‘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 TIHC&FS
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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.
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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 TIHC&FS
The Infants’ Home Child & Family Services (TIHC&FS)
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
History & Background
Why this program?
Partnership between three agencies
Health research reference group
United Way Sydney
The vision: social entrepreneurshipThe funding
The submission: 1. A commercially operated profit-making clinic at
TIHC&FS
2. CLT- • The early intervention service • Sustained Nurse HV• first 12 months of a baby’s life
• Wendy Foote - Lecturer, Social Work practice Previously Manager TIHC&FS, involved in
providing early intervention services Continuity of involvement after writing the
original submission
The University of New South Wales
From Submission to Action
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 ServiceJennifer Evans –Communication MattersDr Wendy Foote – Principal Researcher, Lecturer, Social Work Practice, UNSW.Nicole Bechard – Manager, TIH C&FS
Reference group Membership:
Significant factors: Scoping the area
• The organisational match• Lit review – unpublished/published/local• Research gap • Local needs • Patterns of service use• Population trends • Experts
Sequence
3 jigsaw pieces
1. 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.
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
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.
CLT program
Program Components:
1. Parent craft2. Parenting education 3. Social linking and building 4. Strength based approaches5. Family partnership training (Davis, Day & Bidmead)
6. STEEP program (Martha Erickson)
Research questions:
1. Confidence/responsiveness2. Knowledge of infant/child development3. Mental health: mother/family/child 4. Social isolation5. Social connectedness6. Use of services7. Influence of culture /migration8. Most useful intervention?
Methods
Data will be collected by survey-scales questions from NSW Child Health Survey.
Thematic data will be gleaned from group discussions.
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
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
Research in Reality
• Challenges• Balance of priorities • Demystifying research • Right people• Ongoing funding• Working within systems• Commitment