1. Have a flying start in life;2. Have a comprehensive range of education and learning opportunities;3. Enjoy the best possible health and freedom from abuse, victimisation and exploitation;4. Have access to play, leisure, sporting and cultural activities;5. Are listened to, treated with respect, and have their race and cultural identityrecognised;6. Have a safe home and a community which supports physical and emotionalwell-being;7. Are not disadvantaged by poverty

Children and Young People: Rights to Action 2004

Flying Start

In terms of roles identified for Health Visitors, the FS evaluation identified the following aims:-

2.3.1. Early intervention work, including contact during the antenatal

and midwifery period

2.3.2. Intensive intervention in the first two years of a child’s life,

including work with first time parents

2.3.3. The development of an assessment continuum from birth with

information following the child into schools

2.3.4. Strengthening the relationship between schools and health

services

2.3.5. Parenting education

2.3.6. Community development work

2.3.7. Health Visitors becoming the key contact for work with families

and also acting as the gateway to accessing other services

Group A programmes are those whose effectiveness has been proven in rigorous evaluation studies and which are already in use in Wales with the attendant opportunities for training and peer-support near at

hand.

GROUP A GROUP B GROUP C

Handling Children’s Behaviour Triple P –The positive the positive parenting programme

PIPPIN

The Incredible Years The Neonatal BehaviouralAssessment Scale

Stepping Stones

Parenting Positively Coping with Young Children

The Healthy Child

The Family Links NurturingProgramme

Fun and Families

High Scope – Caring Startand Hand in HandProgrammes

Where are we up to on Anglesey re Incredible Years ?

Incredible Years Groups running on Anglesey for 9 years ?10?

Multi agency :- Health visitors, Barnardo’s, Primary Care workers ,Specialist Children’s Service, Learning Disability team, Education, Social Services..

Basic Parenting Programme,Advanced, Dinosaur Programme, Toddler Programme, Infant Programme.

Barnardo’s Health Visitors on Anglesey

Current trained leaders 8 – Basic7- Toddler and Infant Programme

2- Advanced5 –Basic1- Dino4- Toddler and Infant Programme

Groups co-facilitated in 2009

2-basic1-Toddler

3-Toddler2- Baby

Current Groups 2010 Toddler – Llangefni Toddler Llangefni

Education

Dino programme is currently provided in 50% of the 52 Schools across the Island. Schools are seen to utilise the ethos.

Nia Killminister – Behaviour Support specialist – guidance and plans Programmes with staff throughout Anglesey.

Barnardos – Aim :

3- Toddler within FS

2-Basic in Cymorth

Individual packages are on going

Health Visiting – Aim :-

3 - Toddler within FS

1 - Infant within FS

Individual packages are on going

2010

Incredible Years Toddler Programme research on Anglesey

The Toddler Parenting Programme designed for parents of children aged between 1-3 years consists of 12 weekly sessions

Holyhead chosen – Flying Start Families.

Recruited by FS HV’s

Group 1 –

Number of parents allocated to Intervention group =   6         

Number of parents who failed to attend any sessions = 1   

       Total number of parents eventually recruited to intervention group = 8     

      

Total number of allocated parents who completed the programme = 4             

Group 2 –

Number of parents allocated to Control group =5              

 Number of these parents who commenced the programme = 2          

     Number of other parents who were recruited to group = 5 (not part of research)           

    Number of allocated parents who completed the programme = 1 (1 other parent attended majority of sessions but unable to complete due to birth of new baby)       

      Total number of parents who completed course

= 3

Infant Programme

2 groups.

Llangefni – 6 attended – children aged below 1 year old – reached session 4

Holyhead – 5 attended – reached session3

parents/carers with chaotic lifestyles,

•mental health/ substance misuse issues

• parents/carers with low confidence and self-esteem due to their own difficulties at school

• language barriers

• cultural perceptions

• single parents/carers

• family work patterns, such as difficult working hours

• family breakdown

• families where one or both parents/carers are involved in the criminal justice system

• long term sick parents/carers

• parents/carers with little interest in their child and their education

• families where domestic violence is an issue

• families where a parent feels their child is developing well and they do not need to assist with this development.

Engaging Parents and Carers Guidance for Schools Department of Health and Department for Children, Schools and Families 2008

Criteria applicable to hard to reach families (akin to many FS families!)

The Black Report (1980 )highlighted discrepancies in up take up of antenatal care.

Becker et al. (2002) discuss the potential impact that the approach and timing of the individual worker could have on a family.

Morawska and Sanders (2006) - practical barriers, such as a lack of transport for accessing services

Lamb-Parker et al. (2001), mothers who claimed to have competing demands on their time and energy, involvement in services was low.

Research

Pearson and Thurston (2006), timing of support provision, classes and so on can be a major barrier to engagement of parents

Morawska and Sanders, (2006) educational achievement of parents impacts on participation

Atkinson and Butler (1996) non engagement with services , parents were were characterised by transience, antisocial behaviour, violent spousal relationships and substance misuse.

Taylor and Daniel (2000) posit that in child care and protection practice the term 'parent' is typically synonymous with 'mother' and therefore the female carer becomes the focus of intervention.

Woodcock (2003) argues that good parenting is learned behaviour for which many parents receiving social work attention have had no good modelling. Lack of support in the early years can lead to poor attachment between parent and child, which in turn impacts on the child's behaviour towards the parent in later life.

• Appropriate training

Gordon (2002 in Wiley, 2002) argues that the responsibility for engagement lies with the therapist, worker or practitioner and not with the client.

•Focus on engaging with families in the antenatal stages.

•Accessible venues in the community.

•Free childcare!!

•Appropriate timing or wrap around crèche – staff to collect children

•Non judgemental basic skill support

•MULTI AGENCY WORK•Work with fathers

Funding !

Diolch – Hwyl Fawr!