You can have a goal (even a primary goal) of maximizing speech and hearing outcomes without abandoning other goals. Our clinic provides referrals for counseling services, and our non-profit does advocacy for IEPs (and NOT just for implanted patients, and NOT just for patients of the clinic). No, we don't do home visits, but honestly, outside of an IFSP, who does? It's just not feasible, especially not in California. Anyone at our clinic who downplayed the life-changing event of implantation wouldn't last here very long.
No one "rushes" families into decisions at our clinic, when the families are ready to schedule surgery, they schedule it. Our clinic has in-person support group meetings where they can meet other families at various stages of the implant evaluation (or post-implant) process, and we work very closely with both state early intervention programs and local schools who have hearing impaired students.