brazelton touchpoints brazelton touchpoints new hampshire children’s trust strengthening families...
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Brazelton TouchpointsBrazelton Touchpoints
New Hampshire Children’s Trust
Strengthening Families Summit
March 31, 2014
© 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
© 2007 Brazelton Touchpoints Center®
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
© 2007 Brazelton Touchpoints Center®
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.
© 2007 Brazelton Touchpoints Center®
• 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
© 2007 Brazelton Touchpoints Center®
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.
© 2007 Brazelton Touchpoints Center®
FIT StaffParent
Caregiver
Child
Systems Approach to Working with Children & Families
© 2007 Brazelton Touchpoints Center®
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
© 2007 Brazelton Touchpoints Center®
TO
UC
HP
OIN
TS
PregnancyNewborn3 Weeks
6-8 Weeks4 Months7 Months9 Months
12 Months15 Months18 Months
2 Years3 Years4 Years5 Years6 Years
© 2007 Brazelton Touchpoints Center®
Developmental Framework
Development is characterized by regressions, bursts, and pauses
Development is multidimensional
Bursts in one domain of development cause regressions in other domains
© 2007 Brazelton Touchpoints Center®
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.
© 2007 Brazelton Touchpoints Center®
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)
© 2007 Brazelton Touchpoints Center®
Touchpoints
Offer
Opportunity
Points of disorganization
in the child and in the
family equal opportunities
to build relationships with
parents
© 2007 Brazelton Touchpoints Center®
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
© 2007 Brazelton Touchpoints Center®
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.
© 2007 Brazelton Touchpoints Center®
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.
© 2007 Brazelton Touchpoints Center®
Characteristics ofDevelopmental Process
Infant: Unfolding
Toddler: Exploding
© 2007 Brazelton Touchpoints Center®
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
© 2007 Brazelton Touchpoints Center®
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
© 2007 Brazelton Touchpoints Center®
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
© 2007 Brazelton Touchpoints Center®
Toddler Developmental Agenda
Independence Dependence
• Wants control of own purpose and self
• Wants control of others availability
© 2007 Brazelton Touchpoints Center®
Toddler Developmental Agenda
Empathy Aggression
Discovers the spectrum of affect
Love Hate
Kiss Bite
© 2007 Brazelton Touchpoints Center®
Toddler Behavior as Language:Translation, Please!
“What I want NOW!”(Immediate Need)
© 2007 Brazelton Touchpoints Center®
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.
© 2007 Brazelton Touchpoints Center®
For More Information About Touchpoints
Brazelton Touchpoints Center
http://www.brazeltontouchpoints.org/