A golden opportunity at a precious time: A piece by AiMH members for the BPS to celebrate IMHAW21

A hub within AiMH UK
For members of the AiMH UK Wales Hub

To mark Infant Mental Health Awareness Week 2021, Educational Psychologist Dr Nicola Canale joined forces with fellow Educational Psychologists and AiMH members Dr Abigail Wright and Dr Rebecca Stewart to share their thoughts on the role that EPs play in supporting children aged 0-2 years old.

The goal of Infant Mental Health Awareness Week 2021 was to encourage everyone working with children and young people to think about and include babies and infants in all aspects of policy and practice. This important week encouraged us, as three EPs with a special interest in the early years, to reflect on how we are including babies and infants in our own practice and hope that this inspires other psychologists to do the same.

What is Infant Metal Health?

The term infant mental health describes the emotional development of children from conception up until their second birthday, a period also known as the first 1001 days.

This is an important phase in a child’s development. There is strong evidence to suggest that supporting the early emotional development of children promotes a child’s future learning, wellbeing, resilience and adaptability – the capabilities they need to thrive.

Early intervention during this period makes sense at a human and economic level. It not only decreases unnecessary emotional distress for our most vulnerable citizens, but also helps to set them on a positive developmental path that lessens the need for later, often more costly, intervention.

The Parent-Infant Foundation recently shared the results of an online workforce survey of over 300 mental health professionals, which highlighted how infants are often overlooked in children and young people’s policies and provision. Key findings showed that only 52% of respondents said their local mental health service took referrals for children aged two and under, and almost a third (31%) of Mental Health Practitioners felt they didn’t understand infant mental health, rating their understanding as only 1 out of 5.

These findings made us wonder about the findings that would have resulted if EPs were asked the same questions. For example, how many requests for involvement do Educational Psychology Services receive for children under two? Would similar disparities in the training, understanding and confidence of EPs in supporting children in the 0-2 age range have been found? How would EPs have rated their understanding of infant mental health?

The role of the Educational Psychologist during the first 1001 days

We believe that Educational Psychologists have the skills, knowledge and expertise required to help create the fertile soil that children need to thrive during the first 1001 days and beyond.

EPs have a thorough understanding of the complex and interactional nature of early child development. They also have a detailed understanding of a theoretical and evidence base that tells us about the things young children need to thrive and ‘what works’ to support this.

The current literature tells us that, within this particular age range, work needs to focus on; promoting positive parent-infant interactions and relationships, helping caregivers to develop their confidence, skills and abilities and reducing the stressors that families face in their day-to-day lives.

Below are some examples, based on our own experiences as EP’s with a specialised role in supporting children and families in the early years, of how this looks in everyday practice.

Examples of indirect EP work during the first 1001 days:

  • Using our assessment and observational skills to support the formulation of interventions that support parent-infant interactions and relationships.
  • Offering consultation and supervision to those working directly with parents and infants e.g., parenting practitioners, early years practitioners, social workers, etc.
  • Identifying systemic stressors that a family is facing and working closely with other systems/organisations to help reduce these (e.g., housing issues, domestic violence, etc.).
  • Working at a strategic level to influence policy and practice e.g., designing anti-racist practices that are inclusive of the families we work with; connecting with professionals from local authority, health and education services to provide coherent pathways for families.
  • Planning, designing and developing participatory action research with families to develop our understanding of ‘what works’.
  • Creating accessible information around the psychology of early child development and well-being/infant mental health.
  • Designing and delivering training and workshops around early child development, attachment and trauma informed approaches to enhance the knowledge and understanding of practitioners.

Examples of direct EP work during the first 1001 days:

  • Delivering antenatal and early childhood groups that focus on supporting parent-infant interactions and relationships.
  • Working therapeutically with parents (using a range of modalities e.g., motivational interviewing, narrative approaches, solution focused coaching, ACT, etc.) to explore parents’ own experiences of being parented, their transition to parenthood, recognise their strengths and move towards becoming the type of parent they wish to be.
  • Applying specific interventions that have shown to improve attuned interactions between children and adults, promote parental mentalisation and mind-mindedness and promote secure relationships e.g., Video Interaction Guidance.

As EPs we have a golden opportunity to make a difference during this precious time in a child’s life – let’s make sure we seize this opportunity so that all children can benefit from what we can offer.

About the authors

Dr Nicola Canale is an Educational Psychologist and Lead for Cardiff Parents Plus: Cardiff Early Help. Nicola has developed a special interest in parent-infant relationships, early child development and infant mental health and is co-lead of AiMH UK’s Wales Infant Mental Health Hub.

Dr Rebecca Stewart is an Educational Psychologist in Cardiff Parents Plus: Cardiff Early Help. Rebecca has developed a special interest in attachment, trauma, parent-infant relationships and Video Interaction Guidance (VIG) through research and practice.

Dr Abi Wright is an Early Years Lead Educational Psychologist in Neath and Port Talbot Educational Psychology Service.

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