Youth Pregnancy Care Pathway

Determine if youth is at risk for crisis by assessing needs in areas listed below

Be careful in phrasing questions, youth are likely to feel judgement here! When concerns are identified, link to system navigation and address immediate needs. Communicate risk factors when connecting with services.

• *Mental Wellness and Illness: Youth Wellness Centre 905-522-1155 x31725
• *Tobacco Cessation: Smokers' Helpline, connect to local cessation supports and phone counselling (FR) 1-877-513-5333
• *Substance Use: Alternatives for Youth (12-22) 905-527-4469
• *Housing Case Management: Early Intervention (16-21) or Homelessness Prevention (16-25), Living Rock 905-528-7625 x246 or Notre Dame House (FR) 905-308-8090
• *Abuse and Violence:
• Good Shepherd Women's Services 905-523-6277
• Women's shelter full list
• If under 16, consult with Children's Aid or Catholic Children's Aid Society (C/CAS) (FR)
• *Legal Issues: Jared's Place Legal Advocacy 905-522-0127 x207

Note: Healthy Babies Healthy Children Screen, Child and Adolescent Needs and Strengths (CANS) tool, and Antenatal 1 can assist in assessing risk factors.

*Francophone supports for all of the above (mental health, tobacco, substance use, housing, abuse and violence, legal issues) are provided by the Centre de santé communautaire Hamilton-Niagara: 905-528-0163 (FR-only)

Make connection to:

• Nurse-Family Partnership or Healthy Babies Healthy Children (HBHC); Refer through: Health Connections 905-546-3550
  • Home visiting from Public Health Nurse throughout pregnancy and postpartum and from a Family Home Visitor in the HBHC Program
• Young Parent & Infant Centres
  • Grace Haven 905-522-7336
  • St. Martin's Manor 905-575-7500 (Young Parent Navigator at x341)
  • Comprehensive prenatal and parenting programs, onsite school & residence
• Social Worker where youth is already comfortable accessing supports (Hospital, Maternity Centre, School, Library, C/CAS)
• Hamilton Regional Indian Centre 905-548-9593
  • Comprehensive holistic prenatal and postpartum programs
• Centre de Santé Communautaire - Services perinataux (FR-only) 905-528-0163
  • Francophone community health centre and prenatal care

Connect youth to:

• The Maternity Centre 905-528-5553
  • A health care team offering comprehensive pregnancy care
• Midwifery Services: A registered midwife is a primary caregiver throughout pregnancy, labour, and 6 weeks postpartum.
  • Access Midwives (Stoney Creek) 905-546-5002
  • Community Midwives of Hamilton (downtown Hamilton) 905-546-5444
  • Hamilton Midwives (downtown Hamilton) 905-527-8919
  • Hamilton Midwifery Care (central mountain) 905-296-3665
• Family Doctor or Nurse Practitioner. If they don't have one, contact:
  • Health Care Connect (FR) 1-800-445-1822
  • Hamilton Academy of Medicine www.hamiltondoctors.ca
• CSCHN - Family Doctor or Midwife (FR-only) 905-528-0163

• Young Parent Navigator 905-575-7500 x341
• Housing:
  • Regina's Place offers transitional housing and support for moms 21 & under with their children 905-549-4276
• Parenting Groups and Classes: Parenting Groups and Classes: Grace Haven, St. Martin's Manor; see www.mchcommunityed.ca for all parenting course listings.
  
  EarlyON Child and Family Centres
  
  Early Years Resources
  
  Hamilton Regional Indian Centre 905-548-9593 www.hric.ca/programs.php3
• Check-It-Out Clinics: For dates, call:
  • Health Connections 905-546-3550
• Use 18-month well child visit pathway
• Early Words: Infant Language, Hearing, and Vision Programs

• Review childcare subsidy application and criteria www.hamilton.ca/childcare
• Encourage tax filing to access financial benefits. Hamilton Tax Help 905-522-1148 x456
• Learning Earning And Parenting (LEAP): supports youth under 26 on Ontario Works to complete high school: 905-546-2424 x3088
• YWCA Employment Services 905-522-9922
• Collège Boréal: AFB/ACE Accès carrières études (FR-only) 905-544-9824 x7320
• Use the Financial Supports Catalogue from Best Start
• For School Board Navigation:
  • English Public (HWDSB) Young Parent Navigator: 289-237-0915 (Sept - June)
  • See Resources section for list of young parent focused high school completion programs, and French Catholic and Public School Board Navigation.
• Flip to the back for a list of young parent focused high school completion programs

In hospital:

• Key learning for new parents where extra support is needed
• Review and acknowledge birth plan
• At the time of birth, if you are concerned about the safety of the infant, you have a duty to report your concerns to C/CAS.
• Breastfeeding:
  • Immediate and accessible breastfeeding support at both McMaster and St. Joseph's Hospitals. Ongoing:
  • Public Health Services 905-546-3550
  • La Leche League 1-800-665-4324
  • Telehealth (FR) 1-866-797-0000
• Mental Wellness:
  • Encourage counselling as a normal part of adjusting to major change via:
  • Women's Health Concerns Clinic 905-522-1155 x33979
• Promote post-discharge visit for 24-48 hours later with health care provider
• Discuss postpartum contraceptive plans
  • Sexual Health Clinic 905-528-5894, or
  • care provider for birth control
• Use Perinatal Mental Health Care Path
• Provide information around obtaining child identification and birth certificate. If youth needs own ID, connect with:
  • Urban Core ID clinic 905-522-3233