Bolton Early Years Integrated Parent-Infant Mental Health Pathway
Getting Help
Framework for Action Level: Prevention
Criteria for accessing help:
- Parent/intended parent/ carer concern in relation to mental health/ parent-infant relationship and/or
- Professional judgement based on holistic assessment; and/or;
- Concern highlighted via WHOOLEY Questionnaire and GAD 2; and/or
- Parent scores above cut-off on GAD 7 or PHQ 9; and/or
- Concern following completion of NBO; and/or
- Reference to Specialist Mental Health Midwives Triaging Criteria; and/or
- Children who score ‘in the grey’ on ASQ-SE; and/or
- Child below age related expectation within the EYFS in PSED.
This support is in addition to the ‘Every Child’ offer.
Families will require targeted, evidence-based interventions with a clear set of jointly agreed goal-based outcomes. Interventions and support includes:
- All practitioners across the early years workforce will support families using the Solihull Approach which aims to increase emotional health and wellbeing.
- Additional home-based outreach visits (inc. ‘Listening Visits’ offered by Public Health Nursing (PHN)) based on the Solihull Approach.
- Guided use of Solihull Parenting Online Programme (Antenatal/Pre-Birth & Understanding your baby) and ASQ resources and activities.
- Start Well Stay, Play and Learn groups. • Use of play-based approaches including Watch Me Play & IY Baby.
- Individual/Group Home-Start PIMH Peer Support and Dad Matters.
- Signposting to Baby Basics.
- Professional consultation for advice/support from the 0-19 Health & Wellbeing Service
- Enhancing Families Team, Specialist Perinatal MH Midwifery Service or Parent and Infant Relationship Service.
- Where the infant is accessing early education and childcare, they will receive additional PSED interventions in settings or schools.
- Adult IAPT - Step 2/Step 3 intervention this may inc. CBT & EMDR.
- CAMHS – MH interventions/support for young parents up to 18 yrs. • One Point - either individual counselling or group intervention. • MHIST/BAND –peer- support/drop-in sessions or group intervention.
Holistic Assessment
Early Help is a multi-agency approach, working collaboratively with parents and carers to support the identification of risk and need, and to coordinate an effective and timely response via the Early Help Assessment and Plan