Guest guest Posted May 1, 2000 Report Share Posted May 1, 2000 Hi Kay - Why is that with the dads? It was the same way with our group when Rudy was younger. I know that my kids dad's lack of support was a huge reason for our parting of ways. He loves the kids but he would never discuss Rudy's ds. I always & still do everything with therapies, drs, school etc. However now my dear sweet husband helps me. He took me and my kids on and has been such a support. I am so very blessed!!!! Ok gotta go give the hubby a hug and have a cry!!! Love you all 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2000 Report Share Posted May 1, 2000 Kay, Where does the support group you attend meet, I am interested in attending a support group but have not found any in my area. I do take and Tyler(DS) to a playgroup with others from the Northern VA PODS. Could you please send me information about your support group? Thanks, Katy Touve Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2001 Report Share Posted October 2, 2001 A very warm welcome , to yourself and the other new members who have joined in the last few weeks. Thank you, too, for the reminder that it is about time I updated the 'welcome pack' sent to all new members; oh for more time! When we first started,w e did try to compile a digest omessages, som eby theme, so new members could see what had been discussed in recent months and join in if an when they wished. We had also, once, had a plan to be able to circulate hard copies to folk who paid to be on the mailing list. Unfortunately, it proved just too time consuming: about 3-5 days solid work to compile one digest of 3 months messages, without any editing or making sense of the thing, so we abandoned it. There are up to 240 messages a month, covering a huge range of ideas and discussions; there is a strong holiday influence on the number of messages. We started in March last year, and (if my attempt at a table translates across the e-waves) you can see how the flow has changed: Ja Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2001 65 60 213 84 137 239 237 93 148 16 2000 2 10 62 48 69 60 74 120 146 43 Sometimes one topic dominates and sometimes the conversations drifts from one thing to another. One member said that, when she first joined, she found it very difficult to follow, but then realised you gradually 'catch in', a bit like being in a room full of people talking about different things; gradually you overhear enough of the conversations to realise which one you want to chip into.I hope that all you folk who are swapping telephone numbers will let us into the 'side conversations' that you are having as well. If you want to catch up on back messages, you can go to the web page, which is on You will be asked to 'sign on' to access the messages, which means you need to find yourself a password and user name. is an international operator, so most names have been taken already but there are some very creative ones about! If you are stuck, a name and numbercombination is easiest. Then, you can search the messages using a key word or phrase to identify threads of messages. Hall 4 was discussed briefly in the summer, but I think we could do with revisiting it. The web page is certainly worth a visit. Best wishes Lowenhoffs wrote: > Having just joined the SENATE, I realise from reading some of the previous > entries that I am not alone in feeling suddenly overwhelmed with > information.... as I was automatically sent the digests for June - August > and Sept - October last year I thought I would print them off and enjoy > some interesting bedtime reading - I think I might be in bed for a > fortnight!! Is there anyway of accessing people's comments by theme or > would that just create too much work for someone? > > I specifically joined SENATE to-day because I had heard a lot of good > things about it and because I particularly needed to acquaint myself with > the latest recommendations of the forthcoming Hall report -( I know there > was a launch in July )- and access views of health visitors about it. Has > there been any kind of debate about it's content and if so how can I access > that debate? Also can anyone tell me whereabouts on the internet I can > find reference to it - I have been surfing without success for over an hour. > > I would also like to know if there is anyone out there with a similar remit > to my own? I was appointd to the post of health visitor consultant > (parental and child health) for Mid Essex in March of this year. I am in > the rather strange position of being employed by the North Essex Mental > Health Partnership NHS Trust (who do not employ health visitors in a health > visiting capacity although do employ h.v.'s within CFCS teams ) to promote > emotional well-being and positive mental health in children and families, > by acting as a sort of " go-between " between h.v.'s and CFCS / adult mental > health. I am currently undertaking a mapping and gapping exercise which > includes an examination of existing protocols and referral pathways and > professional perceptions of mental health problems in both children and > their parents. Like all nurse consultant posts, I am supposed to divide my > time between clinical practice, leadership and consultancy, education and > training and research and evaluation. I have also been looking at current > involvement in parenting programmes, who's doing what in terms of detecting > and managing postnatal depression, I have participated in the PIPPIN pilot > for the Home Office, am exploring with colleagues the prospect of > delivering modifed STEP parenting programmes to special needs groups and am > in the process of helping to deliver an early intervention in behaviour > problems training programme for health visitors ( based on the Solihull > approach). I am also intersted in setting up an early intervention forum. > > In October I will be starting a brand new clinical doctorate programme at > the University of Essex which will culminate in the award of Doctor of > Nursing ( hows that for confusing terminology?) and my inital proposals for > research projects include an examination of professional and parental > perceptions of need of parents and babies in neonatal units and parental > reflections on positive and negative components of professional and social > support in the first three years of life. > > >From a superficial glimpse of the two digests from last year, I realise > that there is ongoing debate about the public health role of health > visitors and its compatibility or otherwise with the firefighting that has > become routine health visiting practice. I also note the dichotomy of > opinion about the current focus of health visiting on the under 5's, but I > have to say that the more I read and understand about the importance of > attachment and the profound impact the quality of early parent-infant > interaction has on the structure and function of the developing brain, the > more I am convinced of the importance of consistent, frequent, reciprocal > health visiting input during the first three years of life so that we are > truly able to change our focus from managing behavioural diffulties to > preventing them, thereby reducing the prevalence of the most common and > enduring mental health problems in children under 5 - especially conduct > disorders - which, if prevented have implications for improving public > health. It has been demonstrated time and time again that children with > conduct disorders are often unable to acheive their educational poential > because of their poor attention spans or disruptive behaviour, are less > likely to succeed at school, are more likely to play truant or be excluded > from school, are less likely to complete their education or achieve the > minimum number of basic qualifications, are more likely to abuse drugs or > alcohol, are less likely to be able to get a job and are more likely to > indulge in criminal activity. Apart from anything else, It makes economic > sense to intervene early and avoid all the extra expenditure that such a > pathway would entail and yet we still have difficulty convincing > commissioners of the value of early intervention? Promoting positive mental > health in children is a public health issue and seems to encapsulate, for > me, the family centred public health role of health visitors advocated in > so many policy documents. I would , of course, be interested to hear others > views on the subject or is this a debate that has passed? > > Looking forward to hearing from you > Lowenhoff > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2001 Report Share Posted October 3, 2001 Dear , With regard to swapping phone nos I feel somewhat responsible. There aren't any side issues, just an attempt to link with others starting out in new roles and maybe feeling a bit fazed by gaps between theory and practice. As you know, we in Liverpool are trying to make your suggested 3 overlapping roles into a reality with a practical, evidence based application and a focus on outcome and evaluation measures.How do we move from current, deeply entrenched ways of working to an upstream position and continue the valuable support we offer to families?How do we break free of firefighting to work more proactively with other age groups and tackle health inequalities, improve health and address national and local health priorities embodied in the HimP and NSFs?Help and advice sought.We know HVs can't do it all and the judicious use of skill mix and working in collaboration is the key to freeing up HVs to concentrate on proactive work but how do we move forward?Also am struggling with evaluation and outcome measures. Looking at Omaha System being developed in Swansea and Monitor from Walter Barker's Child Development Programme.Any help and advice from Senate most welcome.Thankyou and best wishes Sue > Re: welcome new members > > > A very warm welcome , to yourself and the other new members who have > joined in the last few weeks. Thank you, too, for the reminder that it is > about time I updated the 'welcome pack' sent to all new members; > oh for more > time! When we first started,w e did try to compile a digest > omessages, som eby > theme, so new members could see what had been discussed in recent > months and > join in if an when they wished. We had also, once, had a plan to > be able to > circulate hard copies to folk who paid to be on the mailing list. > Unfortunately, it proved just too time consuming: about 3-5 days > solid work to > compile one digest of 3 months messages, without any editing or > making sense of > the thing, so we abandoned it. > > There are up to 240 messages a month, covering a huge range of ideas and > discussions; there is a strong holiday influence on the number of > messages. We > started in March last year, and (if my attempt at a table > translates across the > e-waves) you can see how the flow has changed: > > Ja Feb Mar Apr May Jun Jul Aug Sep > Oct Nov Dec > > 2001 65 60 213 84 137 239 237 93 148 16 > 2000 2 10 62 48 69 60 > 74 120 > 146 43 > > Sometimes one topic dominates and sometimes the conversations > drifts from one > thing to another. One member said that, when she first joined, > she found it > very difficult to follow, but then realised you gradually 'catch > in', a bit > like being in a room full of people talking about different > things; gradually > you overhear enough of the conversations to realise which one you > want to chip > into.I hope that all you folk who are swapping telephone numbers > will let us > into the 'side conversations' that you are having as well. > > If you want to catch up on back messages, you can go to the web > page, which is > on > > > You will be asked to 'sign on' to access the messages, which > means you need to > find yourself a password and user name. is an > international operator, so > most names have been taken already but there are some very creative ones > about! If you are stuck, a name and numbercombination is > easiest. Then, you > can search the messages using a key word or phrase to identify threads of > messages. > > Hall 4 was discussed briefly in the summer, but I think we could do with > revisiting it. The web page is certainly worth a visit. > > Best wishes > > > > > > Lowenhoffs wrote: > > > Having just joined the SENATE, I realise from reading some of > the previous > > entries that I am not alone in feeling suddenly overwhelmed with > > information.... as I was automatically sent the digests for > June - August > > and Sept - October last year I thought I would print them off and enjoy > > some interesting bedtime reading - I think I might be in bed for a > > fortnight!! Is there anyway of accessing people's comments by theme or > > would that just create too much work for someone? > > > > I specifically joined SENATE to-day because I had heard a lot of good > > things about it and because I particularly needed to acquaint > myself with > > the latest recommendations of the forthcoming Hall report -( I > know there > > was a launch in July )- and access views of health visitors > about it. Has > > there been any kind of debate about it's content and if so how > can I access > > that debate? Also can anyone tell me whereabouts on the internet I can > > find reference to it - I have been surfing without success for > over an hour. > > > > I would also like to know if there is anyone out there with a > similar remit > > to my own? I was appointd to the post of health visitor consultant > > (parental and child health) for Mid Essex in March of this year. I am in > > the rather strange position of being employed by the North Essex Mental > > Health Partnership NHS Trust (who do not employ health visitors > in a health > > visiting capacity although do employ h.v.'s within CFCS teams ) > to promote > > emotional well-being and positive mental health in children and > families, > > by acting as a sort of " go-between " between h.v.'s and CFCS / > adult mental > > health. I am currently undertaking a mapping and gapping exercise which > > includes an examination of existing protocols and referral pathways and > > professional perceptions of mental health problems in both children and > > their parents. Like all nurse consultant posts, I am supposed > to divide my > > time between clinical practice, leadership and consultancy, > education and > > training and research and evaluation. I have also been looking > at current > > involvement in parenting programmes, who's doing what in terms > of detecting > > and managing postnatal depression, I have participated in the > PIPPIN pilot > > for the Home Office, am exploring with colleagues the prospect of > > delivering modifed STEP parenting programmes to special needs > groups and am > > in the process of helping to deliver an early intervention in behaviour > > problems training programme for health visitors ( based on the Solihull > > approach). I am also intersted in setting up an early > intervention forum. > > > > In October I will be starting a brand new clinical doctorate > programme at > > the University of Essex which will culminate in the award of Doctor of > > Nursing ( hows that for confusing terminology?) and my inital > proposals for > > research projects include an examination of professional and parental > > perceptions of need of parents and babies in neonatal units and parental > > reflections on positive and negative components of professional > and social > > support in the first three years of life. > > > > >From a superficial glimpse of the two digests from last year, I realise > > that there is ongoing debate about the public health role of health > > visitors and its compatibility or otherwise with the > firefighting that has > > become routine health visiting practice. I also note the dichotomy of > > opinion about the current focus of health visiting on the under > 5's, but I > > have to say that the more I read and understand about the importance of > > attachment and the profound impact the quality of early parent-infant > > interaction has on the structure and function of the developing > brain, the > > more I am convinced of the importance of consistent, frequent, > reciprocal > > health visiting input during the first three years of life so > that we are > > truly able to change our focus from managing behavioural diffulties to > > preventing them, thereby reducing the prevalence of the most common and > > enduring mental health problems in children under 5 - especially conduct > > disorders - which, if prevented have implications for improving public > > health. It has been demonstrated time and time again that children with > > conduct disorders are often unable to acheive their educational poential > > because of their poor attention spans or disruptive behaviour, are less > > likely to succeed at school, are more likely to play truant or > be excluded > > from school, are less likely to complete their education or achieve the > > minimum number of basic qualifications, are more likely to > abuse drugs or > > alcohol, are less likely to be able to get a job and are more likely to > > indulge in criminal activity. Apart from anything else, It > makes economic > > sense to intervene early and avoid all the extra expenditure that such a > > pathway would entail and yet we still have difficulty convincing > > commissioners of the value of early intervention? Promoting > positive mental > > health in children is a public health issue and seems to > encapsulate, for > > me, the family centred public health role of health visitors > advocated in > > so many policy documents. I would , of course, be interested to > hear others > > views on the subject or is this a debate that has passed? > > > > Looking forward to hearing from you > > Lowenhoff > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2001 Report Share Posted October 3, 2001 Interesting snippet in Guardian Society today(p111)about benefits of routine home visiting to older people.Also brief report on the current debate over the future of health visiting which arises from the experience of CPHVA members at the hands of national union representatives(p5);also see minutes of that meeting from Moira Graham and Joanna Du Plat .Is this acceptable?Many thanks to Moira and Joanne. So sorry that they were exposed to such treatment. Sue > Re: welcome new members > > > A very warm welcome , to yourself and the other new members who have > joined in the last few weeks. Thank you, too, for the reminder that it is > about time I updated the 'welcome pack' sent to all new members; > oh for more > time! When we first started,w e did try to compile a digest > omessages, som eby > theme, so new members could see what had been discussed in recent > months and > join in if an when they wished. We had also, once, had a plan to > be able to > circulate hard copies to folk who paid to be on the mailing list. > Unfortunately, it proved just too time consuming: about 3-5 days > solid work to > compile one digest of 3 months messages, without any editing or > making sense of > the thing, so we abandoned it. > > There are up to 240 messages a month, covering a huge range of ideas and > discussions; there is a strong holiday influence on the number of > messages. We > started in March last year, and (if my attempt at a table > translates across the > e-waves) you can see how the flow has changed: > > Ja Feb Mar Apr May Jun Jul Aug Sep > Oct Nov Dec > > 2001 65 60 213 84 137 239 237 93 148 16 > 2000 2 10 62 48 69 60 > 74 120 > 146 43 > > Sometimes one topic dominates and sometimes the conversations > drifts from one > thing to another. One member said that, when she first joined, > she found it > very difficult to follow, but then realised you gradually 'catch > in', a bit > like being in a room full of people talking about different > things; gradually > you overhear enough of the conversations to realise which one you > want to chip > into.I hope that all you folk who are swapping telephone numbers > will let us > into the 'side conversations' that you are having as well. > > If you want to catch up on back messages, you can go to the web > page, which is > on > > > You will be asked to 'sign on' to access the messages, which > means you need to > find yourself a password and user name. is an > international operator, so > most names have been taken already but there are some very creative ones > about! If you are stuck, a name and numbercombination is > easiest. Then, you > can search the messages using a key word or phrase to identify threads of > messages. > > Hall 4 was discussed briefly in the summer, but I think we could do with > revisiting it. The web page is certainly worth a visit. > > Best wishes > > > > > > Lowenhoffs wrote: > > > Having just joined the SENATE, I realise from reading some of > the previous > > entries that I am not alone in feeling suddenly overwhelmed with > > information.... as I was automatically sent the digests for > June - August > > and Sept - October last year I thought I would print them off and enjoy > > some interesting bedtime reading - I think I might be in bed for a > > fortnight!! Is there anyway of accessing people's comments by theme or > > would that just create too much work for someone? > > > > I specifically joined SENATE to-day because I had heard a lot of good > > things about it and because I particularly needed to acquaint > myself with > > the latest recommendations of the forthcoming Hall report -( I > know there > > was a launch in July )- and access views of health visitors > about it. Has > > there been any kind of debate about it's content and if so how > can I access > > that debate? Also can anyone tell me whereabouts on the internet I can > > find reference to it - I have been surfing without success for > over an hour. > > > > I would also like to know if there is anyone out there with a > similar remit > > to my own? I was appointd to the post of health visitor consultant > > (parental and child health) for Mid Essex in March of this year. I am in > > the rather strange position of being employed by the North Essex Mental > > Health Partnership NHS Trust (who do not employ health visitors > in a health > > visiting capacity although do employ h.v.'s within CFCS teams ) > to promote > > emotional well-being and positive mental health in children and > families, > > by acting as a sort of " go-between " between h.v.'s and CFCS / > adult mental > > health. I am currently undertaking a mapping and gapping exercise which > > includes an examination of existing protocols and referral pathways and > > professional perceptions of mental health problems in both children and > > their parents. Like all nurse consultant posts, I am supposed > to divide my > > time between clinical practice, leadership and consultancy, > education and > > training and research and evaluation. I have also been looking > at current > > involvement in parenting programmes, who's doing what in terms > of detecting > > and managing postnatal depression, I have participated in the > PIPPIN pilot > > for the Home Office, am exploring with colleagues the prospect of > > delivering modifed STEP parenting programmes to special needs > groups and am > > in the process of helping to deliver an early intervention in behaviour > > problems training programme for health visitors ( based on the Solihull > > approach). I am also intersted in setting up an early > intervention forum. > > > > In October I will be starting a brand new clinical doctorate > programme at > > the University of Essex which will culminate in the award of Doctor of > > Nursing ( hows that for confusing terminology?) and my inital > proposals for > > research projects include an examination of professional and parental > > perceptions of need of parents and babies in neonatal units and parental > > reflections on positive and negative components of professional > and social > > support in the first three years of life. > > > > >From a superficial glimpse of the two digests from last year, I realise > > that there is ongoing debate about the public health role of health > > visitors and its compatibility or otherwise with the > firefighting that has > > become routine health visiting practice. I also note the dichotomy of > > opinion about the current focus of health visiting on the under > 5's, but I > > have to say that the more I read and understand about the importance of > > attachment and the profound impact the quality of early parent-infant > > interaction has on the structure and function of the developing > brain, the > > more I am convinced of the importance of consistent, frequent, > reciprocal > > health visiting input during the first three years of life so > that we are > > truly able to change our focus from managing behavioural diffulties to > > preventing them, thereby reducing the prevalence of the most common and > > enduring mental health problems in children under 5 - especially conduct > > disorders - which, if prevented have implications for improving public > > health. It has been demonstrated time and time again that children with > > conduct disorders are often unable to acheive their educational poential > > because of their poor attention spans or disruptive behaviour, are less > > likely to succeed at school, are more likely to play truant or > be excluded > > from school, are less likely to complete their education or achieve the > > minimum number of basic qualifications, are more likely to > abuse drugs or > > alcohol, are less likely to be able to get a job and are more likely to > > indulge in criminal activity. Apart from anything else, It > makes economic > > sense to intervene early and avoid all the extra expenditure that such a > > pathway would entail and yet we still have difficulty convincing > > commissioners of the value of early intervention? Promoting > positive mental > > health in children is a public health issue and seems to > encapsulate, for > > me, the family centred public health role of health visitors > advocated in > > so many policy documents. I would , of course, be interested to > hear others > > views on the subject or is this a debate that has passed? > > > > Looking forward to hearing from you > > Lowenhoff > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2001 Report Share Posted October 3, 2001 Sue, I think it is great if people swap phone numbers and share ideas in any way possible. It just great to have some of the ideas brought back to Senate when folk have time, as well, because there are so many people trying to break through that barrier. How is your project going? I think June would be pleased to hear about its base in everyday health visiting. kind regards : Sue Weights wrote: > Dear , > With regard to swapping phone nos I feel somewhat responsible. There aren't > any side issues, just an attempt to link with others starting out in new > roles and maybe feeling a bit fazed by gaps between theory and practice. As > you know, we in Liverpool are trying to make your suggested 3 overlapping > roles into a reality with a practical, evidence based application and a > focus on outcome and evaluation measures.How do we move from current, deeply > entrenched ways of working to an upstream position and continue the valuable > support we offer to families?How do we break free of firefighting to work > more proactively with other age groups and tackle health inequalities, > improve health and address national and local health priorities embodied in > the HimP and