Termination for Medical Reasons: A Clinical Guide
On-Demand with Mara Tesler Stein, Psy.D., PMH-C, Julie Bindeman, Psy.D., and Leslie Pertz, LCSW, PMH-C
This workshop will delve into the factors families contend with when faced with a potential decision to terminate a pregnancy for medical reasons. Legal, sociological, interpersonal, medical, and emotional aspects make this experience unique, and perinatal therapists benefit from a deep understanding of these multi-dimensional and intersecting factors.
Using case examples and both small and large group discussions, the three instructors, each experts in this particular type of loss, will guide participants as they expand their understanding of the losses and potential for trauma for families on this journey. Treatment approaches and frameworks will also be addressed.
For more information on our work at The Touchstone Institute, visit our website.
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FREE PREVIEWCourse Description
FREE PREVIEWCourse Outline
FREE PREVIEWLearning Objectives
FREE PREVIEWAnti-Oppression Statement from The Touchstone Institute
Suggested Readings: Making Peace with Agonizing Decisions
Suggested Readings: Therapeutic Approaches and Interventions
Suggested Readings: Couples and Family
Suggested Readings: Grief
Suggested Readings: The Next Chapter
Course Slides
Additional Resources
Colorado Collective for Medical Decisions
Holding Space: Neonatal Palliative Care
Veiled Language in the NICU
Day 1
Day 2
Course Quiz
Receiving your CE certificate
Course Evaluation
CE Certificate Request Form
We offer tiered pricing for all of our trainings in order to make our courses accessible to as many practitioners as possible. If you are unsure which tier of payment is right for your financial situation, please read through our FAQ section below or visit our website.
Please reach out to us at [email protected] if you are interested in a multi-month payment plan. We are always happy to create a custom payment plan to make it more feasible for everyone to participate in our courses.
Introduction to the workshop and presenters
Introduce ourselves
Show course itinerary
Conceptual Framework: The Three Core Tasks and the Impact of Loss, Trauma, and Medical Decision-Making
Parental Identity
Managing Emotions
Managing Relationships
What is TFMR? We’re also going to discuss broader life and death medical decision-making in perinatal care
Pregnancy interruption
Abortion
TFMR
Life and Death Decision Making
At birth
In the NICU (or PICU)
Ethical Decision Making in Perinatal Care
Frameworks
Across the lifespan
Who makes the decision?
When the decision is made for you.
We make decisions all the time in pregnancy and parenting
Vaccination
testing/screening
Birthing choices
A Violation of Expectations: Arriving in the land of decision making
Diagnostics
Fetus
Pregnancy
Pregnant person
Higher Order Multiples in Pregnancy
One fetus with anomalies
Too many fetuses
How people might terminate
Medication
D&C
D&E
L&D
What happens at the hospital?
Hospital Mourning
Memory boxes
Bereavement photography
Holding baby (even after D&E)
Termination after Infertility
Access Barriers
Terminating more than once
Same dx
Different dx
When Termination isn’t available
Hidden Abortions
Multiple Reduction
Selective Reduction
Ectopic Pregnancy
International trends around abortion access
Documentation and Duties of Clinicians
Documentation
Legal issues
Self-as-Therapist in this work (I think we should move this earlier)
Clinician bias
Countertransference
The Emotional Journey
Termination Grief
Trauma
Community Reactions
Managing relationships
Community care
Religious Community and pregnancy termination
Meaning Making
Parental Identity
Creating a family narrative
Managing decision-making as a couple (managing relationships)
Being on the same (or different) pages
Parental Identity
Trying Again
Perinatal and Pediatric Palliative Care
Perinatal Hospice
Supporting live vs. prolonging dying
End of life care
Perinatal palliative care
Abelism in the face of disability and medical fragility
Decision-making in the NICU
Stakeholders
Hospital Resources
Decision leaders
Host and Guest
Clinical Approaches to supporting families
Assessment
Stabilization
Addressing Trauma
Supporting healthy grieving
Integrating this experience
Upon completion of this workshop, participants will be able to:
Submission of a course evaluation and quiz is required to receive a CE certificate for this course. The course evaluation and quiz are made available after all lectures have been completed within the course portal. After completing the evaluation and quiz, participants will be able to submit a request for their CE certificate. This training offers 12 CE credits.
It is your responsibility to verify CE coverage in your State or Province.
The Touchstone Institute for Perinatal Training is approved by the American Psychological Association to sponsor continuing education for psychologists. The Touchstone Institute for Perinatal Training maintains responsibility for this program and its content.
The Touchstone Institute for Perinatal Training, Inc. has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7346. Programs that do not qualify for NBCC credit are clearly identified. Touchstone Institute for Perinatal Training, Inc. is solely responsible for all aspects of the programs.
The Touchstone Institute for Perinatal Training, [provider number 1876], is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: [1/19/25-1/19/28]. Social workers completing this course receive 12 continuing education credits.
This course is approved by Postpartum Support International (PSI) for continuing education towards maintaining the PMH-C.
This course is approved by the EMDR International Association (EMDRIA). The Touchstone Institute is an approved training provider with EMDRIA: approval #22021.
Select this tier if you: Own the home you live in (even with a mortgage); live in a two-income household; have investments, retirement accounts, or inherited money; travel recreationally; have access to family money and resources in times of need; work part-time by choice, etc.
Select this tier if you: Have income available for recreational activities (going out to dinner, movies, concerts etc.); have consistent work compensated at a median income rate based on your region; pay rent that is not more than 25% of your monthly household income; do not own your own home, etc.
Select this tier if you: Are a graduate student paying tuition; have major medical expenses not covered by insurance; have been denied work, or experience discrimination related to ableism, racism, sexism, gender discrimination or other forms of oppression; are eligible for public assistance; have immigration-related expenses; have ever been denied work due to incarceration history; are supporting adult children, extended family members in need or have other adult dependents; are an elder with limited financial support; are primarily working in a setting with under-resourced populations and your income reflects this work, etc.
Yes! We are happy to work with you to create a payment plan that fits your needs. Please reach out to us over email with a brief description of the length of the plan that you are interested in using to pay for this course: [email protected].
Please visit our website for more information on our approach to pricing our trainings: www.touchstoneinstitute.org/pricing.
More than 14 days notice is required for a full refund minus 7% administrative fee. Cancellations made within 14 days of training are eligible for a 50% refund or full transfer to another training within The Touchstone Institute. Only 1 transfer to another training is allowed. If you can not attend the transferred training your fee will be forfeited. No-shows are not eligible for a refund or transfer. Exceptions to this policy are limited to medically documented circumstances or family bereavements. Failure to attend without prior notification (no-shows) will not qualify for a refund.
$750.00
$1,350.00
$100.00