Transcript SL9 - Children`s Mental Health Ontario

Make the Connection: Promoting Lifelong
Mental Health and Social/Emotional WellBeing
CMHO Conference
Solution Lab 9 – Building a High Quality Continuum of Services for
Children 0-6
Toronto, Ontario
November 22, 2016
“Attachment is the neurological basis for emotional
and intellectual development for life.”
attachmentacrosscultures.org
Make the Connection
A parent-baby program
Make the Connection 0-1
A program for parents with infants from birth to 12 months
MTC helps parents…
• Discover and practice ways to connect emotionally and
communicate with their child
• Feel more confident and supported in their parenting role
So that their child…
• Develops a secure attachment
• Develops a strong foundation for language
• Feels confident to explore and learn
MTC 0-1yr PROGRAM AGENDA
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•Session 1 Overview of ‘Make the Connection’
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•Session 2 Helping your baby feel close to you
•Session 3 Helping your baby feel good about herself
•Session 4: Video Highlights and parent discussion
‘Your parents…yourself’
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•Session 5
Helping your baby understand
•Session 6
Helping your baby ‘talk’
•Session 7 Video Highlights and parent discussion
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•Session 8
‘Saying ‘no’ with love’
Helping your baby discover his world
•Session 9 Graduation and celebration
MTC Session Format
30 minutes PARENT-BABY TIME
Introduction to new topic
Parent-baby Activities:
• Songs and Rhymes
• Magic Moment
• Toy Box
30 minutes PARENT DISCUSSION
30 minutes VIDEO-TAPING &
REFRESHMENTS
(Half the group taped each week)
MTC Parent-Baby Resources
PARENT GUIDE
PHOTO BOOK –
parents personalize key
messages of the program with
pictures of themselves with
their baby
MUSIC CD – over 30
songs and rhymes that
encourage connection
Fridge Magnets
Target Population
Parents and/or caregivers with infants 0-12 months
Eligibility criteria includes:
• Interest in participating
• Have custody of their infant AND
Have at least two of the following:
Less than 25 year of age
First time parent
Isolated
Low education
Lack confidence and/or self efficacy skill
At risk for PPD or poor parent/infant attachment
Evaluation Background
• First program 2006
• 2008 Formative Evaluation
• 2009 Process Evaluation
• 2013 Outcome Evaluation
Why did we want to do an Outcome
evaluation?
Results of process evaluation – positive
Organizational directive – improve service
through evidence and build the evidence base
for public health practice through research
Research linking child temperament and parent
factors to attachment outcomes
Research Partner
Partnership with Queen’s University
Infant Cognition Group
Amy O'Neil MSc,
Valerie Kuhlmeier, PhD
Outcome Study Questions
Does MTC improve parent attachment for
those families with infants who are/are not
highly reactive?
Does MTC improve the parents’ subjective
sense of competence?
Outcome Study Questions
Does MTC enhance parent knowledge of
other community resources?
Does MTC enhance parent social
networks?
Are we making a difference?
Study Design
Quasi random control trial
Recruitment from fall 2013 to end of 2015
Both groups – pre and post self report questionnaire
Responses compared to the wait-list control group
Incentives
Measurement Tools
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Parent Intake
Parent Feedback
Leader Survey
Maternal/Paternal Postnatal Attachment Scale
19 items (MPAS) (Condon & Corkindale,1998)
• Infant Behaviour Questionnaire (IBQ) -37 items
• Parent Sense of Competence (PSOC) -14 items
Analysis
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Age matched sample
Sample size N= 90 in each group
Mean age: 5.7 months
118 Males , 62 Females
Subscales of the MPAS and PSCO –
Global Attitude variable
• Simple frequency
• Qualitative
What we found - Key Findings
•
55% of participants had met or corresponded
with or planned to meet with other
participants
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46% of participants had been referred to or
learned of community resources
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96% would recommend the program to a
friend
Key Findings
Parents who participated in MTC showed
greater improvement in parental attitudes
compared to the control group
(F(1,178)=27.872, p <.001, n2=.135)
Parents of younger infants 3-5 mons
showed greater attitude improvement vs
parents with older children 6-8 moms
Limitations
• Sample limited to those who could read and
understand English
• Surveys were long
• IBQ, MPAS and PSOC used an age matched pairs
analysis which limits findings of these measures to
those with infants 0-10 months of age
• Use of self-report measures
• Results generalizable to parents, not caregivers
Conclusions
Early Intervention does make a difference!
Parents:
• made friends
• learned about community resources
• enjoyed the program
• showed improved positive parenting attitudes
• with younger infants (age 3-5 months) benefited the
most
Next Steps
• Dissemination
• Make any adjustments to the
program delivery – process lessons
learned
• Other research opportunities
• Publish findings
Contact information
Kim Swigger
Toronto Public Health
416-338-7065
[email protected]
Barbara MacKay Ward
Program Manager
Make the Connection, Parenting for Life, The Psychology Foundation of Canada
Tel 416 644-4944 Ext. 2050
[email protected]
Amy O’Neil
Infant Cognition Group
Queen’s University
(613) 533-2476
[email protected]