Guest guest Posted September 27, 2001 Report Share Posted September 27, 2001 Avon are currently only undertaking child surveillance at 8 mths and 2 years - but concurrently the Child and Adolescent Mental Health Service + Joint Child Strategy and Health Inequalities Committee here are considering 'prevention' + parenting/behavioural problems as a priority and these, of course, begin to surface at 3-4 years. Solution not yet clear but maybe a joined up approach with nurseries/playgroups and parenting classes? Xena Dion wrote: > This is interesting, we are currently working with the Health Authority to review child surveillance county wide in Somerset. We are thinking of seeing all children at around 8/12 and 2.25-2.5 years to push the importance of good nutrition as well as 'review their progress' then not see them again, as school entry will provide them with routine hearing and vision assessment. But seeing all children at these ages will allow us to address nutrition, parental issues/depression etc. parental expectation etc. etc. etc. We felt a questionnaire would not allow us the opportunity to pick up health promotion and child protection issues so I will be interested to read the write-up from Herts, as I'm sure you had the same reservations initially. X > ena > > >>> s.kendall@... 10/15/01 09:52am >>> > > > I have been working with some HVs in West Herts who have stopped > undertaking routine developmental checks at 21 and 36 months. All parents > are sent a parents questionnaire and offered an opportunity to see a HV and > all children who are considered at risk under a range of criteria are > invited for a developmental check. This has given rise to a certain amount > of discussion about universalism vs stigmatism and the worry of 'missing' > a problem. However, they have undertaken an audit and evaluation of the > approach and through random checks of the questionnaire group have not > identified any major missed problems. Moreover, most parents like the > opportunity to decide for themselves and the HVs have found there is a > lower incidence of DNAs and they have freed up some time to undertake a > wider public health role with the elderly. We are in the process of writing > this yp for Community Practitioner. > > Is this the sort of thing you are interested in? > > Best wishes > > Sally Kendall > > Sally Kendall, Professor of Nursing > Faculty of Health and Human Sciences > University of Hertfordshire > College Lane > Hatfield > Herts. AL10 9AB > > Tel: +44 01707 286380 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2001 Report Share Posted October 1, 2001 Dear , I have, this evening, been discussing with the local CPHVA branch having a local 'baby massage' expert come and train HV volunteers in the B & NES area. The baby massage expert's training is based on Brazwelton's work. Also we are being trained in the new year, on Solihull. so perhaps our skills will be honed in this type of skill that we will be able to use to support our parents. My particular interest and skill is working with domestic violence families and I am also on the working party for the CAMHS clinical pathways group. Perhaps all these things will soon come together to improve services for children. Ruth Lowenhoffs wrote: > Dear Ruth - I'm with Avon CAMHS on the importance of early attachment and > the development of emotional literacy. I would like to see the health > visitor new birth assessment moving completely away from the biomedical > approach which really requires health visitors to repeat what > paediatricians and G.P's have supposedly already done - I have been so > inspired by watching the Brazwelton neonatal behavioural assessment scale > in use and the impact this has on the way the mother observes and relates > to her baby and begins the " dance of reciprocity " which then underpins the > infants emotional development and attachment behaviour. Health visitor's > have this fantastic opportunity to affirm the importance of maternal / > parental time and attention in reaping immeasurable and longlasting > benefits for parent and child and which costs nothing, so anybody can do > it! I know that some of the work that Lynne Murray has been doing has also > used a modified Brazelton approach to promote attachment and has > demonstrated positive outcomes as a result. > What does anybody else think? > Lowenhoff > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2001 Report Share Posted October 1, 2001 I would be interested in the ref. Joan. jra1@... wrote: > Dear > > Anyone interested in studying this type of approach the > Barnard 'Parent-Infant Interaction Model' is > worth a read, really interesting stuff, describes how > infants pick up and interpret cues . If you don't know > of this one and are interested, leave me a message and I > will mail you ref. details. > > Best Wishes > > Joan. > > > Message-ID: > <EXECMAIL.1011022150335.H@...> > > Priority: NORMAL > > X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > > MIME-Version: 1.0 > > Content-Type: Text/Plain; charset= " us-ascii " > > > > There is a similar sort of principal with the Solihull > Approach to health > > visiting/ > > community nurses that is being implemented in some > areas, it inclludes > > reciprocity, > > and hv's feel tat it really does help them. However, > it has not been > > evaluated > > externally from Solihull. > > > > Toity > > > > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > > <project@...> wrote: > > > > > Dear Ruth - I'm with Avon CAMHS on the importance of > early attachment and > > > the development of emotional literacy. I would like > to see the health > > > visitor new birth assessment moving completely away > from the biomedical > > > approach which really requires health visitors to > repeat what > > > paediatricians and G.P's have supposedly already > done - I have been so > > > inspired by watching the Brazwelton neonatal > behavioural assessment scale > > > in use and the impact this has on the way the mother > observes and relates > > > to her baby and begins the " dance of reciprocity " > which then underpins > > the > > > infants emotional development and attachment > behaviour. Health visitor's > > > have this fantastic opportunity to affirm the > importance of maternal / > > > parental time and attention in reaping immeasurable > and longlasting > > > benefits for parent and child and which costs > nothing, so anybody can do > > > it! I know that some of the work that Lynne Murray > has been doing has > > also > > > used a modified Brazelton approach to promote > attachment and has > > > demonstrated