Kjellaug Johannessen History of child welfare clinics first child welfare clinic in Norway Aim was to reduce infant mortality and the number of births. General education was an important means: 1) improvement of general hygiene 2) breast feeding

Kjellaug Johannessen Poverty close living conditions poor hygiene infectious diseases, epidemics poor nutrition unhealthy indoor/outdoor climate high infant mortality, large families death in childbirth

Kjellaug Johannessen Home visits to all children born in Norway Contact with all adopted children Establish contact with everyone who moves to Norway with children Child Welfare Clinic all children 0-6 years

Kjellaug Johannessen Home visits to newborn babies get to know the family always look at the baby observe in particular; - skin - navel - eyes

Kjellaug Johannessen Work of Child Welfare clinics Founded on the Law on municiple health services, 1982 Home visits to all newborn babies Individual advice Group counselling Vaccinations Screening Environmental surveys

Kjellaug Johannessen Topics at infant check-ups  Child’s well being  Interaction parent/child  Sleep and sleeping problems  Nutrition  Accident prevention  Psychological and motor development

Kjellaug Johannessen Networks Create social relations between groups as an aid to the prevention of psychosocial problems Open nursery schools Open child welfare clinics Groups at clinics

Kjellaug Johannessen Psychological and motor development Reflex movement Symmetrical movement volitional, motivated, differentiated movement ”automatized” movements

Kjellaug Johannessen Infant nutrition Breast milk as long as possible, up to 12 months + vitamin supplements. Cow’s milk in baby cereal from 6 mths. Start with mashed vegetables, no SALT. Glutenfree cereals.

Kjellaug Johannessen Sleep and sleeping problems establish good sleeping habits, rituals when child crys, ensure there is nothing wrong make a difference between night and day avoid overtiredness the child should fall asleep naturally no evening snacks after 6 mths, only water do not use the bed as punishment register the length of time they cry comfort the child in their bed, do not pick up be consistent

Kjellaug Johannessen Persons with special needs Basic problems -immature, young -couples in conflict -single parent with poor network -unrealistic, immature expectations and lack of understanding for child’s needs -poor resources

Kjellaug Johannessen Complex problems -alcohol, substance abuse -violence -unemployment over a long period of time -poor understanding of the child’s needs -lack of personal experience, no role model