A psychotherapeutic baby clinic in a hostel for homeless families: Practice and evaluation.

Objectives. A pilot baby clinic in a hostel for homeless families has been established to address the specific attachment and developmental needs of infants living in temporary accommodation. The aim of this study was to assess whether this clinic model was associated with more positive outcomes tha...

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Publicado en:Psychology & Psychotherapy: Theory, Research & Practice Vol. 86; no. 1; pp. 1 - 19
Autores principales: Sleed, Michelle, James, Jessica, Baradon, Tessa, Newbery, Julia, Fonagy, Peter
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2013
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.2044-8341.2011.02050.x
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        atl: A psychotherapeutic baby clinic in a hostel for homeless families: Practice and evaluation.
      aug:
        au:
          Sleed, Michelle
          James, Jessica
          Baradon, Tessa
          Newbery, Julia
          Fonagy, Peter
        affil: The Anna Freud Centre, London, UK
      sug:
        subj:
          Community Mental Health Services Methods
          Health Care Delivery Methods
          Psychotherapy Methods
          Infant Development
          Parent-Infant Relations
          Homelessness Psychosocial Factors
          Outcomes (Health Care)
          Human
          Funding Source
          Videorecording
          Mothers
          Infant
          Female
          Descriptive Statistics
          Scales
          Interrater Reliability
          T-Tests
          Chi Square Test
          Male
          Adult
          Multivariate Analysis of Variance
          Infant: 1-23 months
          Adult: 19-44 years
          Female
          Male
      ab: Objectives. A pilot baby clinic in a hostel for homeless families has been established to address the specific attachment and developmental needs of infants living in temporary accommodation. The aim of this study was to assess whether this clinic model was associated with more positive outcomes than mainstream community services in terms of infant development and parent-infant interactions. Design. Parent-infant psychotherapy and health visiting services collaborated to develop a new model of baby clinic, which reconfigured the traditional clinic to give priority to infants' affective experiences in a therapeutic group setting. Outcomes for parent-infant dyads in a homeless hostel where this service model was applied were compared with outcomes for parents and infants in hostels, which did not have such a service. Methods. Fifty-nine mother-baby dyads participated in evaluation, 30 in the intervention hostel group and 29 living in comparison hostels. Infant mental and motor development was assessed using the Bayley Scales of Infant Development. Interactions between the parents and infants were video-recorded and coded on the Coding Interactive Behaviour Scales. Results. The indices of mental and motor development of infants in the intervention hostel were significantly improved over time in relation to infants in the comparison hostels. No significant differences were found in the quality of parent-infant interaction between the two groups over time. Conclusions. The findings indicate that the service model may have positive benefits for infant development. The findings, study limitations, and clinical implications are discussed. Practitioner Points Parents and infants living in temporary accommodation represent a high-risk and hard-to-reach population., A new model of intervention, which combines universal infant health services with a therapeutic parent-infant group may be an effective means of supporting the emotional needs of hard-to-reach parents and infants.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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