positive outcomes as a result. > > > What does anybody else think? > > > Lowenhoff > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2001 Report Share Posted October 1, 2001 It is a wonderful book and encapsulates all that we read in each infant we see. Bidmead wrote: > You've probably all seen this one but just in case any one has missed this > wonderful book I thoroughly recommend 'The Social Baby' Liz and > LynnMurray. It can be ordered and viewed at www.socialbaby.com Every health > visitor should have one. > > > > Re: RE: Child health > > > > > > > > > Dear > > > > > > Anyone interested in studying this type of approach the > > > Barnard 'Parent-Infant Interaction Model' is > > > worth a read, really interesting stuff, describes how > > > infants pick up and interpret cues . If you don't know > > > of this one and are interested, leave me a message and I > > > will mail you ref. details. > > > > > > Best Wishes > > > > > > Joan. > > > > > > > Message-ID: > > > <EXECMAIL.1011022150335.H@...> > > > > Priority: NORMAL > > > > X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > > > > MIME-Version: 1.0 > > > > Content-Type: Text/Plain; charset= " us-ascii " > > > > > > > > There is a similar sort of principal with the Solihull > > > Approach to health > > > > visiting/ > > > > community nurses that is being implemented in some > > > areas, it inclludes > > > > reciprocity, > > > > and hv's feel tat it really does help them. However, > > > it has not been > > > > evaluated > > > > externally from Solihull. > > > > > > > > Toity > > > > > > > > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > > > > <project@...> wrote: > > > > > > > > > Dear Ruth - I'm with Avon CAMHS on the importance of > > > early attachment and > > > > > the development of emotional literacy. I would like > > > to see the health > > > > > visitor new birth assessment moving completely away > > > from the biomedical > > > > > approach which really requires health visitors to > > > repeat what > > > > > paediatricians and G.P's have supposedly already > > > done - I have been so > > > > > inspired by watching the Brazwelton neonatal > > > behavioural assessment scale > > > > > in use and the impact this has on the way the mother > > > observes and relates > > > > > to her baby and begins the " dance of reciprocity " > > > which then underpins > > > > the > > > > > infants emotional development and attachment > > > behaviour. Health visitor's > > > > > have this fantastic opportunity to affirm the > > > importance of maternal / > > > > > parental time and attention in reaping immeasurable > > > and longlasting > > > > > benefits for parent and child and which costs > > > nothing, so anybody can do > > > > > it! I know that some of the work that Lynne Murray > > > has been doing has > > > > also > > > > > used a modified Brazelton approach to promote > > > attachment and has > > > > > demonstrated positive outcomes as a result. > > > > > What does anybody else think? > > > > > Lowenhoff > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2001 Report Share Posted October 1, 2001 It is a wonderful book and encapsulates all that we read in each infant we see. Bidmead wrote: > You've probably all seen this one but just in case any one has missed this > wonderful book I thoroughly recommend 'The Social Baby' Liz and > LynnMurray. It can be ordered and viewed at www.socialbaby.com Every health > visitor should have one. > > > > Re: RE: Child health > > > > > > > > > Dear > > > > > > Anyone interested in studying this type of approach the > > > Barnard 'Parent-Infant Interaction Model' is > > > worth a read, really interesting stuff, describes how > > > infants pick up and interpret cues . If you don't know > > > of this one and are interested, leave me a message and I > > > will mail you ref. details. > > > > > > Best Wishes > > > > > > Joan. > > > > > > > Message-ID: > > > <EXECMAIL.1011022150335.H@...> > > > > Priority: NORMAL > > > > X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > > > > MIME-Version: 1.0 > > > > Content-Type: Text/Plain; charset= " us-ascii " > > > > > > > > There is a similar sort of principal with the Solihull > > > Approach to health > > > > visiting/ > > > > community nurses that is being implemented in some > > > areas, it inclludes > > > > reciprocity, > > > > and hv's feel tat it really does help them. However, > > > it has not been > > > > evaluated > > > > externally from Solihull. > > > > > > > > Toity > > > > > > > > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > > > > <project@...> wrote: > > > > > > > > > Dear Ruth - I'm with Avon CAMHS on the importance of > > > early attachment and > > > > > the development of emotional literacy. I would like > > > to see the health > > > > > visitor new birth assessment moving completely away > > > from the biomedical > > > > > approach which really requires health visitors to > > > repeat what > > > > > paediatricians and G.P's have supposedly already > > > done - I have been so > > > > > inspired by watching the Brazwelton neonatal > > > behavioural assessment scale > > > > > in use and the impact this has on the way the mother > > > observes and relates > > > > > to her baby and begins the " dance of reciprocity " > > > which then underpins > > > > the > > > > > infants emotional development and attachment > > > behaviour. Health visitor's > > > > > have this fantastic opportunity to affirm the > > > importance of maternal / > > > > > parental time and attention in reaping immeasurable > > > and longlasting > > > > > benefits for parent and child and which costs > > > nothing, so anybody can do > > > > > it! I know that some of the work that Lynne Murray > > > has been doing has > > > > also > > > > > used a modified Brazelton approach to promote > > > attachment and has > > > > > demonstrated positive outcomes as a result. > > > > > What does anybody else think? > > > > > Lowenhoff > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Sally, Thanks for your response, this is exactly the kind of work we are interested in. Could I come and see you at some point? . 