NSFs?Help and advice sought.We know HVs can't do it all and the > judicious use of skill mix and working in collaboration is the key to > freeing up HVs to concentrate on proactive work but how do we move > forward?Also am struggling with evaluation and outcome measures. Looking at > Omaha System being developed in Swansea and Monitor from Walter Barker's > Child Development Programme.Any help and advice from Senate most > welcome.Thankyou and best wishes > Sue > > > Re: welcome new members > > > > > > A very warm welcome , to yourself and the other new members who have > > joined in the last few weeks. Thank you, too, for the reminder that it is > > about time I updated the 'welcome pack' sent to all new members; > > oh for more > > time! When we first started,w e did try to compile a digest > > omessages, som eby > > theme, so new members could see what had been discussed in recent > > months and > > join in if an when they wished. We had also, once, had a plan to > > be able to > > circulate hard copies to folk who paid to be on the mailing list. > > Unfortunately, it proved just too time consuming: about 3-5 days > > solid work to > > compile one digest of 3 months messages, without any editing or > > making sense of > > the thing, so we abandoned it. > > > > There are up to 240 messages a month, covering a huge range of ideas and > > discussions; there is a strong holiday influence on the number of > > messages. We > > started in March last year, and (if my attempt at a table > > translates across the > > e-waves) you can see how the flow has changed: > > > > Ja Feb Mar Apr May Jun Jul Aug Sep > > Oct Nov Dec > > > > 2001 65 60 213 84 137 239 237 93 148 16 > > 2000 2 10 62 48 69 60 > > 74 120 > > 146 43 > > > > Sometimes one topic dominates and sometimes the conversations > > drifts from one > > thing to another. One member said that, when she first joined, > > she found it > > very difficult to follow, but then realised you gradually 'catch > > in', a bit > > like being in a room full of people talking about different > > things; gradually > > you overhear enough of the conversations to realise which one you > > want to chip > > into.I hope that all you folk who are swapping telephone numbers > > will let us > > into the 'side conversations' that you are having as well. > > > > If you want to catch up on back messages, you can go to the web > > page, which is > > on > > > > > > You will be asked to 'sign on' to access the messages, which > > means you need to > > find yourself a password and user name. is an > > international operator, so > > most names have been taken already but there are some very creative ones > > about! If you are stuck, a name and numbercombination is > > easiest. Then, you > > can search the messages using a key word or phrase to identify threads of > > messages. > > > > Hall 4 was discussed briefly in the summer, but I think we could do with > > revisiting it. The web page is certainly worth a visit. > > > > Best wishes > > > > > > > > > > > > Lowenhoffs wrote: > > > > > Having just joined the SENATE, I realise from reading some of > > the previous > > > entries that I am not alone in feeling suddenly overwhelmed with > > > information.... as I was automatically sent the digests for > > June - August > > > and Sept - October last year I thought I would print them off and enjoy > > > some interesting bedtime reading - I think I might be in bed for a > > > fortnight!! Is there anyway of accessing people's comments by theme or > > > would that just create too much work for someone? > > > > > > I specifically joined SENATE to-day because I had heard a lot of good > > > things about it and because I particularly needed to acquaint > > myself with > > > the latest recommendations of the forthcoming Hall report -( I > > know there > > > was a launch in July )- and access views of health visitors > > about it. Has > > > there been any kind of debate about it's content and if so how > > can I access > > > that debate? Also can anyone tell me whereabouts on the internet I can > > > find reference to it - I have been surfing without success for > > over an hour. > > > > > > I would also like to know if there is anyone out there with a > > similar remit > > > to my own? I was appointd to the post of health visitor consultant > > > (parental and child health) for Mid Essex in March of this year. I am in > > > the rather strange position of being employed by the North Essex Mental > > > Health Partnership NHS Trust (who do not employ health visitors > > in a health > > > visiting capacity although do employ h.v.'s within CFCS teams ) > > to promote > > > emotional well-being and positive mental health in children and > > families, > > > by acting as a sort of " go-between " between h.v.'s and CFCS / > > adult mental > > > health. I am currently undertaking a mapping and gapping exercise which > > > includes an examination of existing protocols and referral pathways and > > > professional perceptions of mental health problems in both children and > > > their parents. Like all nurse consultant posts, I am supposed > > to divide my > > > time between clinical practice, leadership and consultancy, > > education and > > > training and research and evaluation. I have also been looking > > at current > > > involvement in parenting programmes, who's doing what in terms > > of detecting > > > and managing postnatal depression, I have participated in the > > PIPPIN pilot > > > for the Home Office, am exploring with colleagues the prospect of > > > delivering modifed STEP parenting programmes to special needs > > groups and am > > > in the process of helping to deliver an early intervention in behaviour > > > problems training programme for health visitors ( based on the Solihull > > > approach). I am also intersted in setting up an early > > intervention forum. > > > > > > In October I will be starting a brand new clinical doctorate > > programme at > > > the University of Essex which will culminate in the award of Doctor of > > > Nursing ( hows that for confusing terminology?) and my inital > > proposals for > > > research projects include an examination of professional and parental > > > perceptions of need of parents and babies in neonatal units and parental > > > reflections on positive and negative components of professional > > and social > > > support in the first three years of life. > > > > > > >From a superficial glimpse of the two digests from last year, I realise > > > that there is ongoing debate about the public health role of health > > > visitors and its compatibility or otherwise with the > > firefighting that has > > > become routine health visiting practice. I also note the dichotomy of > > > opinion about the current focus of health visiting on the under > > 5's, but I > > > have to say that the more I read and understand about the importance of > > > attachment and the profound impact the quality of early parent-infant > > > interaction has on the structure and function of the developing > > brain, the > > > more I am convinced of the importance of consistent, frequent, > > reciprocal > > > health visiting input during the first three years of life so > > that we are > > > truly able to change our focus from managing behavioural diffulties to > > > preventing them, thereby reducing the prevalence of the most common and > > > enduring mental health problems in children under 5 - especially conduct > > > disorders - which, if prevented have implications for improving public > > > health. It has been demonstrated time and time again that children with > > > conduct disorders are often unable to acheive their educational poential > > > because of their poor attention spans or disruptive behaviour, are less > > > likely to succeed at school, are more likely to play truant or > > be excluded > > > from school, are less likely to complete their education or achieve the > > > minimum number of basic qualifications, are more likely to > > abuse drugs or > > > alcohol, are less likely to be able to get a job and are more likely to > > > indulge in criminal activity. Apart from anything else, It > > makes economic > > > sense to intervene early and avoid all the extra expenditure that such a > > > pathway would entail and yet we still have difficulty convincing > > > commissioners of the value of early intervention? Promoting > > positive mental > > > health in children is a public health issue and seems to > > encapsulate, for > > > me, the family centred public health role of health visitors > > advocated in > > > so many policy documents. I would , of course, be interested to > > hear others > > > views on the subject or is this a debate that has passed? > > > > > > Looking forward to hearing from you > > > Lowenhoff > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2001 Report Share Posted October 3, 2001 Sue, I think it is great if people swap phone numbers and share ideas in any way possible. It just great to have some of the ideas brought back to Senate when folk have time, as well, because there are so many people trying to break through that barrier. How is your project going? I think June would be pleased to hear about its base in everyday health visiting. kind regards : Sue Weights wrote: > Dear , > With regard to swapping phone nos I feel somewhat responsible. There aren't > any side issues, just an attempt to link with others starting out in new > roles and maybe feeling a bit fazed by gaps between theory and practice. As > you know, we in Liverpool are trying to make your suggested 3 overlapping > roles into a reality with a practical, evidence based application and a > focus on outcome and evaluation measures.How do we move from current, deeply > entrenched ways of working to an upstream position and continue the valuable > support we offer to families?How do we break free of firefighting to work > more proactively with other age groups and tackle health inequalities, > improve health and address national and local health priorities embodied in > the HimP and NSFs?Help and advice sought.We know HVs can't do it all and the > judicious use of skill mix and working in collaboration is the key to > freeing up HVs to concentrate on proactive work but how do we move > forward?Also am struggling with evaluation and outcome measures. Looking at > Omaha System being developed in Swansea and Monitor from Walter Barker's > Child Development Programme.Any help and advice from Senate most > welcome.Thankyou and best wishes > Sue > > > Re: welcome new members > > > > > > A very warm welcome , to yourself and the other new members who have > > joined in the last few weeks. Thank you, too, for the reminder that it is > > about time I updated the 'welcome pack' sent to all new members; > > oh for more > > time! When we first started,w e did try to compile a digest > > omessages, som eby > > theme, so new members could see what had been discussed in recent > > months and > > join in if an when they wished. We had also, once, had a plan to > > be able to > > circulate hard copies to folk who paid to be on the mailing list. > > Unfortunately, it proved just too time consuming: about 3-5 days > > solid work to > > compile one digest of 3 months messages, without any editing or > > making sense of > > the thing, so we abandoned it. > > > > There are up to 240 messages a month, covering a huge range of ideas and > > discussions; there is a strong holiday influence on the number of > > messages. We > > started in March last year, and (if my attempt at a table > > translates across the > > e-waves) you can see how the flow has changed: > > > > Ja Feb Mar Apr May Jun Jul Aug Sep > > Oct Nov Dec > > > > 2001 65 60 213 84 137 239 237 93 148 16 > > 2000 2 10 62 48 69 60 > > 74 120 > > 146 43 > > > > Sometimes one topic dominates and sometimes the conversations > > drifts from one > > thing to another. One member said that, when she first joined, > > she found it > > very difficult to follow, but then realised you gradually 'catch > > in', a bit > > like being in a room full of people talking about different > > things; gradually > > you overhear enough of the conversations to realise which one you > > want to chip > > into.I hope that all you folk who are swapping telephone numbers > > will let us > > into the 'side conversations' that you are having as well. > > > > If you want to catch up on back messages, you can go to the web > > page, which is > > on > > > > > > You will be asked to 'sign on' to access the messages, which > > means you need to > > find yourself a password and user name. is an > > international operator, so > > most names have been taken already but there are some very creative ones > > about! If you are stuck, a name and numbercombination is > > easiest. Then, you > > can search the messages using a key word or phrase to identify threads of > > messages. > > > > Hall 4 was discussed briefly in the summer, but I think we could do with > > revisiting it. The web page is certainly worth a visit. > > > > Best wishes > > > > > > > > > > > > Lowenhoffs wrote: > > > > > Having just joined the SENATE, I realise from reading some of > > the previous > > > entries that I am not alone in feeling suddenly overwhelmed with > > > information.... as I was automatically sent the digests for > > June - August > > > and Sept - October last year I thought I would print them off and enjoy > > > some interesting bedtime reading - I think I might be in bed for a > > > fortnight!! Is there anyway of accessing people's comments by theme or > > > would that just create too much work for someone? > > > > > > I specifically joined SENATE to-day because I had heard a lot of good > > > things about it and because I particularly needed to acquaint > > myself with > > > the