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Solihull Approach Breastfeeding Supporter Training

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Evidence shows Peer Breastfeeding support and complementary telephone support ... I feel confident to talk to mothers who want to breastfeed' ... – PowerPoint PPT presentation

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Title: Solihull Approach Breastfeeding Supporter Training


1
Solihull Approach Breastfeeding Supporter Training
Speakers Mary Rheeston - Solihull Approach
Coordinator Carmen Baskerville Breastfeeding Co
ordinator
  • LEADING for HEALTH
  • Safeguarding the community
  • Unite/CPHVA Annual Professional Conference 2009

2
What is the Solihull Approach?
  • Integrated theory and practice for all agencies
    working with children,
  • families and groups
  • Initially focused on health visitors but has
    extended to multi professional groups and multi
    agency

3
Solihull Approach Model
4
What is the aim of the Solihull Approach?
  • To provide a framework for thinking for working
    with families with babies, children and young
    people
  • To improve mental health of children and
    positively support long term mental health
  • To providing a shared language across child
    workers

5
The History of the Solihull Approach
  • Began in 1996
  • Partnership between Health Visitors
    Psychotherapists in Solihull
  • Led to an integrated model Containment,
    Reciprocity and Behaviour Management
  • Led to development of comprehensive resource pack
    and training across UK and Solihull Approach
    Parenting Group
  • Further developments - Resource packs and
    training for Fostering and Adoption, Antenatal,
    Early Years Foundation Stage and Breastfeeding
    Supporter Training

6
Containment
  • Containment is where a person receives and
    understands the emotional communication of
    another without being overwhelmed by it and
    communicates this back to the other person. This
    process can restore the capacity to think in the
    other person.

7
Containment so what?
  • Helps parents and their baby to relate
  • Helps the parent to think about their baby/child
  • Helps the parent to help their baby cope with
    anxiety and emotion so that the baby is free to
    relate
  • Helps the parent process some old emotions so
    that the parent can relate to the actual baby in
    front of them, not a projection of a baby/child

8
Reciprocity
  • Describes the sophisticated interaction between a
    baby and an adult where both the baby and the
    adult are involved in the initiation, regulation
    and termination of the interaction. Reciprocity
    also applies to the interaction between adults.

9
Reciprocity So What?
  • Helps parents and their baby to relate
  • Tunes in the parent to think about their baby
  • Increases the parents awareness of their childs
    needs
  • Provides a way of feeding back to the parents
    about the interaction

10
Behaviour management
  • A process whereby parents help their child learn
    self-control and social rules.
  • Behaviour communicates something (feelings,
    needs)

11
Behaviour management
  • Sensitive and effective behaviour management is a
    product of containment and reciprocity therefore
    placed at the end of the process
  • Customised to parent child relationship

12
What difference?
  • Provides a model for intervening in attachment
    difficulties
  • Early recognition of lack of reciprocity
  • Early intervention
  • Earlier referral to specialist services when
    required
  • Can improve support for professionals
  • Can improve links with specialists

13
Why is it useful in practice?
  • Provides a consistent approach amongst
    professionals and agencies
  • Provides a shared language
  • Workers and parents like it
  • Experienced professionals can start to use them
    with minimal training
  • But the concepts are rich enough to repay years
    of study and practice

14
Peer Breastfeeding Supporter
  • Despite the overwhelming health benefits and cost
    savings, UK has one of the lowest breastfeeding
    rates, especially among families from
    disadvantaged groups
  • This is particularly evident in the North of the
    borough of Solihull.

15
Peer Breastfeeding Supporter
  • Peer support has been shown to be effective,
    particular with women from areas of disadvantage
  • Evidence shows Peer Breastfeeding support and
    complementary telephone support can maintain
    breastfeeding beyond 3 months and improved
    satisfaction with the feeding experience

16
Breastfeeding Supporter Training
  • Began in 2003
  • Midwife, Health Visitor and Volunteer
    Breastfeeding Advisor all based in Chelmsley Wood
    Sure Start Centre (North Solihull) were
    discussing ideas to influence low breastfeeding
    rates in Chlemsley Wood

17
Breastfeeding Supporter Training
  • At same time Sure Start Midwife was talking to a
    group of mothers in the Sure Start centre about
    breastfeeding
  • Mothers said they wanted to support other mothers
    to breastfeed or at least think about it as an
    option for feeding their baby

18
Breastfeeding Supporter Training
  • Professionals wanted
  • An approach that could change the way
    breastfeeding was viewed in the community
  • Make breastfeeding support more accessible to
    local community
  • Increase breastfeeding rates

