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• The Changing Life Trajectories Project
• (CLT)
• Designing nurse home-visiting services for
  CALD families who are experiencing low levels of
  risk
• Dr Wendy Foote Principal Investigator UNSW
• Ms Jennifer Evans -Communication Matters
• Ms Nicole Bechard TIHCFS

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The Infants Home Child Family Services
(TIHCFS)

• Providing education, health, support and care for
  135 years
• Sydney Hope Family Cottage (SHFC)
• Day Stay Home Visiting Service
• Infant and maternal/family health services
• Child Family qualified nurses with training in
  the Family Partnership Program
• High CALD population 37 in LGA

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History Background

• Why this program?
• Partnership between three agencies
• Health research reference group

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United Way Sydney

• The vision social entrepreneurship
• The funding
• The submission
• A commercially operated profit-making clinic at
  TIHCFS
• 2. CLT-
• The early intervention service
• Sustained Nurse HV
• first 12 months of a babys life

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The University of New South Wales

• Wendy Foote - Lecturer, Social Work practice
• Previously Manager TIHCFS, involved in providing
  early intervention services
• Continuity of involvement after writing the
  original submission

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• From Submission to Action

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Reference group Membership

• Clare Rogers Director, Prevention Early
  Intervention, DoCS
• Professor Cathrine Fowler- Child Family Health
  Nursing Midwifery Health UTS.
• Dr Lynn Kemp- Program Manager, Early Childhood
  Research, Centre for Primary Health Care Equity
  UNSW UTS Honorary Associate (Child Family
  Health)Deputy Director, Program Development,
  Sydney South West Area Health Service
• Jennifer Evans Communication Matters
• Dr Wendy Foote Principal Researcher, Lecturer,
  Social Work Practice, UNSW.
• Nicole Bechard Manager, TIH CFS
•  

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Significant factors Scoping the area

• The organisational match
• Lit review unpublished/published/local
• Research gap
• Local needs
• Patterns of service use
• Population trends
• Experts

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Sequence

• 3 jigsaw pieces
• Q. The risk levels of target group
• 2. Q. What service model and what data did we
  want to collect?
• 3. Research questions, methods and data
  collection.

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Refined Questions Target Groups

• Criteria
• Low risk ie isolation
• Recent arrival from India, Sri Lanka, Bangladesh,
  Pakistan
• Proximity to service provider
• Good use of English

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Aim of the research

• to investigate the effectiveness of the
  Changing Life Trajectories program.
• The program is designed to improve parent
  effectiveness in populations where there are low
  levels of risk.

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CLT program

• Program Components
• Parent craft
• Parenting education
• Social linking and building
• Strength based approaches
• Family partnership training (Davis, Day
  Bidmead)
• STEEP program (Martha Erickson)

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Research questions

• Confidence/responsiveness
• 2. Knowledge of infant/child development
• 3. Mental health mother/family/child
• 4. Social isolation
• 5. Social connectedness
• 6. Use of services
• 7. Influence of culture /migration
• 8. Most useful intervention?

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Methods

• Data will be collected by survey-
• scales
• questions from NSW Child Health Survey.
• Thematic data will be gleaned from group
  discussions.

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Measures

• McMaster Family Assessment Device (section 7
  only)
• Social support
• Edinburgh Depression Scale
• Home- assessment of the environment
• Health data
• Modified Abidin parenting Stress Index (Life
  events inventory)
• Parent knowledge of preventive infant care
• Parent reports on child abuse reports
• Parent reports on utilization of health and
  parent support services
• Parent knowledge and use of child care

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Current stage

• Ethics application in with RPA- followed by
  approaches to antenatal clinics at Canterbury and
  RPA hospitals
• Training of staff
• Development of survey
• Identification of points of referral
• Intake Jan 10

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Research in Reality

• Challenges
• Balance of priorities
• Demystifying research
• Right people
• Ongoing funding
• Working within systems
• Commitment