Brazelton Touchpoints Brazelton Touchpoints New Hampshire Children’s Trust Strengthening Families Summit March 31, 2014

Brazelton TouchpointsBrazelton Touchpoints

New Hampshire Children’s Trust

Strengthening Families Summit

March 31, 2014

Presenters

•Cathy Kuhn, PhD

•Kristen Valente, LICSW

© 2007 Brazelton Touchpoints Center®

Brazelton Touchpoints

"When we strengthen families, we ultimately strengthen the community. Our goal is that parents everywhere work with supportive providers, feel confident in their parenting role, and form strong, resilient attachments with their children. To help achieve this, providers must be responsive to parents, knowledgeable about child development, and eager to see every parent succeed.“

-T Berry Brazelton, MD


Columbia, MO

Kansas City, MO

BRAZELTON TOUCHPOINTS

CENTER

Andover, MA

Boston, MA

Dorchester, MA

Newton, MA

Waterbury, CT

Washington, DC

Talbot County/ Easton, MD

Cary, NC

Charlotte, NC

Jacksonville, NC

Wake County, NC

Wilmington, NC

Greenville, SC

Chicago, IL

Decatur, IL

Elgin, IL

Rockford, IL

Vermont

Port Chester, NY

Syracuse, NY

Butler County, OH

Cincinnati, OH

New York City, NY

Austin, TX

College Station, TX

Dallas, TX

Ft. Worth/ Tarrant County, TX

Houston, TX

Round Rock, TX

Waco, TX

Brevard County, FL

Palm Beach County, FL

Tallahassee, FL

Miami, FL

Grand Haven, MI

Muskegon, MI

Fresno, CAHemet, CA

Lassen County, CALos Angeles, CA

Napa, CA Oakland, CA

Sacramento, CASan Francisco, CA

Santa Clara Cty., CASan Mateo, CA

Sonoma County, CAVenice, CA

Milwaukee, WIRacine, WI

Red Cliff Band of Lake Superior Chippewa, WI

Rapid City, SD Bloomington, IN

Indianapolis, IN

West Lafayette, IN

Stillwater, OK

Brazelton Touchpoints Network

Gallup, NM

Pueblo of Laguna, NM

Blackfeet Tribe, MT

Confederated Salish and Kootenai, MT

Rocky Boy’s Chippewa Cree, MT

Port Gamble S’Klallam Tribe, WA

Seattle, WA

Suquamish Tribe, WA

Prairie Band of Potawatomi Nation, KS

White Earth Band of Ojibwa, MN

Logan, UT

Scranton, PA

Wilkes Barre, PA East Orange, NJ

Ocean, NJ

Princeton, NJ

Trenton, NJ

Auburn, ME

Augusta, ME

Bangor, ME

Waterville, ME

Arapahoe County, CO Colorado Springs, CO

Douglas/Elbert Counties, COFremont County, COLaPlata County, COLarimer County, CO

Logan/Phillips/Sedgewick &Morgan Counties, CO

Western IA

Statewide:

CA, CO, ME, VT

International:

Portugal

Nashville, TN

Omaha, NE (2)

Manchester, NH


Impact of Trainings


Impact of Touchpoints on Parents and Early Childcare Providers

Parents with early care providers trained in Touchpoints report that:

•Their providers are more supportive of parent expertise than comparison providers.

•They have better quality and more collaborative relationships with their providers.

•They have increased confidence in their providers.

•They show less stress in general, and more stable stress levels over time compared to families without trained providers

Among parents, Touchpoints has been show to:

•Enhance parent-infant relationships

•Moderate parental stress in populations where parental stress tends to increase, on average, over time

•Normalize parent’s perceptions of their child’s behavior

•Increase well-child care treatment adherence

•Improve infant developmental outcomes

•Improve maternal mental health indicators

© 2005 Brazelton Touchpoints Center™

To provide safe, affordable housing and comprehensive social services to individuals and families who are homeless or at risk of becoming homeless, enabling them to gain self-sufficiency

and respect.


• Since 1885, Ellis Memorial has been committed to serving working families in the South End of Boston Ma and adjacent neighborhoods with a comprehensive array of programs. Today, those programs include high-quality early education and care, safe and educationally enriching after-school and summer programs for youth, day programs for disabled, frail or elderly adults and supportive services that build strong, stable families. From infants to elders, Ellis Memorial offers high-quality, affordable options that support working families


Expectations Exercise

Fundamentals of Touchpoints


What are Touchpoints?

