niels peter rygaard, clinical psych. auth. by dp, denmark attachment-disorder

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PREVENTING DEPRIVATION AND PREVENTING DEPRIVATION AND ATTACHMENT DISORDER INATTACHMENT DISORDER IN

ORPHANS/ CHILDREN WITHOUT ORPHANS/ CHILDREN WITHOUT PARENTS:PARENTS:

THE GLOBAL ORPHANAGE and THE GLOBAL ORPHANAGE and FAIR START PROGRAMSFAIR START PROGRAMS

Niels Peter Rygaard, Clinical Psych. auth. by DP, DenmarkNiels Peter Rygaard, Clinical Psych. auth. by DP, Denmark

www.attachment-disorder.net www.attachment-disorder.net

www.globalorphanage.netwww.globalorphanage.net

www.fairstart.net www.fairstart.net

PROJECT BACKGROUNDPROJECT BACKGROUND Since 1981, I worked as a psychologist Since 1981, I worked as a psychologist

with deprived and maltreated children and with deprived and maltreated children and their families.their families.

In a state treatment home, with adopted In a state treatment home, with adopted children, and as a consultant for treatment children, and as a consultant for treatment organizations (Government adoption organizations (Government adoption employees, special needs schools and employees, special needs schools and institutions, foster families, youth prisons)institutions, foster families, youth prisons)

Visits to orphanages globally 2005 - 2009.Visits to orphanages globally 2005 - 2009.

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CONCLUSIONSCONCLUSIONS A: The most important period for A: The most important period for

intervention is from the start of intervention is from the start of pregnancy to age 3.pregnancy to age 3.

B: Early caretaking can be improved at B: Early caretaking can be improved at no extra cost by relevant organization/ no extra cost by relevant organization/ understanding of child needs.understanding of child needs.

C: Why not make a free education/ C: Why not make a free education/ development program?development program?

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POVERTY IS NOT THE ISSUEPOVERTY IS NOT THE ISSUE To live in - and belong to - a social To live in - and belong to - a social

group is more important for child group is more important for child development than anything else - development than anything else - economic status, ethnicity, etc.economic status, ethnicity, etc.

To have continuous caregivers is To have continuous caregivers is important.important.

Look what they did in Arequipa! Only Look what they did in Arequipa! Only 5 caregivers, 36 orphan girls in the 5 caregivers, 36 orphan girls in the midst of poverty and slum:midst of poverty and slum:

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PROJECT START 2006PROJECT START 2006

I STARTED A PROJECT GROUP WITH:I STARTED A PROJECT GROUP WITH: The School for Social and Health The School for Social and Health

Education, the media department, Education, the media department, Aarhus, Denmark.Aarhus, Denmark.

The Danish Psychologist Association, DPAThe Danish Psychologist Association, DPA Supported by the State Adoption Council.Supported by the State Adoption Council. The group drives two projects:The group drives two projects:

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The Fair Start ProgramThe Fair Start Program 2 year program supported by European 2 year program supported by European

Union Leonardo Division, 200.000 Euro.Union Leonardo Division, 200.000 Euro. Goal: To develop and test programs for Goal: To develop and test programs for

quality caretaking in European quality caretaking in European orphanages and foster families. For orphanages and foster families. For children < 3 years.children < 3 years.

Project partners are co-developers of Project partners are co-developers of quality practice – based on research quality practice – based on research results.results.

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LIFELONG LEARNING – AN LIFELONG LEARNING – AN INTENTION OF THE EUROPEAN INTENTION OF THE EUROPEAN

UNIONUNION Learning starts at birth!Learning starts at birth! Orphan children are often excluded from Orphan children are often excluded from

lifelong learning and productive lifelong learning and productive citizenship – because the number of stress citizenship – because the number of stress factors in early life has hindered normal factors in early life has hindered normal emotional and social development.emotional and social development.

They are socially excluded from their They are socially excluded from their families, and often from society in families, and often from society in general.general.

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PROJECT PARTNERSPROJECT PARTNERS The Danish project groupThe Danish project group RomaniaRomania TurkeyTurkey SpainSpain ItalyItaly CreteCrete AustriaAustria SwitzerlandSwitzerland

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TARGET GROUPTARGET GROUP

43.000 European children under age 43.000 European children under age threethree

live in public custody and not in their live in public custody and not in their family. The number is increasing.family. The number is increasing.

These are only those registered These are only those registered officially – there are many, many more. officially – there are many, many more.

Fair Start addresses their professional Fair Start addresses their professional caretakers.caretakers.

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7 PROJECT PHASES7 PROJECT PHASES

Phase I 08 – March 09: Phase I 08 – March 09: Website www.fairstart.net , research Website www.fairstart.net , research

summary, partner meeting, partner´s summary, partner meeting, partner´s establish network of local institutions whoestablish network of local institutions who

want to practice program.want to practice program.

