Matching parenting support needs to service provision in a universal 13-month child health surveillance visit

Philip Wilson, C Wilson, Lucy Thompson, Alex McConnachie

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Background The Glasgow Parenting Support Framework is an intervention to support families with preschool children. It provides structured support through universal and targeted interventions. Two routine family visits by health visitors have been piloted, one involving a home assessment when the child is 13 months old.

Aims To establish the need for parenting support in the population at 13 months and whether or not the home assessment improved the match of service provision to need.

Methods Health visitors were asked to collect data on existing problems and service provision to families, the mental state of the child's principal carer, an observation of the parent–child relationship and details of management plans. Data from the Child Health Surveillance System were also used.

Results Data were obtained for 549 families. Nine families were noted to have problems in the parent–child relationship. Carers in these families had poorer mental health. In all, 20% of families had a revisit scheduled: they were also more likely to have poor mental health. All families with possible problems in the relationship had a revisit scheduled. Depression scores measured during the pilot were a significant predictor of revisiting and referral, with an odds ratio of 1.37 for every one point increase in score on the Adult Wellbeing Scale depression subscale.

Conclusions Current service provision matches need to some extent but routine visits focused on parenting difficulties at 13 months, particularly parental depression, may help to identify families needing support who would not otherwise have received it.
Original languageEnglish
Pages (from-to)665–674
Number of pages10
JournalChild: Care, Health and Development
Volume38
Issue number5
Early online date15 Sep 2011
DOIs
Publication statusPublished - Sep 2012

Keywords

  • attachment
  • infant mental health
  • maternal depression
  • screening

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