Reproductive Mental Health Provider Network

We get asked almost daily for referrals to professionals who specialize in reproductive mental health. Professionals who have completed reproductive mental healthcare course work, experience, and supervision as well as signed our Affirmation Statement will be able to join a network of providers who have dedicated their time and skills to work with patients experiencing complications to reproductive events.

The Affirmation Statement:

I __________________________ affirm:

1. 
   Women and men may need support following reproductive loss experiences including infertility, miscarriage, stillbirth, abortion, infant mortality, and adoption.
2. Reproductive loss experiences may impact clients on different levels including but not limited to confusion, mixed emotions (e.g. relief and sadness) grief, and/or regret, resulting in a stand-alone clinical diagnosis such as complicated grief, PTSD, depression, panic disorder, etc.
3. Extended family members such as siblings, grandparents, aunts, uncles, etc. can experience difficulties and wounds from a reproductive loss. 
4. Regardless of my or my client’s race, gender, creed, religion, nationality, disabilities, political affiliations, or position on polarizing topics such as abortion and IVF; clients deserve compassionate, culturally appropriate, and respectful care to help them process a reproductive loss including addressing any wounds created by the loss(es).
5. If I am unable to provide compassionate, culturally appropriate, and respectful care; I will refer a client to a professional who can.
6. If I have had a reproductive loss experience, I will explore and identify any feelings or beliefs regarding my experience in order to prevent countertransference.
7. I will use the language my client uses regarding their reproductive loss experience.
8. I understand our industry is consistently evolving regarding the topic of reproductive loss. I understand this affirmation statement will be adjusted to meet industry standards as needed. 
9. I will pursue continuing education on the topic of reproductive loss including earning a minimum of 3 hours and/or CEUs per year.
10. I will pursue staffing/supervision regarding reproductive loss cases on a monthly basis. Agencies or unlicensed organizations will pursue a monthly supervision with a licensed professional in the area of reproductive mental health.

___________________________________ _______________

Signature Date

___________________________________ _______________

Printed Name Date

___________________________________ _______________

License Number License State

To sign the Affirmation Statement, click here.

Fill out a request to be added to the database below.