From: ChiMat Knowledge Update []
Sent: 07 October 2011 17:21
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Subject: ChiMat Knowledge Update - 7 October 2011


ChiMat Knowledge Update

7 October 2011

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Welcome to the ChiMat Knowledge Update highlighting the latest news, events, reports, research and other resources relating to children, young people's and maternal health. All these resources and more are available on the Child and Maternal Health Observatory website

This email includes a summary and link to each resource below.
If you would prefer to read a pdf version of this eBulletin, go to the eBulletins page on the ChiMat website.

Elsewhere on ChiMat
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  Mental health and psychological well-being
  Young people

ChiMat news
Child height and weight in the North West: analysis of the National Child Measurement Programme 2009/10
This report presents information from data collected through the National Child Measurement Programme (NCMP) for Reception and Year 6 pupils in the North West of England. It has been produced as part of ChiMat’s programme of work in the North West. The purpose of the analyses within the report is to support local needs assessments, commissioning and delivery of services for children and their families.

ChiMat data updates
The following data have been updated on the ChiMat Data Atlas:

In the news

ChiMat does not accept responsibility for the availability, reliability or content of these news items and does not necessarily endorse the views expressed within them.

RCM: Petition for more midwives almost on track for 100,000 signatures
An online petition calling for the government to recruit 5000 more midwives has been signed by 8312 people in its first month.

BBC: Gastric band weight loss ops on the rise for under-25s
According to figures given in this report, the number of under-25s receiving gastric surgery has quadrupled in the last three years.

Community Care: CAMHS cuts see younger children miss out on support
Young Minds and the Royal College of Psychiatrists (RCP) say that unless mental health budgets are protected, children's services will see a sharp rise in the number of teenagers with severe mental health problems within the next decade.

SEN: Disability and deaf arts festival announced
DaDaFest, the International Festival of Disability and Deaf Arts will return to Liverpool in summer 2012. With links to the Cultural Olympiad programme, the Festival will aim to offer a cultural celebration in the North West alongside the London 2012 Olympic and Paralympic Games.

NHS Choices: Video games 'blur reality', claims newspaper
The ‘Daily Mail’ reported that “video games blur real life boundaries and prompt thoughts of violent solutions to players’ problems”. This headline is based on a small study exploring whether frequent video game players integrated elements of video game playing into their real lives - a theoretical process the researchers called game transfer phenomena (GTP). The study involved conducting in-depth interviews with 42 Swedish participants aged between 15 and 21 years who played video games regularly. This ‘Behind the headlines’ article examines the evidence behind the report.

BBC: More scans recommended for unborn twins and triplets
Women expecting twins or triplets should be offered closer monitoring, including extra scans, according to new NHS guidelines.

CommunityCare: Spending on child death reviews set to double
Spending on serious case reviews and child death overviews will more than double over the next year, according to council budget data.

DH: Seasonal flu immunisation programme 2011/12 – Viroflu® vaccine and risk of fever in children under 5 years
This letter from Professor D M Salisbury, Director of Immunisation, provides advice to avoid use of Viroflu vaccine in children aged under five years because of an increased risk of fever.

RCN: Apply now for bursaries and scholarships
Applications are now open for a range of bursaries and scholarships for RCN members to support projects which improve patient care, and support nursing studies.

BBC: The debate over closing child heart surgery units
Reorganising services is one of the hardest things the health service has to do, said Chris Ham, head of the health thinktank, the Kings Fund.

Community Care: Disabled children's services see spending increases
Council spending is set to increase on services for disabled children despite initial fears they could be vulnerable after the ending of ring-fenced budgets.

Community Care: Asylum-seeking children and family support suffer most cuts
Asylum-seeking children and children in need will suffer the biggest cuts in spending over the next year, according to statistics that reveal for the first time how much councils plan to spend on children's social care in England during 2011-12.

NAS: NAS urges Government not to isolate those with disabilities
On 23 September, the National Autistic Society presented evidence at the Low Review into how disabled people’s transport needs are met and funded. The aim of the review is to try and ensure that people with autism and other disabilities are not left socially isolated through Government cuts.

BBC: Charge for non-medical Caesarean
The health minister has said that women in Northern Ireland who choose to have a Caesarean for non-medical reasons may have to pay for the operation.

