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Early Intervention Health Visiting

Early Intervention Health Visiting. Naledi Kline: Head of Nursing – Standards and Practice Joana Quartey: Early Intervention Health Visitor 11 th June 2013. Definition of Early Intervention. Early contact: During pregnancy Targeted: Vulnerable pregnant women

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Early Intervention Health Visiting

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  1. Early Intervention Health Visiting Naledi Kline: Head of Nursing – Standards and Practice Joana Quartey: Early Intervention Health Visitor 11th June 2013

  2. Definition of Early Intervention • Early contact: During pregnancy • Targeted: Vulnerable pregnant women • Service: Intensive work with women and their children • Duration: Transfer to generic service between 13 – 24 months

  3. Source of referrals • Health Visitors • MAPPIM: St. Thomas’ Hospital • Midwives: St. Thomas’ Hospital • Children & Young People’s Service (Lambeth) • Children’s Centres (Lambeth) • Peri-natal Units: KCH & St. George’s Hospital • Community Mental Health Services • Family Nurse Partnership (Lambeth) • GPs (Lambeth)

  4. Role of EIHV (1) Prevention of child abuse, safeguarding children by providing an early help service to support children and their families at the ‘softer’ end of child protection and safeguarding. Our overarching aim is to work with parents and their children to enable them to achieve their full potential Help & support to change behaviours, be the best they can as parents and meet their children’s physical, emotional mental and social needs.

  5. Role of EIHV (2) Achieved by all four main areas of working as per Health Visitor Implementation Plan (2011-15): Community Services Universal Services Universal Plus and Universal Partnership Plus Services. Special Focus on: The Triple ‘P’ (Positive Parenting Programme), Sleep Clinics, Baby Massage, Home Safety, Infant Resuscitation & Postnatal Support Groups, Personal Ambition.

  6. Other Aspects of role… Sleep Clinics: Gradual approach based on social learning theory Families are supported to make small incremental changes Healthy Child Programme Hard to reach and vulnerable families from antenatal contact to 2nd birthday and throughout childhood within the universal teams’ caseload.

  7. Triple ‘P’: Parenting Programme Based on helping child development through managing their behaviour in a constructive and non-hurtful way by: Ensuring a safe and engaging environment Creating a positive learning environment Using assertive discipline Focus on attachment Having realistic expectations Taking care of themselves as parents

  8. Benefits Builds confident early access to all services Increased antenatal contact includes individual care planning, continuity into the postnatal period and first two years of life Increased breast feeding rates 100% uptake of Immunisations and Health Reviews Reduced A&E attendances Reduced rate of second pregnancies in teenagers Intensive, preventive approach ensures continuity of contact and improved working relationship

  9. Benefits (con’t)… Reduced risk of maternal mental illness Reduced risk of exiting mental illness worsening Increase potential for families to protect their children and themselves from risk of significant harm in the long term Cost effective as fewer failed appointments lead to effective use of staff time

  10. Barriers to positive outcomes Negative associations with health visiting and other services Lack of confidence, self esteem and feeling powerless Language barriers Fear No recourse to public funds Asylum seekers/refuges

  11. Positive Outcomes High quality, integrated range of early intervention services to vulnerable children under two, their parents and carers Planning and managing caseloads Increased contact with children and families Safeguard and promote welfare of vulnerable children and families Identification and management of risk

  12. Positive Outcomes (con’t)… Effective partnership working across Children’s Centres Effective interagency partnership working Re-integration of teenagers and young parents to mainstream education Regular attendance of vulnerable families at short courses run at the Children’s Centres has led to increased self esteem and self confidence for the parent users.

  13. Case Study • Ms S Watson and son J Watson

  14. Case Study 2 Ms T Cox and daughter L Cox

  15. Finally... • “ If you are thinking a year ahead, sow a seed. If you are thinking ten years ahead, plant a tree. If you are thinking a hundred years ahead. educate children.” Tzu, Chinese poet 500BC • Thank you

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