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A psychotherapeutic baby clinic in a hostel for homeless families: practice and evaluation.
Psychol Psychother. 2013 Mar; 86(1):1-18.PP

Abstract

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.

Authors+Show Affiliations

The Anna Freud Centre, London, UK University College London, London, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23386552

Citation

Sleed, Michelle, et al. "A Psychotherapeutic Baby Clinic in a Hostel for Homeless Families: Practice and Evaluation." Psychology and Psychotherapy, vol. 86, no. 1, 2013, pp. 1-18.
Sleed M, James J, Baradon T, et al. A psychotherapeutic baby clinic in a hostel for homeless families: practice and evaluation. Psychol Psychother. 2013;86(1):1-18.
Sleed, M., James, J., Baradon, T., Newbery, J., & Fonagy, P. (2013). A psychotherapeutic baby clinic in a hostel for homeless families: practice and evaluation. Psychology and Psychotherapy, 86(1), 1-18. https://doi.org/10.1111/j.2044-8341.2011.02050.x
Sleed M, et al. A Psychotherapeutic Baby Clinic in a Hostel for Homeless Families: Practice and Evaluation. Psychol Psychother. 2013;86(1):1-18. PubMed PMID: 23386552.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A psychotherapeutic baby clinic in a hostel for homeless families: practice and evaluation. AU - Sleed,Michelle, AU - James,Jessica, AU - Baradon,Tessa, AU - Newbery,Julia, AU - Fonagy,Peter, Y1 - 2011/12/08/ PY - 2013/2/7/entrez PY - 2013/2/7/pubmed PY - 2013/7/11/medline SP - 1 EP - 18 JF - Psychology and psychotherapy JO - Psychol Psychother VL - 86 IS - 1 N2 - 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. SN - 2044-8341 UR - https://www.unboundmedicine.com/medline/citation/23386552/A_psychotherapeutic_baby_clinic_in_a_hostel_for_homeless_families:_practice_and_evaluation_ L2 - https://doi.org/10.1111/j.2044-8341.2011.02050.x DB - PRIME DP - Unbound Medicine ER -