding f`dmily planning. A Social Tlorker supplied by the Department of Social Services attends each family planning clinic to certify eligible patients for Title XIX and XX. She has also been instrumental in gaining patients' interest in the patient education classes and has been supportive of the Family Planning Advisory Council. ' Health Education services are currently supported by one full-time health educator and two half-time health educators. The two half time health educators were employed with program expansion monies depart- mentally earmarked for a teen program. (See Teen Services following). New services initiated during the first two quarters of FY '78-'79 include providing patient education classes in conjunction with the family planning-:elinies,.4the initial development of community based teen health discussion groups, and laying the ground work for a Teen Health Council (see Teen Services following). Family planning health education activities have also been provided within the public schools. Health education staff provided assistance in the development and implementation of a Family Life Education cur- rieulum at the county high school. This curriculum was designed as a pilot project and has been approved by the Orange County 'Board of Edu- cation. Additionally, technical assistance and support have been pro- __ vided to teachers and guidance counselors in the middle, junior, and senior high schools. School olubs,•such as the FHA, have also been receptive to staff educational efforts. 4. Staffing pattern The clinic is operated at each offYce with the assistance of a registered laboratory technician, 2 registered nurses, a health aide, , a physician, 1 health educator, 2 clerks, one social worker and other staff as needed. Ms. Anna 'r]hite is the P.H.N. who is in charge of coordinating the program within the county.