Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 I have been working with some HVs in West Herts who have stopped undertaking routine developmental checks at 21 and 36 months. All parents are sent a parents questionnaire and offered an opportunity to see a HV and all children who are considered at risk under a range of criteria are invited for a developmental check. This has given rise to a certain amount of discussion about universalism vs stigmatism and the worry of 'missing' a problem. However, they have undertaken an audit and evaluation of the approach and through random checks of the questionnaire group have not identified any major missed problems. Moreover, most parents like the opportunity to decide for themselves and the HVs have found there is a lower incidence of DNAs and they have freed up some time to undertake a wider public health role with the elderly. We are in the process of writing this yp for Community Practitioner. Is this the sort of thing you are interested in? Best wishes Sally Kendall Sally Kendall, Professor of Nursing Faculty of Health and Human Sciences University of Hertfordshire College Lane Hatfield Herts. AL10 9AB Tel: +44 01707 286380 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 This is interesting, we are currently working with the Health Authority to review child surveillance county wide in Somerset. We are thinking of seeing all children at around 8/12 and 2.25-2.5 years to push the importance of good nutrition as well as 'review their progress' then not see them again, as school entry will provide them with routine hearing and vision assessment. But seeing all children at these ages will allow us to address nutrition, parental issues/depression etc. parental expectation etc. etc. etc. We felt a questionnaire would not allow us the opportunity to pick up health promotion and child protection issues so I will be interested to read the write-up from Herts, as I'm sure you had the same reservations initially. X ena >>> s.kendall@... 10/15/01 09:52am >>> I have been working with some HVs in West Herts who have stopped undertaking routine developmental checks at 21 and 36 months. All parents are sent a parents questionnaire and offered an opportunity to see a HV and all children who are considered at risk under a range of criteria are invited for a developmental check. This has given rise to a certain amount of discussion about universalism vs stigmatism and the worry of 'missing' a problem. However, they have undertaken an audit and evaluation of the approach and through random checks of the questionnaire group have not identified any major missed problems. Moreover, most parents like the opportunity to decide for themselves and the HVs have found there is a lower incidence of DNAs and they have freed up some time to undertake a wider public health role with the elderly. We are in the process of writing this yp for Community Practitioner. Is this the sort of thing you are interested in? Best wishes Sally Kendall Sally Kendall, Professor of Nursing Faculty of Health and Human Sciences University of Hertfordshire College Lane Hatfield Herts. AL10 9AB Tel: +44 01707 286380 Quote Link to comment Share on other sites More sharing options...
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