02088611735 > RE: Child health > > > > I have been working with some HVs in West Herts who have stopped > undertaking routine developmental checks at 21 and 36 months. All parents > are sent a parents questionnaire and offered an opportunity to see a HV > and > all children who are considered at risk under a range of criteria are > invited for a developmental check. This has given rise to a certain amount > of discussion about universalism vs stigmatism and the worry of 'missing' > a problem. However, they have undertaken an audit and evaluation of the > approach and through random checks of the questionnaire group have not > identified any major missed problems. Moreover, most parents like the > opportunity to decide for themselves and the HVs have found there is a > lower incidence of DNAs and they have freed up some time to undertake a > wider public health role with the elderly. We are in the process of > writing > this yp for Community Practitioner. > > Is this the sort of thing you are interested in? > > Best wishes > > Sally Kendall > > > Sally Kendall, Professor of Nursing > Faculty of Health and Human Sciences > University of Hertfordshire > College Lane > Hatfield > Herts. AL10 9AB > > Tel: +44 01707 286380 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 >From: "Xena Dion" >Reply- >, >Subject: RE: Child health >Date: Mon, 15 Oct 2001 14:31:57 +0100 > >This is interesting, we are currently working with the Health Authority to review child surveillance county wide in Somerset. We are thinking of seeing all children at around 8/12 and 2.25-2.5 years to push the importance of good nutrition as well as 'review their progress' then not see them again, as school entry will provide them with routine hearing and vision assessment. But seeing all children at these ages will allow us to address nutrition, parental issues/depression etc. parental expectation etc. etc. etc. We felt a questionnaire would not allow us the opportunity to pick up health promotion and child protection issues so I will be interested to read the write-up from Herts, as I'm sure you had the same reservations initially. X > ena > > >>> s.kendall@... 10/15/01 09:52am >>> > > >I have been working with some HVs in West Herts who have stopped >undertaking routine developmental checks at 21 and 36 months. All parents >are sent a parents questionnaire and offered an opportunity to see a HV and >all children who are considered at risk under a range of criteria are >invited for a developmental check. This has given rise to a certain amount >of discussion about universalism vs stigmatism and the worry of 'missing' >a problem. However, they have undertaken an audit and evaluation of the >approach and through random checks of the questionnaire group have not >identified any major missed problems. Moreover, most parents like the >opportunity to decide for themselves and the HVs have found there is a >lower incidence of DNAs and they have freed up some time to undertake a >wider public health role with the elderly. We are in the process of writing >this yp for Community Practitioner. > >Is this the sort of thing you are interested in? > >Best wishes > >Sally Kendall > > >Sally Kendall, Professor of Nursing >Faculty of Health and Human Sciences >University of Hertfordshire >College Lane >Hatfield >Herts. AL10 9AB > >Tel: +44 01707 286380 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 >From: "Xena Dion" >Reply- >, >Subject: RE: Child health >Date: Mon, 15 Oct 2001 14:31:57 +0100 > >This is interesting, we are currently working with the Health Authority to review child surveillance county wide in Somerset. We are thinking of seeing all children at around 8/12 and 2.25-2.5 years to push the importance of good nutrition as well as 'review their progress' then not see them again, as school entry will provide them with routine hearing and vision assessment. But seeing all children at these ages will allow us to address nutrition, parental issues/depression etc. parental expectation etc. etc. etc. We felt a questionnaire would not allow us the opportunity to pick up health promotion and child protection issues so I will be interested to read the write-up from Herts, as I'm sure you had the same reservations initially. X > ena > > >>> s.kendall@... 10/15/01 09:52am >>> > > >I have been working with some HVs in West Herts who have stopped >undertaking routine developmental checks at 21 and 36 months. All parents >are sent a parents questionnaire and offered an opportunity to see a HV and >all children who are considered at risk under a range of criteria are >invited for a developmental check. This has given rise to a certain amount >of discussion about universalism vs stigmatism and the worry of 'missing' >a problem. However, they have undertaken an audit and evaluation of the >approach and through random checks of the questionnaire group have not >identified any major missed problems. Moreover, most parents like the >opportunity to decide for themselves and the HVs have found there is a >lower incidence of DNAs and they have freed up some time to undertake a >wider public health role with the elderly. We are in the process of writing >this yp for Community Practitioner. > >Is this the sort of thing you are interested in? > >Best wishes > >Sally Kendall > > >Sally Kendall, Professor of Nursing >Faculty of Health and Human Sciences >University of Hertfordshire >College Lane >Hatfield >Herts. AL10 9AB > >Tel: +44 01707 286380 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 That is how I see it working - it is baout what I ahve just written. If yiou move away from the indiviual caseload then you begin to move toward the ability to do that. Margaret Re: RE: Child health > Avon are currently only undertaking child surveillance at 8 mths and 2 years - but concurrently the Child and Adolescent Mental Health Service + Joint Child Strategy and Health Inequalities Committee here are considering 'prevention' + parenting/behavioural problems as a priority and these, of course, begin to surface at 3-4 years. Solution not yet clear but maybe a joined up approach with nurseries/playgroups and parenting classes? > > Xena Dion wrote: > > > This is interesting, we are currently working with the Health Authority to review child surveillance county wide in Somerset. We are thinking of seeing all children at around 8/12 and 2.25-2.5 years to push the importance of good nutrition as well as 'review their progress' then not see them again, as school entry will provide them with routine hearing and vision assessment. But seeing all children at these ages will allow us to address nutrition, parental issues/depression etc. parental expectation etc. etc. etc. We felt a questionnaire would not allow us the opportunity to pick up health promotion and child protection issues so I will be interested to read the write-up from Herts, as I'm sure you had the same reservations initially. X > > ena > > > > >>> s.kendall@... 