WHAT WORKS BEST WHEN COMPLETING PRE-BIRTH RISK ASSESSMENTS?

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Presentation transcript:

WHAT WORKS BEST WHEN COMPLETING PRE-BIRTH RISK ASSESSMENTS? Jane Hindes Social Services Development Team

Over view of presentation Systematic Narrative Review Service Evaluation Working Together workbooks What does this mean for practitioners?

Systematic narrative Review What is effective at reducing ante natal maternal stress associated with foetal developmental risk?

Search terms and Data bases Concept Groups Concept 1 Concept 2 Concept 3 Pregnancy Maternal trauma Intervention Pregnant Ante natal anxiety Early intervention Pregnant mother Ante natal stress Ante natal pathway Foetal developmental risk Psychosocial assessment Expectant mother Stressful life events Assessment tool Databases Medline Social Care Online ASSIA

Main Findings psychosocial assessment tool - KINDEX Early identification of pregnant women experiencing high levels of stress psychosocial assessment tool - KINDEX Pregnant women with high levels of perceived partner support Mindfulness Home based support programmes Providing educative work to parents regarding baby’s needs

Service evaluation WHAT WORKS BEST WHEN COMPLETING PRE BIRTH RISK ASSESSMENTS? SOCIAL WORKERS’ PERSPECTIVES

aims Focused on gaining the perspectives and experiences of social workers within the South Eastern Trust regarding the completion of Pre-Birth risk assessments. Identifying what is most effective when completing these assessments Through sharing good practice and recognising areas for practice development Gathering a local evidence base to advance practice, service delivery and decision making Ultimately improve outcomes for children and families.

Research has been successful at linking ante natal maternal stress with foetal developmental risk. This has also discussed the impact on outcomes over a life course There has been a push towards meaningful intervention during pregnancy to reduce maternal stress and improve outcomes for children and families Identifying if there was a correlation between the findings from the systematic narrative review Impact of evaluating current practice which will provide a local evidence base to promote good practice and identify areas for further development RATIONALE

methodology Purposeful sample recruited from social workers in the Gateway assessment and child and family teams who had recently completed a pre-birth risk assessment Fifteen social workers ranging from newly qualified and experienced social workers as well as senior practitioners from across the three sectors The social workers took part in semi structured qualitative interviews which lasted on average 40 minutes. These were audio recorded and later fully transcribed The transcriptions were then analysed using ‘Nvivo’ software which supported with identification of common themes. Conclusions and recommendations were then drawn from this data

Limitations Sample size Representative sample Use of thematic analysis Time scale and size of project Didn’t include managers or all teams involved in the assessment process

Findings Providing educative work alongside assessment Involving partners in the assessment process Pre-birth risk assessments are viewed as lengthy and complex Need for these assessments to be prioritized Practitioners to receive additional training and support Specialist team or practitioner to complete the assessment

recommendations Specific training regarding pre-birth risk assessment to be offered to staff. A review of the current pre birth risk assessment process within the SE Trust and that there is consideration for further research into this topic area. The integration of the ‘Working Together’ series workbook developed by Jane Hindes alongside the current framework to support staff to provide educative sessions to parents and enhance the assessment process Meaningful push towards the development and provision of support services for pregnant women and their partners within Social Services Specialist team/practitioner appointed to complete pre-birth risk assessments and provide consultancy for other staff members involved in this process.

Raising Awareness of unborn baby’s development and wellbeing Week 1 © Jane Hindes Working together Hints and tips… The parent/carer will have an increased knowledge and understanding of baby’s development during pregnancy, the impact of parental behaviour and promote healthy development The parent/carer will have an increased knowledge and understanding of a protective parent and what is required from them to be protective of their baby This work will support the social worker to complete a more in-depth assessment of the parent/carer’s ability to be protective and contribute towards evidenced based decision making. Raising Awareness of unborn baby’s development and wellbeing Week 1

Identification of practice issues Stagnant cases Lack of services Problem Cases escalating Additional pressures on staff Impact Supporting staff to complete work Innovate practice Solution

Overview of the next 4 weeks - Introductions – What are we worried about and how can this impact on the baby - Some facts about unborn baby’s development Week 2: - Impact of stress on you and your baby - Reducing stress and taking care of yourself - Baby brain development Week 3: - Bonding with the baby - Having the right support around you - Making the right choices Week 4: - Being a protective parent - What needs to change - Giving a baby the best start Evaluations: - Reflections of the last 4 weeks - Evaluations Hints and tips: Parents/carers are more likely to be motivated to complete work if they have a goal in sight and a clear plan on how to get there. Have a discussion with your line manager about what this work is hoping to achieve and ensure that you have a goal you want to work towards.

What are we worried about? Hints and tips: This section is aimed at getting the parent to explain to you in their words what their concerns are and why this piece of work is being complete. This is aimed at supporting you to be clear what the concerns are from a social work perspective Should support the assessment of the parent/carer’s insight and acceptance of the current issues

How can these concerns impact an unborn baby? Hints and tips… Encourage the parent/parents to discuss how these concerns might impact on the unborn baby This should provide some insight into the parents’ knowledge about this area

BONDING WITH UNBORN BABY Why? Bonding with the unborn baby supports the mum and baby to build a relationship from early on. Unborn babies can recognise familiar sounds such as peoples’ voices or songs. Every pregnancy is different and some women can bond from early on whilst others can take longer How? There are lots of different ways a women can bond with her unborn baby. This can include; talking to the baby, singing songs or playing music, memory books/boxes and preparing for the baby. Who else? Getting others involved who are interested in keeping you and the baby safe can help with bonding and reducing stress levels. They can get involved by attending scans, talking to the baby or maybe discussing with the mum what they think the baby might be like Hints and tips… 1. Research indicates that expectant mums who have bonded with their unborn babies are more likely to experience positive outcomes for themselves and the baby

What does all this mean for practitioners and our service? Opportunities to innovate practice Enhance assessment and develop evidence based decision making Promote relationship based practice Develop your skills and knowledge

Thank you & Any Questions?