latest recommendations of the forthcoming Hall report -( I > > know there > > > was a launch in July )- and access views of health visitors > > about it. Has > > > there been any kind of debate about it's content and if so how > > can I access > > > that debate? Also can anyone tell me whereabouts on the internet I can > > > find reference to it - I have been surfing without success for > > over an hour. > > > > > > I would also like to know if there is anyone out there with a > > similar remit > > > to my own? I was appointd to the post of health visitor consultant > > > (parental and child health) for Mid Essex in March of this year. I am in > > > the rather strange position of being employed by the North Essex Mental > > > Health Partnership NHS Trust (who do not employ health visitors > > in a health > > > visiting capacity although do employ h.v.'s within CFCS teams ) > > to promote > > > emotional well-being and positive mental health in children and > > families, > > > by acting as a sort of " go-between " between h.v.'s and CFCS / > > adult mental > > > health. I am currently undertaking a mapping and gapping exercise which > > > includes an examination of existing protocols and referral pathways and > > > professional perceptions of mental health problems in both children and > > > their parents. Like all nurse consultant posts, I am supposed > > to divide my > > > time between clinical practice, leadership and consultancy, > > education and > > > training and research and evaluation. I have also been looking > > at current > > > involvement in parenting programmes, who's doing what in terms > > of detecting > > > and managing postnatal depression, I have participated in the > > PIPPIN pilot > > > for the Home Office, am exploring with colleagues the prospect of > > > delivering modifed STEP parenting programmes to special needs > > groups and am > > > in the process of helping to deliver an early intervention in behaviour > > > problems training programme for health visitors ( based on the Solihull > > > approach). I am also intersted in setting up an early > > intervention forum. > > > > > > In October I will be starting a brand new clinical doctorate > > programme at > > > the University of Essex which will culminate in the award of Doctor of > > > Nursing ( hows that for confusing terminology?) and my inital > > proposals for > > > research projects include an examination of professional and parental > > > perceptions of need of parents and babies in neonatal units and parental > > > reflections on positive and negative components of professional > > and social > > > support in the first three years of life. > > > > > > >From a superficial glimpse of the two digests from last year, I realise > > > that there is ongoing debate about the public health role of health > > > visitors and its compatibility or otherwise with the > > firefighting that has > > > become routine health visiting practice. I also note the dichotomy of > > > opinion about the current focus of health visiting on the under > > 5's, but I > > > have to say that the more I read and understand about the importance of > > > attachment and the profound impact the quality of early parent-infant > > > interaction has on the structure and function of the developing > > brain, the > > > more I am convinced of the importance of consistent, frequent, > > reciprocal > > > health visiting input during the first three years of life so > > that we are > > > truly able to change our focus from managing behavioural diffulties to > > > preventing them, thereby reducing the prevalence of the most common and > > > enduring mental health problems in children under 5 - especially conduct > > > disorders - which, if prevented have implications for improving public > > > health. It has been demonstrated time and time again that children with > > > conduct disorders are often unable to acheive their educational poential > > > because of their poor attention spans or disruptive behaviour, are less > > > likely to succeed at school, are more likely to play truant or > > be excluded > > > from school, are less likely to complete their education or achieve the > > > minimum number of basic qualifications, are more likely to > > abuse drugs or > > > alcohol, are less likely to be able to get a job and are more likely to > > > indulge in criminal activity. Apart from anything else, It > > makes economic > > > sense to intervene early and avoid all the extra expenditure that such a > > > pathway would entail and yet we still have difficulty convincing > > > commissioners of the value of early intervention? Promoting > > positive mental > > > health in children is a public health issue and seems to > > encapsulate, for > > > me, the family centred public health role of health visitors > > advocated in > > > so many policy documents. I would , of course, be interested to > > hear others > > > views on the subject or is this a debate that has passed? > > > > > > Looking forward to hearing from you > > > Lowenhoff > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2001 Report Share Posted October 4, 2001 Dear Sue Your e-mail caused me to stop and think. I am working with a trust at the moment and couple of weeks ago felt really quite overwhelmed by the work there was to do after years of neglect. When I stopped and reflected and then shareds with others, I realised that one of my problems as the change agent was that I had stirred it up and suddenly everyone felt insecure and were putting that insecurity on me. I was advised just to hold it for a while and then begin to gently push it forward again. It feels better again now and I am begining to see a way forward. But you are right there is just so much to do. Sometimes I think we try to do to much altogether. If you do have very entrenched ways of working and are firefighting all the time - maybe you intially need to concentrate on building confidence and showing people there is another way. I have found managers want results but leadership is about building the infrastructure and a stong base to move forward from as well as looking outwards. If you concentrate too much on the outcome and proving effectiveness before you have got people on board they will entrench more and sabatage any change. The otherr thing I believe in is pilots - making small change and evaluating that but ensuring it works so it can be rolled out across areas. Do give me a ring if you ant to chat it over - my home number is 01252 681513. Margaret Re: welcome new members > > > > > > A very warm welcome , to yourself and the other new members who have > > joined in the last few weeks. Thank you, too, for the reminder that it is > > about time I updated the 'welcome pack' sent to all new members; > > oh for more > > time! When we first started,w e did try to compile a digest > > omessages, som eby > > theme, so new members could see what had been discussed in recent > > months and > > join in if an when they wished. We had also, once, had a plan to > > be able to > > circulate hard copies to folk who paid to be on the mailing list. > > Unfortunately, it proved just too time consuming: about 3-5 days > > solid work to > > compile one digest of 3 months messages, without any editing or > > making sense of > > the thing, so we abandoned it. > > > > There are up to 240 messages a month, covering a huge range of ideas and > > discussions; there is a strong holiday influence on the number of > > messages. We > > started in March last year, and (if my attempt at a table > > translates across the > > e-waves) you can see how the flow has changed: > > > > Ja Feb Mar Apr May Jun Jul Aug Sep > > Oct Nov Dec > > > > 2001 65 60 213 84 137 239 237 93 148 16 > > 2000 2 10 62 48 69 60 > > 74 120 > > 146 43 > > > > Sometimes one topic dominates and sometimes the conversations > > drifts from one > > thing to another. One member said that, when she first joined, > > she found it > > very difficult to follow, but then realised you gradually 'catch > > in', a bit > > like being in a room full of people talking about different > > things; gradually > > you overhear enough of the conversations to realise which one you > > want to chip > > into.I hope that all you folk who are swapping telephone numbers > > will let us > > into the 'side conversations' that you are having as well. > > > > If you want to catch up on back messages, you can go to the web > > page, which is > > on > > > > > > You will be asked to 'sign on' to access the messages, which > > means you need to > > find yourself a password and user name. is an > > international operator, so > > most names have been taken already but there are some very creative ones > > about! If you are stuck, a name and numbercombination is > > easiest. Then, you > > can search the messages using a key word or phrase to identify threads of > > messages. > > > > Hall 4 was discussed briefly in the summer, but I think we could do with > > revisiting it. The web page is certainly worth a visit. > > > > Best wishes > > > > > > > > > > > > Lowenhoffs wrote: > > > > > Having just joined the SENATE, I realise from reading some of > > the previous > > > entries that I am not alone in feeling suddenly overwhelmed with > > > information.... as I was automatically sent the digests for > > June - August > > > and Sept - October last year I thought I would print them off and enjoy > > > some interesting bedtime reading - I think I might be in bed for a > > > fortnight!! Is there anyway of accessing people's comments by theme or > > > would that just create too much work for someone? > > > > > > I specifically joined SENATE to-day because I had heard a lot of good > > > things about it and because I particularly needed to acquaint > > myself with > > > the latest recommendations of the forthcoming Hall report -( I > > know there > > > was a launch in July )- and access views of health visitors > > about it. Has > > > there been any kind of debate about it's content and if so how > > can I access > > > that debate? Also can anyone tell me whereabouts on the internet I can > > > find reference to it - I have been surfing without success for > > over an hour. > > > > > > I would also like to know if there is anyone out there with a > > similar remit > > > to my own? I was appointd to the post of health visitor consultant > > > (parental and child health) for Mid Essex in March of this year. I am in > > > the rather strange position of being employed by the North Essex Mental > > > Health Partnership NHS Trust (who do not employ health visitors > > in a health > > > visiting capacity although do employ h.v.'s within CFCS teams ) > > to promote > > > emotional well-being and positive mental health in children and > > families, > > > by acting as a sort of " go-between " between h.v.'s and CFCS / > > adult mental > > > health. I am currently undertaking a mapping and gapping exercise which > > > includes an examination of existing protocols and referral pathways and > > > professional perceptions of mental health problems in both children and > > > their parents. Like all nurse consultant posts, I am supposed > > to divide my > > > time between clinical practice, leadership and consultancy, > > education and > > > training and research and evaluation. I have also been looking > > at current > > > involvement in parenting programmes, who's doing what in terms > > of detecting > > > and managing postnatal depression, I have participated in the > > PIPPIN pilot > > > for the Home Office, am exploring with colleagues the prospect of > > > delivering modifed STEP parenting programmes to special needs > > groups and am > > > in the process of helping to deliver an early intervention in behaviour > > > problems training programme for health visitors ( based on the Solihull > > > approach). I am also intersted in setting up an early > > intervention forum. > > > > > > In October I will be starting a brand new clinical doctorate > > programme at > > > the University of Essex which will culminate in the award of Doctor of > > > Nursing ( hows that for confusing terminology?) and my inital > > proposals for > > > research projects include an examination of professional and parental > > > perceptions of need of parents and babies in neonatal units and parental > > > reflections on positive and negative components of professional > > and social > > > support in the first three years of life. > > > > > > >From a superficial glimpse of the two digests from last year, I realise > > > that there is ongoing debate about the public health role of health > > > visitors and its compatibility or otherwise with the > > firefighting that has > > > become routine health visiting practice. I also note the dichotomy of > > > opinion about the current focus of health visiting on the under > > 5's, but I > > > have to say that the more I read and understand about the importance of > > > attachment and the profound impact the quality of early parent-infant > > > interaction has on the structure and function of the developing > > brain, the > > > more I am convinced of the importance of consistent, frequent, > > reciprocal > > > health visiting input during the first three years of life so > > that we are > > > truly able to change our focus from managing behavioural diffulties to > > > preventing them, thereby reducing the prevalence of the most common and > > > enduring mental health problems in children under 5 - especially conduct > > > disorders - which, if prevented have implications for improving public > > > health. It has been demonstrated time and time again that children with > > > conduct disorders are often unable to acheive their educational poential > > > because of their poor attention spans or disruptive behaviour, are