FAMILY ENTREPRENEURS
Stronger Parents – Healthier Communities – Healthier children Viborg Kommune
Agenda • Presentation and background • Presentation of the Healthcare system in Denmark • Healthcare in Viborg • Parenting program – ” Family Entrepreneurs” • Questions? Viborg Kommune
Presentation and background Jette 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 Viborg Kommune • Educated instructor in several family programs
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 Viborg Kommune healthy adulthood • 96.000 inhabitants / 1000 newborns pr. year/ 12.000 school children/ 33 Health Visitors
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 Viborg Kommune children goes to Primary School
Gradient of Parent Competencies Parent can integrate experiences but needs new information to change. Parent can integrate experiences, but needs another perspective Parent’s reflective capacity and dialogue to problem-solve. Resource Intensity 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 Viborg Kommune information, (5) integrate the discrepancy and (6) experience being understood before they can understand their children empathetically.
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
Intensions behind The 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
How do werecruit pregnant couples 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
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 both parents 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 Viborg Kommune meetings
Contents in the meetings MeetingD Age of the infant Contents Facilitator a Standard – t not specific o guidance to the single couple Presentation and expectations Health Visitor 1 26 weeks Networking Bank Manager Economy in the Family An infant`s needs Securing each other legally Lawyer 2 28 weeks Networking Health Visitor Maternity leave – for the coming father and mother 30 weeks Prepared to give birth Midwife 3 Birth stages, who to contact ect. 31 weeks The newborn infant Midwife 4 Interaction, breastfeeding ect. 32 weeks Becoming a Family Midwife 5 Increased sensitivity, reactions to Health Visitor becoming a parent
Age of infant Contents Facilitator Presentation of the infant Health Visitor 6 1 month Sensory motor skills The good interaction Physiotherapist Activities with the infant and the infant ´ s Health Visitor 7 2 month signals After birth reactions / postnatal depression Interactions in the Family Health Visitor 8 3 month Media habits SSP - consultant Activities with the infant Early language development Speech therapist 9 4 month Prevention of illness Health Visitor Tooth Health Dentist 10 5 month Infants first food Health Visitor The good transition to Daycare Nursery teacher from Daycare 11 6 month The infant ´ s sleep and habits Health Visitor The personality and independence of Health Visitor 12 8 month the infant Accident prevention Everyday life and family dynamics Health Visitor 13 10 month Infant development – habits and routines in everyday life Togetherness with the infant Physiotherapist 14 15 month Upbringing and family pleasures and Health Visitor challenges
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
Ice – breakers to support the knowledge of each other / networking/ good atmosphere • ”Speed – dating” • Keep in line after: • The ”due – date” • Height • Age • Ect. Viborg Kommune
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
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
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
What does a small infant really need? Viborg Kommune
Prevention of maternal stress Viborg Kommune
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
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
Presentation of the infant Viborg Kommune
Proud fathers Viborg Kommune
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?
Sleep Some 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
Being a parent Parenthood Share 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
Parent communities Parent 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
Healthy media habits Viborg Kommune
Viborg Kommune
The good atmosphere and the community Viborg Kommune
Language development T o listen, to speak, to play, to sing, to read and to be together
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