Our parents Us as parents Not just us…… Our story Our parents Us as parents Not just us……

Others stories Other young people’s experiences Other parents experiences The midwifery booking in questions -not recognising bereavements, inter-parental conflict, Adverse Childhood Events (e. g. neglect, abuse, conflict ) in new parents. Unrecognised parental trauma after birth

Recognising infant behaviours Internalising behaviours Externalising behaviours Organised attachment 60% Insecure anxious, Insecure avoidant, Insecure resistant/ambivalent 25% Disorganised behaviours-15% 8 million children in the UK

Agency Empathy Autonomy Emotional regulation Twice the emergency! By the age of 3, children should have a degree of: Agency Empathy Autonomy Emotional regulation

Where we are today

Where we could be with Primary Prevention

External stress –holding stress- stress management skills

What more could we do to improve the ability to cope with stress? Educate in secondary schools on parenting and emotional health and literacy- PREP programme. Ask parents about their own experience of being parented-ACEs. Address anxiety and attachment in pregnancy Universal parenting skills from pregnancy on attachment and behaviour e.g. Family Foundations, to ensure healthy internal working models from infancy to hold stress-resilience. Include young men and fathers! Address stigma-you are not alone

Attachment, behavioural skills and infant and child assessments No Public Health Outcome Framework measures for perinatal mental health, attachment or parenting More support in the first 1001 days-peak period for post natal depression and anxiety is when baby is 12 weeks but parents may not see health visitor between 6 weeks and one year. Many miss the two and a half year check. Next check-pre school entry. Include early educators in assessments

The importance of a non- judgemental approach to make a difference. No blame, no shame The importance of a non- judgemental approach to make a difference. Whole community approach-not the reserve of professionals.

But we need evidence and outcome measures to commission! So then I met George and Jane and Vivette and Mark and Michael (Hi Andy!)…. Let’s make a difference together. Thank you.