10/15/01 09:52am >>> > > > > > > I have been working with some HVs in West Herts who have stopped > > undertaking routine developmental checks at 21 and 36 months. All parents > > are sent a parents questionnaire and offered an opportunity to see a HV and > > all children who are considered at risk under a range of criteria are > > invited for a developmental check. This has given rise to a certain amount > > of discussion about universalism vs stigmatism and the worry of 'missing' > > a problem. However, they have undertaken an audit and evaluation of the > > approach and through random checks of the questionnaire group have not > > identified any major missed problems. Moreover, most parents like the > > opportunity to decide for themselves and the HVs have found there is a > > lower incidence of DNAs and they have freed up some time to undertake a > > wider public health role with the elderly. We are in the process of writing > > this yp for Community Practitioner. > > > > Is this the sort of thing you are interested in? > > > > Best wishes > > > > Sally Kendall > > > > Sally Kendall, Professor of Nursing > > Faculty of Health and Human Sciences > > University of Hertfordshire > > College Lane > > Hatfield > > Herts. AL10 9AB > > > > Tel: +44 01707 286380 > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 I know that a lot of work is being done about reducing the amount of unnecessary routine health visiting in order to free up time for other things, particularly public health, but I am concerned about the focus of the discussion which appears to equate the checks with detecting deviations from the normal which in itself is a very biomedical approach and not in keeping with the fundamental aspect of health visiting i.e. promoting health. I am concerened with the wind of change that seems to be moving us more and more to offering targeted checks or relying on parents to tell us when something is WRONG, but what about all the work that could be done to prevent commonly occurring behavioural problems relating to eating, sleeping, toileting etc and all the work that needs to be done to refocus parenting on the importance of attachment / bonding and the implications this has not only for the future health and well-being of the child and the parents and the rest of the family, but the implications this has for public health. There is an ever-increasing body of research which proves time amd time again that children who show insecure patterns of attachment ( generally estimated at 1/3 of the population) are more likely to have emotional and behavioural problems at age 3, are more likely to have problems in school in terms of attention spans and disruptive beahviour, are therefore more likely to need additional support in school, are more likely to play truant or be excluded from school, are more likey to be delinquent or abuse alcohol or drugs, are less likely to acheive their academic potential, are more likely to leave school at 16, more likely to be unemployed and more likely to indulge in criminal activity ............... Promoting postive patterns of attachment will reap huge rewards for this and future generations and I would like to suggest that universal health visiting support during the first three years of life is therefore a very costeffective intervention. I would be interested to hear others' thoughts? Lowenhoff Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Dear Xena - I would be very interested to see the tool you have developed for weighting health visitor caseloads and the information you are collecting through the birth book - do you have something in a report format outlining the basics, but also the specific of what you are doing? I also wasn't quite sure what you offered in terms of routine, universal health visitong support during the first two years? Look forward to hearing from you Lowenhoff Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Message-ID: <EXECMAIL.1011022150335.H@...> Priority: NORMAL X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) MIME-Version: 1.0 Content-Type: Text/Plain; charset= " us-ascii " There is a similar sort of principal with the Solihull Approach to health visiting/ community nurses that is being implemented in some areas, it inclludes reciprocity, and hv's feel tat it really does help them. However, it has not been evaluated externally from Solihull. Toity On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs <project@...> wrote: > Dear Ruth - I'm with Avon CAMHS on the importance of early attachment and > the development of emotional literacy. I would like to see the health > visitor new birth assessment moving completely away from the biomedical > approach which really requires health visitors to repeat what > paediatricians and G.P's have supposedly already done - I have been so > inspired by watching the Brazwelton neonatal behavioural assessment scale > in use and the impact this has on the way the mother observes and relates > to her baby and begins the " dance of reciprocity " which then underpins the > infants emotional development and attachment behaviour. Health visitor's > have this fantastic opportunity to affirm the importance of maternal / > parental time and attention in reaping immeasurable and longlasting > benefits for parent and child and which costs nothing, so anybody can do > it! I know that some of the work that Lynne Murray has been doing has also > used a modified Brazelton approach to promote attachment and has > demonstrated positive outcomes as a result. > What does anybody else think? > Lowenhoff > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Dear Anyone interested in studying this type of approach the Barnard 'Parent-Infant Interaction Model' is worth a read, really interesting stuff, describes how infants pick up and interpret cues . If you don't know of this one and are interested, leave me a message and I will mail you ref. details. Best Wishes Joan. > Message-ID: <EXECMAIL.1011022150335.H@...> > Priority: NORMAL > X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > MIME-Version: 1.0 > Content-Type: Text/Plain; charset= " us-ascii " > > There is a similar sort of principal with the Solihull Approach to health > visiting/ > community nurses that is being implemented in some areas, it inclludes > reciprocity, > and hv's feel tat it really does help them. However, it has not been > evaluated > externally from Solihull. > > Toity > > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > <project@...