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

2. 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

3. 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

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

5. Where we are today

6. Where we could be with Primary Prevention

7. External stress –holding stress- stress management skills

8. 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

9. 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

10. 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.

11. 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.