Kia Ora Koutou, We’re well into 2017 and our small Executive has begun planning for Conference later in 2018. Ahead of this we welcome the visit of Clinical Professor Jean Clinton from Canada in May. Jean is attending and speaking at the World Forum on Early Care and Education (Auckland, May 9-12) and has generously made time to speak in Auckland, Wellington and Christchurch as a guest of IMHAANZ. Find out more later in this newsletter and on our website. She has a wealth of knowledge and the expertise to integrate IMH across health and education, across policy and practice.
We will have our AGM in Wellington, May 15th, following on from Jean’s presentation. Please consider nomination for Executive – be prepared to contribute time, knowledge, a capacity to listen and to ‘do’, discover skills you may not have known you had, share humour and make new connections in New Zealand and in the world. WAIMH is a big organisation and IMHAANZ is a part of that. IMHAANZ is a place where you can make a positive contribution to those working with infants, young children and their families and consequently a difference for the infants and their whanau. Enjoy the newsletter, future contributions are always welcome. My thanks to Tanya Wright, Mary Ferguson, Lucie Zwimpfer, Liz Macdonald, Judy Hunter and a recently seconded Sarah Haskell (West Coast) for their tireless and terrific work on the Executive. Warm regards to all our membership and the wider fraternity working with infants and families - Denise Guy
S A V E T H E D A T E !
Dr. Jean Clinton is coming to New Zealand
and presenting for IMHAANZ in
Auckland, Wellington + Christchurch
Dr. Jean Clinton is clinical professor of psychiatry and behavioural neurosciences of the Michael G. DeGroote School of Medicine in Ontario, Canada and a specialist in child psychiatry. Her expertise is in the development of young minds and she is recognized internationally as an advocate for children's issues. Her special interest lies in brain development, and the crucial role relationships and connectedness play in this. She has authored papers on early child development and poverty, infant neglect, children’s mental health, resilience, and on adolescent brain development.
Dr. Clinton will be presenting a two hour talk for IMHAANZ on 'Brains, Relationships & Infant Mental Health: a Canadian perspective across health and early childhood education.'
Auckland 12th May | Wellington 15th May | Christchurch 16th May
Exact times and venues TBA Cost = $30 for members / $40 for non-members (includes light refreshments)
N O T I C E O F 2 0 1 7 A G M DATE: Monday 15th May 2017 TIME: 12.00 - 12.45pm VENUE: Wellington (details coming soon) The AGM will follow the Wellington presentation by Dr. Jean Clinton.
All positions on the Executive are up for Nomination.
Forms will be sent to current members and can be downloaded from the website.
Last date for nominations is 21st April. Positions: President, Vice-President, Secretary, Treasurer,
Member with responsibility for membership and two General Members. Final votes will be accepted on 15th May before the meeting begins.
I M H A A N Z
C O N F E R E N C E
2 0 1 8Planning is underway for our next IMHAANZ Conference scheduled for 3 days some time in September-November 2018 in Wellington.
The Conference will continue to focus on supporting practice alongside a greater emphasis on research. We hope to provide a programme of interest to those working with infants and young families across health, education and early care, and child protection.
We will be considering the themes of protection and nurturance for infants, their families and practitioners influenced by the increasing talk about placing children at the centre of practice, early adversity and investing early. We can confirm our first keynote speaker: Professor Helen Minnis, Professor of Child and Adolescent Psychiatry at the University of Glasgow. Professor Minnis spent time working as an Orphanage Doctor in Guatemala in the early 1990s prior to training in Psychiatry, and this stimulated an interest in the effects of early maltreatment on children’s development.
Her research focus has been on Attachment Disorder: clinical aspects, assessment tools and behavioural genetics. She is now conducting intervention research for maltreated children including a randomised controlled trial of an infant mental health service for young children in foster care.
More details to follow about the 2018 IMHAANZ Conference in due course.
