FAMILY ENTREPRENEURS - SPAHCO · • Healthylifestyle, goodhabits and regularexercise. Public...
Transcript of FAMILY ENTREPRENEURS - SPAHCO · • Healthylifestyle, goodhabits and regularexercise. Public...
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FAMILY ENTREPRENEURS
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Stronger Parents –Healthier Communities – Healthier children
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Agenda
• Presentation and background
• Presentation of the Healthcare system in Denmark
• Healthcare in Viborg
• Parenting program – ”Family Entrepreneurs”
• Questions?
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Presentation and backgroundJette Bering
• Development Coordinator in the HealthCare department in the
Municipality in Viborg
• Working experience with children and families for more than 30 years –
the last 15 years at the HealthCare department in the Municipality in
Viborg
• RN, Health Visitor – specialized in child health & development,
interactions between child/ parent, health promotion & prevention
• Educated instructor in several family programs
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Presentation of the Healthcare system in Denmark
Ministry of Health• The Ministry has overall responsibility for health policy and health care
Danish Health Authority• Promote public health and establish a good framework for the health service in
Denmark. Advice municipalities and regions and offer recommendations & guidelines.
Municipality in Viborg - Children & Young Department• “Light in the eyes of the children” Coherent Child and Youth Policy 2014 – 2017• Focus on Early detections and early interventions
Healthcare Department in Viborg• Health care is a voluntary and free service to all families with children aged 0-18 years,
and pregnant couples • To help ensure children and youth healthy growth, and create good preconditions for
healthy adulthood • 96.000 inhabitants / 1000 newborns pr. year/ 12.000 school children/ 33 Health Visitors
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Healthcare in Viborg, DK
• “Family Entrepreneurs” to all first time pregnant couples
• Home visits regular during a child´s first year
• Vulnerable pregnant couples, families with infants, small children and school children gets an extended offer
• Consultant function - In relation to interdisciplinary partners as doctors, midwifes,social workers, nursery teachers, teachers ect.
• Regular examinations and consultations during the time the children goes to Primary School
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Gradient of Parent Competencies
Parent can integrate experiences but needs new information to change.
Parent can integrate experiences, but needs another perspective and dialogue to problem-solve.
Parent can use explicit information to describe problems, including their own contribution, but cannot integrate discrepant information.
Parent’s maladaptive behavior is generated implicitly. Parent needs to (1) recognize the triggers, (2) talk about hopes and fears, (3) recognize discrepancy, (4) transform distorted information, (5) integrate the discrepancy and (6) experience being understood before they can understand their children empathetically.
Pare
nt’s
refle
ctiv
e ca
paci
ty
Res
ourc
e In
tens
ity
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Familiy Entrepreneurs
• A good and healthy start for first
time parents
• Increases stress management
• Free to attend
Originally invented in Sweden –The ”Leksand model”
Developed in 2010 in Denmark
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Intensions behindThe Family Entrepreneurs
• Networking
• Improving the relationship
between the parents –drastically declining
divorce rate (Sweden)
• Increase the knowledge of
the child´s development and
skills
• Possibility for discussion
and reflection – and
changes
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How do werecruit pregnantcouples to the course?
• Recruitment through Midwifes
• The Midwife introduce the family
program for the pregnant couple
at the preventive pregnancycare
visit week 16 - Self sign-up
• Vulnerable pregnant couples are
getting help with the registration
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The frame around Family Intrepreneurs
• 14 meetings during 1½ year – from pregnant week 26 until the children are 15 month old
• Every meeting last for 2 hours, always in the afternoon so bothparents can participate
• The meeting takes place in a public place. In Viborg at the Municipality Health Centre.
• There are 20 parents in a group - 10 couples• Single parents do also participate. They can bring someone close to them to the
meetings
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Contents in the meetings
MeetingDato
Age of the infant ContentsStandard –not specific
guidanceto the single
couple
Facilitator
1 26 weeksPresentation and expectationsNetworkingEconomy in the FamilyAn infant`s needs
Health VisitorBank Manager
2 28 weeksSecuring each other legallyNetworkingMaternity leave – for the coming fatherand mother
LawyerHealth Visitor
330 weeks Prepared to give birth
Birth stages, who to contact ect.Midwife
431 weeks The newborn infant
Interaction, breastfeeding ect.Midwife
532 weeks Becoming a Family
Increased sensitivity, reactions to becoming a parent
MidwifeHealth Visitor
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Age of infant Contents Facilitator
6 1 monthPresentation of the infantSensory motor skillsThe good interaction
Health Visitor
Physiotherapist
7 2 monthActivities with the infant and the infant´ssignalsAfter birth reactions / postnataldepression
Health Visitor
8 3 monthInteractions in the FamilyMedia habitsActivities with the infant
Health VisitorSSP - consultant
9 4 monthEarly language developmentPrevention of illness
Speech therapistHealth Visitor
10 5 monthTooth HealthInfants first food
Dentist Health Visitor
11 6 monthThe good transition to DaycareThe infant´s sleep and habits
Nursery teacher from DaycareHealth Visitor
12 8 monthThe personality and independence of the infantAccident prevention
Health Visitor
13 10 monthEveryday life and family dynamicsInfant development – habits and routinesin everyday life
Health Visitor
14 15 monthTogetherness with the infant Upbringing and family pleasures and challenges
PhysiotherapistHealth Visitor
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The first meeting
Look at similarities – they all expect
their first infant
Find inspiration in others who are
different from themselves
We don´t ask them about education
and work – not to exhibit the
vulnerable couples
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Ice – breakersto support the knowledge of each other / networking/ goodatmosphere
• ”Speed – dating”
• Keep in line after:
• The ”due – date”
• Height
• Age
• Ect.
