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Make the Connection: Promoting Lifelong Mental Health and Social/Emotional Well-Being

Join the CMHO Conference Solution Lab 9 in Toronto, Ontario on November 22, 2016, to learn about and develop a high-quality continuum of services for children aged 0-6. This conference will focus on the importance of attachment in the neurological basis for emotional and intellectual development for life.

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Make the Connection: Promoting Lifelong Mental Health and Social/Emotional Well-Being

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  1. Make the Connection: Promoting Lifelong Mental Health and Social/Emotional Well-Being • CMHO Conference • Solution Lab 9 – Building a High Quality Continuum of Services for Children 0-6 • Toronto, Ontario • November 22, 2016

  2. “Attachment is the neurological basis for emotional and intellectual development for life.” • attachmentacrosscultures.org

  3. Make the Connection • A parent-baby program

  4. Make the Connection 0-1 • A program for parents with infants from birth to 12 months • MTC helps parents…• Discover and practice ways to connect emotionally and communicate with their child• Feel more confident and supported in their parenting roleSo that their child…• Develops a secure attachment• Develops a strong foundation for language • Feels confident to explore and learn

  5. MTC 0-1yr PROGRAM AGENDA

  6. MTC Session Format • 30 minutesPARENT-BABY TIME • Introduction to new topic • Parent-baby Activities: • Songs and Rhymes • Magic Moment • Toy Box 30 minutesPARENT DISCUSSION • 30 minutesVIDEO-TAPING & REFRESHMENTS (Half the group taped each week)

  7. MTC Parent-Baby Resources Fridge Magnets

  8. Target Population • Parents and/or caregivers with infants 0-12 months • Eligibility criteria includes: • Interest in participating • Have custody of their infant AND • Have at least two of the following: • Less than 25 year of age • First time parent • Isolated • Low education • Lack confidence and/or self efficacy skill • At risk for PPD or poor parent/infant attachment

  9. First program 2006 • 2008 Formative Evaluation • 2009 Process Evaluation • 2013 Outcome Evaluation Evaluation Background

  10. Why did we want to do an Outcome evaluation? • Results of process evaluation – positive • Organizational directive – improve service through evidence and build the evidence base for public health practice through research • Research linking child temperament and parent factors to attachment outcomes

  11. Research Partner • Partnership with Queen’s University Infant Cognition Group • Amy O'Neil MSc, • Valerie Kuhlmeier, PhD

  12. Outcome Study Questions • Does MTC improve parent attachment for those families with infants who are/are not highly reactive? • Does MTC improve the parents’ subjective sense of competence?

  13. Outcome Study Questions • Does MTC enhance parent knowledge of other community resources? • Does MTC enhance parent social networks? • Are we making a difference?

  14. Study Design Quasi random control trial Recruitment from fall 2013 to end of 2015 Both groups – pre and post self report questionnaire Responses compared to the wait-list control group Incentives

  15. Measurement Tools • Parent Intake • Parent Feedback • Leader Survey • Maternal/Paternal Postnatal Attachment Scale 19 items (MPAS) (Condon & Corkindale,1998) • Infant Behaviour Questionnaire (IBQ) -37 items • Parent Sense of Competence (PSOC) -14 items

  16. Analysis • Age matched sample • Sample size N= 90 in each group • Mean age: 5.7 months • 118 Males , 62 Females • Subscales of the MPAS and PSCO – Global Attitude variable • Simple frequency • Qualitative

  17. What we found - Key Findings • 55% of participants had met or corresponded with or planned to meet with other participants • 46% of participants had been referred to or learned of community resources • 96% would recommend the program to a friend

  18. Key Findings • Parents who participated in MTC showed greater improvement in parental attitudes compared to the control group • (F(1,178)=27.872, p <.001, n2=.135) • Parents of younger infants 3-5 mons showed greater attitude improvement vs parents with older children 6-8 moms

  19. Limitations • Sample limited to those who could read and understand English • Surveys were long • IBQ, MPAS and PSOC used an age matched pairs analysis which limits findings of these measures to those with infants 0-10 months of age • Use of self-report measures • Results generalizable to parents, not caregivers

  20. Conclusions • Early Intervention does make a difference! • Parents: • made friends • learned about community resources • enjoyed the program • showed improved positive parenting attitudes • with younger infants (age 3-5 months) benefited the most

  21. Next Steps • Dissemination • Make any adjustments to the program delivery – process lessons learned • Other research opportunities • Publish findings

  22. Contact information • Kim Swigger • Toronto Public Health • 416-338-7065 • kimberley.swigger@toronto.ca • Barbara MacKay Ward • Program Manager • Make the Connection, Parenting for Life, The Psychology Foundation of Canada • Tel 416 644-4944  Ext. 2050 • barb@psychologyfoundation.org • Amy O’Neil • Infant Cognition Group • Queen’s University • (613) 533-2476 • 9ao19@queensu.ca

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