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Welcome to Baby Behaviors In-Service

Welcome to Baby Behaviors In-Service. Facilitation Objectives. Your role as Helping HANDs is to facilitate the discussion. The purpose of this in-service is to reinforce offering baby behavior and nutrition education messages and usage of the new WHO grids

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Welcome to Baby Behaviors In-Service

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  1. Welcome to Baby Behaviors In-Service

  2. Facilitation Objectives • Your role as Helping HANDs is to facilitate the discussion. • The purpose of this in-service is to reinforce offering baby behavior and nutrition education messages and usage of the new WHO grids • Encourage a positive and open environment

  3. What we have already achieved Regional training objectives: • Identify a Need for a Baby Behavior Message using ABCDE/GTHM and Observations • Provide an appropriate Baby Behavior Message based on the identified need (Client Lead) • State how Baby Behaviors are apart of healthy weight

  4. Today… We will discuss obstacles and successes discovered since the regional training What new resources will be coming October 1st • How to they will play into Nutrition Education

  5. Why? What CA discovered? California WIC was the first to implement Baby Behaviors. They found that Baby Behavior messages: • Increased exclusive breastfeeding rates • Decreased formula use • Decreased overfeeding

  6. Why WIC teaches Baby Behavior… Being a new parent is stressful!

  7. What to Expect… Refresher Training for: • Offering discussions about healthy growth on the new growth grids • Offering the message based on Baby Behavior Cues, Crying and Sleep • Promoting positive infant feeding relationships NEW Posters to display and books to give!!!

  8. Warm up Share a recent experience using Baby Behavior with participants, family, or friends. Or any new AH-HA moments.

  9. Check In How is it going? • Have you had to adjust your counseling style? • Have you found it easier or more difficult with particular situations? • Explain a time you were able affirm and incorporate a baby behavior message to a parent.

  10. In Order to Offer The Message Keep in Mind…

  11. Baby Behaviors are Solution Traffic • If mom doesn’t see a solution • Offering the message is the solution

  12. Example: Mom is frustrated and confused about her baby’s crying. Stuck in Traffic Finding their Exit • Seeking solutions with the help of her family, doctor, or WIC about her baby’s behavior Tell herself it is “okay” or that “she must” overfeed to keep her baby from crying

  13. Two Ways of Coping with Stress Exit or Detour • If parents believe a solution is possible - they will try to find ways to fix the problem. Traffic Jam • If parents don’t believe a solution is possible - they won’t try to solve the problem. Instead, they will try to calm themselves down. Discussion: Share an experience when you were stuck in traffic and someone helped you find your exit. Or when you helped someone find their exit.

  14. Identifying the “Traffic” Discussing Growth Grids

  15. Growth Grids Can Be a Clue Key messages to offer parents on how baby may be tracking Ask parents how they feel baby is growing?

  16. What the Grids Might Be Saying… What the Risk Code Cut-offs Are. • What is high ≥98th percentile RISK 115 • What is low ≤2nd percentile RISK 103.1 • ≥2nd percentile ≤5th percentile RISK 103.2 Remember: • The percentile isn’t the focus. • Gives the impression that a higher number is better • The CHILD’S GROWTH TRACK IS WHAT MATTERS. • Growing steady = Growing well!

  17. Facilitator Note • Ask staff what has been working for them. • If staff are reluctant or uncomfortable discussing the growth grids with clients take this time to “Role Play” or incorporate another activity.

  18. But How Do We Talk about Growth Grids? Go to phrases: • “This graph shows how baby is growing. Babies come in all shapes and sizes and this is where your baby is tracking. How do you feel your baby is growing?” • “We like to see babies growing steady on their own track. It looks like he’s been growing on a healthy track! How do you feel about his growth?” • “This graph represents typical growth for babies, your baby is tracking in this range. How do you feel about your baby’s growth?”

  19. Offering The Message

  20. Facilitator Note • Recommendation of utilizing an activity or additional discussions for offering the message. • In Summarizing/Reflecting a recommended activity could be “batting practice” • One person offers a statement and another reflects back

  21. Facilitator Note • Batting Practice Activity • The “pitcher” says: “I am going to start solids, because my baby is always hungry.” • The “batter” reflects: “It sounds like your baby’s appetite has increased.” OR “It sounds like you are worried your baby is not getting enough”

  22. Summarizing/Reflecting When you reflect or summarize back to what a client has just shared; you are able to check-in with them to make sure you are understanding what they are saying. By reflecting or summarizing you are better able offer the right message that meets the needs of the client.

  23. Asking For Permission Asking permission to share messages communicates puts the client in control and respect for the client. • “Is it okay with you…” • “May I…” • “Would you be interested in…” • “Would that be ok…”

  24. Affirmations • Be Genuine • Great to build rapport • Encourage and acknowledges strengths

  25. Staff Resource How has this resource been received? Are staff more confident with baby behaviors and infant feeding during their sessions?

