Early in the three-day meeting, the question was posed: "Has the maternity housing movement, as a whole, strayed from its core mission?" Gulp. Big question.

All present were quick to defend the good work that currently happens in the approximately 400 maternity homes across the United States. There is no doubt of the important role that maternity homes play within the pregnancy help movement. But the question lingered.

Historically, maternity homes developed to support women through an adoption plan, first as large institutional programs often staffed by Catholic religious orders. Trying to protect the confidentiality of the women coming to the program, these early homes were often shrouded in secrecy and silence. Many of the reforms in adoption began from the heartache of women who experienced adoption not as an empowering choice, but rather as a decision they felt was forced upon them without sensitive acknowledgment of the pain involved.

From these roots, as movement toward open adoptions began, the host or shepherding home model developed as families began welcoming a pregnant woman into their homes. And, in recent history, as the needs and challenging circumstances of the pregnant women in need of housing support have increased, a variety of models have developed that allow for increased expertise in supporting women in situations related to addiction, violence, abuse, and trauma. As this progression has happened, the number of adoptions in maternity homes has dramatically decreased. 

The 10 housing leaders who serve as the Leadership Council for the National Maternity Housing Coalition (NMHC), a joint-affiliate of Heartbeat International, gathered to think deeply about why this has happened and how maternity homes might restore their heritage as a safe refuge for women considering adoption. It is not as if maternity homes are not supportive of adoption.

Homes, generally, are delighted to walk with a women pursuing an adoption plan. And, several homes, especially those with over 30 years of experience, have deep organizational ties to adoption agencies. Even so, the NMHC Leadership Council collectively wondered, "Can we be doing more? Why do we continue to see declining numbers? Is there something that we, as maternity homes, can do better?"

Shawn Stevenson, the Executive Director of Life Services in Spokane, Wash., raised the question of an organization's "null curriculum". Based on his training in the education field, Shawn asked, "It makes me wonder about our programs. Specifically, What are we teaching by what we are not teaching?"

He continued, "Is there something in the way that we handle adoption that inadvertently communicates a bias we don't intend?" The statement raised a great conversation about the strategies used by homes to introduce adoption.

Through discussion, five major strategies surfaced. All are currently being used by homes to incorporate an adoption message:

1. A maternity home and adoption agency have close organizational alignment (one org, deeply related orgs, etc.) in which women are interacting deeply with both organizations.
2. Maternity homes bring in outside experts to present info on adoption during group seminars or one-on-one meetings.
3. Maternity homes use a curriculum (i.e. Baby & Me, independently developed) within the house to present adoption information.
4. Maternity homes address misconceptions moms have (e.g. foster care is not the same as adoption) directly via some other educational opportunity or awareness campaign.
5. Maternity homes actively develop policies and programming for support of birth moms (i.e. recruit birth mothers as volunteers, have birth mom support groups, have adoption awareness in policies, etc.) Additionally, some homes offer alternative post-birth housing (i.e. a host home) for a mom to live in rather than returning to home after giving birth.

While these strategies are a solid starting point, the challenge was raised on how to re-think and re-craft the strategies used to present the beauty of adoption in new and creative ways within the home environment.

Summing up the conversation, Jeannine Floores, a birth mom and adoptive mom who leads Breath of Life in Austin, Texas spoke of the need to create an adoption-positive culture throughout the organization.

"Moms need to know that you aren't focused on WHAT decision she makes," she said, "only that she makes an informed, prayerful, thought-out decision."

The National Maternity Housing Coalition took this message to heart and renewed its commitment to pregnancy decision making as the place of excellence for maternity housing programs.

"It is this decision-making process that makes maternity homes different than any other housing programs for women," Callie Neff of House of His Creation asserted, "In addition to all the other ways that maternity homes support women, we must support her in thinking about her options around how her child will be parented."

A re-examination of our past as a maternity housing movement allowed us to remember our role in championing the adoption message. As such, the NMHC is inviting homes to re-engage the adoption message in a new way this year and keep decision-making during pregnancy at the heart of their mission. You can anticipate dynamic trainings and conversations on how to achieve that goal within the upcoming year.

If you would like to contribute your thoughts on this topic, please don't hesitate to reach out to Mary Peterson, NMHC, Facilitator, at This email address is being protected from spambots. You need JavaScript enabled to view it..