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Incorporating Infant Mental Health Principles in "Everyday“ MIHP Practice. A Follow-up Webinar Melissa Copenhaver, RN BSN, LMSW, IMH-E III. Technology Logistics. Introductions : Use chat box to provide your name and affiliation. Please put phone on mute during presentation.
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Incorporating Infant Mental Health Principles in "Everyday“ MIHP Practice A Follow-up Webinar Melissa Copenhaver, RN BSN, LMSW, IMH-E III
Technology Logistics • Introductions: Use chat box to provide your name and affiliation. • Please put phone on mute during presentation. • Questions/Comments: Please type in questions and provide feedback using the “chat box.”
Objectives • Overview of incorporating Infant Mental Health principles in “everyday" MIHPPractice • Explore successes and challenges • Identify additional strategies • Opportunity for questions and discussion
Overview • IMH is a reflective relationship based approach to working with pregnant women and families with infants and toddlers. • Attachment relationships provide a secure base from which children grow physically, emotionally, cognitively and socially. • Early relationships serve as prototypes for later relationships.
Overview (cont.) • The working relationship between parents and professionals is the instrument for therapeutic change. • Relationship based approaches can assist us with reaching those hard to reach families. • Being able to reach hard to reach families and being able to consistently provide services facilitates an efficient use of resources.
IMH in the Context of MIHP • A three tiered approach for services • Level 1-All MIHP staff incorporating IMH principles into “every day” MIHP services. • Level 2-MIHP-IMH specialists working with families identified as having high risk factors for disruption in the early attachment relationships. • Level 3-Referral to infant mental health services in the community for clients who need intensive mental health services.
Successes • How have you incorporated IMH principles into your daily MIHP work?
Challenges • What challenges have you or your program experienced in incorporating IMH principles in MIHP?
Addressing Challenges • What are some possible solutions to address the challenges?
Strategies • Focus on the emotional health and development of the infant and parent. • Listen to the words used. • Use social emotional wheels with families. • Provide opportunities, beyond the screening process, for caregivers to bring up risks (i.e. domestic violence, substance use, history of abuse). • Ideas from participants…
Strategies • Focus on parent-infant developing relationship • Facilitate bonding activities between caregiver and baby. • Address caregiver’s concerns related to feeling inadequate. • Help caregiver learn the baby’s cues. Give voice to the baby. • Provide opportunities for caregiver to give voice to the hopes and dreams they have for the baby • Ideas from participants…
Strategies • Provide a safe and nurturing context in which parent and MIHP staff may explore the care of the infant and the multiple challenges of parenthood. • Let them know that you are “strong enough” to hold the stress and challenges that they face. • Acknowledge the challenges that the caregiver faces. • Acknowledge grief and loss issues that may be present. • Know when to refer. • Seek out opportunities for reflective supervision. • Ideas from participants…
Questions/Discussion • What questions do you have? • What resources would be helpful?
Next Step • Where are IMH principles in MIHP going from here? • Social-Emotional Development: Video conference will be provided in the early fall on the social-emotional development of infants. • Several trainings are available on the MIHP website - www.michigan.gov/mihp • See the MI-AIMH website for trainings in your area -http://www.mi-aimh.org/ • Consider endorsement process for nurses and/or social workers in the program. Call MI-AIMH endorsement for related questions. • Mental Health Collaborative Work Group.