43066. Pregnant and Parenting Youth

Approval: Jennifer Strus, Assistant Secretary

Effective Date: October 31, 2014

Sunset Review: October 31, 2018


Supports dependent youth who are pregnant and/or parenting so that their unique needs are met and their efforts to transition to adulthood are successful.


Fostering Connections to Success and Increasing Adoptions Act 2008

Federal and State Indian Child Welfare Laws

RCW 26.44.030 Reports

RCW 74.13.280 Client Information

RCW 9.02.100 Reproductive privacy - Public policy

WAC 388-147



  1. The unique needs of dependent youth who are pregnant and/or parenting must be identified and the youth referred to services when necessary.
  2. All dependent pregnant and parenting youth must be provided with information about their rights and CA's duties and responsibilities.
  3. A dependency action on a dependent youth's child is only sought if a safety threat exists that cannot be controlled.
  4. When a dependent youth and his/her child live in the same placement and there is no need to file a dependency on that child, CA considers the child's home to be that of the dependent youth.


  1. Dependent Pregnant Youth

    The assigned worker must:

    1. Conduct a Shared Planning Meeting within 10 days of the youth's disclosure of the pregnancy. The purpose of the meeting is to:
      1. Identify needed services, i.e., prenatal care, nutrition, education, etc.
      2. Create a plan for how support will be provided to the expectant mother/father to help in decision making.
      3. Discuss and provide tribal enrollment information, if he/she wants to explore tribal enrollment eligibility for his/her child.
    2. Discuss, during Health and Safety Visits, the following in addition to other 4420 Health and Safety Visits expectations:
      1. Needed pregnancy services.
      2. Referral to community resources as needed, e.g. First Steps, Safe Babies Safe Moms, Parent Child Assistance Program, Public Health Department, Women, Infant and Children (WIC), etc.
      3. The needs of the unborn child after the 28th week of pregnancy, e.g. child care, list of emergency contacts, services noted above, etc.
      4. Placement options if the youth is unable to remain in the current placement after delivery.
      5. The 4302A Youth's Education and Independent Living Skills Services.
  2. Dependent Parenting Youth

    The assigned worker must:

    1. Discuss the following during Health and Safety Visits in addition to other 4420 Health and Safety Visits expectations:
      1. Needed medical services.
      2. Youth's role as a parent including successes and challenges, and what support is needed.
      3. Referral to community resources as needed for the dependent parenting youth.
      4. 4302A Youth's Education
      5. Importance of ongoing engagement of the parent not providing primary care of the child.
    2. Discuss tribal enrollment information with the youth for his/her child, if he/she wants to explore eligibility for his/her child, if not already discussed.
    3. Follow the Infant Safety policy when the dependent youth's child is birth to one year.
    4. Seek a court hearing to have a GAL appointed for the dependent youth if one is not already appointed and the youth wishes to voluntarily relinquish his/her parental rights.
  3. Dependent Parent's Child

    The assigned worker must:

    1. Complete a Plan of Safe Care when the dependent parent's child is born.
    2. Take immediate protective action(s) if present danger exists. A decision to remove a child that is not dependent requires legal authorization (See 45302. Eligibility).
    3. Report any allegations of CA/N to intake.
  4. Information about Rights and Responsibilities

    The assigned worker must:

    Distribute Tools to Support Pregnant and Parenting Youth in Care Guidebook (DSHS #22-1536) to the dependent pregnant or parenting youth at the first opportunity, i.e., Health and Safety Visit or during the Shared Planning meeting.

  5. Documentation

    The assigned worker must:

    1. Document in FamLink all medical examinations, and hospitalizations or if a pregnant or parenting youth refuses pre-natal care and other medical services.
    2. Document in the FamLink Person Management page, under Additional Tab/Child Information section, the youth is a teen parent and whether his/her child resides with him/her.
    3. Close the current foster care placement and re-open placement from "basic foster care" to "basic foster care with a non-dependent child" when the child is born, determined to be safe in the parent's care and the parent is in licensed foster care.

Forms and Tools

Caregiver Tip Sheet for Pregnant & Parenting Youth - DSHS 22-1537

Guidebook for Pregnant & Parenting Teens in Foster Care - DSHS 22-1538

CA Worker Tip Sheet for Pregnant and Parenting Youth - DSHS 22-1539

Teen Fathers Tip Sheet for Youth in Foster Care - DSHS 22-1540

Teen Mothers Tip Sheet for Youth in Foster Care - DSHS 22-1541

Independent Living Services Referral - DSHS 13-353

Your Rights, Your Life: A Resource for Youth in Foster Care

ICW Family Ancestry Chart

Indian Identity Request Form - DSHS 07-761

See Also

4400 TANF Benefits


DSHS: Division of Child Support

OSPI GRADS Program for Pregnant teens or Young Parents

Washington State Teen Help

Women Infant and Children

First Steps

Department of Health Child Profiles - development and health information as your child grows