> wrote: > > > Dear Ruth - I'm with Avon CAMHS on the importance of early attachment and > > the development of emotional literacy. I would like to see the health > > visitor new birth assessment moving completely away from the biomedical > > approach which really requires health visitors to repeat what > > paediatricians and G.P's have supposedly already done - I have been so > > inspired by watching the Brazwelton neonatal behavioural assessment scale > > in use and the impact this has on the way the mother observes and relates > > to her baby and begins the " dance of reciprocity " which then underpins > the > > infants emotional development and attachment behaviour. Health visitor's > > have this fantastic opportunity to affirm the importance of maternal / > > parental time and attention in reaping immeasurable and longlasting > > benefits for parent and child and which costs nothing, so anybody can do > > it! I know that some of the work that Lynne Murray has been doing has > also > > used a modified Brazelton approach to promote attachment and has > > demonstrated positive outcomes as a result. > > What does anybody else think? > > Lowenhoff > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 I would be very interested in this reference Joan, thanks, Janet>>> jra1@... 0/22/01 03:26PM >>>Dear Anyone interested ins tudying this type of approach the Barnard 'Parent-Infant Interaction Model' is worth a read, really interesting stuff, describes how infants pick up and interpret cues . If you don't know of this one and are interested, leave me a message and I will mail you ref. details.Best WishesJoan.> Message-ID: <EXECMAIL.1011022150335.H@...>> Priority: NORMAL> X-Mailer: Execmail for Win32 Version 5.0.1 Build (55)> MIME-Version: 1.0> Content-Type: Text/Plain; charset="us-ascii"> > There is a similar sort of principal with the Solihull Approach to health> visiting/ > community nurses that is being implemented in some areas, it inclludes> reciprocity,> and hv's feel tat it really does help them. However, it has not been> evaluated BR>> externally from Solihull.> > Toity> > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > <project@...> wrote:> > > Dear Ruth - I'm with Avon CAMHS on the importance of early attachment and> > the development of emotional literacy. I would like to see the health> > visitor new birth assessment moving completely away from the biomedical> > approach which really requires health visitors to repeat what> > paediatricians and G.P's have supposedly already done - I have been so> > inspired by watching the Brazweltonn eonatal behavioural assessment scale> > in use and the impact this has on the way the mother observes and relates> > to her baby and begins the "dance of reciprocity" which then underpins> the> > infants emotional development and attachment behaviour. Health visitor's> > have this fantastic opportunity to affirm the BR>importance of maternal /> > parental time and attention in reaping immeasurable and longlasting> > benefits for parent and child and which costs nothing, so anybody can do> > it! I know that some of the work that Lynne Murray has been doing has> also> > used a modified Brazelton approach to promote attachment and has> > demonstrated positive outcomes as a result.> > What does anybody else think?> > Lowenhoff> > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Dear Joan - yes - please pass on Barnard reference. Thanks. >Dear > >Anyone interested in studying this type of approach the > Barnard 'Parent-Infant Interaction Model' is >worth a read, really interesting stuff, describes how >infants pick up and interpret cues . If you don't know >of this one and are interested, leave me a message and I >will mail you ref. details. > >Best Wishes > >Joan. > >> Message-ID: ><EXECMAIL.1011022150335.H@...> >> Priority: NORMAL >> X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) >> MIME-Version: 1.0 >> Content-Type: Text/Plain; charset= " us-ascii " >> >> There is a similar sort of principal with the Solihull >Approach to health >> visiting/ >> community nurses that is being implemented in some >areas, it inclludes >> reciprocity, >> and hv's feel tat it really does help them. However, >it has not been >> evaluated >> externally from Solihull. >> >> Toity >> >> On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs >> <project@...> wrote: >> >> > Dear Ruth - I'm with Avon CAMHS on the importance of >early attachment and >> > the development of emotional literacy. I would like >to see the health >> > visitor new birth assessment moving completely away >from the biomedical >> > approach which really requires health visitors to >repeat what >> > paediatricians and G.P's have supposedly already >done - I have been so >> > inspired by watching the Brazwelton neonatal >behavioural assessment scale >> > in use and the impact this has on the way the mother >observes and relates >> > to her baby and begins the " dance of reciprocity " >which then underpins >> the >> > infants emotional development and attachment >behaviour. Health visitor's >> > have this fantastic opportunity to affirm the >importance of maternal / >> > parental time and attention in reaping immeasurable >and longlasting >> > benefits for parent and child and which costs >nothing, so anybody can do >> > it! I know that some of the work that Lynne Murray >has been doing has >> also >> > used a modified Brazelton approach to promote >attachment and has >> > demonstrated positive outcomes as a result. >> > What does anybody else think? >> > Lowenhoff >> > >> > >> > >> > >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Dear I so agree with your views about secure attachment and its benefits. My observations from working closely with families for 20 years lead me to the conclusion that this is, perhaps, the most important strand of the work HVs do.Together with prevention and early intervention with regard to commonly occurring " problems " , early identification and support around PND or reactive depression and/or relationship difficulties. I find most parents, no matter their socio-economic position take a good deal of interest in feeding and physical care,motor development and cutting teeth but need encouragement to develop a greater understanding of emotional, intellectual and social development and the important role they have as interpreter,first teacher and loving parent.The links too with self esteem are profound and a broader role of health visiting is to raise the profile of the important work parents do in raising the next generation, surely an important public health issue.I have used important a lot because all these interlinking bits are IMPORTANT. I am still very interested in the work you are doing and would appreciate further information, for eg, do you have a job description? Who compiled it? Were