1. Pargas Health Care and Red Cross Hedda Mattson (Nurse) Ann-Sofie Nyberg-Ölander (Child psychologist) Mira Karlsson (Psychologist trainee & Volunteer in the Red Cross)

2.  PARGAS

3.   Offer services for the families  Co-operation between many different professions.  We use International Child Development Programme (ICDP) Family Center

4.  ICDP  “The aim of the programme is to strengthen caregivers’ involvement with their children in a positive way, to give them confidence in their own capacity as carers, to facilitate those relationships that support children’s development and to prevent those relationships and conditions that may lead to neglect and abuse of children.” (www.icdp.info)  More info www.icdp.info

5.   Maternal and Child Health Care  Family counseling  Day Care (Administration)  Child- and school psychologists  School welfare officers  Family work  Consulting special teachers in early childhood education  Supervised playground activity What can the Family house offer?

6. http://www.kanalen.fi/profile.php?uid=6 4&videoid=330

8.   A pregnant woman visits the maternal health clinic all in all 15 times. Three of these 15 visits are doctor´s visits (NB, the partner is always welcome).  Also the partner is being examined during the second visit to a doctor.  In addition to this the fetus is being examined with two ultrasound examinations. Maternal Care

9.   After the childbirth a nurse from the maternal health clinic comes to visit the family at home and the mother has a doctor´s appointment about six weeks after the childbirth. Maternal Care

10.   New parents can bring up questions concerning their relationship at every visit. Special emphasis is given to the following question´s:  at the first visit, both the mother and her partner answer to an AUDIT questionnaire  No later than the 26th week, the nurse discuss the VIOLENCE IN RELATIONSHIP questionnaire.  In the weeks 26–28 also the nurse discusses the questionnaire about EVERYDAY RESOURCES Maternal Health Care

12.   During the child's first year the family visits the child health care center 10 times.  When the child is between 1 and 6 years old we meet the family at least once a year. Child Health Care

13.   What do we do during the visits?  We follow the child´s physical, social and emotional development and the family situation in general  These frequent visits give the opportunity to develop a trustful relationship  We always ask how the family is doing, and the family is asked to fill in a questionnaire at least twice during the child's first year (EPDS, Violence form and Audit if necessary) Child Health Care

14. Before and after the childbirth

15.   prepare parents for an active childbirth  prepare parents for the first meeting with the baby  prepare parents for a new phase in life (nursing the baby, breast-feeding, early interaction, couples relationship)  Create a feeling of togetherness between the families and hopefully create a desire in the group to meet on their own in the future. Aims for Family Preparation (in group)

16.   We meet the families in a group four times before the childbirth.  A nurse from the maternal health clinic leads the first two group meetings.  The third group meeting is led by a nurse from the child health clinic and the fourth meeting is led by two psychologists. Family Preparation before the birth

17.   We meet the families in a group together with the baby four times after the childbirth.  The first and second meeting are led by a nurse. The third meeting is led by two psychologists and the fourth meeting is led by a children’s day care supervisor.  Our hope is that the group will continue meeting on their own, and develop a network for their own. Family preparation after the birth

18.   Method: Discussion in group with the couples  One meeting before and one meeting after the childbirth  The main purpose is to strengthen the reflectiveness of the parents Family preparation meetings led by two psychologists

19.   The importance of positive interaction between baby and parents  The role and importance of the father in the family  How sexuality is affected by the pregnancy and childbirth  Conflict solving  Inform where to find help to problems in the relationship if needed Themes

21.   For mothers at risk not to cope with parenthood  Mothers without network  Young mothers  Mothers with prior mental illness  Mothers in a poorly working relationship with the partner  Single mothers Participants

22.   To support the interaction between mother and child  To support parenthood  To strengthen the self-confidence in the mother  To build a network between the mothers The Aims

23.   Group meetings 10-12 times under a period of one year.  5-6 mothers with their babies  What do we do?  Discussion  Psykoeducation  Singing and playing with the babies  Eat lunch together The structure

24. A guidance group for divorced parents concerning parenthood issues.

25.   Divorced parents who have children that are under 18 and are motivated to think about parenthood after the divorce from the child's point of view.  Focus is on parenting, not on the ending romantic relationship.  This group is not suitable for persons in acute crisis, the participants have to have the ability to work in a group.  Both parents from the same family can´t participate in the same group For whom is the group?

26.   To support the parenthood and the co-operation between the parents after the divorce.  To ensure that both parents are present in the child´s life.  To give the participants the opportunity to hear from others that are in the same situation. The Aims

27.   The group is lead by two professionals  Consists of 6-8 parents both moms and dads (ideally)  All participants are interviewed before the group starts.  8 meetings which all follow the same structure. Every meeting has separate theme connected to parenting and divorce. The structure

28.   2,5 -3h  Opening to get into the peer-group atmosphere  Discussing the homework  Todays theme  Coffee break  Discussion in small groups (given tasks)  Discussion in big group  Presenting the next homework  Feedback  Conclusion A Group meeting

29. Preventive Work Against Domestic Violence in FInland

30.   At present RC do not do much work directly with women victims of domestic violence in Pargas or in the surrounding region.  Why?  Based on volunteer work  Other organizations are specialized on domestic violence. Finnish Red Cross

31.   Informs victims of domestic violence, where to find help  Youth shelter  Works with youth at the risk of being marginalized  In Pargas there is a ”Psychological first aid group”. What do the RC do at present?

32.  VISIONS