less > > > likely to succeed at school, are more likely to play truant or > > be excluded > > > from school, are less likely to complete their education or achieve the > > > minimum number of basic qualifications, are more likely to > > abuse drugs or > > > alcohol, are less likely to be able to get a job and are more likely to > > > indulge in criminal activity. Apart from anything else, It > > makes economic > > > sense to intervene early and avoid all the extra expenditure that such a > > > pathway would entail and yet we still have difficulty convincing > > > commissioners of the value of early intervention? Promoting > > positive mental > > > health in children is a public health issue and seems to > > encapsulate, for > > > me, the family centred public health role of health visitors > > advocated in > > > so many policy documents. I would , of course, be interested to > > hear others > > > views on the subject or is this a debate that has passed? > > > > > > Looking forward to hearing from you > > > Lowenhoff > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2001 Report Share Posted October 4, 2001 Dear Sue Your e-mail caused me to stop and think. I am working with a trust at the moment and couple of weeks ago felt really quite overwhelmed by the work there was to do after years of neglect. When I stopped and reflected and then shareds with others, I realised that one of my problems as the change agent was that I had stirred it up and suddenly everyone felt insecure and were putting that insecurity on me. I was advised just to hold it for a while and then begin to gently push it forward again. It feels better again now and I am begining to see a way forward. But you are right there is just so much to do. Sometimes I think we try to do to much altogether. If you do have very entrenched ways of working and are firefighting all the time - maybe you intially need to concentrate on building confidence and showing people there is another way. I have found managers want results but leadership is about building the infrastructure and a stong base to move forward from as well as looking outwards. If you concentrate too much on the outcome and proving effectiveness before you have got people on board they will entrench more and sabatage any change. The otherr thing I believe in is pilots - making small change and evaluating that but ensuring it works so it can be rolled out across areas. Do give me a ring if you ant to chat it over - my home number is 01252 681513. Margaret Re: welcome new members > > > > > > A very warm welcome , to yourself and the other new members who have > > joined in the last few weeks. Thank you, too, for the reminder that it is > > about time I updated the 'welcome pack' sent to all new members; > > oh for more > > time! When we first started,w e did try to compile a digest > > omessages, som eby > > theme, so new members could see what had been discussed in recent > > months and > > join in if an when they wished. We had also, once, had a plan to > > be able to > > circulate hard copies to folk who paid to be on the mailing list. > > Unfortunately, it proved just too time consuming: about 3-5 days > > solid work to > > compile one digest of 3 months messages, without any editing or > > making sense of > > the thing, so we abandoned it. > > > > There are up to 240 messages a month, covering a huge range of ideas and > > discussions; there is a strong holiday influence on the number of > > messages. We > > started in March last year, and (if my attempt at a table > > translates across the > > e-waves) you can see how the flow has changed: > > > > Ja Feb Mar Apr May Jun Jul Aug Sep > > Oct Nov Dec > > > > 2001 65 60 213 84 137 239 237 93 148 16 > > 2000 2 10 62 48 69 60 > > 74 120 > > 146 43 > > > > Sometimes one topic dominates and sometimes the conversations > > drifts from one > > thing to another. One member said that, when she first joined, > > she found it > > very difficult to follow, but then realised you gradually 'catch > > in', a bit > > like being in a room full of people talking about different > > things; gradually > > you overhear enough of the conversations to realise which one you > > want to chip > > into.I hope that all you folk who are swapping telephone numbers > > will let us > > into the 'side conversations' that you are having as well. > > > > If you want to catch up on back messages, you can go to the web > > page, which is > > on > > > > > > You will be asked to 'sign on' to access the messages, which > > means you need to > > find yourself a password and user name. is an > > international operator, so > > most names have been taken already but there are some very creative ones > > about! If you are stuck, a name and numbercombination is > > easiest. Then, you > > can search the messages using a key word or phrase to identify threads of > > messages. > > > > Hall 4 was discussed briefly in the summer, but I think we could do with > > revisiting it. The web page is certainly worth a visit. > > > > Best wishes > > > > > > > > > > > > Lowenhoffs wrote: > > > > > Having just joined the SENATE, I realise from reading some of > > the previous > > > entries that I am not alone in feeling suddenly overwhelmed with > > > information.... as I was automatically sent the digests for > > June - August > > > and Sept - October last year I thought I would print them off and enjoy > > > some interesting bedtime reading - I think I might be in bed for a > > > fortnight!! Is there anyway of accessing people's comments by theme or > > > would that just create too much work for someone? > > > > > > I specifically joined SENATE to-day because I had heard a lot of good > > > things about it and because I particularly needed to acquaint > > myself with > > > the latest recommendations of the forthcoming Hall report -( I > > know there > > > was a launch in July )- and access views of health visitors > > about it. Has > > > there been any kind of debate about it's content and if so how > > can I access > > > that debate? Also can anyone tell me whereabouts on the internet I can > > > find reference to it - I have been surfing without success for > > over an hour. > > > > > > I would also like to know if there is anyone out there with a > > similar remit > > > to my own? I was appointd to the post of health visitor consultant > > > (parental and child health) for Mid Essex in March of this year. I am in > > > the rather strange position of being employed by the North Essex Mental > > > Health Partnership NHS Trust (who do not employ health visitors > > in a health > > > visiting capacity although do employ h.v.'s within CFCS teams ) > > to promote > > > emotional well-being and positive mental health in children and > > families, > > > by acting as a sort of " go-between " between h.v.'s and CFCS / > > adult mental > > > health. I am currently undertaking a mapping and gapping exercise which > > > includes an examination of existing protocols and referral pathways and > > > professional perceptions of mental health problems in both children and > > > their parents. Like all nurse consultant posts, I am supposed > > to divide my > > > time between clinical practice, leadership and consultancy, > > education and > > > training and research and evaluation. I have also been looking > > at current > > > involvement in parenting programmes, who's doing what in terms > > of detecting > > > and managing postnatal depression, I have participated in the > > PIPPIN pilot > > > for the Home Office, am exploring with colleagues the prospect of > > > delivering modifed STEP parenting programmes to special needs > > groups and am > > > in the process of helping to deliver an early intervention in behaviour > > > problems training programme for health visitors ( based on the Solihull > > > approach). I am also intersted in setting up an early > > intervention forum. > > > > > > In October I will be starting a brand new clinical doctorate > > programme at > > > the University of Essex which will culminate in the award of Doctor of > > > Nursing ( hows that for confusing terminology?) and my inital > > proposals for > > > research projects include an examination of professional and parental > > > perceptions of need of parents and babies in neonatal units and parental > > > reflections on positive and negative components of professional > > and social > > > support in the first three years of life. > > > > > > >From a superficial glimpse of the two digests from last year, I realise > > > that there is ongoing debate about the public health role of health > > > visitors and its compatibility or otherwise with the > > firefighting that has > > > become routine health visiting practice. I also note the dichotomy of > > > opinion about the current focus of health visiting on the under > > 5's, but I > > > have to say that the more I read and understand about the importance of > > > attachment and the profound impact the quality of early parent-infant > > > interaction has on the structure and function of the developing > > brain, the > > > more I am convinced of the importance of consistent, frequent, > > reciprocal > > > health visiting input during the first three years of life so > > that we are > > > truly able to change our focus from managing behavioural diffulties to > > > preventing them, thereby reducing the prevalence of the most common and > > > enduring mental health problems in children under 5 - especially conduct > > > disorders - which, if prevented have implications for improving public > > > health. It has been demonstrated time and time again that children with > > > conduct disorders are often unable to acheive their educational poential > > > because of their poor attention spans or disruptive behaviour, are less > > > likely to succeed at school, are more likely to play truant or > > be excluded > > > from school, are less likely to complete their education or achieve the > > > minimum number of basic qualifications, are more likely to > > abuse drugs or > > > alcohol, are less likely to be able to get a job and are more likely to > > > indulge in criminal activity. Apart from anything else, It > > makes economic > > > sense to intervene early and avoid all the extra expenditure that such a > > > pathway would entail and yet we still have difficulty convincing > > > commissioners of the value of early intervention? Promoting > > positive mental > > > health in children is a public health issue and seems to > > encapsulate, for > > > me, the family centred public health role of health visitors > > advocated in > > > so many policy documents. I would , of course, be interested to > > hear others > > > views on the subject or is this a debate that has passed? > > > > > > Looking forward to hearing from you > > > Lowenhoff > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2001 Report Share Posted October 5, 2001 I agree with you Margaret. However, one thing we are not good at is making some sort of baseline assessment before we make any changes, hence making it easier for us to evaluate the changes that we have made. We are all too good at implementing new 'ways of working' (in some Trusts!) without enough thought to the long-term. Toity On Thu, 4 Oct 2001 09:02:08 +0100 Margaret Buttigieg <margaret@...> wrote: > Dear Sue > > Your e-mail caused me to stop and think. I am working with a trust at the > moment and couple of weeks ago felt really quite overwhelmed by the work > there was to do after years of neglect. When I stopped and reflected and > then shareds with others, I realised that one of my problems as the change > agent was that I had stirred it up and suddenly everyone felt insecure and > were putting that insecurity on me. I was advised just to hold it for a > while and then begin to gently push it forward again. It feels better again > now and I am begining to see a way forward. > > But you are right there is just so much to do. Sometimes I think we try to > do to much altogether. If you do have very entrenched ways of working and > are firefighting all the time - maybe you intially need to concentrate on > building confidence and showing people there is another way. I have found > managers want results but leadership is about building the infrastructure > and a stong base to move forward from as well as looking outwards. If you > concentrate too much on the outcome and proving effectiveness before you > have got people on board they will entrench more and sabatage any change. > > The otherr thing I believe in is pilots - making small change and evaluating > that but ensuring it works so it can be rolled out across areas. > > Do give me a ring if you ant to chat it over - my home number is 01252 > 681513. > > Margaret > > Re: welcome new members > > > > > > > > > A very warm welcome , to yourself and the other new members who > have > > > joined in the last few weeks. Thank you, too, for the reminder that it > is > > > about time I updated the 'welcome pack' sent to all new members; > > > oh for more > > > time! When we first started,w e did try to compile a digest > > > omessages, som eby > > > theme, so new members could see what had been discussed in recent > > > months and > > > join in if an when they wished. We had also, once, had a plan to > > > be able to > > > circulate hard copies to folk who paid to be on the mailing list. > > > Unfortunately, it proved just too time consuming: about 3-5 days > > > solid work to > > > compile one digest of 3 months messages, without any editing or > > > making sense of > > > the thing, so we abandoned it. > > > > > > There are up to 240 messages a month, covering a huge range of ideas and > > > discussions; there is a strong holiday influence on the number of > > > messages. We > > > started in March last year, and (if my attempt at a table > > > translates across the > > > e-waves) you can see how the flow has changed: > > > > > > Ja Feb Mar Apr May Jun Jul Aug Sep > > > Oct Nov Dec > > > > > > 2001 65 60 213 84 137 239 237 93 148 16 > > > 2000 2 10 62 48 69 60 > > > 74 120 > > > 146 43 > > > > > > Sometimes one topic dominates and sometimes the conversations > > > drifts from one > > > thing to another. One member said that, when she first joined, > > > she found it > > > very difficult to follow, but then realised you gradually 'catch > > > in', a bit > > > like being in a room full of people talking about different > > > things; gradually > > > you overhear enough of the conversations to realise which one you > > > want to chip > > > into.I hope that all you folk who are swapping telephone numbers > > > will let us > > > into the 'side conversations' that you are having as well. > > > > > > If you want to catch up on back messages, you can go to the web > > > page, which is > > > on > > > > > > > > > You will be asked to 'sign on' to access the messages, which > > > means you need to > > > find yourself a password and user name. is an > > > international operator, so > > > most names have been taken already but there are some very creative ones > > > about! If you are stuck, a name and numbercombination is > > > easiest. Then, you > > > can search the messages using a key word or phrase to identify threads > of > > > messages. > > > > > > Hall 4 was discussed briefly in the summer, but I think we could do with > > > revisiting it. The web page is certainly worth a visit. > > > > > > Best wishes > > > > > > > > > > > > > > > > > > Lowenhoffs wrote: > > > > > > > Having just joined the SENATE, I realise from reading some of > > > the previous > > > > entries that I am not alone in feeling suddenly overwhelmed with > > > > information.... as I was automatically sent the digests for > > > June - August > > > > and Sept - October last year I thought I would print them off and > enjoy > > > > some interesting bedtime reading - I think I might be in bed for a > > > > fortnight!! Is there anyway of accessing people's comments by theme or > > > > would that just create too much work for someone? > > > > > > > > I specifically joined SENATE to-day because I had heard a lot of good > > > > things about it and because I particularly needed to acquaint > > > myself with > > > > the latest recommendations of the forthcoming Hall report -( I > > > know there > > > > was a launch in July )- and access views of health visitors > > > about it. Has > > > > there been any kind of debate about it's content and if so how > > > can I access > > > > that debate? Also can anyone tell me whereabouts on the internet I > can > > > > find reference to it - I have been surfing without success for > > > over an hour. > > > > > > > > I would also like to know if there is anyone out there with a > > > similar remit > > > > to my own? I was appointd to the post of health visitor consultant > > > > (parental and child health) for Mid Essex in March of this year. I am > in > > > > the rather strange position of being employed by the North Essex > Mental > > > > Health Partnership NHS Trust (who do not employ health visitors > > > in a health > > > > visiting capacity although do employ h.v.'s within CFCS teams ) > > > to promote > > > > emotional well-being and positive mental health in children and > > > families, > > > > by acting as a sort of " go-between " between h.v.'s and CFCS / > > > adult mental > > > > health. I am currently undertaking a mapping and gapping exercise > which > > > > includes an examination of existing protocols and referral pathways > and > > > > professional perceptions of mental health problems in both children > and > > > > their parents. Like all nurse consultant posts, I am supposed > > > to divide my > > > > time between clinical practice, leadership and consultancy, > > > education and > > > > training and research and evaluation. I have also been looking > > > at current > > > > involvement in parenting programmes, who's doing what in terms > > > of detecting > > > > and managing postnatal depression, I have participated in the > > > PIPPIN pilot > > > > for the Home Office, am exploring with colleagues the prospect of > > > > delivering modifed STEP parenting programmes to special needs > > > groups and am > > > > in the process of helping to deliver an early intervention in > behaviour > > > > problems training programme for health visitors ( based on the > Solihull > > > > approach). I am also intersted in setting up an early > > > intervention forum. > > > > > > > > In October I will be starting a brand new clinical doctorate > > > programme at > > > > the University of Essex which will culminate in the award of Doctor of > > > > Nursing ( hows that for confusing terminology?) and my inital > > > proposals for > > > > research projects include an examination of professional and parental > > > > perceptions of need of parents and babies in neonatal units and > parental > > > > reflections on positive and negative components of professional > > > and social > > > > support in the first three years of life. > > > > > > > > >From a superficial glimpse of the two digests from last year, I > realise > > > > that there is ongoing debate about the public health role of health > > > > visitors and its compatibility or otherwise with the > > > firefighting that has > > > > become routine health visiting practice. I also note the dichotomy of > > > > opinion about the current focus of health visiting on the under > > > 5's, but I > > > > have to say that the more I read and understand about the importance > of > > > > attachment and the profound impact the quality of early parent-infant > > > > interaction has on the structure and function of the developing > > > brain, the > > > > more I am convinced of the importance of consistent, frequent, > > > reciprocal > > > > health visiting input during the first three years of life so > > > that we are > > > > truly able to change our focus from managing behavioural diffulties to > > > > preventing them, thereby reducing the prevalence of the most common > and > > > > enduring mental health problems in children under 5 - especially > conduct > > > > disorders - which, if prevented have implications for improving public > > > > health. It has been demonstrated time and time again that children > with > > > > conduct disorders are often unable to acheive their educational > poential > > > > because of their poor attention spans or disruptive behaviour, are > less > > > > likely to succeed at school, are more likely to play truant or > > > be excluded > > > > from school, are less likely to complete their education or achieve > the > > > > minimum number of basic qualifications, are more likely to > > > abuse drugs or > > > > alcohol, are less likely to be able to get a job and are more likely > to > > > > indulge in criminal activity. Apart from anything else, It > > > makes economic > > > > sense to intervene early and avoid all the extra expenditure that such > a > > > > pathway would entail and yet we still have difficulty convincing > > > > commissioners of the value of early intervention? Promoting > > > positive mental > > > > health in children is a public health issue and seems to > > > encapsulate, for > > > > me, the family centred public health role of health visitors > > > advocated in > > > > so many policy documents. I would , of course, be interested to > > > hear others > > > > views on the subject or is this a debate that has passed? > > > > > > > > Looking forward to hearing from you > > > > Lowenhoff > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2001 Report Share Posted October 5, 2001 You are right Toity. I am always surprised and don't know why, at others surprise when I am asked to do a review when i say you need a baseline first. That to me is part of a review establishing what is really, and I mean really, going on and not just what the information collection or the stats seem to tell you. for me the vision comes out of the baseline and then the way forward emerges. Margaret Re: welcome new members > > > > > > > > > > > > A very warm welcome , to yourself and the other new members who > > have > > > > joined in the last few weeks. Thank you, too, for the reminder that it > > is > > > > about time I updated the 'welcome pack' sent to all new members; > > > > oh for more > > > > time! When we first started,w e did try to compile a digest > > > > omessages, som eby > > > > theme, so new members could see what had been discussed in recent > > > > months and > > > > join in if an when they wished. We had also, once, had a plan to > > > > be able to > > > > circulate hard copies to folk who paid to be on the mailing list. > > > > Unfortunately, it proved just too time consuming: about 3-5 days > > > > solid work to > > > > compile one digest of 3 months messages, without any editing or > > > > making sense of > > > > the thing, so we abandoned it. > > > > > > > > There are up to 240 messages a month, covering a huge range of ideas and > > > > discussions; there is a strong holiday influence on the number of > > > > messages. We > > > > started in March last year, and (if my attempt at a table > > > > translates across the > > > > e-waves) you can see how the flow has changed: > > > > > > > > Ja Feb Mar Apr May Jun Jul Aug Sep > > > > Oct Nov Dec > > > > > > > > 2001 65 60 213 84 137 239 237 93 148 16 > > > > 2000 2 10 62 48 69 60 > > > > 74 120 > > > > 146 43 > > > > > > > > Sometimes one topic dominates and sometimes the conversations > > > > drifts from one > > > > thing to another. One member said that, when she first joined, > > > > she found it > > > > very difficult to follow, but then realised you gradually 'catch > > > > in', a bit > > > > like being in a room full of people talking about different > > > > things; gradually > > > > you overhear enough of the conversations to realise which one you > > > > want to chip > > > > into.I hope that all you folk who are swapping telephone numbers > > > > will let us > > > > into the 'side conversations' that you are having as well. > > > > > > > > If you want to catch up on back messages, you can go to the web > > > > page, which is > > > > on > > > > > > > > > > > > You will be asked to 'sign on' to access the messages, which > > > > means you need to > > > > find yourself a password and user name. is an > > > > international operator, so > > > > most names have been taken already but there are some very creative ones > > > > about! If you are stuck, a name and numbercombination is > > > > easiest. Then, you > > > > can search the messages using a key word or phrase to identify threads > > of > > > > messages. > > > > > > > > Hall 4 was discussed briefly in the summer, but I think we could do with > > > > revisiting it. The web page is certainly worth a visit. > > > > > > > > Best wishes > > > > > > > > > > > > > > > > > > > > > > > > Lowenhoffs wrote: > > > > > > > > > Having just joined the SENATE, I realise from reading some of > > > > the previous > > > > > entries that I am not alone in feeling suddenly overwhelmed with > > > > > information.... as I was automatically sent the digests for > > > > June - August > > > > > and Sept - October last year I thought I would print them off and > > enjoy > > > > > some interesting bedtime reading - I think I might be in bed for a > > > > > fortnight!! Is there anyway of accessing people's comments by theme or > > > > > would that just create too much work for someone? > > > > > > > > > > I specifically joined SENATE to-day because I had heard a lot of good > > > > > things about it and because I particularly needed to acquaint > > > > myself with > > > > > the latest recommendations of the forthcoming Hall report -( I > > > > know there > > > > > was a launch in July )- and access views of health visitors > > > > about it. Has > > > > > there been any kind of debate about it's content and if so how > > > > can I access > > > > > that debate? Also can anyone tell me whereabouts on the internet I > > can > > > > > find reference to it - I have been surfing without success for > > > > over an hour. > > > > > > > > > > I would also like to know if there is anyone out there with a > > > > similar remit > > > > > to my own? I was appointd to the post of health visitor consultant > > > > > (parental and child health) for Mid Essex in March of this year. I am > > in > > > > > the rather strange position of being employed by the North Essex > > Mental > > > > > Health Partnership NHS Trust (who do not employ health visitors > > > > in a health > > > > > visiting capacity although do employ h.v.'s within CFCS teams ) > > > > to promote > > > > > emotional well-being and positive mental health in children and > > > > families, > > > > > by acting as a sort of " go-between " between h.v.'s and CFCS / > > > > adult mental > > > > > health. I am currently undertaking a mapping and gapping exercise > > which > > > > > includes an examination of existing protocols and referral pathways > > and > > > > > professional perceptions of mental health problems in both children > > and > > > > > their parents. Like all nurse consultant posts, I am supposed > > > > to divide my > > > > > time between clinical practice, leadership and consultancy, > > > > education and > > > > > training and research and evaluation. I have also been looking > > > > at current > > > > > involvement in parenting programmes, who's doing what in terms > > > > of detecting > > > > > and managing postnatal depression, I have participated in the > > > > PIPPIN pilot > > > > > for the Home Office, am exploring with colleagues the prospect of > > > > > delivering modifed STEP parenting programmes to special needs > > > > groups and am > > > > > in the process of helping to deliver an early intervention in > > behaviour > > > > > problems training programme for health visitors ( based on the > > Solihull > > > > > approach). I am also intersted in setting up an early > > > > intervention forum. > > > > > > > > > > In October I will be starting a brand new clinical doctorate > > > > programme at > > > > > the University of Essex which will culminate in the award of Doctor of > > > > > Nursing ( hows that for confusing terminology?) and my inital > > > > proposals for > > > > > research projects include an examination of professional and parental > > > > > perceptions of need of parents and babies in neonatal units and > > parental > > > > > reflections on positive and negative components of professional > > > > and social > > > > > support in the first three years of life. > > > > > > > > > > >From a superficial glimpse of the two digests from last year, I > > realise > > > > > that there is ongoing debate about the public health role of health > > > > > visitors and its compatibility or otherwise with the > > > > firefighting that has > > > > > become routine health visiting practice. I also note the dichotomy of > > > > > opinion about the current focus of health visiting on the under > > > > 5's, but I > > > > > have to say that the more I read and understand about the importance > > of > > > > > attachment and the profound impact the quality of early parent-infant > > > > > interaction has on the structure and function of the developing > > > > brain, the > > > > > more I am convinced of the importance of consistent, frequent, > > > > reciprocal > > > > > health visiting input during the first three years of life so > > > > that we are > > > > > truly able to change our focus from managing behavioural diffulties to > > > > > preventing them, thereby reducing the prevalence of the most common > > and > > > > > enduring mental health problems in children under 5 - especially > > conduct > > > > > disorders - which, if prevented have implications for improving public > > > > > health. It has been demonstrated time and time again that children > > with > > > > > conduct disorders are often unable to acheive their educational > > poential > > > > > because of their poor attention spans or disruptive behaviour, are > > less > > > > > likely to succeed at school, are more likely to play truant or > > > > be excluded > > > > > from school, are less likely to complete their education or achieve > > the > > > > > minimum number of basic qualifications, are more likely to > > > > abuse drugs or > > > > > alcohol, are less likely to be able to get a job and are more likely > > to > > > > > indulge in criminal activity. Apart from anything else, It > > > > makes economic > > > > > sense to intervene early and avoid all the extra expenditure that such > > a > > > > > pathway would entail and yet we still have difficulty convincing > > > > > commissioners of the value of early intervention? Promoting > > > > positive mental > > > > > health in children is a public health issue and seems to > > > > encapsulate, for > > > > > me, the family centred public health role of health visitors > > > > advocated in > > > > > so many policy documents. I would , of course, be interested to > > > > hear others > > > > > views on the subject or is this a debate that has passed? > > > > > > > > > > Looking forward to hearing from you > > > > > Lowenhoff > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2001 Report Share Posted October 5, 2001 Very imaginatively put Margaret! Toity On Fri, 5 Oct 2001 12:22:57 +0100 Margaret Buttigieg <margaret@...> wrote: > You are right Toity. > > I am always surprised and don't know why, at others surprise when I am asked > to do a review when i say you need a baseline first. That to me is part of > a review establishing what is really, and I mean really, going on and not > just what the information collection or the stats seem to tell you. > > for me the vision comes out of the baseline and then the way forward > emerges. > > Margaret > Re: welcome new members > > > > > > > > > > > > > > > A very warm welcome , to yourself and the other new members who > > > have > > > > > joined in the last few weeks. Thank you, too, for the reminder that > it > > > is > > > > > about time I updated the 'welcome pack' sent to all new members; > > > > > oh for more > > > > > time! When we first started,w e did try to compile a digest > > > > > omessages, som eby > > > > > theme, so new members could see what had been discussed in recent > > > > > months and > > > > > join in if an when they wished. We had also, once, had a plan to > > > > > be able to > > > > > circulate hard copies to folk who paid to be on the mailing list. > > > > > Unfortunately, it proved just too time consuming: about 3-5 days > > > > > solid work to > > > > > compile one digest of 3 months messages, without any editing or > > > > > making sense of > > > > > the thing, so we abandoned it. > > > > > > > > > > There are up to 240 messages a month, covering a huge range of ideas > and > > > > > discussions; there is a strong holiday influence on the number of > > > > > messages. We > > > > > started in March last year, and (if my attempt at a table > > > > > translates across the > > > > > e-waves) you can see how the flow has changed: > > > > > > > > > > Ja Feb Mar Apr May Jun Jul Aug Sep > > > > > Oct Nov Dec > > > > > > > > > > 2001 65 60 213 84 137 239 237 93 148 16 > > > > > 2000 2 10 62 48 69 60 > > > > > 74 120 > > > > > 146 43 > > > > > > > > > > Sometimes one topic dominates and sometimes the conversations > > > > > drifts from one > > > > > thing to another. One member said that, when she first joined, > > > > > she found it > > > > > very difficult to follow, but then realised you gradually 'catch > > > > > in', a bit > > > > > like being in a room full of people talking about different > > > > > things; gradually > > > > > you overhear enough of the conversations to realise which one you > > > > > want to chip > > > > > into.I hope that all you folk who are swapping telephone numbers > > > > > will let us > > > > > into the 'side conversations' that you are having as well. > > > > > > > > > > If you want to catch up on back messages, you can go to the web > > > > > page, which is > > > > > on > > > > > > > > > > > > > > > You will be asked to 'sign on' to access the messages, which > > > > > means you need to > > > > > find yourself a password and user name. is an > > > > > international operator, so > > > > > most names have been taken already but there are some very creative > ones > > > > > about! If you are stuck, a name and numbercombination is > > > > > easiest. Then, you > > > > > can search the messages using a key word or phrase to identify > threads > > > of > > > > > messages. > > > > > > > > > > Hall 4 was discussed briefly in the summer, but I think we could do > with > > > > > revisiting it. The web page is certainly worth a visit. > > > > > > > > > > Best wishes > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Lowenhoffs wrote: > > > > > > > > > > > Having just joined the SENATE, I realise from reading some of > > > > > the previous > > > > > > entries that I am not alone in feeling suddenly overwhelmed with > > > > > > information.... as I was automatically sent the digests for > > > > > June - August > > > > > > and Sept - October last year I thought I would print them off and > > > enjoy > > > > > > some interesting bedtime reading - I think I might be in bed for a > > > > > > fortnight!! Is there anyway of accessing people's comments by > theme or > > > > > > would that just create too much work for someone? > > > > > > > > > > > > I specifically joined SENATE to-day because I had heard a lot of > good > > > > > > things about it and because I particularly needed to acquaint > > > > > myself with > > > > > > the latest recommendations of the forthcoming Hall report -( I > > > > > know there > > > > > > was a launch in July )- and access views of health visitors > > > > > about it. Has > > > > > > there been any kind of debate about it's content and if so how > > > > > can I access > > > > > > that debate? Also can anyone tell me whereabouts on the internet > I > > > can > > > > > > find reference to it - I have been surfing without success for > > > > > over an hour. > > > > > > > > > > > > I would also like to know if there is anyone out there with a > > > > > similar remit > > > > > > to my own? I was appointd to the post of health visitor consultant > > > > > > (parental and child health) for Mid Essex in March of this year. I > am > > > in > > > > > > the rather strange position of being employed by the North Essex > > > Mental > > > > > > Health Partnership NHS Trust (who do not employ health visitors > > > > > in a health > > > > > > visiting capacity although do employ h.v.'s within CFCS teams ) > > > > > to promote > > > > > > emotional well-being and positive mental health in children and > > > > > families, > > > > > > by acting as a sort of " go-between " between h.v.'s and CFCS / > > > > > adult mental > > > > > > health. I am currently undertaking a mapping and gapping exercise > > > which > > > > > > includes an examination of existing protocols and referral > pathways > > > and > > > > > > professional perceptions of mental health problems in both > children > > > and > > > > > > their parents. Like all nurse consultant posts, I am supposed > > > > > to divide my > > > > > > time between clinical practice, leadership and consultancy, > > > > > education and > > > > > > training and research and evaluation. I have also been looking > > > > > at current > > > > > > involvement in parenting programmes, who's doing what in terms > > > > > of detecting > > > > > > and managing postnatal depression, I have participated in the > > > > > PIPPIN pilot > > > > > > for the Home Office, am exploring with colleagues the prospect of > > > > > > delivering modifed STEP parenting programmes to special needs > > > > > groups and am > > > > > > in the process of helping to deliver an early intervention in > > > behaviour > > > > > > problems training programme for health visitors ( based on the > > > Solihull > > > > > > approach). I am also intersted in setting up an early > > > > > intervention forum. > > > > > > > > > > > > In October I will be starting a brand new clinical doctorate > > > > > programme at > > > > > > the University of Essex which will culminate in the award of > Doctor of > > > > > > Nursing ( hows that for confusing terminology?) and my inital > > > > > proposals for > > > > > > research projects include an examination of professional and > parental > > > > > > perceptions of need of parents and babies in neonatal units and > > > parental > > > > > > reflections on positive and negative components of professional > > > > > and social > > > > > > support in the first three years of life. > > > > > > > > > > > > >From a superficial glimpse of the two digests from last year, I > > > realise > > > > > > that there is ongoing debate about the public health role of > health > > > > > > visitors and its compatibility or otherwise with the > > > > > firefighting that has > > > > > > become routine health visiting practice. I also note the dichotomy > of > > > > > > opinion about the current focus of health visiting on the under > > > > > 5's, but I > > > > > > have to say that the more I read and understand about the > importance > > > of > > > > > > attachment and the profound impact the quality of early > parent-infant > > > > > > interaction has on the structure and function of the developing > > > > > brain, the > > > > > > more I am convinced of the importance of consistent, frequent, > > > > > reciprocal > > > > > > health visiting input during the first three years of life so > > > > > that we are > > > > > > truly able to change our focus from managing behavioural > diffulties to > > > > > > preventing them, thereby reducing the prevalence of the most > common > > > and > > > > > > enduring mental health problems in children under 5 - especially > > > conduct > > > > > > disorders - which, if prevented have implications for improving > public > > > > > > health. It has been demonstrated time and time again that children > > > with > > > > > > conduct disorders are often unable to acheive their educational > > > poential > > > > > > because of their poor attention spans or disruptive behaviour, are > > > less > > > > > > likely to succeed at school, are more likely to play truant or > > > > > be excluded > > > > > > from school, are less likely to complete their education or > achieve > > > the > > > > > > minimum number of basic qualifications, are more likely to > > > > > abuse drugs or > > > > > > alcohol, are less likely to be able to get a job and are more > likely > > > to > > > > > > indulge in criminal activity. Apart from anything else, It > > > > > makes economic > > > > > > sense to intervene early and avoid all the extra expenditure that > such > > > a > > > > > > pathway would entail and yet we still have difficulty convincing > > > > > > commissioners of the value of early intervention? Promoting > > > > > positive mental > > > > > > health in children is a public health issue and seems to > > > > > encapsulate, for > > > > > > me, the family centred public health role of health visitors > > > > > advocated in > > > > > > so many policy documents. I would , of course, be interested to > > > > > hear others > > > > > > views on the subject or is this a debate that has passed? > > > > > > > > > > > > Looking forward to hearing from you > > > > > > Lowenhoff > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2001 Report Share Posted November 6, 2001 Hi....I am new to this group. My name is Tamara. My daughter, Ebony, is only four, so I haven't gotten to the point of worrying about puberty issues(yet). Right now, I just want her to talk. Also, she has an appointment in January to see a psychiatrist for possible bipolar disorder. What is the deal with the early puberty and the pineal cyst? I don't know what that is, but is that something that is common? Tamara, mom to Ebony-4 yrs, ASD & -7 months >From: " Lyn " <monee101@...