RCM: Senior midwives face falling budgets and staff cuts despite massive midwife shortage
Senior midwives face falling budgets and staff cuts despite massive midwife shortage

BBC: Antenatal advice 'perpetuates C-section myths'
One in four births are by Caesarean section. But in this week's Scrubbing Up, campaigner Leigh East warns pregnant women are not given a positive enough picture of C-sections - meaning many end up with "unnecessary" feelings of regret and failure if they need one.

NHS Choices: Postnatal depression 'often unreported'
Rates of postnatal depression may be higher than previously estimated, a children’s charity has claimed in a new report. Various medical sources estimate that around 10-15% of new mothers are affected, but according to the charity 4Children around 3 in 10 new mothers may be affected. This 'Behind the headlines' article examines the evidence behind the report.

Guides and Practice

Keeping children safe: preventing abuse among young children and young people
This leaflet is for everyone involved in bringing up children. It explains that some children do sexually abuse other children, how to recognise the warning signs and action to take to prevent it. Developed by the Scottish Government, the leaflet is aimed at parents and carers.

The management of twin and triplet pregnancies in the antenatal period
This clinical guideline offers evidence-based advice on the care of women with multiple pregnancies (twins and triplets) in the antenatal period.

NHS Infectious Diseases in Pregnancy Screening eLearning Module
This eLearning module is a training resource for all staff involved in the NHS Infectious Diseases in Pregnancy Screening (IDPS) programme in England. It supports the implementation of the new Programme Standards helping ensure all staff are up-to-date and able to meet training requirements. This resource is freely available for Acute Trust, PCT and University staff and students.

Children's Hospice UK
Support all children's hospice services in the UK by campaigning and lobbying governments to ensure their voice is heard; helping their care staff to continue to be at the cutting edge of children's hospice care; making everyone aware of their vital work; and raising funds to ensure they are sustainable.

Autism spectrum disorders in children and young people: recognition, referral and diagnosis
NICE clinical guideline on autism spectrum disorders.

Magnesium sulphate to prevent cerebral palsy following preterm birth (SAC Opinion Paper 29)
The prevalence of preterm birth is increasing. While the survival of infants born preterm has improved, the prevalence of cerebral palsy has risen. The incidence of cerebral palsy decreases significantly with increasing gestational age: 14.6% at 22–27 weeks of gestation, 6.2% at 28–31 weeks, 0.7% at 32–36 weeks and 0.1% in term infants. Twenty-five percent of all cases of cerebral palsy are in infants born at less than 34 weeks of gestation. In children born preterm the proportion whose cerebral palsy is considered to have a perinatal origin (49%) is greater than in those born at term (35%). Strategies to reduce cerebral palsy in these infants should be considered and implemented if shown to be effective in order to reduce the effects of this disabling condition on individuals, families, health care and society.

Bradford – Breastfeeding Volunteer Peer Support
Bradford district breastfeeding rates are lower than national rates and increasing them is a key priority for action in the district’s Infant Mortality Strategy. To address this, a United Nations Children’s Fund (UNICEF) Baby Friendly approach to breastfeeding is being adopted in the district.

Policy and Government Reports

Raising standards, improving lives: The Office for Standards in Education, Children’s Services and Skills strategic plan 2011-2015
Ofsted’s strategic plan sets out what they aim to achieve, how they will track their progress and how they will help improve outcomes for children and learners. This plan for 2011-15 builds on their work to deliver their Strategic Plan 2007-10 and focuses on what they need to do over the next four years to continue to raise standards and improve lives.

A study of recommendations arising from serious case reviews 2009-2010
This small study presents analysis of recommendations from 33 of the serious case reviews (cases of child death or serious injury through abuse or neglect) completed in 2009-2010. The central aim of the study was to consider what part recommendations can play in aiding agencies and individuals to improve how they work to safeguard and promote the welfare of children.

Review of best practice in parental engagement
This report presents a review of studies of interventions aimed at supporting and improving parental engagement in the education of children aged 5-19, which also offer evidence on educational outcomes. The overall aim of the review is to highlight findings and conclusions from the evidence reviewed and to identify key themes and messages for practitioners and school leaders.

Safeguarding children statistics: the availability and comparability of data in the UK (research brief)
This research presents findings from preliminary work to explore the current availability and comparability of safeguarding and child protection data. It is part of a wider study commissioned by the Department for Education to draw together data on safeguarding children and to compare the current position of England with other countries.

