Overview of the Growing Together Toolkit
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1 Overview of the Growing Together Toolkit Public Agency of Canada in collaboration with the BC Council for Families Thursday March 23, :00-2:30 pm EST
2 Housekeeping Teleconference ALL AUDIO IS BY PHONE If your line is bad hang up and call back in Participant lines are muted Type any comments/questions for the facilitator or presenter in the chat section Information is presented in English with simultaneous interpretation in French Dial in Information: ENGLISH LINE: Conference ID: # FRENCH LINE: Conference ID: #* *please note the change to the French Dial In information For assistance: 2
3 What province/territory are you from? BC AB SK MB ON QC NB NS PEI NL YK NWT NU Other 3
4 Who is joining in? What sector are you from? Public Health Education Research Govt/Ministry Health practitioner NGO Community Leader Other? 4
5 Welcome 5
6 Presenter Dr. Lenora Marcellus Associate Professor School of Nursing University of Victoria 6
7 + GROWING TOGETHER Supporting the mental health and wellness of young children, mothers, and their families Introduction to the Resource March 2017
8 + A collaborative project Funding provided by the Province of British Columbia as part of the implementation of Healthy Minds, Healthy People A Ten Year Plan to Address mental Health and Substance Use in BC (2010) 8
9 + The project team 9 Partners from: BC Government: Ministry of Health Ministry of Children and Family Development Ministry of Education BC Health authorities: Public health Reproductive mental health programs Infant Development Programs Community support: CPNP and CAPC programs, shout out to Frog Hollow and Lea Laberge BC Council for Families BC Healthy Child Alliance
10 + The context for this project Why 10 and how did we develop this toolkit? Environmental scan (on website): Global National Provincial Mother s Mental Health Toolkit (IWK and PHAC) an_francisco.jpg
11 + A simultaneous project.. 11 Journey to Perinatal Well-Being Development of an online course and suite of practice support resources for public health nurses and other health and social service providers who work with perinatal women and families Collaborative project with: BC Ministry of Health, BC Reproductive Mental Health Program, PHSA, BC Council for Families, Pacific Post Partum Support Services Society, all health authorities. 4 course modules: Education and prevention Screening and assessment Treatment and self-management Coping and support Includes practice support tools: quick references guide, summary of key messages, advanced group learning sessions, additional resources
12 + Up to 70 per cent of mental health problems and illnesses begin in childhood or adolescence. An estimated 1.2 million Canadian children and youth are affected by mental illness. Less than 20% will receive appropriate treatment. The lifetime cost of childhood mental health disorders is estimated to be approximately $200 billion in Canada.
13 + World Health Organization 13 (2008) The links between mental health problems and maternal health are a major cause for concern because they directly or indirectly increase maternal morbidity and mortality Attention to mental health problems of pregnant women and mothers and integration of mental health care into existing mental health programmes and activities contributes to the Millennial Development Goal of improving maternal health
14 + The first mental health strategy for 14 Canada (2012) Developed by Mental Health Commission of Canada Builds on 2009 mental health framework All people living in Canada have the opportunity to achieve the best possible mental health and wellbeing Vision statement, Toward Recovery and Well Being
15 + 6 Strategic Directions Promote mental health across the lifespan in homes, schools, and workplaces, and prevent mental illness and suicide wherever possible 2. Foster recovery and well-being for people of all ages living with mental health problems and illnesses, and uphold their rights 3. Provide access to the right combination of services, treatments and supports, when and where people need them 4. Reduce disparities in risk factors and access to mental health services, and strengthen the response to the needs of diverse communities and Northerners 5. Work with First Nations, Inuit, and Metis to address their mental health needs, acknowledging their distinct circumstances, rights and cultures 6. Mobilize leadership, improve knowledge, and foster collaboration at all levels
16 + Mental Health, Mental Illness, 16 Recovery, and Well-Being Mental health is different from the absence of mental illness, and is integral to our overall health. Mental health is a state of well-being in which the individual realizes his or her own potential, can cope with the normal stresses of life, can work productively, and fruitfully, and is able to make a contribution to her or his own community The concept of recovery is built on the principles of hope, empowerment, self-determination and responsibility. In a recovery-oriented system, people who experience mental health problems and illnesses are treated with dignity and respect. With infants and children, the focus is on becoming resilient and attaining the best mental health possible as they develop.
