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VI <br />Hospitals), OCCHS, OCHD's maternity and child health clinics and <br />the community. After receipt of referrals, a CSC-is assigned and <br />initial contact is usually made within 2 weeks. <br />OCHD is adding additional staff time to the CSC program to accommo- <br />date the increased demand for CSC services. The social work <br />coordinator on staff at OCHD is available for consultation for CSC <br />cases with difficult psychosocial problems and and will be able to <br />assume primary responsibility of supervising the Mow assigned to <br />CSC cases. <br />3. DESCRIBE YOUR PLANS FOR IMPLEMENTING THE MATERNAL OUTREACH PROJECT. <br />A. The MCCs at oCCHS, UNC Hospitals and OCHD will identify and <br />refer eligible women to the Maternal outreach worker (MOW) via <br />the project supervisors. see #5 for information on the identi- <br />.- fication /referral process. In addition the Mows will advise <br />the project supervisors of pregnant women needing MCC services <br />and /or needing more intensive services that the MOW can pro- <br />vide. Through the Mows, outreach work in the orange County <br />communities the following goals hope to be realized: <br />1. To increase the communities awareness of the importance <br />of early and continuous prenatal care services; <br />2. To increase early enrollment (1st trimester entry) into <br />prenatal care; <br />3. To decrease the incidence of unplanned pregnancies <br />with the appropriate use of family planning and pre- <br />conception services; <br />4. To increase MCC enrollment due to MOWs getting more <br />pregnant women into prenatal care. <br />in addition, as the Mows would be able to provide more <br />intensive support and reinforcement to women identified as <br />having special needs the following goals hope to be realized: <br />1. To decrease "extra,, MCC /CSC contacts by shifting what <br />MCCs and CSCs currently do (but what an MOW could do) to <br />an MOW thereby increasing the MCC and Csc services; <br />2. To increase time MCC and CSC has available for patient <br />care, thereby increasing the MCC•s and CSC's ability to <br />more effectively manage current caseload and to <br />Potentially carry an increased caseload; <br />3. To increase the continuous support and reinforcement <br />needed by some women thereby resulting in more positive <br />pregnancy outcomes, enhanced parenting experiences, <br />improved problem solving skills and more stable social <br />support systems. <br />3 <br />