Presentation on theme: "A Reflective View from the Practitioner’s Perspective"— Presentation transcript:
1 A Reflective View from the Practitioner’s Perspective Kay Cartmell(Health Visitor / Outreach Team Leader)Ashley Lloyd(Play Therapist)Howgill Family Centre
2 Howgill Family Centre35 years of service delivery to children and familiesFrom Distington to Muncaster, from Whitehaven to Wasdale75 staff and 30 volunteersGroup and individual work, & Early Years ProvisionLast year around 3500 families received some form of service or support9 community locations and Sure Start Children’s CentresFamily Centre providingServices for Children and Families Lead organisation for Sure Start Children’s Centres - Whitehaven (North and South), NE Copeland and Egremont
3 Mission Statement Creating Opportunities for Children and Families….. …..Working to build healthier, safer communities where children, young people and families are valued, respected and encouraged to achieve their potentialFocus very much on the child and outcomes for the child… but of course as the paediatrician and psychoanalyst Donald Winnicott famously said:“there is no such thing as a baby”, meaning that infants exist only as part of a unit with their primary caregivers. So it’s important to take into account the whole context of the child by helping parents and the family unit.
4 ethosOne that ensures that all parents should feel able to ask for support at any timeHow parents perceive services will influence the likelihood that they will ask for helpThis applies particularly to those families who although they may be the most vulnerable to poor outcomes, find it hardest to access the services they need for whatever reasonThey may consider that asking for help is a sign of failure and that they will be judges as unable to cope… and that doesn’t matter whether you’re a teenage mum living in a squat or a highly qualiified professional mother struggling with postnatal depression.
5 Reducing barriers to accessing services StigmaFear of being judgedLack of confidenceSocial exclusionPovertyAccessibleNon-judgementalFamily friendlyNeeds drivenChildren’s Centres should be easy places for parents to access and approach- a place where they feel comfortable getting the help and support they needThe fundamental principle of any service is that it must reach out and become sensitively responsive to that family
6 Core purposes Child Development, Learning and School Readiness Child and Family Health and WellbeingParenting/ Family SupportThese of course tie in with the Every Child Matters Change for Children 5 objectives:Be healthyStay SafeEnjoy and AchieveMake a positive ContributionAchieve economic wellbeing
7 Principles Prevention Early Intervention Relationships are key Barnes and Freude-Lagavardi (2002)Shonkoff and Phillips (2000)Shore (2001)New Report:- Burlington S and Hosking G (March 2013)Conception to Age 2- The Age of OpportunityA compelling body of evidence leads to an overwhelming level of support for the principles of prevention and early intervention and a growing evidence base of cost-benefit analysis confirms that this produces an economic return for society.Early intervention and prevention programmes are most effective if they address at least to generations by including services for the infant/child and services for the parentsThe earlier in a child's life the prevention commences the more likely it is to be effectiveWorking with families antenatally and in that crucial first year of a babies life- the earliest intervention of them: helping parents to shape their babies brain. Early experiences can dramatically alter a babies brain and parents are the primary environment to which the young brain adaptsRelationships are key: that crucial first relationship between a parent or primary caregiver and their child- where the a lot of that child’s crucial outcomes are determined by that child’s attachmentAnd our relationship as practitioners, with our families- is keyNo matter what the intervention is- the key is building up trust/ rapport with the family- that the cornerstone, the founding principle, if you like of all our work. It permeates all of our work.Studies on early intervention by Jacqueline Barnes and her colleagues have shown that the specific theoretical approach is less important than establishing a shared rapport or therapeutic relationship with the parent.Practitioners need to be better attuned to the needs of the parent and caregiver unit.And of course there is a danger that if too much focus is placed on just helping disadvantaged parents to enter the labour market, to the detriment of championing the fundamental relationship between parent and child.Worthy as the aspiration to lift children out of child poverty is ……. It will arguably not help a child’s future outcomes, particularly their resilience and psychological outcomes if that fundamental security of attachment is not achieved first
8 7 Themes Coping and emotional wellbeing Family health and wellbeing Friends and family relationshipsFamily financesChildren’s learning and developmentFun and leisurePersonal growthOur objectives as an organisation are to provide evidence based services and intervention around those 7 themes
9 Coping and Emotional Wellbeing Bereavement GroupA-Part From GroupLearn to relax group/ individual therapyTeen parents/ new Mum's GroupsParenting Plus programme/Triple P Group/Solihull ApproachScreening/ Support for perinatal depressionEarly Support/PortageAdult Art / Art TherapyBoy's / Girl's GroupBreast Feeding SupportPlay TherapyThese are some of our services / interventions based around this theme.One of our key pieces of work is to support children and their families who have suffered the trauma of bereavement-And again it’s about meeting the needs of our community- for as you know Cumbria has had more than it’s fair share of trauma and loss over the past few years hand over to Ashley Lloyd –our play threrapist who has founded our children’s bereavement group
10 Family Health and Wellbeing Breast Feeding SupportInfant massageBaby PicassoLet's get healthy with HENRYParenting Plus programmeHealth Visitor Drop in SessionsSporty Tot's/ Sporty Families/ Ground Hog's AllotmentSafety EquipmentHealthy Eating/Cooking GroupsAqua-natal
11 Friends and Family Relationships Music and Movement GroupPromoting Positive Interaction (Video Interaction Guidance)Come and Play /Carer and Toddler GroupsHoliday Playscheme'sTriple P parenting GroupsFamilies Inc.SpeakeasyGrandparent's GroupAdult Art / Art TherapyBoy's / Girl's GroupInfant MassagePlay Therapy
12 Family Finances Home Support Family Finance Advisor Grant's panel HouseproudAccredited Training for parentsHealthy Eating CourseGrant's panel
13 Children's Learning and Development Pre-school/Nursery provisionStorysacksBook Start Corner/ Book ClubBoy's / Girl's GroupBaby Picasso/ Baby SigningMusic and Movement GroupsEarly Language Intervention/Every Child a TalkerParenting Plus ProgrammeHealth Visitor Drop-in'sFamilies Inc. Art and CraftsCarer and Toddler Groups
14 Fun and Leisure Play Schemes Storysacks/Storytelling sessions Sporty Tot's/ Family SwimBoy's / Girl's GroupBaby PicassoMusic and Movement GroupsFamily Support Summer TripsAqua natalArt's GroupFamilies Inc.Carer and Toddler Groups
15 Personal Growth Accredited Training for parent's Learn to Relax Group StorysacksBook ClubBoy's / Girl's GroupHouseproudFamily PassportHealthy Eating CoursesTriple P parenting GroupsArt's GroupFamilies Inc.Learn to Relax Group