  26. Additional Resources, Coming this Fall…

  27. Using Handouts Handouts are most effective when they match verbal discussion After you discussion… • Step 1: Ask the client for permission/interest in handout • Step 2: Highlight the section you’ve covered • Step 3: Describe the rest of the handout/use for at home

  28. Facilitator Note • For the “See in in Action” • This is the time for you to decide which method or presentation will work best for your clinic. • “See it in Action” by… • Access the LMS: Revisit specific modules/videos • Final Activity in the LMS course Module 9 is the “decision tree” for a counseling session • Role Play • New waiting room video

  29. Facilitator LMS Reference List -LMS Modules 1. Introduction of Baby Behaviors 2. Just Being Themselves 3. Baby Cues and Crying 4. Sleepy Time 5. Physical Activity 6. Infant Feeding Misinformation 7. Support for Caregivers 8. Caregiver Infant Interactions 9. WIC Essential Roles

  30. See it in Action!

  31. Offering the Message Directions: Read the following scenario. Using the wheel, decide how you will affirm the parent and what Baby Behavior do you see. *All of the babies in these scenarios are healthy.

  32. Scenario 1 Bradley looks proudly at his 2-month-old son, Jonathan during their WIC appointment. He talks about his son’s interest in solid foods. He has been giving him ‘tastes’ of table food because he can tell by the way the baby looks at food that he wants to eat more than just breast milk.

  33. Offering the Message Directions: Read the next scenario. Using the wheel, decide how you will affirm the parent and determine what Baby Behavior message you could offer. *All of the babies in these scenarios are healthy.

  34. Scenario 2 During her WIC appointment, mom tells you that 4-year-old Daniel just loves to play with 3-week-old Amber. You watch as Daniel puts his face very near baby Amber’s face and then she yawns, opens and closes her eyes, and tries to turn away. Daniel then begins to sing a loud song, you watch as Amber stiffens her hands and points her fingers. The mother smiles and says, “Daniel just loves playing with Amber but sometimes she gets so fussy and I don’t know why.”

  35. Offering the Message Directions: Read the scenario. Using the wheel, decide how you will affirm the parent and determine what Baby Behavior message you could offer. Also which section of the booklet could you refer to and highlight for the parent? *All of the babies in these scenarios are healthy.

  36. Scenario 3 Dad is bottle-feeding 3-month old Roberto as he sits in your counseling office. You weighed Roberto today and see that he has jumped up to the 85th%. As you watch the feed, Roberto stops sucking, kicks his feet, starts to fuss, and tries to turn his head away. The father jiggles the bottle until the baby starts sucking again. The dad asks, “How do I get Roberto to finish his bottle?”

  37. Facilitator Note • The next two scenarios are for fine tuning the practice of affirmations, offering the message, and highlighting the resource. If your clinic staff are in need of additional practice, they are scenario resources to use per your discretion. If you feel staff are hitting the mark save these scenarios for a future in-service.

  38. Scenario 4 Sara and 3 week old Carlos are in for their certification. When you ask her to pick a color that best represents how she feels when breastfeeding Carlos is, she chooses yellow. You ask her to tell you more about that color and Sara tells you she is thinking of weaning Carlos, because he is “never satisfied” after breastfeeding. You notice that Carlos is trending at a healthy weight. She tells you that Carlos will start to fuss and move around just a few minutes after each feeding. Sara is sure she doesn’t have enough milk, even though Carlos is growing well.

  39. Scenario 5 Susan comes to WIC for her certification and to ask if she can get some help with breastfeeding. She tells you she is not sure when she’s supposed to feed her 7-day-old baby Mike, and she is feeling overwhelmed. You notice the baby is moving around in the car seat, his eyes are open and he is rooting. After taking Susan and baby Mike back for their certification, you see that Mike is in the 10th%.

  40. Promoting Positive Interactions

  41. Staff Roles in Baby Behavior Clerks or at the Front Desk • Are there any moments in the front of the clinic, that affirmations could be utilized? • The front desk is the perfect point to begin an appointment on a positive note and prepare the client to be greeted by their counselor.

  42. Staff Roles in Baby Behavior Counselors AKA Baby Behavior Gurus -You have the understanding and resources to help parents and caregivers understand what their baby may be communicating. -You are the cheerleaders to give parents kudos and support. You offer parents confidence in knowing they are doing best for baby. -You are parents resource for infant feeding questions and concerns.

  43. Promoting Positive Interactions for Parents in the Clinic We want to Support and Affirm Parents to: Look at what their baby is doing Recognize what their baby is trying to tell them Respond by doing the right thing at the right time to meet baby’s needs What have been some phrases/actions each role can do in the clinic you could use to promote this interaction? What can be done at the front desk?

  44. Wrap Up Think about what we learned today. Discuss with a partner one new thing you will try during an assessment.

  45. Questions?

  46. Evaluations

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