parents as first teachers…. can we do it! introduction and background process evaluation...
TRANSCRIPT
Parents As First Teachers….Can we do it!
• Introduction and Background
• Process
• Evaluation
• Identifying and engagement of clients
• Challenges
• Contact details
Introduction and Background
• Parents as Teachers – USA, 1970’s
• Parents as First Teachers (PAFT) – UK, 1991
• Pilot programme Lochside, Dumfries – 2008
• Dumfries and Galloway PAFT – July 2011
Process
• Working group
• Accountability Framework
• Permission from NHS Research and Development Support Unit – service evaluation
• Evaluation measures
• Training
Evaluation MeasuresThe expected measurable changes in year 1 are:
• 75% of families who participate in a minimum of 10 personal visits will show an increase in parenting knowledge and skills.
• 50% of families who participate in 10 or more personal visits will feel more confident and competent in parenting practice, including reduced anxiety.
• 100% of children of families participating in regular personal visits and display any identified development delays, receive timely referral to other services.
• 75% of families participating in a minimum of 10 personal visits report increased empathy and understanding of their child.
• 75% of families participating in a minimum of 10 personal visits report an increase in the enjoyment they feel in being with their child.
Evaluation measures
• Hospital Anxiety and Depression Scale• Tool to Measure Parenting Self-Efficacy• Parent Knowledge Questionnaire• Parent Satisfaction Questionnaire• Strengths and Difficulties Questionnaire• PAFT Logic Model
Identifying and engagement of clients
• Programme start date 1st July 2011
• All antenatal vulnerability identified
• Women with vulnerability and having their first baby offered programme
• Joint initial visit with Specialist Midwife or Specialist PHN and Nursery Nurse
Specialist Midwife for
Vulnerable Families
Named Midwife
Nursery Nurse
Named Health Visitor
Prenatal (Up to 5 visits)
Birth
Birth – 3 years (Min 36 visits)
PARENTS AS FIRST TEACHERS
Specialist Public Health Nurse
Hand over to NamedHealth Visitor
Handover from Named Midwife
evaluation
Challenges
• Work is within existing budget and time for all staff• Change in practice for Nursery Nurses• Engaging identified clients between 16-28 weeks of
pregnancy• Arranging diary’s for visits• Ensuring information sharing process• Evaluation analysis and evidencing outcomes• Administration support
Where we are now?
• Total number referred
• Number engaged
• Number declined service
• Gestation at engagement
• Age range of women
• Range of identified Vulnerability
Contact details
• Natalie Potts, Specialist Midwife for Vulnerable Families. [email protected]
• Pamela McQuaker, Specialist Public Health Nurse. [email protected]
• www.parentsasfirstteachers.org.uk