> >Reply-Autism_in_Girls >Autism_in_Girls >Subject: Welcome new members >Date: Tue, 06 Nov 2001 14:07:52 -0000 > >Hi... my name is Lyn and my 8 year old HFA daughter is Siarra. She >has also been diagnosed with precocious puberty and a pineal cyst... >neither of those require treatment at this time though. I just >wanted to welcome all the new members and tell you to feel free to >post any questions you may have. This is an active group. > >Lyn > _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2002 Report Share Posted May 9, 2002 Hello everyone, I'm one of those new members that just joined. Up until now, I was just lurking, trying to figure out who was who - and what some of these threads that I came into the middle of are talking about! Little info about myself: I JUST started making soaps (6 weeks to be exact) - I started with MP's as Xmas gifts and everyone went crazy over them, so I decided to start selling them. In the process of finding recipes/ideas I came across CP and I'll never go back! I just love them. I'm married, and have two dogs who are more spoiled than most children! I look forward to learning a lot from you all and hope that someday I will be able to contribute something to return the favor - Welcome New Members We have had several new members join us over the past week. I'd like to extend a Welcome to you all!! Feel free to step up and tell us about yourselves. Terri ListMom Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2002 Report Share Posted May 9, 2002 ! Hey all, I met recently at a local home & leisure expo. Super nice girl. I'm so glad you decided to join . Welcome! maybe you can join us at our gathering this summer. Hello everyone, I'm one of those new members that just joined. Up until now, I was just lurking, trying to figure out who was who - and what some of these threads that I came into the middle of are talking about! Little info about myself: I JUST started making soaps (6 weeks to be exact) - I started with MP's as Xmas gifts and everyone went crazy over them, so I decided to start selling them. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2002 Report Share Posted May 9, 2002 Thanks for the welcome . And thank you for telling me about this group. Gathering this summer? I don't think that I've seen any threads about that. Can anyone give me more details? - Re: Welcome New Members ! Hey all, I met recently at a local home & leisure expo. Super nice girl. I'm so glad you decided to join . Welcome! maybe you can join us at our gathering this summer. Hello everyone, I'm one of those new members that just joined. Up until now, I was just lurking, trying to figure out who was who - and what some of these threads that I came into the middle of are talking about! Little info about myself: I JUST started making soaps (6 weeks to be exact) - I started with MP's as Xmas gifts and everyone went crazy over them, so I decided to start selling them. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2002 Report Share Posted July 26, 2002 Dear New Members I extend my warmest welcome to you. please tell us a bit about yourself and if you are taking this exam or November exam. Welcome: helokitti2001 rajekebrjo WiLdOrCa1606 mkldang statread Ido not recognize but one email addy: I see that you are here Mike! Behave now! Hee! go a bit easy on me! In addition I would like to explain how this site works best for those studying for the PTCB exam: look at the yello menu box to the left Click on the word " Files " Read the 'how to use this site " a must read before you download or print. then copy and print the Tutorials that you need to study such as Math or Specific Allegations or Temperature etc study them then ask any questions that you may have. Nest open up the original study posts from the Delphi site also in the Files section there you will find previous posts to the last two years of Q & A . Again study and ask your questions on line. For those of you who are shy I do offer PRIVATE AND FREE tutoring via email at rxjm@... , but recall you help others too by posting! I have expanded this site to include some very special technicians who I have handpicked to help us and you in your studies. I call them my TEXPERTS. Please read my announcment on this topic in the Files section. Welcome and begin asking! Jeanetta Mastron CPhT BS Chemistry Pharmacy Technician Educator Founder of this PTCB Study Group! > Please extend a warm welcome to the following new members: > helokitti2001 > rajekebrjo > WiLdOrCa1606 > mkldang > statread > > New members, please add you name to the database and tell us a bit > about yourself. Welcome and enjoy this educational and informative > site. > > Sincerely, > Dora > Group Moderator Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 29, 2002 Report Share Posted July 29, 2002 Dear All, Help me in welcoming the following to this site: bflcpht <clayjax@...> fuflufly <HSullivan@...> I'd like to thank our group moderator, Dora for staying on top of things and welcoming these members aforehand. Her function is one of being the welcome wagon and she does it gracefully. I see you are here Jack from Bakersfield! Thank you for stopping by. We will look forward to your input along the way, and especially in the next study group! Take care and welcome to you both! Jeanetta Mastron Founder of Jeanetta's PTCB Study Group! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2003 Report Share Posted January 27, 2003 Sue - glad to hear you are keeping busy and that all is well in your world! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2003 Report Share Posted March 4, 2003 -Thank you for the welcome. I am about 1/3 of the way through an at- home pharmacy tech program, hoping to be prepared to take the exam late in the year. Unfortunately, I have no previous pharmacy experience, but have worked in a hospital setting for several years. I think this group will be extrememly helpful to me in preparing for the exam. Looking forward to the discussions! Kim Fergerson -- In , " doracpht <doracpht@y...> " <doracpht@y...> wrote: > Greetings to our latest members: > > BlackenedAngels <blackenedangels@y...> > dacamitch <dacamitch@y...> > kimfergerson <kimfergerson@y...> > meangeana <meangeana@y...> > toni19592003 <msmith1106@s...> > > Welcome to Jeanetta's study group! Guaranteed to be a wonderful > resource for CPhT candidates and veteran CPhTs alike!! You will > find much information in the Files and Links sections, and the > message board is always lively AND educational. Please add your name > to the database and tell us a bit about yourself and your practice > setting. > Sincerely, > Dora > Group Moderator Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2004 Report Share Posted May 10, 2004 Thanks, Ray, for the warm welcome. This is the first time I've ever joined any internet group, so if I do something wrong, somebody please let me know! I'm a 52-year-old state government worker looking forward to retirement in a couple of years. My iritis is looking forward to getting away from florescent lights! I've had Reiter's for about 25 years. The iritis came within a couple of days of the gut infection, the arthritis a couple of years later. Both the iritis--in my left eye only-- and the arthritis-- mostly just hands and feet--are chronic, but the iritis is definitely in the driver's seat. Most of the time I do pretty well on Voltaren eye drops and an oral NSAID--most recently Mobic. My cystitis only lasted a year or so, then thankfully disappeared. The good thing about iritis is that the opthomologist can usually see some " trace cells " -- there's a tangible sign of why I hurt. Sometimes I wish for the same with my arthritis, which is mainly what my rheumatologist and I call " a pain thing " --no heat, no redness, no swelling--but it always, always hurts. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2004 Report Share Posted May 10, 2004 Gee, I told you guys I'm new at this--and did I mention that I really HATE my husband's stupid laptop? I hit " send " by mistake... I was just getting to the good part! I had a Reiter's flare a couple of months ago after cracking a rib. Everything is settling down now except my Achilles tendons. I know tendon involvement, especially that one, is common in Reiter's, but it's a symptom I had never experienced before. My right Achilles tendon is full of spongy knots. Needless to say, they hurt. Does anyone have any suggestions beyond my oral NSAID? Any suggestions or " war stories " would be welcome... Thanks-- Pat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2004 Report Share Posted May 10, 2004 On May 10, 2004, at 7:32 PM, patpourri wrote: > Sometimes I wish for the same with my arthritis, which is mainly > what my rheumatologist and I call " a pain thing " --no heat, no > redness, no swelling--but it always, always hurts. Hi all.. I'm suspecting I may have Reiter's and fibro.. it sure is hard to get a doc to put all the pieces together.. urethritis.. tendon pain.. eczema like rash on the foot, wierd mouth sores.. hello.. i'm getting a second opinion this friday.. my hands and feet feel stiff a lot.. no swelling, but it sure has hurt at times! 5 months now.. off and on. mike > ----------- Mike Rock http://www.mike-rock.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2004 Report Share Posted July 18, 2004 Larry, Thank you very much for the welcome. As you may know I am Marla, and I would like to give you a little background on my situation. I have degenertive disk diease. I was diagonised in January of 2003. I have had two surgries and possiably a third one coming soon. I go into re-mission for about 4 months and then the pain starts all over again. The pain I have starts in my back and shoots down my legs, and now it is down my arms and legs. I wake up every morning with severe pain in my back, legs, and arms. I try to function however I can not function until my pain pills kick in. I hate taking pain pills!!!! Through out the day I have to take pills to funtion " normally " . It is so very diffcult becuase if your pain is not visiable to everyone no one understands. I am suppose to loose weight to help my disks, however I can not excersice because of the pain. I am hoping that I can get some suggestions and ideas on how to handle my painfull issues. Thank you for letting me join this group. It is going to be great to have people to talk to. Marla > I would like to take this time to welcome the following new members to the group. > WELCOME to mhopebayes and to tessdin. > I hope that you both will take a few moments and tell the group a little bit about yourselves. > We are a caring group of people who all share one thing common. > We all have either neck or back problems,(OR BOTH) that causes us a lot of pain. > We are here to listen when you need to share ,or have a question. > There will always be someone here that will respond to your questions and to talk to you when you just need to vent. > LET ME SAY WELCOME ONE MORE TIME. > TAKE CARE AS BEST AS YOU CAN ,AND BE SAFE. > LARRY > > > > > > REMEMBER ALL OF OUR MEN AND WOMEN IN THE ARMED SERVICE OF OUR NATION > PRAY THAT THEY MAY BE SAFE AND SOUND IN BODY AND MIND Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2004 Report Share Posted July 18, 2004 Larry, Thank you very much for the welcome. As you may know I am Marla, and I would like to give you a little background on my situation. I have degenertive disk diease. I was diagonised in January of 2003. I have had two surgries and possiably a third one coming soon. I go into re-mission for about 4 months and then the pain starts all over again. The pain I have starts in my back and shoots down my legs, and now it is down my arms and legs. I wake up every morning with severe pain in my back, legs, and arms. I try to function however I can not function until my pain pills kick in. I hate taking pain pills!!!! Through out the day I have to take pills to funtion " normally " . It is so very diffcult becuase if your pain is not visiable to everyone no one understands. I am suppose to loose weight to help my disks, however I can not excersice because of the pain. I am hoping that I can get some suggestions and ideas on how to handle my painfull issues. Thank you for letting me join this group. It is going to be great to have people to talk to. Marla > I would like to take this time to welcome the following new members to the group. > WELCOME to mhopebayes and to tessdin. > I hope that you both will take a few moments and tell the group a little bit about yourselves. > We are a caring group of people who all share one thing common. > We all have either neck or back problems,(OR BOTH) that causes us a lot of pain. > We are here to listen when you need to share ,or have a question. > There will always be someone here that will respond to your questions and to talk to you when you just need to vent. > LET ME SAY WELCOME ONE MORE TIME. > TAKE CARE AS BEST AS YOU CAN ,AND BE SAFE. > LARRY > > > > > > REMEMBER ALL OF OUR MEN AND WOMEN IN THE ARMED SERVICE OF OUR NATION > PRAY THAT THEY MAY BE SAFE AND SOUND IN BODY AND MIND Quote Link to comment Share on other sites More sharing options...
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