Rules and Regulations of the State of Georgia
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Subject 290-2-19 SOCIAL SERVICES

Rule 290-2-19-.01 Casework

(1) Casework services shall be an integral part of the service available to the unmarried mother. The goal of casework with the unmarried mother is:
(a) to prevent her future adjustment and the child's from being jeopardized by the out-of-wedlock pregnancy or birth;
(b) to promote her ability to function in a more satisfying and socially approved way; and
(c) to arrive at a plan that is best for her and the child.
(2) Private Home operators shall notify the Department of Human Resources, Division of Community Services each time an unmarried mother is admitted giving name of the unmarried mother, age, and date of admission. The Division of Community Services shall notify the local County Departments so that each unmarried mother may be offered social work service. Forms for this notification will be furnished by the Division.
(3) There shall be a social study by a caseworker on the Maternity Home's staff or by a caseworker of the referring agency for every unmarried mother accepted for care.
(4) The caseworker in the Maternity Home, in consultation with the administrator and/or supervisor, shall make the decision whether to accept an applicant for residential care, on the basis of the needs and problems of the girl and the make-up of the group currently in residence.
(5) The intake study shall include social information indicating that the unmarried mother is in need of the services of the Maternity Home.
(6) The caseworker shall discuss with the unmarried mother:
(a) the regulations of the Maternity Home and her responsibilities;
(b) the services available to her through the Maternity Home and community; and
(c) agreement that while she is in the care of the Maternity Home she may plan either to keep or to release her baby; but if she releases her child she will do so only to a representative of a licensed agency.
(7) Following admission, the caseworker has the responsibility for seeing the unmarried mother as often as her individual needs require. It should be possible for one caseworker to continue to work with the unmarried mother as long as necessary and/or until she can accept transfer to another worker or agency.
(8) Interviewing shall be focused on the unmarried mother's individual problems and on plans for the child.
(9) When social work responsibilities are shared by the Home's caseworker and the caseworker in the referring agency, careful planning and communication should take place to avoid duplication or conflict, and repetition of the same story to several people.
(10) If practical, the caseworker from the referring agency who would be responsible for continuing casework should provide the casework services for the unmarried mother. The Home's caseworker should help with adjustment to and use of the group living experience and coordination of services within the Maternity Home for each girl in accordance with the treatment plan.
(11) The caseworker should know at the time of discharge what plans the unmarried mother has for living arrangements, employment or school. It is the caseworker's responsibility to assist the unmarried mother directly or through referral to another agency when she needs help in this area.

Rule 290-2-19-.02 Group Work

The Maternity Home is an experience in group living. How the group experience is used by the unmarried mother depends on the leadership. Each Maternity Home should have at least one professionally trained social group worker who can work with the group in the role of helper or enabler.

Rule 290-2-19-.03 Psychiatric Services

(1) Psychiatric services should be available in providing help to the unmarried mother whose personality disturbances have led to the out-of-wedlock pregnancy.
(2) The services of the psychiatrist may be used for:
(a) consultation with the staff;
(b) diagnostic interviews with unmarried mothers to help the caseworker plan individualized treatment; and
(c) treatment for the severely disturbed unmarried mother for whom psychiatric treatment rather than casework is indicated.

Rule 290-2-19-.04 Psychological Services

Psychological services should be used selectively to contribute to diagnosis, or to vocational and educational planning. Psychological testing should be supplemented by consultation with the psychologist or psychiatrist.

Rule 290-2-19-.05 Confidentiality

Information regarding each unmarried mother shall be considered as confidential. Information should be shared only when professional judgment indicates it is in the best interest of the client or when the Agency's responsibility to the community requires it. In general it is desirable to secure written consent of the unmarried mother in order to share information with other agencies or individuals.

Rule 290-2-19-.06 Case Records

(1) A confidential case record shall be maintained for each unmarried mother. Records for each mother shall include:
(a) Application for service;
(b) Basic identifying information for unmarried mother and the putative father. Name, birthdate, nationality, religion, education, occupation, health history, marital status, home address;
(c) Background history or referral summary - and background history for the putative father;
(d) Authorization for medical care signed by mother at time of admission. For minors under eighteen (18) written approval shall be secured from parent or guardian;
(e) A copy of any financial agreements made;
(f) Date of admission to and discharge from the hospital if confinement is outside the Home;
(g) Name of baby, sex, and birthdate;
(h) Correspondence, regarding the mother;
(i) Plan for child at time of discharge of the mother;
(j) Narrative recording of casework interviews;
(k) Date of discharge of mother and to whom discharged if a minor.
(2) A confidential case record for the baby shall contain:
(a) A record of birth including birthdate, weight at birth, measurements, any defects, method of delivery, complications of pregnancy and delivery;
(b) An entry indicating birth registration;
(c) Any formula prescribed;
(d) Date of discharge;
(e) Name and address of person and/or name of agency and worker to whom discharged, if not to mother.