you part of that process? Could you let me have a copy and also further info on the Brazelton neonatal assessment? I would also be grateful for any references about research showing the relationship between insecure patterns of attachment and the development of emotional and behavioural problems and the links with subsequent problems at school and on into teens and young adulthood. I also agree that we don't throw the baby out with the bathwater in a headlong dash to develop our public health role with other age groups and in community development roles but if HVs are freed from some of the tasks others could do,eg.,clerical & admin,Korner stats,the replication of clinics in GP practices which may not be well attended,box ticking approaches to screening and giving immunisations then those roles could be developed too. But essentiallty that early work is fundamental and should continue to be universal. Incidentally, what do you think of the Child Development Programme(Walter Barker) Sue weights > Re: RE: Child health > > > Dear Ruth - I'm with Avon CAMHS on the importance of early attachment and > the development of emotional literacy. I would like to see the health > visitor new birth assessment moving completely away from the biomedical > approach which really requires health visitors to repeat what > paediatricians and G.P's have supposedly already done - I have been so > inspired by watching the Brazwelton neonatal behavioural assessment scale > in use and the impact this has on the way the mother observes and relates > to her baby and begins the " dance of reciprocity " which then underpins the > infants emotional development and attachment behaviour. Health visitor's > have this fantastic opportunity to affirm the importance of maternal / > parental time and attention in reaping immeasurable and longlasting > benefits for parent and child and which costs nothing, so anybody can do > it! I know that some of the work that Lynne Murray has been doing has also > used a modified Brazelton approach to promote attachment and has > demonstrated positive outcomes as a result. > What does anybody else think? > Lowenhoff > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Dear Joan Please pass on ref details of the parent-infant interaction model to me too. Thanks Sue > Re: RE: Child health > > > Dear > > Anyone interested in studying this type of approach the > Barnard 'Parent-Infant Interaction Model' is > worth a read, really interesting stuff, describes how > infants pick up and interpret cues . If you don't know > of this one and are interested, leave me a message and I > will mail you ref. details. > > Best Wishes > > Joan. > > > Message-ID: > <EXECMAIL.1011022150335.H@...> > > Priority: NORMAL > > X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > > MIME-Version: 1.0 > > Content-Type: Text/Plain; charset= " us-ascii " > > > > There is a similar sort of principal with the Solihull > Approach to health > > visiting/ > > community nurses that is being implemented in some > areas, it inclludes > > reciprocity, > > and hv's feel tat it really does help them. However, > it has not been > > evaluated > > externally from Solihull. > > > > Toity > > > > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > > <project@...> wrote: > > > > > Dear Ruth - I'm with Avon CAMHS on the importance of > early attachment and > > > the development of emotional literacy. I would like > to see the health > > > visitor new birth assessment moving completely away > from the biomedical > > > approach which really requires health visitors to > repeat what > > > paediatricians and G.P's have supposedly already > done - I have been so > > > inspired by watching the Brazwelton neonatal > behavioural assessment scale > > > in use and the impact this has on the way the mother > observes and relates > > > to her baby and begins the " dance of reciprocity " > which then underpins > > the > > > infants emotional development and attachment > behaviour. Health visitor's > > > have this fantastic opportunity to affirm the > importance of maternal / > > > parental time and attention in reaping immeasurable > and longlasting > > > benefits for parent and child and which costs > nothing, so anybody can do > > > it! I know that some of the work that Lynne Murray > has been doing has > > also > > > used a modified Brazelton approach to promote > attachment and has > > > demonstrated positive outcomes as a result. > > > What does anybody else think? > > > Lowenhoff > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 You've probably all seen this one but just in case any one has missed this wonderful book I thoroughly recommend 'The Social Baby' Liz and LynnMurray. It can be ordered and viewed at www.socialbaby.com Every health visitor should have one. Re: RE: Child health > > > > > > Dear > > > > Anyone interested in studying this type of approach the > > Barnard 'Parent-Infant Interaction Model' is > > worth a read, really interesting stuff, describes how > > infants pick up and interpret cues . If you don't know > > of this one and are interested, leave me a message and I > > will mail you ref. details. > > > > Best Wishes > > > > Joan. > > > > > Message-ID: > > <EXECMAIL.1011022150335.H@...> > > > Priority: NORMAL > > > X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > > > MIME-Version: 1.0 > > > Content-Type: Text/Plain; charset= " us-ascii " > > > > > > There is a similar sort of principal with the Solihull > > Approach to health > > > visiting/ > > > community nurses that is being implemented in some > > areas, it inclludes > > > reciprocity, > > > and hv's feel tat it really does help them. However, > > it has not been > > > evaluated > > > externally from Solihull. > > > > > > Toity > > > > > > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > > > <project@...