Why this project? - University of Western Sydney

‘The Changing Life Trajectories Project’
Designing nurse home-visiting services for CALD families who
are experiencing low levels of risk
Dr Wendy Foote Principal Investigator UNSW
Ms Jennifer Evans -Communication Matters
Ms Nicole Bechard TIHC&FS
The Infants’ Home Child & Family Services (TIHC&FS)
Providing education, health, support and care for 135
Sydney Hope Family Cottage (SHFC)
• Day Stay & Home Visiting Service
• Infant and maternal/family health services
• Child & Family qualified nurses with training in the
Family Partnership Program
• High CALD population – 37% in LGA
History & Background
Why this program?
Partnership between three agencies
Health research reference group
United Way Sydney
The vision: social entrepreneurship
The funding
The submission:
1. A commercially operated profit-making clinic at
2. CLT• The early intervention service
• Sustained Nurse HV
• first 12 months of a baby’s life
The University of New South Wales
• Wendy Foote - Lecturer, Social Work practice
Previously Manager TIHC&FS, involved in
providing early intervention services
Continuity of involvement after writing the
original submission
From Submission to Action
Reference group
Clare Rogers – Director, Prevention & Early Intervention,
Professor Cathrine Fowler- Child &Family Health Nursing
Midwifery & Health UTS.
Dr Lynn Kemp- Program Manager, Early Childhood
Research, Centre for Primary Health Care & Equity UNSW;
UTS Honorary Associate (Child & Family Health);
Deputy Director, Program Development, Sydney South
West Area Health Service
Jennifer Evans –Communication Matters
Dr Wendy Foote – Principal Researcher, Lecturer, Social
Work Practice, UNSW.
Nicole Bechard – Manager, TIH C&FS
Significant factors: Scoping the area
The organisational match
Lit review – unpublished/published/local
Research gap
Local needs
Patterns of service use
Population trends
3 jigsaw pieces
1. Q. The ‘risk’ levels of target group
2. Q. What service model and what data did we
want to collect?
3. Research questions, methods and data
Refined Questions & Target Groups
• Low risk ie ‘isolation’
• Recent arrival from India, Sri Lanka,
Bangladesh, Pakistan
• Proximity to service provider
• Good use of English
Aim of the research
• …to investigate the effectiveness of the
‘Changing Life Trajectories’ program.
• The program is designed to improve parent
effectiveness in populations where there are
low levels of risk.
CLT program
Program Components:
Parent craft
Parenting education
Social linking and building
Strength based approaches
Family partnership training (Davis, Day & Bidmead)
STEEP program (Martha Erickson)
Research questions:
1. Confidence/responsiveness
2. Knowledge of infant/child development
3. Mental health: mother/family/child
4. Social isolation
5. Social connectedness
6. Use of services
7. Influence of culture /migration
8. Most useful intervention?
Data will be collected by surveyscales
questions from NSW Child Health Survey.
Thematic data will be gleaned from group
McMaster Family Assessment Device (section 7 only)
Social support
Edinburgh Depression Scale
‘Home’- assessment of the environment
Health data
Modified Abidin parenting Stress Index (Life events
Parent knowledge of preventive infant care
Parent reports on child abuse reports
Parent reports on utilization of health and parent
support services
Parent knowledge and use of child care
Current stage
• Ethics application in with RPA- followed by
approaches to antenatal clinics at Canterbury
and RPA hospitals
• Training of staff
• Development of survey
• Identification of points of referral
• Intake Jan 10
Research in Reality
Balance of priorities
Demystifying research
Right people
Ongoing funding
Working within systems

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