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Economy
Getting an infant changes the
economy – new expenses:
• The economy can be a challenge for
the couples
• Maternative leave – for both parents
• Buy things for the infant / Daycare
• Overview of the economy
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Networking
• Expectations and agreements
for the group
• How to respect and support
each other in the group
• Facebook Group etc.
• An opportunity to share and
become aware of own values
and attitudes
• New ideas
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Securing each other
There are a lot of things happening
• Establishing work and privacy
- New Identity as a Mom, Dad - family
• Financial obligations
• Maybe new housing –
move together
• Business, stress and fatigue
• Divorce rate in DK is high among
small child families
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What does a small infant really need?
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Prevention of maternal stress
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What does a small infant really need?Sensitive and Healthy parents
• Being close to the parents
• To be looked after, cared for and
understood
Clothes, diapers, bathtubs etc.
To have something to eat
A good sleep - bed, baby stroller and lift
A place where the infant has the
opportunity to play and explore
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The newborn baby
Presentation of the infant
• Being together with the infant -
sensory motor development
• The good interaction –
how to support your infant
• Getting to know your infant
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Presentation of the infant
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Proud fathers
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Crying –the baby´s first language
• Crying is a necessary part
of the infant's behavior
• Crying is a need of contact
• The infant does not cry for no
reason, so you will learn to
"Read" the infant's signals
What do you do, when your baby is crying?
What feelings do you get? And how do you
cobe with that?
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SleepSome infants sleep frequently
and some sleep a long time.
Other infants do not sleep much
and maybe not so long.
But all the infants need
a firm sleep rhyme.
How is your baby sleeping?
How does it affect you as a parent –
if your baby don´t want to sleep?
Share the good experience and the challenges
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Being a parentParenthoodShare the most important things?
Communication with the infant
• Imitating facial expressions
• Imitating the baby´s sounds
• Tell the baby what you´re
doing
• Watch, wait and wonder
• Being a mother/father and a
partner
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Parent communitiesParent communities and healthy
media habits – something we share
and care about / Louise and Louise
Communication and parenting –
• How good and bad
communication between the
parents affects the infant
• How to focus on the things you
appriciate
• How to get help
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Healthy media habits
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The good atmosphere and the community
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Language developmentTo listen, to speak, to play, to sing, to read and to be together
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Illnesses• A concern that comes with
parenting
• All children becomes ill occasionally• Virus infections
• Bacterial infections
• Prevention of infections by good
hand hygiene
• When and how to
contact the Doctor?
• Fever cramps - what to do?
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TeethFree municipal dental care from
0 – 18 years
Healthy food and teeth
How to brush the child´s teeth – what
to do, if the child doesn´t want
What to do if the child strikes the
teeth ect.
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Eating with a spoonand drinking from a cup
• Transition from breast milk to food
- a learning proces for the whole family
• ”One spoon of food, one spoon of
love” – interaction related to the meal
• Varied food prevents fussiness
• Taste, touch and feel
• Healthy lifestyle, good habits and
regular exercise
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Public Daycare
• 77 % af women between 15 and
64 years are on the labor market
in DK
• Public daycare - starting around 8
months old
• The transition from home to
daycare
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CooperationCooperation between parents, staff
and other parents –great importance to the infant´s
well-being and development
Mutual expectations:• Open and honest communication
• Trust
• Shared responsibility – an active role
• Dialogue
• Mutual respect and good relations
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Accident preventionThe most common accidents:- Falls from changing table, bed, sofa
or on stairs
- Burns from hot coffee, boiling water
from a electric kettle
- Crush accidents – getting fingers or
toes caught in a door or drawer
- Drowning – bathtub
Try to look at your home through the eyes of a
small child. What should you be aware of in
your home?
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Raising a childParents communication
• Garbage bin and treasure chest -
• What do you want to pass on to your
child from your own childhood?
Positive guidning – when the
parent need to set limits:
• Avoid scolding
• Be aware of the child´s
intentions
• Be a facilitator not a controller
Habits and rutines in every day life
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Family life• Being together as a family
• The child’s motor development
• Important to experience with
the body
• Raising a child / family life
• Family priorities
• Future of the group
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The Parents´ Ten ref. Robert Epstein
• Love and affection
• Stress management
• Relationship skills
• Autonomy and independence
• Education and learning
• Life skills
• Behavior management
• Health
• Religion
• Safety
The contents of ”Family Entrepreneurs” are comparable to these themesfrom The Parents´ Ten
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Questions?
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Questions to you?
• Were you inspired by the parent program?
• Could you incorporate something like this in your own country?
• What do you see in terms of strengths and challenges?
• Do you have any suggestions on how we can improve the program?
• Suggestions for how we can get more vulnerable parents to
participate and continue to attend the meetings?