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Perinatal Assessment and Coordination Team (PACT)

Program Description

This is a Public Health Nurse visitation program for prenatal and parenting women including women who have substance use disorder and/or HIV infection. This program also provides nurse visits to Medically High-Risk Newborns (MHRN). 

Goals of the Program

  • To address pregnancy concerns
  • To educate about managing health conditions
  • To assist with health, emotional, alcohol or substance use concerns
  • To provide health education for mother and baby
  • To educate about growth and developmental concerns
  • To coordinate care and case management for mother and Medically High-Risk Newborn
  • To access community services

Types of Services Provided

  • In home health and psycho-social assessment
  • Coordination of referrals and appointments to prenatal care and Medical
  • Referral to Alcohol and Drug treatment programs
  • Referral and resource development for pediatric care and family planning
  • Resources and referral to housing, transportation and other social/economical needs. Limited transportation and bus passes available for medical appointments
  • Prenatal and postpartum care teaching
  • Clients and families follow-up through pregnancies up to 12 months after deliver


  • Pregnant women with current use or history of substance abuse
  • Pregnant women with HIV infection
  • Parenting women with histories of substance abuse or HIV infection who have infants less than one year old

Who Can Refer

  • Prenatal care providers, hospitals, social workers
  • Treatment programs and other case managers
  • Family members/friends/self referral

If you know a pregnant woman with a history of substance abuse and/or HIV infection, please refer her for free Public Health Nursing services.

How to Refer Someone for Services

Contact us at (714) 834-7900.



Perinatal and Infant Assessment and Coordination Team Referral Form



Partially funded by


Page Last Updated: September 22, 2020