Centre For Parent And Child Support Guys Hospital

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Centre For Parent And Child SupportGuys Hospital
Promoting Childrens Mental Health The Family
Partnership Model Professor Hilton Davis
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Plan of Presentation
Family Needs and Service Problems Need for Theory
Driven, Systematic Preventive Work Present the
Family Partnership Model Consider the
Implications of the Model for Practice Illustrate
the Related Research
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Further Information
www.cpcs.org.uk Centre for Parent and Child
Support, Guys Hospital
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Justification for Promotional Approach
Highest cause of disability in children. Problems
getting worse. Distressing to all
involved. Impairs all aspects of
development. Highly related to crime. Associated
with adult mental health problems. Expensive to
treat. Services are not meeting the needs.
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Office For National Statistics (UK)
Prevalence of child mental health
disorders 10 5 Social Class I vs. 15
Social Class V (Meltzer et al, 2000)

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Office For National Statistics (UK)
Prevalence of child mental health disorders Lone
Parents 16 vs. 8 Two
Parents Reconstituted Family 15 vs.
9 No Step-children 5 Children 18 vs.
8 2 Children No Parental Qualification 15
vs. 6 Degree Both Unemployed 20
vs. 8 Both Working (Meltzer et
al, 2000)

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Lewisham Needs Assessment
48 Children with One or More Severe
Psychological Problems. 20 Children with Three
or More Severe Problems. Random Sample (n
427) Number of problems explored
53 Attride-Stirling et al (2001)
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Lewisham Needs Assessment
48.1 Families with Three or More Risk
Factors Random Sample (n 427)
Number of Risk Factors Explored
44 Attride-Stirling et al (2001)
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Lewisham Needs Assessment
23 Expressed a Need for Help
Currently Attride-Stirling et al (2001)
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Review of Literature
These findings are sobering. In most of the
studies described, programs struggled to enroll,
engage and retain families. When program
benefits were demonstrated, they usually accrued
only to a subset of the families , they rarely
occurred for all of a programs goals, and the
benefits were often quite modest in
magnitude. Gomby, Culross Behrman (1999).
Home visiting recent program evaluations.
Future of Children, 9, 4-26.
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Theoretical Basis of Partnership Model
Davis H, Day C. Bidmead C (2002). Working in
Partnership with Parents The Parent Adviser
Model. London Harcourt Assessment
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Family Partnership Model
Construction Processes
Partnership
Helper Qualities
Helper Skills
Process
Outcomes
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Intended Outcomes of Helping

Do no harm Help parents identify, clarify and
manage problems. Enable parents (including
problem anticipation). Enable development and
well-being of children. Facilitate social support
and community development. Enable service
support. Compensate where necessary. Change the
system.
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Family Partnership Model
Construction Processes
Partnership
Helper Qualities
Helper Skills
Process
Outcomes
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The Helping Process

RELATIONSHIP BUILDING EXPLORATION UNDERS
TANDING GOAL SETTING STRATEGY
PLANNING IMPLEMENTATION REVIEW

END
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Family Partnership Model
Construction Processes
Partnership
Helper Qualities
Helper Skills
Process
Outcomes
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Partnership

Active participation/involvement Sharing power
with parents leading. Complementary
expertise. Agreeing aims and process. Negotiation.
Mutual trust and respect. Openness and
honesty. Clear communication.
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Family Partnership Model
Construction Processes
Partnership
Helper Qualities
Helper Skills
Process
Outcomes
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Communication Skills Of Helpers
Attention/Active listening Prompting and
exploration Empathic responding Summarizing
Enabling change Negotiating Problem solving
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Family Partnership Model
Construction Processes
Partnership
Helper Qualities
Helper Skills
Process
Outcomes
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Essential Qualities Of The Helper
Professional expertise Respect Genuineness Empathy
Humility Quiet enthusiasm Personal integrity
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Family Partnership Model
Construction Processes
Partnership
Helper Qualities
Helper Skills
Process
Outcomes
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Construing
All build construction system As model to
anticipate and adapt Constructions derive from
previous experience Unique to the individual Not
necessarily conscious or verbal Constant process
of testing, clarification and change Constructions
of others determine interaction
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Implications of Model
Need to recruit for qualities and skills of
helpers. Need to train in the Model. Need to
manage and support effectively.
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Parallel Processes Platinum Rule
Do unto others as you would have others do unto
others. Pawl (1994-95)
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People Trained
Health Visitors, Paediatric and School Nurses
Therapists Speech, Physios,
OTs Paediatricians, Psychologists,
Psychotherapists Teachers All Ages and Special
Needs Early Years and Child Care Staff, Youth
Workers Social Workers and Educational Welfare
Officers Parents and Voluntary Agency Staff
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Family Partnership Training Manual
Davis H, Day C Bidmead C (2002). The Parent
Adviser Training Manual. London Harcourt
Assessment
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EEPP Families In Need (UK)
HV Research Judgment
Judgment Intervention 62 (55) 77
(68) Comparison 25 (24) 73 (71)
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Frequency of Problems Rated by Trained and
Untrained Health Visitors
  Trained Untrained Mental health problems
(plt 0.001) 19 3   Marital discord (p 0.008)
23 6   Social isolation (plt 0.001) 30
4   Financial problems (plt 0.001) 19
1   Adverse life events (p 0.041) 15 6
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Accuracy Of Specific Need Identification
Intervention Comparison
Cyprus 55 67 Finland 61 68 Greece 78
32 Serbia 53 47 UK 66 32 Total
62 49
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Mothers Satisfaction with EEPP Service (Medians)
Intervention Comparison
p Cyprus 33 38 0.003 Finland
20.5 21 0.2 Greece 13 20
0.0002 Serbia 16 19 0.08 UK 20 25
0.03 Total 20.5 25 Average effect
size 0.4
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Suffering
Suffering is not a question that demands an
answer it is not a problem that demands a
solution it is a mystery that demands a
presence. Anon.
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Further Information
www.cpcs.org.uk Centre for Parent and Child
Support, Guys Hospital