R E P O R T
A VISIT TO CHICAGO
+ THE FUSSY BABY NETWORK®
Recently Denise Guy traveled to Chicago and spent time with the founder of the Fussy Baby Network (and the FAN approach), Linda Gilkerson, and her team at the Erikson Institute. Here she shares her experiences:
For more than 13 years, Erikson Institute Fussy Baby Network® (FBN) has been funded to develop, implement in Chicago, and disseminate nationally, an infant mental health based, prevention home visiting programme for families who struggle with their infant’s crying, sleeping, or feeding during the baby’s first year of life (Gilkerson et. al., 2012).
Their 2012 article in the ZERO TO THREE Journal described the FBN and the use of the facilitating attuned interaction (FAN) approach in the first three national sites: Fussy Baby Network® Phoenix at Southwest Human Development (SWHD), FBN Oakland at Children’s Hospital and Research Centre, Oakland, and FBN Colorado at the University of Colorado, School of Medicine. Each site a recognised centre of excellence in infant family services and funded as part of the Irving Harris Foundation Professional Development Network to provide training in infant mental health.
Fourteen networks are now represented at the training level and the FAN approach is used in “prevention and clinical programmes in statewide home visiting and early childhood mental health systems, child protection, paediatric residency training and social work education” (Gilkerson 2016). New Zealand is moving forward with becoming the first international site.
Erikson Institute FBN provides ongoing training and consultation supporting sites to move from exploration through implementation to sustaining the model. As part of this twice a year there is a national meeting and with the support of a Kathleen Todd Fellowship in Psychiatry I attended the March meeting in Chicago.
On a snowy cold Monday morning, warm inside the Erikson Institute, trainers met and work-shopped issues of sustainability after training and how the FAN approach could be used in brief interactions. The latter was discussed with reference to mental health consultation, early child care settings, mentoring and NICUs.
The national meeting got underway that afternoon beginning with a “FAN Focus on regulation during overwhelmed moments”. A presentation followed by workgroups considering this issue with parents, with professionals and in training. The next presentation by Jennie Cole-Mossman and Jamie Balm “When Feelings Aren’t Allowed: The FAN in Court” looked at implementing reflective practice in Child Welfare and Juvenile Court in Nebraska and was a stunning review of two years work with a Family Treatment Drug Court Team. The FAN approach scaffolds reflective practice consultation meetings.
Committed to evaluation, early findings that (i) workers built capacity even though the stress of the job remained the same; (ii) workers were retained at a much higher rate; and (iii) workers became more reflective in their work with clients and professionals, provided support for expansion. This includes the Nebraska Centre on Reflective Practice, the creation of First Court which has judicial engagement, reflective consultation for caseworkers, attorneys and the Judge, and team meetings instead of hearings. (Visit www.nebraskababies.com for more).
On Tuesday, Nucha Isarowong presented his research on fathers, fatherhood and the FAN. He took each of the FAN’s core processes and how they may be similar and different in working with fathers. Including fathers in our practice across all settings was a persistent theme and follows similar concerns around practice in New Zealand.
Linda Gilkerson arranged for me to attend the first morning of the annual meeting of the Harris Professional Development Network, fortuitously in Chicago that week. Sarah Enos Watamuru (University of Denver) gave a comprehensive review of “The Science of Toxic Stress: Supporting children’s resilience through research policy and practice". Discussion followed looking at the implications of the science to work with children and families, training and systems reform.
The Irving Harris Foundation (established by Irving Harris in 1946) supports, amongst other things, a network of 18 multidisciplinary programmes from 10 states, the District of Columbia (ZERO TO THREE) and Israel. It is involved in training and leadership development programs which includes the ZERO TO THREE Fellows; the development and replication of innovative best practice models and evidence-based programs and this includes Fussy Baby and the integration of infant and early childhood mental health principles and practices into child care, home visiting, child welfare, health and judicial systems.
