FAMILY ENTREPRENEURS Stronger Parents Healthier Communities - - PowerPoint PPT Presentation

FAMILY ENTREPRENEURS

Viborg Kommune

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?

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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

• 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.

Parent’s reflective capacity Resource Intensity

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

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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 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

meetings

Contents in the meetings

MeetingD a t

• Age of the infant

Contents Standard – not specific guidance to the single couple Facilitator 1 26 weeks Presentation and expectations Networking Economy in the Family An infant`s needs Health Visitor Bank Manager 2 28 weeks Securing each other legally Networking Maternity leave – for the coming father and mother Lawyer Health Visitor 3 30 weeks Prepared to give birth Birth stages, who to contact ect. Midwife 4 31 weeks The newborn infant Interaction, breastfeeding ect. Midwife 5 32 weeks Becoming a Family Increased sensitivity, reactions to becoming a parent Midwife Health Visitor

Age of infant Contents Facilitator 6 1 month Presentation of the infant Sensory motor skills The good interaction Health Visitor Physiotherapist 7 2 month Activities with the infant and the infant´s signals After birth reactions / postnatal depression Health Visitor 8 3 month Interactions in the Family Media habits Activities with the infant Health Visitor SSP - consultant 9 4 month Early language development Prevention of illness Speech therapist Health Visitor 10 5 month Tooth Health Infants first food Dentist Health Visitor 11 6 month The good transition to Daycare The infant´s sleep and habits Nursery teacher from Daycare Health Visitor 12 8 month The personality and independence of the infant Accident prevention Health Visitor 13 10 month Everyday life and family dynamics Infant development – habits and routines in everyday life Health Visitor 14 15 month Togetherness with the infant Upbringing and family pleasures and challenges Physiotherapist Health Visitor

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 – breakers

to support the knowledge of each other / networking/ good atmosphere

• ”Speed – dating”
• Keep in line after:
• The ”due – date”
• Height
• Age
• Ect.

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

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What does a small infant really need?

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Prevention of maternal stress

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

• pportunity 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

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Presentation of the infant

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Proud fathers

Crying –

the baby´s first language

• Crying is a necessary part
• f 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

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Healthy media habits

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The good atmosphere and the community

Language development

To listen, to speak, to play, to sing, to read and to be together

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?

Teeth

Free 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.

Eating with a spoon and 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

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

Cooperation

Cooperation 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

Accident prevention

The most common accidents:

• Falls from changing table, bed, sofa
• r 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?

Raising a child

Parents 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

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 themes from 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?

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Thank you for your attention

Jette Bering

jbc@viborg.dk Phone: +45 87877745