2022 Edition

Pregnancy Support Services (CA-PS) 6: Health Services

Expectant parents are linked to the health services necessary to promote parent well-being, healthy births, and healthy child development.
NA The organization provides only Pregnancy Options Counselling or Birth Options Counselling.




Individuals who participate in Pregnancy Support Services learn about parenthood, make informed decisions about their pregnancies, stay healthy, and pursue their educational and vocational goals.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for referring individuals to services
  • Community resource and referral list
  • Informational/educational materials
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

Fundamental Practice

CA-PS 6.01

Expectant parents are linked to the following healthcare services, as appropriate to their needs:
  1. prenatal health care;
  2. genetic risk identification and counselling services;
  3. labour and delivery services;
  4. diagnosis and treatment of health problems, including sexually transmitted diseases;
  5. dental care;
  6. mental health care, including information, screening, and treatment for postpartum depression;
  7. postpartum care;
  8. ongoing health care, including routine medical checkups; and
  9. paediatric care, including well-baby visits and immunizations.

Fundamental Practice

CA-PS 6.02

Expectant parents are helped to access other services needed to promote parental well-being and healthy births, including, as appropriate:
  1. food and nutrition services;
  2. smoking cessation services; and
  3. services for substance use conditions.


CA-PS 6.03

Expectant parents are helped to sign up for health insurance when coverage is available and receive information about other options for care, such as free clinics, when insurance coverage is not available.

Fundamental Practice

CA-PS 6.04

To help expectant parents stay healthy and prevent unintended subsequent pregnancies, the organization:
  1. provides information and education about the prevention and treatment of diseases, including HIV/AIDS and other sexually transmitted diseases;
  2. provides information and education about pregnancy prevention, pregnancy planning, and the spacing of children; and
  3. links expectant parents to family planning services.


When an organization does not provide linkages to family planning services because doing so is counter to its mission or beliefs, the organization should disclose this fact to service recipients and provide individuals with a list of other community providers that offer pregnancy support and education services.

Note: When an organization also provides Pregnancy Options Counselling or Birth Options Counselling, the implementation and rating of this standard may overlap with the implementation and rating of CA-PS 5.08.