Posts Tagged ‘ client-centered

More Abortion-minded Women: Making Your Dream a Reality

An issue came up in a Pregnancy Center Leadership discussion group recently that we as executives think about all the time: “How can we reach more pregnant women truly at risk for abortion?” and its sister question, “How can we serve those women in a way that more consistently helps them have their babies?” The particular conversation centered around an executive of a Pregnancy Center in a Midwestern college town feeling like they are not reaching enough abortion-minded women compared to the number of abortions taking place there.

“What exactly leads you to conclude that you actually have a problem?” I asked. “You have made some logical assumptions but your logic is hidden to the rest of us. I am sure you have already figured this out but it would be helpful for the rest of us to get a really good handle on how you arrived at your concern and more importantly what to do about it. Would you be willing to be a little case study for us by answering the following questions for us to chew on? I believe the old adage is true: What gets measured gets fixed. Perhaps we can analyze this as a group of PRC executives in an effort to not only help you but help each other.

1. How many abortions occur in your area annually? 1000

2. How many abortion providers are in your county? 3

3. What is the primary ethnic, age and educational demographic of those women getting abortions? 18-24 Caucasian with 13 years of completed education (sophomore in college)

4. How many appointments did your organization schedule in 2009? 250

5. How many pregnancy tests were performed in 2009? 125

6. How many of those pregnancy tests were positive? 75

7. How many of those positive test patients did you consider to be ‘at risk for an abortion?’ 60

8. How many pregnant, at risk clients can you serve this year? Maybe 460

9. How many of the pregnant at risk patients received an ultrasound their fist visit? 45

10. How many of those said that they were going to continue the pregnancy at the end of their initial appointment? 38

The dream of this executive is to reach 460 pregnant women seriously considering abortion this year. Her initial impression was that all she needed to do was increase her advertising budget. Based on the information she provided if she wanted to reach all 460 women seriously considering abortion in her area using the organization’s current client trends and percentages she would need to filter through 12,000 client appoints per year!

We have found this scenario to represent the typical pregnancy center. What about your pregnancy center? This executive thought that the answer to her low client volume was more advertising. But there is a deeper issue at play. More advertising will only result in more of the same. The approach the center is taking in order to serve the right women in the right way needs  to be streamlined so they can accomplish their goal. (See Case Study of Omaha, NE Pregnancy Center) Otherwise they will be spending precious resources on women who are either not pregnant or not really at risk for abortion. The solution to this service problem lies at the philosophy of ministry that has been adopted. This pregnancy center while using an ultrasound machine is still in the old paradigm of pregnancy center ministry CompassCare coined the Global Service Model or Client-centered approach. In order for them to reach their goal of serving 460 pregnant at risk women they will need to adopt a new paradigm of ministry CompassCare coined the Linear Service Model (LSM).

For information about how to create a linear service model (LSM) to reach and effectively serve abortion-minded women go to prcoptimizationtool.com.

Linear Service Model vs Global Service Model Defined

After developing the first and only repeatable Linear Service Model for the pregnancy resource center movement many have asked me where the terms came from and what the differences are between a Linear Service Model or LSM and the traditional way a Pregnancy Center operates. Essentially, we started applying the terms in 2004-05 in an attempt to distinguish between what CompassCare had been doing and what we were now doing.

What is the difference anyway?

The definitions in the context of a Pregnancy Center are as follows:

  • Linear Service Model (LSM): An approach to serving women that focuses on solving the common problem of unplanned pregnancy each woman faces by taking each woman through a consistent, chronological, scripted, step-by-step decision-making process in an effort to answer the right questions in the right order. One of the key assumptions in a good LSM is that the manner in which services are provided is just as important as the services themselves. An LSM standardizes services to women and ensures that those services are provided the same way with each and every patient for the purposes of accountability (which safeguards the organization from attack), and for measurability (which allows for targeted changes to keep the organization on the cutting edge of service). This LSM can also accurately be termed the “Problem-focused Model” as it allows the organization to be an expert at solving a particular problem without having to be an expert at the individual circumstances of each patient/client. This is a more Biblical approach because it is the approach that God in Christ took by solving each person’s sin problem through solving the issue of sin itself on the cross.
  • Global Service Model (GSM): An approach to serving women that focuses on developing a relationship with each individual client using several different types of services in an effort to provide a place of “unconditional positive regard” an idea first developed by Carl Rogers. This model places the client in the driver’s seat by providing her with a menu board of services from which she can choose, also based on one of Carl Rogers’ ideas known as “Client-centered Therapy.” Each client is served differently at the discretion of client advocate or counselor usually beginning with a client-driven conversation lasting up to an hour. Often the counselor defers to the client as to her abortion-vulnerability rather than an objective assessment of her socio-economic situation which actually is the basis of the pressure to drive a woman to terminate her pregnancy. The counselor then attempts to provide certain types of information to dissuade her from having an abortion. The GSM is based on an unbiblical, modified, secular humanistic counseling model and is difficult to improve primarily because there is no way of accurately assessing the overall performance of the organization when each patient is served differently. Another term that could be used for the GSM is a “Client-centered Model.”

For case studies on centers implementing CompassCare’s Linear Service Model called the Optimization Tool go to prcoptimizationtool.com.