PubMed · 1184855
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N Staver, E LaForge. 1975. Intake as a conflict area in clinic function.. https://doi.org/10.1016/s0002-7138(09)61459-x
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Child-Health Centres (CHC) in Sweden have a very good reputation. Despite the non-obligatory status of the CHC, most families visit these centres. With the purpose of studying nurses' work in general and especially in relation to their dealing with crying infants, an interview study was carried out at eight CHCs in a district in Stockholm. The results were analysed with focus on nurse-parent relationships, paternalism, and nursing subculture. The findings of this study suggest that nurses at CHC work purposefully to develop a favourable relationship with parents, though sometimes they adopt a paternalistic approach. Their knowledge of research in pediatrics in general and in child health care in particular is good, but a degree of wariness of research findings is evident.
The history of the Mental Health Association's involvement in prevention is described. From its inception in 1909 the Association has played a key role in advocating for prevention. It contributed to the Child Guidance Center movement, the community mental health center movement, and helped focus the 1978 President's Commission on Mental Health on prevention. In recent years, it has served as the catalyst for the formation of a coalition of national organizations with an interest in prevention.
Clinical approaches to families with infants in early intervention programs require more sophisticated and individualized plans that have been traditionally available. Clinicians in early intervention programs, including those trained in child-oriented disciplines, will increasingly be expected to develop comprehensive family focused interventions. Empirical findings support the legislative mandate of PL99-457 in requiring that families have an active role in specifying the intervention services they require. In addition, the broader concept of risk that now includes multi-problem families also complicates the job of the early interventionist. As parents must learn to adapt to their infant's unique characteristics, early interventionists must adapt to the unique characteristics of each family with whom they are involved. To aid in this process, we apply the concept of a working alliance to the aspect of the parent-professional relationship that early interventionists must develop and maintain in providing empathic and individualized care to families in early intervention. Sensitivity to the families' unique characteristics, responsitivity to their concerns, positive connotation of parents' and infants' behavior, a nonjudgmental attitude, and a willingness to monitor one's feelings and responses elicited by the family are clinical principles essential for developing and maintaining the working alliance.