Supporting independence? Evaluation of the teenage parent supported housing pilot - Final report - Brief
The evaluation, summarised in this brief, employed a multi-method approach and involved: analysis of project-level monitoring and costs data; interviews with project co-ordinators and service providers; focus groups with service users; a longitudinal survey of service users; and telephone interviews with the parents or carers of service users.


Community Care: Third of councils no longer run children's homes
More than one-third of English councils no longer own or run any mainstream children's homes, a Community Care investigation has found. It appears that almost half of local authorities have closed at least one of their children's homes over the past three years.

Baby friendly initiative: Reasons to be cheerful (and to keep up the good work)
Article by the Director of the Baby Friendly Initiative Programme in this month's edition of 'The Practising Midwife'. The article looks at the work that has gone into improving breastfeeding initiation rates in the UK and considers what needs to be done to build on this and continue to improve care for all mothers.

No excuses: a review of educational exclusion
Educational exclusion extends far wider than what happens in schools; it is not an education-based problem alone. The underlying causes of challenging behaviour and disengagement from education are often rooted in the family environment. There are risk factors that exist in the lives of many pupils which appear to impact predominantly on their cognitive development, behavioural, emotional and social development, and on their mental health, well-being and educational attainment. It is critically important to look behind their behaviour and focus instead on their unmet needs.

Community Care: How do I explain my child protection role to a child?
According to the author of this article, those who work with children are encouraged to “include the child”, but communicating with children, is one of the most difficult parts of social work and somewhat negelected in training. In this article, she considers some of the difficulties and makes a number of suggestions to help overcome them.

The benefits of local health profiles
Do you know which former industrial town is out-performing its more affluent neighbours in terms of getting children active? How about which deprived inner city area is surpassing expectations in encouraging breastfeeding? Don’t worry if you don’t. The answers can easily be found among the interactive maps, detailed charts and wide-ranging data provided in the latest Local Health Profiles.

Community Care: Helping learning disabled parents keep their children
A Kent project is proving that proper support for parents with learning disabilities can lead to fewer children being taken into care, reports Louise Hunt

Are young people's attitudes to drinking affected by entertainment media?
The media is important in the lives of young people, who have access to a variety of media devices and content. They encounter a range of alcohol depictions that may influence their attitudes to alcohol and their own drinking. Little is known about the effect of non-advertising alcohol depictions and, despite speculation that representations of celebrity alcohol use influence young people’s drinking behaviour, there is a lack of evidence to support such claims.

Local authorities' perceptions of how parents and young people with special educational needs will be affected by the 2011 Green Paper
The NFER conducted three pieces of research for the Local Government Group which focused on parents’ and young people’s views on residential education, local authority perceptions of how young people and their families will be affected by the Government’s proposals, and transition of young people with SEN to adult life and services. This report looks at the surveys’ findings which show that the Green Paper proposals have received broad support from parents and professionals, particularly on the issues of early identification, a single assessment process and greater parental engagement. However, concerns were expressed about specific aspects of the suggested reforms.

Someone on our side: Advocacy for disabled children and young people
Advocacy for disabled children and young people can lead to considerable improvements for them and their families, yet many are missing out on this vital support, says a new report from The Children’s Society.

Children with diabetes: the impact of fear of needles
Needle anxiety or phobia is a substantial concern for children who experience distress while giving or receiving an injection. (Journal article.)

Suffering in silence: 70,000 reasons why help with postnatal depression has to be better
According to this report, a chronic lack of awareness of the symptoms of postnatal depression is leading to as many as 35,000 women suffering in silence from the condition each year with devastating effects on their families. New figures show that half of women suffering from postnatal depression do not seek any professional treatment. Thousands more are not getting their postnatal depression treated quickly or effectively enough because of serious shortcomings in the system of screening and referral, an over-reliance on the use of antidepressants and because of a sense of stigma attached to admitting to experiencing the symptoms. The report also suggests that many healthcare professionals need to do more to diagnose postnatal depression early and ensure mothers are being provided with appropriate and timely treatment.

Tools and Data

Evaluation data collection tool
This tool will assist practitioners to collect standardised summary data from any weight management, diet or physical activity intervention. The tool is an on-line questionnaire and is designed to collect evaluation data from interventions using the NOO Standard Evaluation Framework (SEF), however it can be used to collect data from any weight management, diet or physical activity intervention.

