One copy of the checklist was included in the client's chart and one copy was returned to the MSSCC. A specific contact person, usually the pediatric nurse, was identified at each Health Department Clinic and given primary responsibility for provision and documentation of counseling.
In-person counseling was provided to 973 families 59%); this figure includes 603 (36%) through the Outreach Program and 370 (23%) by the MSSCC central office.
Collaborative efforts of the MSSCC and the West Tennessee Health Department Clinics have resulted in the provision of trait counseling to a high proportion of clients in our area.
The education provided by the MSSCC staff stressed the importance of providing counseling to families with a hemoglobinopathy trait, and equipped the nurses with the skills and tools needed to accomplish this goal.