Hall report (Health for all children) - all about surveillance and promotion. Universal but with targeting of vulnerable families, data collection. Early years (hearing, vision, language, motor), oral health, diet. Expanded school nurse role. Parent held child health record.
Partnership for Care, 2003 - early years and children both emphasized. Patient centred, locally based "one stop shop".
For Scotland's Children- 80 kids become homeless daily. 40% born to unmarried mothers. Move towards single shared assessment, key worker.
Adopted Romanian kids with development delay catch up but the earlier the better, and persistent risk of Autistic SD.
High levels of cortisol lead to impaired brain growth in animal models, presumably the mechanism of stress acting on brain development. Abused children have smaller brain volumes. Secure kids generate smaller cortisol rises on meeting strangers. High early morning cortisol seen in substance misuse & conduct disorder in foster children.
Patterns of attachment:
Adult's own attachment experience + ability to become autonomous predicts 70pc of stranger/separation responses in child. Attachment pattern also appears to be potential source of resilience - see inequalities below.
Dyad of parent-child, pattern is not specific to that child in isolation.
High grandmother involvement reduces likelihood of A+E attendance which requires no treatment other than paracetamol by a factor of 8. There's a theory that grandmothers are responsible for the evolutionary superiority of the human species - it was only when humanoids could survive long enough to care for their grandchildren that effective family groups were possible and the population really exploded.
Formal maternal education reduces likelihood of A+E attendance which requires no treatment other than paracetamol by factor of 4 (Royal Free).
After controlling for family connectedness and socioeconomic factors, adolescents in the US who shared more meals with their family had lower incidences of tobacco, alcohol, and marijuana use; higher grade point averages; fewer depressive symptoms and less suicidal ideation; and, among girls, better self-esteem and fewer suicide attempts. Arch Pediatr Adolesc Med 2004;158:792?6
The time a toddler spends watching TV is inversely related to the time spent doing parent-child activities eg shared reading. However, having a mother with mental distress (on Mental Health Inventory 5 screening, about 20% of mums) is associated with 25% more time watching TV. So consider the mental health of mothers before trying to reduce television viewing time.
In Scotland, the Reporter can take referrals from members of the public as well as professionals, and can institute legally binding conditions on children and parents. Do not, however, require proof so good where legal procedures are likely to antagonize or be difficult. Good for eg self-destructive behaviour.
Procedures - prior to placement, social worker should collate medical history in the Health Record Booklet, the Essential Core Record, Placement Agreement and Essential Background Record. They should seek the completion of the Parental Authority of Medical Treatment section of Health Record Booklet and Essential Core Record. If unavailable, should be signed by the Area Services Manager. Preadmission medical should be carried out and carers provided with necessary I