Health Care Delivery

New PDF release: A Community Health Approach to the Assessment of Infants and

By Kevin D. Browne, Jo Douglas, Catherine Hamilton-Giachritsis, Jean Hegarty

ISBN-10: 0470092513

ISBN-13: 9780470092514

ISBN-10: 047009253X

ISBN-13: 9780470092538

This booklet is a pragmatic advisor to the CARE programme, a house traveling programme that goals to evaluate babies? development, improvement and psycho-social transitions of their first yr of lifestyles and that including the Index of want record goals to have interaction mom and dad in possibility evaluation. It offers evidence-based learn for the programme, and provides medical examples of the way to exploit the evaluate instruments (including the Index of want) and the way to paintings with mom and dad. The authors take a ?partnership with mom and dad? method all through, whereas taking into consideration the sensible workload concerns that practitioners face.

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DYNAMIC RISK FACTORS Current Mental Health Difficulties Depression has been highlighted as one of the most prevalent mental health problems in parents with young children. It is highly prevalent in childbearing women with approximately 8 % of mothers being clinically depressed at any one time (Downey & Coyne, 1990). , 1988; Oates, 1994). Maternal postnatal depression can be significantly harmful to young infants particularly between the ages of 6 and 18 months of age, with an increased incidence of insecure attachment in 18-month-old infants (Murray, 1992; Murray & Cooper, 1996).

Parent Has a History of Mental Health Difficulties Glaser & Prior (1997) reviewed the cases of all children whose names were on the Child Protection Registers of four English local authorities. Parental mental illness, including suicide attempts, anorexia nervosa, depressive psychosis and schizophrenia was present in 31 % of cases. , 1991). Thus, Briere (1992) concludes that parental mental health difficulties are highly associated with child trauma. The effect of parental psychiatric disorder on children’s psychological welfare and development was determined by the social and relational consequences of the parent’s disorders (Quinton & Rutter, 1984).

Hence, the checklist is of some use but needs further sophistication to distinguish the true cases from the false cases. It was therefore recognised that additional screening approaches would be required in addition to the checklist. 2 (above) identifies the importance of the different risk factors in predicting child abuse and, as can be seen, no single factor is sufficiently predictive in isolation to identify abusive situations in a family. 1 Use of a twelve-item health visitor checklist in Surrey to screen for potential of significant harm in families with newborns who were then followed up for five years to determine outcome (adapted from Browne & Herbert, 1997) conditional probability of any single factor being predictive is very low.

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A Community Health Approach to the Assessment of Infants and their Parents: The CARE Programme by Kevin D. Browne, Jo Douglas, Catherine Hamilton-Giachritsis, Jean Hegarty

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