I valued having time to meet incredible people working with infants and their families, having the opportunity to discuss politics, see something of Chicago and build personal and professional connections that support IMHAANZ links with people and services in the USA. Many of the people I met were not sure their programmes and services would continue to be supported. Difficult times underlying the importance of nurturing and sustaining these relationships. Linking people I met with colleagues in New Zealand who share research and practice interests is one way to do this. The various recommended resources will find their way to the IMHAANZ website over the next few months.
Dr. Denise Guy | March 2017
PROFESSIONAL DEVELOPMENT OPPORTUNITY Fussy Baby Network® and Facilitating
Attuned Interaction (FAN) Approach
Training in Wellington, New Zealand 29 – 30 August + 31 – 1 September 2017 Professor Linda Gilkerson from The Erikson Institute will support
the facilitation of two trainings developing IMHAANZ as a Fussy Baby
Network® site and embedding the training of New Zealand Trainers.
Linda was a keynote speaker in 2015 and generated significant interest in the FAN approach. Her presentations are available to members on the IMHAANZ website. She visited Invercargill in late 2015 and IMHAANZ used this opportunity to begin the process of training Trainers. Denise Guy, Judy Hunter, Lucie Zwimpfer, and Anne Hodren attended and began supervision with a small group of people, most of whom had attended the pre-conference workshop trialling the framework, scaffolding clinical sessions and supervision using the FAN and the Arc of Engagement. This work has been supervised and supported by Linda.
The model developed for Home Visitors is now being used across a wide variety of systems and programmes (see Denise's report on her visit to Chicago above) with positive qualitative outcomes, such as:
Practitioners and supervisors feel more confident, more satisfied with their work with families and more able to support parent-child relationships
Improved retention of staff
The FAN provides a structure to visits, an unhurried posture to the visits
Practitioners describe being better able to support families
Families are empowered by the FAN approach.
We look forward to the publication of quantitative data from research between The Erikson and Healthy Families Massachusetts – a programme with to 250 home visitors dealing with first time parents (≤ 20 years).
F . A . Q . ' s
W h a t i s t h e F A N ?
The FAN is a structure for engaging families, a tool for attunement during a visit, matching
interventions to what parents most need in the moment and a guide for reflective practice.
Reflective Practice is a core professional competency in working with infants and families.
W h o i s t h i s T r a i n i n g f o r ? Any service or team involved with infants, young children and their families.
The FAN approach is being used across health, early childhood education, child protection,
and Baby Courts. It supports staff with engaging families and managing face to face work, and their supervisors with a scaffolded approach to supervision that promotes reflective practice.
W h a t i s i n v o l v e d i n t h e T r a i n i n g ?
The first two days are the Level I Core Training for practitioners and their supervisors which covers the FAN background, theory of change, FAN core processes and ARC of Engagement, and their application in working with families. At the end of the second day the supervisor stays on for their evening three hour 'Supervisor Training'. Supervisors are mentored by New Zealand-based Trainers with monthly supervision over the next 5-6 months guiding their own monthly supervisions of each member of the group who attended training.
There is a commitment to 5-6 months of supervision
and use of the FAN documents for all attendees.
If you are interested in this for your team or service you may commit to implementing the
training with your entire team or begin with a small team and evaluate its impact and efficacy.
We would suggest a base group would be 3-4 people with one of the group being the supervisor.
Registration details coming soon on our website.
If your service or team is interested in attending,
or you have any questions, please get in touch: firstname.lastname@example.org
M E E T T H E I M H A A N Z E X E C U T I V E
STANDING LEFT TO RIGHT: Louise Burrowes - former National Regional Groups Coordinator Judy Hunter - Social Media + Newsletter Coordinator Lucie Zwimpfer - Treasurer + Research Coordinator Liz Macdonald - Membership Coordinator
SITTING LEFT TO RIGHT: Jacquie Sokolov-Pearson - former General Member Tanya Wright - Vice-President + Website Coordinator Denise Guy - President Mary Ferguson - Secretary.