In 1990 the members of the household created a new mission of Metanoia Peace Community called Grief Watch, and incorporated into this larger grief support ministry the Perinatal Loss Program which formerly had been joined with the Oregon Health Sciences University Foundation. Pat serves as director of this program which ministers to parents who are experiencing grief following the death of an infant son or daughter.

In addition to direct personal support of bereaved parents through counseling, support groups and social work activities, the Perinatal Loss program publishes and sells books, audio and video tapes and other grief related materials by mail. Income from the sale of these materials help to pay the expense of maintaining the Peace House, underwrites some of the costs of other Metanoia ministries, pays the part-time salary of several support staff persons and also provides a small stipend to Pat, allowing her to be engaged in full-time ministry. John receives a similar stipend, plus expenses, in his role as pastor of Metanoia Peace Community. These stipends then become part of the communal income of the household.