 Preventive programme for 1 st time teenage parents through pregnancy until child is aged 2 years  Structured, intensive home visiting programme delivered by Family Nurses  Based on theories of human ecology, self efficacy and attachment

Connecting with families to: 1. Improve pregnancy outcomes 2. Improve child health and development and future educational readiness and achievement 3. Improve parents’ economic self- sufficiency

 Under 20’s first time parents are nine times more likely to live in deprived areas  66% (2,300 women) in the most deprived quintiles  Young mothers higher incidence of low birth weight babies  More likely to be smoking at booking and less likely to engage in Ante Natal care support  Less likely to breastfeed  Advances in neuroscience and infant development  The need for a powerful intervention to bring about change  The need for innovation rather than incremental change

3 US trials over 30 years:  Improvements in women’s antenatal health  Reductions in children’s injuries  Fewer subsequent pregnancies  Greater intervals between births  Increases in fathers’ involvement  Increases in employment  Reductions in welfare dependency  Reduced substance use initiation  Improvements in educational readiness

More specifically…  32% reduction in the total number of child A&E attendances and a 56% reduction for A&E attendances due to injuries and ingestions  48% reduction in child abuse and neglect  For the mothers, arrest reduced by 61% and convictions by 72%. For the FNP children (at age 15) child arrests reduced by 59%  A Review published in The Lancet (2009) cited FNP as one of only two programmes shown to reduce child maltreatment

FNP SponsorFiona McQueen FNP LeadDonna McKee Implementation ManagerGillian Arnold 1 Family Nurse SupervisorNicola Murphy 6 Family NursesTBA 1 Data AdministratorLindsay Robertson PsychologistJulie Bennett

Team Based in Ayrshire Central Hospital covering 3 CHP areas in Ayrshire and Arran. Team managed within the Early Years, Children and Families nursing team within Integrated Care and Partner Services. Family Nurses recruited November start January 2013 Advisory Board established Operational Group December 2012 Child protection Model in development Engagement events with colleagues and partners underway Recruitment of clients will commence in February 2013