Prenatal Plus Program

The Pre-Natal Plus Program is a voluntary program that provides case management, nutrition guidance, and psychosocial services to pregnant women in Palm Beach County who are at risk of having a low birth weight baby or other poor birth outcomes.  Pre-Natal Plus services are in addition to a women’s regular pre-natal care from her physician.  Women can be self-referred, referred from a medical provider, or from their score on the Healthy Start Pre-Natal Risk Screen Assessment that is filled out at a woman’s first pre-natal appointment.  Women can be referred up to 28 weeks gestation, and there are no income guidelines.  

The Pre-Natal Plus Program is a home visiting program that provides services to pregnant women using a multi-disciplinary team approach.  Each pregnant woman is eligible to receive supportive services from a Care Coordinator/Nurse, a Mental Health Clinician, and a Registered Dietician.  Each member of the team will conduct an initial assessment of the pregnant woman and develop a plan of care for ongoing services, as needed.  Team Members work collaboratively to empower the woman to make lifestyle changes that positively impact their pregnancies and result in healthier infants by using a client centered approach.  The team works with each woman to:

  • Improve her psychosocial, nutritional, and health status
  • Assist in developing and maintaining healthy lifestyles during pregnancy and beyond; and
  • Increase her ability to appropriately use resources, including medical and social services.

The Pre-Natal Plus Program is funded by the Children’s Services Council (CSC). The CSC of Palm Beach County, a special district created by Palm Beach County voters, provides leadership, funding, and research on behalf of the county's children so they grow up healthy, safe and strong. The Pre-Natal Plus Program has incorporated and accepted Partners for Change Outcome Management System (PCOMS) to demonstrate that the expectant mothers are benefiting from the behavioral health services they are receiving.  PCOMS is a SAMHSA approved evidence based practice and is a practical solution to both the therapist’s and the agency’s need for being able to measure outcomes and achieve desired results.  The Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) is completed at the beginning and end of every session, and client ratings for both measures are discussed on a session-by-session basis to maintain the client's engagement in treatment, optimize the client-therapist alliance, and provide a means for transitioning into the treatment session by focusing on client-identified concerns.  CSC is measuring client benefit based on the client’s ORS score and the client reaching Expected Treatment Response (ETR) at the end of services.  


For more information on the Prenatal Plus Program,
please email

Barbara L. Hernandez, Chief Operating Officer