19
Breastfeeding Supporter Training
  • Discussions about the content of course
  • Mothers said they wanted
  • To know the best way to listen to other mothers
    and families
  • To be able to give up to date accurate
    information on breastfeeding
  • To be trained with ongoing support

20
Breastfeeding Supporter Training
  • Aim of training is to prepare breastfeeding
    supporters to provide
  • Support that integrates Solihull Approach Model
    of containment, reciprocity and behaviour
    management with information about breastfeeding
  • Emotional support to mother, fathers, partners
    and families of mothers thinking about
    breastfeeding or breastfeeding their baby
  • Accurate information about breastfeeding
  • Additional support via telephone contact by
    trained and designated breastfeeding supporters

21
Breastfeeding Supporter Training
  • Overall structure of course has remained same
    with some details and activities altered in
    response to feedback from delegates
  • 2 groups were run in 2003 and 2006
  • Delivery of group interrupted by changes from
    Sure Start Status to Childrens Centres and
    redeployment of staff
  • New groups run 2008/2009
  • Group training restarted with joint working
    between Solihull Approach Coordinator and
    Solihull Breastfeeding Coordinator
  • Plan to continue to run 2-3 group per year as
    part of Solihull Breastfeeding strategy

22
Solihull Breastfeeding Strategy
  • Aims to
  • Provide a multi-agency framework
  • Focus on working in partnership as part of a
    healthier communities approach to develop an
    effective an action plan
  • .

23
Solihull Breastfeeding Strategy
  • Breastfeeding Peer support is one element of the
    breastfeeding strategy
  • Supervisor for Solihull Breastfeeding Peer
    Supporters is based at the Solihull Healthy Life
    Style shop which is a one-stop shop offering
    public health information and support to our
    community

24
Breastfeeding Supporter Training
  • Design of training
  • Six week course with a follow up session 4-6
    weeks later
  • Each sessions lasts 1and half hours
  • Child care provided, separation issues very
    relevant for training groups
  • Additional support sessions were arranged 2-3
    monthly following training
  • For supporters running baby cafés weekly
    supervision provided

25
Breastfeeding Supporter Training
  • Sessions included
  • Week 1 Introduction to Breastfeeding Supporter
    Training
  • Week 2 Communication Helpful ways to provide
    support
  • Week 3 Emotional significance of breastfeeding
    and how the breast works

26
Breastfeeding Supporter Training
  • Sessions included
  • Week 4 - Breastfeeding and common breastfeeding
    difficulties
  • Week 5 Emotional Responses to breastfeeding and
    difficulties
  • - Support Networks
  • Week 6 - Boundaries, Confidentiality and Way
    Forward
  • Week 7 Follow up
  • - Additional Telephone Support (Optional)

27
Breastfeeding Supporter Training
  • Example of session 2 Communication Helpful
    ways to provide support
  • Links providing breastfeeding support and
    Solihull Approach model
  • Concepts of model are described and experienced
    through activities rather than defined
  • Start of session Settling children into crèche
    Emphasis in facilitating separation, containing
    anxieties and helping mothers into a state of
    mind for learning

28
Breastfeeding Supporter Training
  • Activity what helps and does not help when
    listening to another person
  • Providing a supportive experience for parents
    use of containment and visual diagram

29
Containment
30
Containment
  • Received/understood

31
Containment
Head full
32
Containment
Parallel Process
33
Containment
34
Breastfeeding Supporter Training
  • Dance of communication (reciprocity) role play
    by trainers
  • Listening activity
  • Homework- observe interaction between 2 adults or
    adult and child and think about dance of
    communication

35
Breastfeeding Supporter Training
  • Session 3 Emotional significance of
    breastfeeding and how the breast works
  • Settle children into crèche
  • Feedback from homework
  • Activity
  • How breast works using cotton wool, string and
    balloons
  • Different types of milk

36
Breastfeeding Supporter Training
  • Comments from breastfeeding supporters following
    training
  • The training has helped me understand that I
    need a clear head to be able to support other
    mothers
  • I feel confident to talk to mothers who want to
    breastfeed
  • Its been really interesting and Ive learnt a
    lot

37
CONTACT DETAILS
  • Solihull Approach Office
  • Address Vaillant Building, Dunster Road,
    Chelmsley Wood, Birmingham. B37 7UU
  • Tel 0121 788 4719
  • Email solihullapproach_at_solihull-ct.nhs.uk
  • Website www.solihull.nhs.uk/solihullapproach
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