Parents As First Teachers…. Can we do it! Introduction and Background Process Evaluation Identifying and engagement of clients Challenges Contact details

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

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

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.

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

Identifying and engagement of clients Programme start date 1 st 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

Specialist Midwife for Vulnerable Families Named Midwife Nursery Nurse Named Health Visitor Prenatal (Up to 5 visits) Birth Birth – 3 years (Min 36 visits) PARENTS AS FIRST TEACHERS Specialist Public Health Nurse Hand over to Named Health Visitor Handover from Named Midwife evaluation

Challenges Work is within existing budget and time for all staff Change in practice for Nursery Nurses Engaging identified clients between weeks of pregnancy Arranging diary’s for visits Ensuring information sharing process Evaluation analysis and evidencing outcomes Administration support

Where we are now? Total number referred Number engaged Number declined service Gestation at engagement Age range of women Range of identified Vulnerability

Contact details Natalie Potts, Specialist Midwife for Vulnerable Families. Pamela McQuaker, Specialist Public Health Nurse.