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Circle of Security

Circle of Security is a 20-week, group-based, parent educational and  psychotherapeutic intervention designed to shift patterns of caregiving interactions in high-risk, caregiver-child dyads (pairs) to a more appropriate developmental pathway.

Parents as Teachers

Parents as Teachers trains and supports early-years professionals on how best to engage parents in their child’s development. They develop curricula for parent education based on the latest research in child development and neuroscience and train early-years professionals to deliver these. They also supply extensive support resources both for professionals and parents, follow-up training and mentorship and annual accreditation to maintain quality.

Roots of Empathy

Roots of Empathy (ROE) is a parenting programme for school children aged 3 to 14, currently being delivered with great success to over 50,000 children per annum in 2,000 classrooms in Canada, USA, Australia and since 2008 in the Isle of Man. It was introduced to both Northern Ireland and Scotland in 2010. Its fundamental goal is to break the intergenerational cycle of violence and poor parenting. Its introduction to Isle of Man, Northern Ireland and Scotland all arose from work carried out by WAVE with local communities or voluntary associations in these areas and with Roots of Empathy in Canada. 

Croydon Total Place

The Croydon Total Place initiative has similarities with the above Highland Region approach, including team-working across agencies, single points of contact for difficult families, early identification etc, plus a number of additional ideas such as involvement of the community, proactively engaging parents and an Early Years Academy to train staff. An approach combining the best of both the Highland Region and Croydon models could deliver much improved outcomes for children as well as significant cost savings.

Highland Region Streamlined Reaction

Highland Region in Scotland has set up a streamlined reaction system which ensures that the situations for at risk children are dealt with effectively, and in a streamlined manner, the first time they show up on the radar, thus saving the costs and consequences of children remaining in the system for years to come. It is a particularly innovative and interesting model of effective multi-agency working. Senior staff in Highland claim that the streamlined reaction approach has led to greater cost efficiency, lower juvenile crime and less child abuse. A comparison is made with the Croydon Total Place approach, with which there are some similarities.

Healthy Families America

There is good evidence for the effectiveness of Healthy Families America in preventing child maltreatment. It is a national initiative to help parents get their newborns off to a healthy start. While participation is strictly voluntary, outreach is included in the initiative. Crucially, the home visiting is carried out by trained Family Support Workers rather than health visitors.

Research of Richard Tremblay

It is commonly said that the peak age for violent behaviour is mid-adolescence. Four decades of research by Professor Richard Tremblay demonstrate that a more accurate statement would be that while the visible consequences of violence are greatest in mid-adolescence, the peak age for aggression and violence in children is 2-3, with those children destined to be the most troublesome offenders in teenage years already distinguished at age 3 by levels of aggression 10 times higher than the most peaceable 30% of toddlers. Tremblay’s research is summarised and has an important message for the most effective age of intervention to reduce violence in society.

Head Start REDI

Head Start REDI is a child development based intervention that was integrated into Head Start settings. Results show children in REDI classes do better than typical Head Start classes, with gains especially in social skills, language development and emergent literary skills.

Montreal Longitudinal Study, Canada

The Montreal Longitudinal study was of a school-based parent training that identifies boys with disruptive behaviour in kindergarten but does not work with them until age 7. The 2-year programme then delivered showed positive impact, including lower likelihood of being involved in gangs. Follow-up at age 24 showed that two thirds of the disadvantage of these disruptive kindergarten children had been removed by this 2-year intervention at age 7-9.

Kraamzorg Postnatal Service, Netherlands

Kraamzorg is a unique Dutch system of universal support for mothers for 8-10 days after they return home following a birth. Help may cover health checks (e.g. stitches clean and healing), hygiene advice, support in breastfeeding, ensuring hygiene levels in the home are high and basic household chores such as cleaning the bathroom, nursery and mother’s room and taking care of meals for the mother.

Kraamzorg Postnatal Service, Netherlands

The system of maternity care, ‘kraamzorg’, in the Netherlands is totally unique. No other country in the world provides such support, where a professional maternity nurse looks after a mother and her new born baby during the first days after birth. The nurse shows parents how to care for their newborn baby, e.g. how to breastfeed properly, and how to bathe him/her. In the case of a home birth she will also be there after the birth to help clean up.

Kraamzorg Postnatal Service, Netherlands

Kraamzorg is a unique Dutch system of universal support for mothers for 8-10 days after they return home following a birth. Help may cover health checks (e.g. stitches clean and healing), hygiene advice, support in breastfeeding, ensuring hygiene levels in the home are high and basic household chores such as cleaning the bathroom, nursery and mother’s room and taking care of meals for the mother.

Centering Pregnancy

Centering Pregnancy is a model of group antenatal care developed at the Yale Schoolof Public Health that has since been widely replicated. Women are engaged as active participants (e.g. measuring each other’s blood pressure). With little added cost women receive 10 times more contact time. Suggested benefits include reduced preterm births, increased birth weight and increased breastfeeding initiation rate.

Centering Pregnancy

Antenatal care is typically provided on a one-to-one basis between the midwife and the family. This places an inherent limitation on the amount of time the family has with the professional, and therefore the value the family can derive from the interaction.

Community Mothers Programme, Dublin

CMP operates mainly in disadvantaged neighborhoods and is offered to both fathers and mothers – first-timers and some second-timers – of children from birth to twenty four months, to aid the development of parenting skills and improve parents’ confidence and self-esteem. It gives advice and support on a range of family issues from breast-feeding through toddler groups to goal-setting. An important aspect of the approach is for the Community Mothers to reflect the ethos of the community they intend to visit.

Community Mothers Programme, Dublin

The Community Mothers Programme (CMP) in Dublin trains experienced, volunteer mothers from the local community to visit families to provide necessary child-rearing support from the birth of a child until its second birthday. Research on the children and families at age 8 showed superior parenting skills among the programme families, children who are more likely to read books regularly, visit the dentist and have better nutritional intake.

Importance of the perinatal (near-birth) period

The World Health Organisation recommends all infants be fed exclusively on breast milk from birth to six months of age. Breast-feeding rates in England are among the lowest in Europe. A 2008 report stated that less than a fifth of English mothers are still breast-feeding their babies after the recommended 6 months compared to over 70% in Sweden. Reasons cited include that fewer than 1 in 10 hospitals in England has achieved UNICEF Baby-Friendly Status compared to 100% in Sweden, 64% in Norway and 40% in Switzerland. 

Importance of the perinatal (near-birth) period

WHO recommends that all infants should be fed exclusively on breast milk from birth to six months of age. Breastfeeding is supported by extensive evidence for short-term and long-term health benefits, for both mother and baby. Babies who are not fully breastfed for the first three to four months are more likely to suffer health problems such as gastroenteritis, respiratory and ear infections, urinary tract infections, allergies and diabetes mellitus.

Nurse Family Partnership

Nurse Family Partnership is the most thoroughly researched and recommended early intervention in the world and since WAVE worked with its originator, David Olds, between 2004 and 2006 to bring it to the UK, it now runs in this country as the Family Nurse Partnership.

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