Parents As First Teachers…. Can we do it!

1
Parents As First Teachers.Can we do it!

• Introduction and Background
• Process
• Evaluation
• Identifying and engagement of clients
• Challenges
• Contact details

2
Introduction and Background

• Parents as Teachers USA, 1970s
• Parents as First Teachers (PAFT) UK, 1991
• Pilot programme Lochside, Dumfries 2008
• Dumfries and Galloway PAFT July 2011

3
Process

• Working group
• Accountability Framework
• Permission from NHS Research and Development
  Support Unit service evaluation
• Evaluation measures
• Training

4
Evaluation Measures

• The 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.

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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

6
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

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PARENTS AS FIRST TEACHERS
Birth 3 years (Min 36 visits)
Prenatal (Up to 5 visits)
Birth
evaluation
Handover from Named Midwife
Named Midwife

Specialist Midwife for Vulnerable Families

Specialist Public Health Nurse

Nursery Nurse
Named Health Visitor
Hand over to Named Health Visitor
8
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 diarys for visits
• Ensuring information sharing process
• Evaluation analysis and evidencing outcomes
• Administration support

9
Where we are now?

• Total number referred
• Number engaged
• Number declined service
• Gestation at engagement
• Age range of women
• Range of identified Vulnerability

10
Contact details

• Natalie Potts, Specialist Midwife for Vulnerable
  Families. natalie.potts_at_nhs.net
• Pamela McQuaker, Specialist Public Health Nurse.
  pamela.mcquaker_at_nhs.net
• www.parentsasfirstteachers.org.uk