The last decade has witnessed increasing interest in the promotion of mental health and well-being because of its importance for health and social functioning at individual level and for the social and economic well-being of societies. Recent research from a range of disciplines (including neurodevelopment, developmental psychology and genetics) has highlighted the importance of childhood, and particularly the first few years of life, for future mental, social and emotional development. The quality of the parent-child relationship and parenting more generally is one of the factors in determining outcomes. The objective of this review was to identify effective interventions to support parents, parenting and the parent-child relationship from the ante-natal period to adolescence. A systematic search of key electronic databases was undertaken to identify systematic reviews evaluating approaches to parenting support; 52 systematic reviews were identified. Results were synthesized qualitatively and reported under the following headings: (i) perinatal programmes; (ii) parenting support programmes in infancy and early years focused on enhancing caregiver sensitivity and attunement; (iii) formal parenting programmes focused on children's behaviour; (iv) parenting support for highest risk groups. The review provides a robust international evidence base of programmes which have been demonstrated to improve parenting and the mental health and well-being of children. Policies and programmes to support parenting offer much scope for improving mental health. Effective provision requires a skilled workforce and careful application of approaches that have been found to work. More research is needed to develop and identify interventions for some of the highest risk groups.
Background: Secure attachment is associated with better outcomes across all
Purpose The purpose of this paper is to identify elements of success in the family reintegration of children with street connections who have experienced chronic violence and loss in the context of poverty. This paper outlines the application of complex trauma theory into a practice model developed by the JUCONI Foundation in Puebla, Mexico to help children and families prepare and manage reintegration. Design/methodology/approach This is a 15-month qualitative study involving semi-structured interviews with families and boys at three stages: preparing for return, in the first three months of reintegration and successfully reintegrated. The study comprises interviews with frontline workers and focus group discussions with the project team. In addition, six youths who did not return to their families were interviewed. Findings The study focuses on an attachment and trauma-based approach to family reintegration of street-connected children outside parental care. The findings highlight the need for careful preparation of both child and families (including siblings/extended family) prior to reunification. Preparation needs to focus on resolving the underlying problems that have led to the child being on the street and “phased” reintegration (beginning with visits to the family) is recommended. Follow-up visits/family work by staff are usually essential to ensure that child/youth and family adjust to each other. The theoretical framework and rationale behind the use of the tools and strategies described needs to be understood, so that they are used intentionally and consistently. Research limitations/implications The study cohort involved only boys and other factors are likely to affect the reintegration of girls. The study took place in Mexico only and methods used by JUCONI need to be tested in other contexts. Practical implications The integration of children without parental care into families is an issue of critical interest, but there is currently very limited research or guidance on reintegration of children who have lived on the street, especially in low and middle income countries. The study should be of interest to practitioners interested in assessing whether safe and sustainable reintegration is possible and facilitating this. The paper may be of interest to practitioners working with children growing up without parental care who do not have “street connections”, but who have experienced chronic violence and loss. Originality/value This is the first study to describe the application of an attachment and trauma perspective to work with children who have lived on the street.
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