Anticipatory Guidance: A Hospital-Based Intervention for Adolescents with Perinatal Loss

Abstract

There are well documented complexities and challenges of pregnancy in the adolescent years. Social workers are usually the front line workers with the adolescent population and are often called to provide bereavement services in a hospital setting. This article describes a pathway for short term intervention in working with adolescents experiencing a perinatal loss and focuses on brief intense anticipatory guidance as the optimal way to provide care under these circumstances. This described approach includes: the developmental level of the adolescent, the receptive posture of the social worker, the adolescent’s stage of acceptance of the pregnancy; the meaning of the loss; her emotional strengths; environmental resources and risk factors.