tailieunhanh - CHILDREN WHO FAIL TO THRIVE - PART 8

Hampton (1996) mô tả công việc của Dự án Hỗ trợ xã hội trẻ sơ sinh của trẻ em (ISP), Wiltshire, nào Undertaker Điều trị phi hữu cơ thất bại-tothrive Trẻ em và Gia đình của họ. ISP sử dụng một cách tiếp cận giải quyết vấn đề và phương pháp dựa trên hành vi can thiệp, và ĐÃ Một nhóm nghiên cứu đa ngành bao gồm các y tá trẻ, | 206 CHILDREN WHO FAIL TO THRIVE Hampton 1996 described the work of the Children s Society Infant Support Project ISP Wiltshire which undertakes treatment of non-organic failure-to-thrive children and their families. The ISP uses a problem-solving-based approach and behavioural methods of intervention and has a multi-disciplinary team including nursery nurses social workers and health visitors. At the assessment stage which takes place during visits to families the ISP makes use of a referral form based on the work of Iwaniec et al. 1985b to provide an inventory of the signs and symptoms of FTT. A weighting system developed by the ISP is then applied to enable prioritisation of need and provision of a measure of the effectiveness of the work. Weight height and head-circumference charts were used as baseline measures. Methods of the ISP are based on social-learning theory and behavioural methods of intervention and include multiple videotaping of meal-times to record significant aspects of meal-time behaviour and to carry out a functional analysis of feeding. Food diaries are also completed by parents. Checklists derived from other researchers are used to observe and assess parent-child interaction at meal-times and summaries of findings are then given to parents with care taken to avoid providing parents with conflicting advice from the multi-disciplinary team. The most common intervention decided upon with the parents is to ignore any unacceptable behaviours while strongly reinforcing any behaviours that are acceptable. Families were also encouraged to use community resources available for example the use of local clinics for regular weighings and measurements of children s growth. An independent assessment conducted by Carole Sutton 1994 an expert in behavioural approaches examined outcomes for children and parents and the level of satisfaction following participation in the ISP. Progress was measured by a baseline to follow up a comparison of each child s weight