> wrote: > > > > > > > Dear Ruth - I'm with Avon CAMHS on the importance of > > early attachment and > > > > the development of emotional literacy. I would like > > to see the health > > > > visitor new birth assessment moving completely away > > from the biomedical > > > > approach which really requires health visitors to > > repeat what > > > > paediatricians and G.P's have supposedly already > > done - I have been so > > > > inspired by watching the Brazwelton neonatal > > behavioural assessment scale > > > > in use and the impact this has on the way the mother > > observes and relates > > > > to her baby and begins the " dance of reciprocity " > > which then underpins > > > the > > > > infants emotional development and attachment > > behaviour. Health visitor's > > > > have this fantastic opportunity to affirm the > > importance of maternal / > > > > parental time and attention in reaping immeasurable > > and longlasting > > > > benefits for parent and child and which costs > > nothing, so anybody can do > > > > it! I know that some of the work that Lynne Murray > > has been doing has > > > also > > > > used a modified Brazelton approach to promote > > attachment and has > > > > demonstrated positive outcomes as a result. > > > > What does anybody else think? > > > > Lowenhoff > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Thanks I've just ordered this book after scanning the reviews. Sue > Re: RE: Child health > > > You've probably all seen this one but just in case any one has missed this > wonderful book I thoroughly recommend 'The Social Baby' Liz and > LynnMurray. It can be ordered and viewed at www.socialbaby.com > Every health > visitor should have one. > > > > Re: RE: Child health > > > > > > > > > Dear > > > > > > Anyone interested in studying this type of approach the > > > Barnard 'Parent-Infant Interaction Model' is > > > worth a read, really interesting stuff, describes how > > > infants pick up and interpret cues . If you don't know > > > of this one and are interested, leave me a message and I > > > will mail you ref. details. > > > > > > Best Wishes > > > > > > Joan. > > > > > > > Message-ID: > > > <EXECMAIL.1011022150335.H@...> > > > > Priority: NORMAL > > > > X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > > > > MIME-Version: 1.0 > > > > Content-Type: Text/Plain; charset= " us-ascii " > > > > > > > > There is a similar sort of principal with the Solihull > > > Approach to health > > > > visiting/ > > > > community nurses that is being implemented in some > > > areas, it inclludes > > > > reciprocity, > > > > and hv's feel tat it really does help them. However, > > > it has not been > > > > evaluated > > > > externally from Solihull. > > > > > > > > Toity > > > > > > > > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > > > > <project@...> wrote: > > > > > > > > > Dear Ruth - I'm with Avon CAMHS on the importance of > > > early attachment and > > > > > the development of emotional literacy. I would like > > > to see the health > > > > > visitor new birth assessment moving completely away > > > from the biomedical > > > > > approach which really requires health visitors to > > > repeat what > > > > > paediatricians and G.P's have supposedly already > > > done - I have been so > > > > > inspired by watching the Brazwelton neonatal > > > behavioural assessment scale > > > > > in use and the impact this has on the way the mother > > > observes and relates > > > > > to her baby and begins the " dance of reciprocity " > > > which then underpins > > > > the > > > > > infants emotional development and attachment > > > behaviour. Health visitor's > > > > > have this fantastic opportunity to affirm the > > > importance of maternal / > > > > > parental time and attention in reaping immeasurable > > > and longlasting > > > > > benefits for parent and child and which costs > > > nothing, so anybody can do > > > > > it! I know that some of the work that Lynne Murray > > > has been doing has > > > > also > > > > > used a modified Brazelton approach to promote > > > attachment and has > > > > > demonstrated positive outcomes as a result. > > > > > What does anybody else think? > > > > > Lowenhoff > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Thanks I've just ordered this book after scanning the reviews. Sue > Re: RE: Child health > > > You've probably all seen this one but just in case any one has missed this > wonderful book I thoroughly recommend 'The Social Baby' Liz and > LynnMurray. It can be ordered and viewed at www.socialbaby.com > Every health > visitor should have one. > > > > Re: RE: Child health > > > > > > > > > Dear > > > > > > Anyone interested in studying this type of approach the > > > Barnard 'Parent-Infant Interaction Model' is > > > worth a read, really interesting stuff, describes how > > > infants pick up and interpret cues . If you don't know > > > of this one and are interested, leave me a message and I > > > will mail you ref. details. > > > > > > Best Wishes > > > > > > Joan. > > > > > > > Message-ID: > > > <EXECMAIL.1011022150335.H@...> > > > > Priority: NORMAL > > > > X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > > > > MIME-Version: 1.0 > > > > Content-Type: Text/Plain; charset= " us-ascii " > > > > > > > > There is a similar sort of principal with the Solihull > > > Approach to health > > > > visiting/ > > > > community nurses that is being implemented in some > > > areas, it inclludes > > > > reciprocity, > > > > and hv's feel tat it really does help them. However, > > > it has not been > > > > evaluated > > > > externally from Solihull. > > > > > > > > Toity > > > > > > > > On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > > > > <project@...> wrote: > > > > > > > > > Dear Ruth - I'm with Avon CAMHS on the importance of > > > early attachment and > > > > > the development of emotional literacy. I would like > > > to see the health > > > > > visitor new birth assessment moving completely away > > > from the biomedical > > > > > approach which really requires health visitors to > > > repeat what > > > > > paediatricians and G.P's have supposedly already > > > done - I have been so > > > > > inspired by watching the Brazwelton neonatal > > > behavioural assessment scale > > > > > in use and the impact this has on the way the mother > > > observes and relates > > > > > to her baby and begins the " dance of reciprocity " > > > which then underpins > > > > the > > > > > infants emotional development and attachment > > > behaviour. Health visitor's > > > > > have this fantastic opportunity to affirm the > > > importance of maternal / > > > > > parental time and attention in reaping immeasurable > > > and longlasting > > > > > benefits for parent and child and which costs > > > nothing, so anybody can do > > > > > it! I know that some of the work that Lynne Murray > > > has been doing has > > > > also > > > > > used a modified Brazelton approach to promote > > > attachment and has > > > > > demonstrated positive outcomes as a result. > > > > > What does anybody else think? > > > > > Lowenhoff > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Dear , Sue, Janet, Ruth and all As promised, 1) Barnard K.E. (1981) An Ecological Approach to Parent Child Relations. Paper IN Brown C.C. (Eds.) Infants at Risk, Assessment and Intervention. and Paediatric Round Table. 