Touchpoints are that time in a child’s development when change occurs in the child’s behaviors that can confuse or puzzle parents.

They are the predictable bursts, regressions and pauses in a child's development.


FIT StaffParent

Caregiver

Child

Systems Approach to Working with Children & Families


A Paradigm Shift

FROM

• Deficit Model• Linear Development• Prescriptive• Objective Involvement• Strict Discipline

Boundaries

TO

• Positive Model• Multidimensional Development• Collaborative• Empathic Involvement• Flexible Discipline

Boundaries


TO

UC

HP

OIN

TS

PregnancyNewborn3 Weeks

6-8 Weeks4 Months7 Months9 Months

12 Months15 Months18 Months

2 Years3 Years4 Years5 Years6 Years

Three-Tiered Approach


Developmental Framework

Development is characterized by regressions, bursts, and pauses

Development is multidimensional

Bursts in one domain of development cause regressions in other domains


Relational Framework

• Each Touchpoint is an opportunity for the professional to join with a parent to form a supportive partnership.

• Touchpoint interactions build on parental strengths.


Anticipatory Guidance

A way of nurturing families that highlights prevention by using a parents own knowledge to prepare them for the next Touchpoint and its expected developmental themes

It is not predicting the next Touchpoint or offering advice (suggesting the provider is the expert)


Touchpoints

Offer

Opportunity

Points of disorganization

in the child and in the

family equal opportunities

to build relationships with

parents


Touchpoints Principles

Use the behavior of the child as your language

Value and understand the relationship between you and the parent

Focus on the parent-child relationship

Look for opportunities to support mastery

Value passion wherever you find it

Recognize what you bring to the interaction

Be willing to discuss matters that go beyond your traditional role

Value disorganization


Parent AssumptionsThe parent is the expert on his/her child.

All parents have strengths.

All parents want to do well by their child.

All parents have something critical to share at each developmental stage.

All parents have ambivalent feelings.

Parenting is a process built on trial and error.


Provider Assumptions

Each provider is the expert within the context of his/her practice setting.

Providers want to be competent.

Providers need support and respect of the kind we are asking them to give to parents.

Providers need to reflect on their contribution to the parent-provider interactions.

The Toddler


T. Barry Brazelton

Introduction to theToddler Touchpoint


Characteristics ofDevelopmental Process

Infant: Unfolding

Toddler: Exploding


Toddler vs. Infant Developmental Process

BALANCE: adults ability & need to control the child’s affect and behavior

Toddler

Behavior requires massive control

Affect is impossible to control

Affect is easy to control

Infant

Behavior requires little control




Toddler vs. Infant Developmental Process

COMPLEXITY: the actions & intentions of an infant are more

straight-forward than those of a toddler

Toddler mental process opaque

Social Reference to test the limitsSocial Reference for coming to agreement

ToddlerInfant

Infant mental process transparent



Toddler vs. Infant Developmental Process REGULATION: Needs and wants of an infant are generally sequenced one at a time than those of a toddler who wants opposing desires at the same time.

ToddlerInfant

Wants one thing at a time

Wants two totally disparate experiences

at the same time


Toddler Developmental Agenda

Independence Dependence

• Wants control of own purpose and self

• Wants control of others availability






Empathy Aggression

Discovers the spectrum of affect

Love Hate

Kiss Bite



Knowledge Skill Judgment


Using A Toddler’s Behavior as Language:

Translation, Please!



Toddler Behavior as Language:Translation, Please!

“What I want NOW!”(Immediate Need)






Exploring the Parent Assumptions

1. Pick two assumptions that you find most interesting or most challenging

2. Talk to your neighbor about why you chose the ones you did. Why is it challenging? What makes it hard to put it into practice?

1. The parent is the expert on his/her child.

2. All parents have strengths

3. All parents want to do well by their child.

4. All parents have something critical to share at each developmental stage.

5. All parents have ambivalent feelings.

6. Parenting is a process built on trial and error.


For More Information About Touchpoints

Brazelton Touchpoints Center

http://www.brazeltontouchpoints.org/


For More Information on Upcoming Trainings

http://www.nhceh.org/

603-641-9441 x251

Documents

Brazelton Touchpoints Brazelton Touchpoints New Hampshire Children’s Trust Strengthening Families Summit March 31, 2014