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Open Arms Perinatal Services 

Description

Since 1997 Open Arms has fulfilled an essential role in our region by providing community-based, culturally competent perinatal support services and advocacy to low-income pregnant women and their families. Open Arms provides services to the communities that are the most impacted by poverty and lack access to quality perinatal health care and social support. 80% of the women we serve are at the federal poverty line or below; 74% are women of color and 53% are refugees or immigrants to the United States. 24% of our clients have limited English proficiency.  

Mission Statement
The mission of Open Arms Perinatal Services is to provide services that support, educate, respect, honor and empower women and their families during pregnancy, through birth and into early parenting.
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Open Arms Perinatal Services
2524 16th Ave S, Suite 207A 
Seattle 
WA
98144-5104 
(206) 723-6868 

Sheila Capestany 
Executive Director 

Programs

Open Arms Perinatal Services Programs

Open Arms provides doula and peer counseling services that are culturally and linguistically appropriate, including providing bilingual and bicultural doulas and peer counselors, which are crucial in helping to eliminate health disparities in our society. Doulas are trained, experienced, and certified to provide caring support to women before, during, and immediately after birth. Birthing women who are served by Open Arms benefit from:
  • Access to culturally and linguistically appropriate, quality perinatal care.
  • Education and support during the birth process that helps new parents make the transition from pregnancy to birth and take on the daunting task of caring for a newborn.
  • A diminished sense of isolation that can be devastating to a new family.
  • Nurturing support through pregnancy and birth that leads to increased health and well being for mothers, babies and families.
  • Culturally specific support during the vital prenatal and early breastfeeding period.  
  • Improved infant mortality rates as well as other health measures.
Our regional Birth Doula Services provide quality perinatal support to low-income pregnant women and their families from the last trimester of pregnancy to six-weeks postpartum. The services include home visits, education, and advocacy. Our doulas provide emotional and physical support; information and educational materials, as well as coaching to new parents on positive nurturing and attachment behaviors, and support for breastfeeding. The doula is present and attending the mother during labor, delivery, and immediately postpartum, and provides social support, light case management, and referrals to other services as needed.

As a partner in the Thrive by Five White Center Early Learning Initiative, Open Arms provides outreach doulas to the Somali and Latina communities as a part of the Home-Based Early Learning Strategy. Outreach doulas provide culture-specific services that begin early in pregnancy and continue up to two years after delivery, helping women and their families who need more intensive support during pregnancy and early parenting. In addition to the emotional and physical support, education and advocacy, and parent coaching that all doulas provide, outreach doulas also:
  • Perform comprehensive assessments.
  • Engage families in a plan of care.
  • Develop a mentoring relationship focusing on healthy pregnancy, birth, parenting, and early learning.
  • Act as community liaisons with other community agencies and professionals.

Open Arms is partnered with the King County Department of Public Health—Women Infant Children program to provide Breastfeeding Peer Counseling Services. BPC offers an opportunity for new moms to talk to someone trained in providing breastfeeding support who has shared the same experience—someone whom they can relate to and feel comfortable sharing concerns. Peer counselors model and provide breastfeeding information and offer support to mothers. They fill the gap in services after hospital discharge to provide breastfeeding support, as they are accessible in the evenings and weekends, outside of normal clinic or hospital business hours. Counselors provide essential support for mothers by phone, email, or in-person, especially during the critical early days and weeks of infants’ lives.

Recent Successes and Current Challenges

In 2012 Sheila Capestany, Executive Director of Open Arms, received the Freedom's Sisters Award.  Freedom's Sisters are honored for reflecting the spirit and substance of the Civil Rights Movement in America. Sheila was chosen for this award due in large part to her work at Open Arms to promote equity and social justice for pregnant women, families and communities.

In 2010 Open Arms was honored to receive the Innovative Program Award from the Seattle Human Services Coalition in June of 2010. The Coalition recognized our unique, culturally competent doula services as a crucial element in helping to eliminate health disparities in our communities, and addressing these disparities from the earliest stage of human development. The award also cited our positive program results, which include providing education about pregnancy, and positive early parenting, increasing rates of breastfeeding, and reducing medical interventions and the cost of prenatal care.Despite our recognized program successes, Open Arms faces critical service and funding challenges.

Due to the current economic climate, we have seen an increase in levels of stress, homelessness, and domestic violence among our clients. Increasingly, doulas are seen as the only form of support for pregnant women who are facing these life stressors. While we have seen a dramatic increase in requests for services, we also have been impacted by cuts in formerly reliable funding sources. King County has faced stringent budget cuts and we lost $55,000 in annual funding from the County in 2009. Additionally, funding for Birth Doula Services was cut by Thrive by Five in 2011 for doulas serving the White Center community, and proposals for major funding cuts in 2012 are on the table.

Evaluation


Open Arms provides linguistically and culturally relevant perinatal services to low income women in King County. Programs include supportive Doula services before, during and after a birth, lactation counseling through WIC, outreach, and a Doula apprenticeship program.

Use of Best Practices
Open Arms is a partner in many best practice strategies including Promoting First Relationships Curriculum, Thrive by Five White Center Early Learning Initiative, and Women Infant Children (WIC) program’s Breastfeeding Peer Counseling Services, among others. The WIC BPC program provides peer counselor support to new mothers with questions about breastfeeding, filling in the gap for support after hours and on weekends when most medical facilities are closed.

Accessibility and Cultural Competency
Navigating childbirth in the United States when English is not your first language can be wrought with barriers, misinformation, and isolation. Open Arms serves women who are 200% below the Federal Poverty limit, though most fall into 100% or below. 74% of clients are women of color, 53% are immigrants or refugees, and 24% have limited English ability. Open Arms recruits, trains, and contracts with a highly diverse pool of Doulas who speak 17 different languages. Seven different languages are spoken by regular staff. The outreach Doula program specifically work with mothers in the Somali and Latino communities before, during, and up to two years after the birth of a child.

Sustainability
Open Arms has recently experienced significant cuts in public funding. The WCELI grant is sunsetting 5 years early, resulting in a $270,000 cut to the outreach Doula program. Open Arms is actively seeking alternate sources of funding and is utilizing as many volunteer Doulas as possible to save money. Open Arms board and staff are engaged in a real time strategic planning process, a three to five year plan that allows for the organization to set long terms goals while remaining nimble. Board and staff are also actively working to build their individual donor base and relationships with foundations to ensure long term sustainability of the organization.

Grant History with The Seattle Foundation:

Grants Awarded through The Seattle Foundation Grantmaking Program:

DateAmountPurpose
12/10/2012 $10,000.00provide general operating support.
12/10/2010 $10,000.00support general operating expenses.
10/1/2008 $10,000.00support general operating expenses.
10/5/2006 $5,000.00support general operating expenses.

Financials

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