2) Barnard K.E. et al. (1977) 'Parent Infant Interaction Model' The Nursing Child Assessment Training Study Guide: Programme Learning Manual. p. 8. and . Paediatric Round Table. I realised when I rooted them out that these refs. are rather aging, so I did a bit of a trawl on and discovered that there is a website now, based on Barnards' work. A tool now exists to measure caregiver/infant interaction, this is called the Nurse Child Assessment Satellite Training Tool. Mentioned is the tool being used widely in USA and of training programmes,also used in justice system as a measure of mother infant relationships. Also mentioned are more recent publications by . You can access this site at, http://www.health.state.mn.as/divs/fh/mch/ncastinfo.html Alternatively and more simply, just go into and search using the words " BARNARD MODEL " and it will bring up 5 options The first one is the one to hit. Do try and get hold of the original work though, it is really fascinating stuff, the best I have read on mother/babe bonding. Best Wishes Joan. > Dear Joan - yes - please pass on Barnard reference. Thanks. > > > > > > > >Dear > > > >Anyone interested in studying this type of approach the > > Barnard 'Parent-Infant Interaction Model' is > >worth a read, really interesting stuff, describes how > >infants pick up and interpret cues . If you don't know > >of this one and are interested, leave me a message and I > >will mail you ref. details. > > > >Best Wishes > > > >Joan. > > > >> Message-ID: > ><EXECMAIL.1011022150335.H@...> > >> Priority: NORMAL > >> X-Mailer: Execmail for Win32 Version 5.0.1 Build (55) > >> MIME-Version: 1.0 > >> Content-Type: Text/Plain; charset= " us-ascii " > >> > >> There is a similar sort of principal with the Solihull > >Approach to health > >> visiting/ > >> community nurses that is being implemented in some > >areas, it inclludes > >> reciprocity, > >> and hv's feel tat it really does help them. However, > >it has not been > >> evaluated > >> externally from Solihull. > >> > >> Toity > >> > >> On Mon, 22 Oct 2001 13:13:59 +0000 Lowenhoffs > >> <project@...> wrote: > >> > >> > Dear Ruth - I'm with Avon CAMHS on the importance of > >early attachment and > >> > the development of emotional literacy. I would like > >to see the health > >> > visitor new birth assessment moving completely away > >from the biomedical > >> > approach which really requires health visitors to > >repeat what > >> > paediatricians and G.P's have supposedly already > >done - I have been so > >> > inspired by watching the Brazwelton neonatal > >behavioural assessment scale > >> > in use and the impact this has on the way the mother > >observes and relates > >> > to her baby and begins the " dance of reciprocity " > >which then underpins > >> the > >> > infants emotional development and attachment > >behaviour. Health visitor's > >> > have this fantastic opportunity to affirm the > >importance of maternal / > >> > parental time and attention in reaping immeasurable > >and longlasting > >> > benefits for parent and child and which costs > >nothing, so anybody can do > >> > it! I know that some of the work that Lynne Murray > >has been doing has > >> also > >> > used a modified Brazelton approach to promote > >attachment and has > >> > demonstrated positive outcomes as a result. > >> > What does anybody else think? > >> > Lowenhoff > >> > > >> > > >> > > >> > > >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2001 Report Share Posted October 23, 2001 lind Bennet drew my attention to this excellent resource websire: http://www.zerotothree.org/ Not all of it crosses the Atlantic, but much of it does. Best wishes ruthngrant wrote: > Dear , > > I have, this evening, been discussing with the local CPHVA branch having a > local 'baby massage' expert come and train HV volunteers in the B & NES area. > The baby massage expert's training is based on Brazwelton's work. Also we are > being trained in the new year, on Solihull. so perhaps our skills will be > honed in this type of skill that we will be able to use to support our > parents. > > My particular interest and skill is working with domestic violence families > and I am also on the working party for the CAMHS clinical pathways group. > Perhaps all these things will soon come together to improve services for > children. > Ruth > > Lowenhoffs wrote: > > > Dear Ruth - I'm with Avon CAMHS on the importance of early attachment and > > the development of emotional literacy. I would like to see the health > > visitor new birth assessment moving completely away from the biomedical > > approach which really requires health visitors to repeat what > > paediatricians and G.P's have supposedly already done - I have been so > > inspired by watching the Brazwelton neonatal behavioural assessment scale > > in use and the impact this has on the way the mother observes and relates > > to her baby and begins the " dance of reciprocity " which then underpins the > > infants emotional development and attachment behaviour. Health visitor's > > have this fantastic opportunity to affirm the importance of maternal / > > parental time and attention in reaping immeasurable and longlasting > > benefits for parent and child and which costs nothing, so anybody can do > > it! I know that some of the work that Lynne Murray has been doing has also > > used a modified Brazelton approach to promote attachment and has > > demonstrated positive outcomes as a result. > > What does anybody else think? > > Lowenhoff > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2001 Report Share Posted October 25, 2001 Just to reassure you and others that the project i described in West Herts. does not in any way preclude the excellent parenting work that is also going on alongside. The context of an initiative is obvioulsy very important and there is not always time nor space to describe everything that is happening. The child development questionnaire is just one initiative among many which supports parenting from 0-16 through a range of models to suit need. I am a huge advocate of attachment theory and totally endorse the need to promote postive parenting through attachment, but there is a need to also have a mechanism to identify 'problems' from the parents perspective as well as the more overt developmental issues which may arise despite positive parenting. Best wishes Sally Sally Kendall, Professor of Nursing Faculty of Health and Human Sciences University of Hertfordshire College Lane Hatfield Herts. AL10 9AB Tel: +44 01707 286380 Quote Link to comment Share on other sites More sharing options...
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