17 + BC Ten- Year Plan (2010)
18 + Priorities for BC Promote mental health in early childhood and throughout life 2. Reduce harms associated with substance use 3. Reduce stigma and discrimination 4. Inform the health system and educate the public Given that early child development lays the foundation for health and wellness, it is increasingly evident that children must be at the center of a public mental health strategy. Preventing mental health disorders in children: A public health priority Canadian Journal of Public Health, 98(3),
19 19
20 + Progress on the plan..( progress report) Healthy Start routine prenatal services and enhanced services for families in greater need BC Healthy Connections project Nurse Family Partnership RCT
21 + BC s framework (2006) for 21 addressing perinatal depression Without treatment, perinatal depression affects all aspects of a women s health and that of her baby. With the right strategy and a coordinated approach it can be detected early and effectively treated. Framework for action includes 4 pillars: Education and prevention Screening and diagnosis Treatment and self-management Coping and support networks
22 + BC Healthy Child Alliance Resources on Social and Emotional Development in the Early Years ( 22 Healthy development occurs in the context of a relationship Experiences shapes brain architecture Cognitive, emotional and social development are connected Toxic stress damages developing brains The ability to change brains and behavior changes over time
23 + Perinatal Services BC (2014) 23 Best Practice Clinical Guideline As many as 1 in 5 women in BC will experience a mental health disorder during the perinatal period (pregnancy up to 1 year postpartum). Although mental illness is serious, with the right strategy and a coordinated approach, it can be detected early and effectively treated.
24 + Mother s Mental Health Toolkit (2012) 24 IWK Reproductive Mental Health Developed as a community-driven resource with Canada Prenatal Nutrition Programs (CPNP) and Community Action Program for Children (CAPC) settings specifically in mind
25 + Women, mental illness, and 25 parenting (MMH, 2012) A woman is at the highest risk in her lifetime of developing a new mental illness in the first year after a baby is born At least 15% of new mothers experience significant postpartum mood disorders and many more report important difficulties in coping and adjusting 60 to 70% of women with a serious postpartum mood disorder have no previous history to alert them 50% of women with a postpartum mood disorder never seek treatment Without treatment and support, 30% will remain chronically affected and symptomatic, limited in their capacity to mother, to work, and to engage in their community
26 + A mother s mental health 26 Enhances her capacity to promote healthy practices emotionally and physically for her children Creates stability of self and emotional regulation for young children Supports strong parent-child attachment critical to behavioral regulation, self-worth and resiliency in children
27 + Key Concepts Related to Infant Mental Health
28 + Infant mental health (Key sources: Zero to Three, Center on the Developing Child at Harvard University) 28 The healthy social and emotional development of a child from birth to three years An ability to form satisfying relationships with others, to play, communicate, learn, and experience the full spectrum of human emotions Is about more than the infant: is also about the relationship of the parent with their child
29 + The brain matters (Bruce Perry) For each of us, our brain is a reflection of our experiences. Our brain is an environmental organ it reflects our environment
30 + Three key actions for healthy social 30 and emotional development
31 + Building resilience 31
32 + Pile up 32
33 + What is in this toolkit? 33 Workbook Information for service providers Worksheets for parents Additional resources Environmental scan of existing resources Poster Webcast
34 + The impact of stress National Scientific Council on the Developing Child (2011)
35 + Our approach to developing this 35 toolkit Resource for community service providers who work with mothers and their young children and families Complement existing resources Evidence informed Cross pollinated representation across different organizations, disciplines, and focuses. Encourages providers to look at whole family
36 + How to use this resource 36 Background information for providers on key concepts related to infant mental health Worksheets for use individually or in groups Additional references and web links for further information
37 + Key ways to support families in our 37 programs Helping women and their families feel comfortable talking about mental health and substance use Providing information on developmental milestones, including social and emotional development Creating culturally appropriate environments
38 + Parenting in the early years: Strategies for mothers with mental health and substance use challenges 38 7 everyday opportunities : Feeding Sleep and rest Activity and play Routines and transitions Touch Communication Supports and resources
39 + Sleep and Rest 39
40 + Routines and Transitions 40
41 + Feeding 41
42 + Activity and Play 42
43 + Touch 43
44 + Communication 44
45 + Supports and Resources 45
46 + 46 Question and Answer Over to you
47 47
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