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

 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

 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)

 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.

  Achieved by all four main areas of working as per Health

Visitor Implementation Plan (2011-15):

i.

ii.

iii.

Community Services Universal Services Universal Plus and iv.

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.

   Sleep Clinics: i.

ii.

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 2 nd birthday and throughout childhood within the universal teams’ caseload.

 Based on helping child development through managing their behaviour in a constructive and non-hurtful way by: i.

ii.

Ensuring a safe and engaging environment Creating a positive learning environment iii.

iv.

v.

vi.

Using assertive discipline Focus on attachment Having realistic expectations Taking care of themselves as parents

 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

 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

 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

 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

 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.



Ms S Watson and son J Watson



Ms T Cox and daughter L Cox



“ 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