Setting up preliminary quality indicators.Setting up preliminary quality indicators.(If you have studies of caretaking research and intervention, please mail them (If you have studies of caretaking research and intervention, please mail them

to me: npr@erhvervspsykologerne.dk .With a short English summary if to me: npr@erhvervspsykologerne.dk .With a short English summary if possible. Thank you!)possible. Thank you!)

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PHASE 2 – 9 MONTHSPHASE 2 – 9 MONTHS

Involving institutional leaders in the Involving institutional leaders in the program.program.

Model for self-assessment in local Model for self-assessment in local institutions: caretaking practices and institutions: caretaking practices and organizational state.organizational state.

Developing local models for training Developing local models for training and development. Project group is and development. Project group is coaching local initiatives.coaching local initiatives.

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PHASE 3 – 9 MONTHSPHASE 3 – 9 MONTHS

Testing first version of products in Testing first version of products in partner countries.partner countries.

Producing further digital material –Producing further digital material –examples from institutions using the examples from institutions using the program, and quality video program, and quality video demonstrations from project group.demonstrations from project group.

Discussions of preliminary results Discussions of preliminary results and adjustments.and adjustments.

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PHASE 4 - 15 MONTHSPHASE 4 - 15 MONTHS Training of role models (instructors) in Training of role models (instructors) in

Denmark.Denmark. Local institutions evaluate their work Local institutions evaluate their work

with the program.with the program. Adjustment of materials and quality Adjustment of materials and quality

indicators.indicators. Establishing transnational community Establishing transnational community

of professional caretaker of professional caretaker organizations.organizations.

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PHASE 5 – 15 MONTHSPHASE 5 – 15 MONTHS

Testing 2Testing 2ndnd version of materials. version of materials. Final set of recommendations for the Final set of recommendations for the

Fair Start Model.Fair Start Model. Final set of evidence based Quality Final set of evidence based Quality

Indicators.Indicators.

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PHASE 6 – 22 MONTHSPHASE 6 – 22 MONTHS

Preliminary recommendations: EU Preliminary recommendations: EU standards for professional caretaking standards for professional caretaking development and education.development and education.

Fair Start conference, 14. – 15. Sept. Fair Start conference, 14. – 15. Sept. 2010. 3 conference groups:2010. 3 conference groups:

Scientists, decision makers, Scientists, decision makers, practitioners.practitioners.

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PHASE 7 – 22 MONTHSPHASE 7 – 22 MONTHS

Final recommendations for quality Final recommendations for quality standards, indicators and educational standards, indicators and educational methods.methods.

Final version of local organizational Final version of local organizational development program.development program.

Final version of internet training Final version of internet training materials.materials.

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METHODSMETHODS

Basic principles of quality caretaking Basic principles of quality caretaking based on research surveys.based on research surveys.

3 manuals for one to two year – 3 manuals for one to two year – development in institution/ foster development in institution/ foster family organization.family organization.

Manual for: The Leader, The Secure Manual for: The Leader, The Secure Base Instructor, the Staff Training Base Instructor, the Staff Training Program.Program.

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The Basic Caretaking The Basic Caretaking PrinciplesPrinciples

To maintain that local partners in the program (orphanages, foster families, To maintain that local partners in the program (orphanages, foster families, etc.) are active co-developers of good practice.etc.) are active co-developers of good practice.

To make use of local traditional caretaking traditions in practice To make use of local traditional caretaking traditions in practice development.development.

To increase early brain activity and development by daily stimulation.To increase early brain activity and development by daily stimulation. To develop coherent caretaking in order to promote secure attachment in To develop coherent caretaking in order to promote secure attachment in

children.children. To develop family like groups for the children in order to promote normal To develop family like groups for the children in order to promote normal

attachment and social skills.attachment and social skills. To develop peer relations in family groups for attachment and social To develop peer relations in family groups for attachment and social

development.development. To provide basic social, emotional and cognitive learning opportunities for To provide basic social, emotional and cognitive learning opportunities for

children.children. To let the children participate in society life and create communication To let the children participate in society life and create communication

between the institution/ foster family and the local environment. between the institution/ foster family and the local environment.

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The Global Orphanage The Global Orphanage ProjectProject

10 – year project based on voluntary 10 – year project based on voluntary work, transferred from Fair Start.work, transferred from Fair Start.

For 3For 3rdrd World Orphanages, in local World Orphanages, in local languages (Chinese, Spanish, Hindi, languages (Chinese, Spanish, Hindi, etc.), internet based.etc.), internet based.

Non-profit, low cost improvements inNon-profit, low cost improvements in caretaking practices and caretaking practices and

organization.organization. www.globalorhanage.net , “video”www.globalorhanage.net , “video”

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INFOINFO Fair Start 2 year European program:Fair Start 2 year European program:

www.fairstart.net www.fairstart.net

Global Orphanage Program:Global Orphanage Program:

www.globalorphanage.net www.globalorphanage.net

Book: “Severe Attachment Disorder”:Book: “Severe Attachment Disorder”: www.attachment-disorder.net www.attachment-disorder.net

Click flag – links to local Amazon pagesClick flag – links to local Amazon pages

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