New CTA

Clinical Manual

The Clinical Manual is the guiding document for MFP’s Title X Network for clinical service delivery.

Training Opportunities

Clinical Conference Call

May 2024

Overview of new MFP Clinical Manual

MFP Standing Orders

MFP creates standing orders for Title X services for Registered Nurses (RN), Licensed Practical Nurses (LPN) and other clinical staff for MFP’s Title X network to increase access to services to clients when Clinical Service Providers (CSP) are unavailable directly on-site.

Subrecipients may choose to adopt the MFP Standing Orders for Title X Services, develop local standing orders, or a combination of both.

Please notify Heather Racicot, MFP Clinical Manager, hracicot@montanafamilyplanning.org if choosing to utilize MFP’s standing orders or if you have any questions.

MFP Standing Orders

MFP Standing Orders – Signature Page

Clinical Resources

• CDC US Medical Eligibility Criteria (US MEC) for Contraceptive Use
- Summary Chart of US MEC (in color)
- Summary of Chart of US MEC (in black & white)
• CDC US Selected Practice Recommendations (US SPR) for Contraceptive Use
• CDC US MEC/SPR Contraception App
• Fertility Awareness Based Methods Toolkit
• Standing Order Contraceptive Dispensing for Family Planning RNs
• Job Aid - Resources for Standing Order Contraceptive Dispensing for Family Planning RNs
• Training
Slides: PowerPoint Presentation.pptx
Recording: Contraceptive Dispensing for Montana Title X RNs.mp4
Implementing Self-Administration of Injectable Contraceptives
• CDC’s STI Treatment Guidelines
o CDC STI Provider Resources – mobile app, wall chart, pocket guide, etc.
o CDC’s STI Screening Recommendations and Considerations
• CDC’s STD QCS – Recommendations for providing Quality STD Clinical Services
• National STD Curriculum
• Sexual Health Assessment Resources
o National Coalition for Sexual Health – Sexual Health Questions to Ask All Patients
o CDC – A Guide to Taking a Sexual History
• National Network of STD Clinical Prevention Training Centers
o University of Washington STD Prevention Training Center – Montana’s Regional STD Clinical Prevention Training Center
o STD Clinical Consultation Network – Free expert STD clinical consultation for licensed healthcare professionals and STD program staff
• Montana Department of Public Health and Human Services – STD/HIV Program
• Syphilis Toolkit
• Dispensing Authority and the Limited Services Pharmacy License for Title X Providers in Montana
• Insurance Coverage for a Year's Supply of Birth Control
• Sample 340B Policy and Procedures Manual for Title X Family Planning clinics
• Demystifying 340B: FAQs Webinar and Handout
• 340B and Medicaid: An Explanation for Family Planning Providers
• 340B Drug Pricing: Compliance Tips for Title X Agencies
• 340B Training Opportunities
• Maintaining 340B Access in Times of Uncertainty
Pregnancy Options Resource Lists: Scroll down for printable lists. Lists are available in both PDF and Word versions so that you can use them as-is or customize by adding local resources of interest.
Title X Abortion Do’s and Don’ts
• Providing Quality Family Planning Services (QFP): Recommendations of the CDC and the U.S. Office of Population Affairs
- QFP Guide - interactive website
• Bedsider and Bedsider Provider
• National Family Planning & Reproductive Health Association (NFPRHA)
• American Society of Colposcopy and Cervical Pathology (ASCCP) – Management Guidelines
o iOS & Android mobile apps and Web application
• Intimate Partner & Sexual Violence Resources
o Futures Without Violence
o Montana Coalition Against Domestic & Sexual Violence – Victim Service Programs by Region
• Human Trafficking
o Department of Justice Resources
• Mental Health
o For adolescents
Patient Health Questionnaire-9 (PHQ-9)
o For adults
Patient Health Questionnaire-9 (PHQ-9)
Generalized Anxiety Disorder - GAD-2 and GAD-7
o For postpartum clients
Edinburgh Postpartum Depression Screening tool
• Substance Use
o RHNTC – Summary of Screening, Brief Intervention and Referral to Treatment (SBIRT) Tools
• Intimate Partner Violence Resources
o RHNTC – Demonstration Video Series: Applying the CUES Approach for Intimate Partner Violence Response
o IPV Health – CUES: An Evidence-Based Intervention to Address Domestic and Sexual Violence in Health Settings
o Modified Childhood Trauma Questionnaire (CTQ-SF)
o Humiliation, Afraid, Rape, Kick (HARK)
• Reproductive Health National Training Center (RHNTC)
• Clinical Training Center for Sexual and Reproductive Health
o Intrauterine Contraceptive (IUC) training – Free virtual IUC training for licensed clinical providers (advanced practice nurses, physician assistants, and physicians) practicing in Title X settings
o Nexplanon training – Request clinical training directly from Organon

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