Child obesity statistics for PCT clusters
A set of maps and charts illustrating the variation in child obesity and healthy weight across the new primary care trust (PCT) clusters in England. It also illustrates the relationship between obesity prevalence and level of socicoeconomic deprivation, and describes the level of participation in the National Child Measurement Programme (NCMP) for all PCT clusters.

Child height and weight in the North West: analysis of the National Child Measurement Programme 2009/10
This report presents information from data collected through the National Child Measurement Programme (NCMP) for Reception and Year 6 pupils in the North West of England. It has been produced as part of the Child and Maternal Health Observatory’s (ChiMat) programme of work in the North West. The purpose of the analyses within the report is to support local needs assessments, commissioning and delivery of services for children and their families. The report examines prevalence information from the NCMP at primary care trust (PCT), local authority (LA), and middle super output area (MSOA) level within the North West, and across the area by ethnicity, deprivation level and geodemographic classification. Some noticeable trends over time are also identified. This intelligence is then compiled into unique maps that highlight ‘high risk’ areas within the North West.


Preparedness of newly qualified midwives to deliver clinical care: An evaluation of pre-registration midwifery education through an analysis of key events
Objective: this study was part of a larger project commissioned to ascertain whether midwife teachers bring a unique contribution to the preparation of midwives for practice. The aim of this phase was to determine whether the student midwives' educational programme had equipped them to practise competently after entry to the professional register.

Association of induction of labor and uterine rupture in women attempting vaginal birth after cesarean: a survival analysis
Objective: To estimate the risk of uterine rupture associated with labor induction in women attempting trial of labor after cesarean (TOLAC) accounting for length of labor.

Is unimpeded marketing for breast milk substitutes responsible for the decline in breastfeeding in the Philippines? An exploratory survey and focus group analysis
Infant mortality and morbidity risk is linked to formula usage. The proportion of Filipino infant formula users rose 6% between 2003 and 2008. The researchers hypothesized that this rise was the result of aggressive marketing and conducted a household survey between April and December 2006 and focus groups in April-May 2007 in The Philippines to examine the association between mothers’ exposure to advertising and other information sources and formula feeding decisions.

Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries
This report is the second in a series on early child development in low-income and middle-income countries and assesses the effectiveness of early child development interventions, such as parenting support and preschool enrolment. The evidence reviewed suggests that early child development can be improved through these interventions, with effects greater for programmes of higher quality and for the most vulnerable children.

Inequality in early childhood: risk and protective factors for early child development
Inequality between and within populations has origins in adverse early experiences. Developmental neuroscience shows how early biological and psychosocial experiences affect brain development. The researchers had previously identified inadequate cognitive stimulation, stunting, iodine deficiency, and iron-deficiency anaemia as key risks that prevent millions of young children from attaining their developmental potential. Recent research emphasises the importance of these risks and strengthens the evidence for other risk factors.

Personal factors and perceived barriers to participation in leisure activities for young and adults with developmental disabilities
Participation in leisure activities has been identified as a factor that favors inclusion in the community and it also contributes to a better quality of life. This study analyzed the influence of certain personal characteristics and environmental factors in the participation in leisure activities of youngsters and adults with developmental disabilities.

Setting research priorities to reduce global mortality from childhood pneumonia by 2015
This paper aims to identify health research priorities that could assist the rate of progress in childhood pneumonia mortality reduction globally, as set out in the United Nation's Millennium Development Goal 4.

Fathers' sense of security during the first postnatal week: a qualitative interview study in Sweden
A father's sense of security in the early postnatal period is important for the whole family. An instrument, which measures Parents' Postnatal Sense of Security (the PPSS instrument), is under development. The objective of this study was to explore and describe factors, which influence fathers' sense of security during the first postnatal week.

Academic achievement despite child maltreatment: A longitudinal study
Although researchers have concluded that child maltreatment has a negative effect on children's learning and academic achievement, not all children are negatively affected by maltreatment, and some children seem to succeed academically despite being maltreated.

The effect of an antenatal physical exercise programme on maternal/perinatal outcomes and quality of life in overweight and obese pregnant women: a randomised clinical trial
Objective: To evaluate the effectiveness and safety of physical exercise in terms of maternal/perinatal outcomes and the perception of quality of life (QoL) in pregnant obese and overweight women.

Young people with special educational needs/learning difficulties and disabilities: research into planning for adult life and services
The NFER conducted three pieces of research for the Local Government Group which focused on parents’ and young people’s views on residential education, local authority perceptions of how young people and their families will be affected by the Government’s proposals, and transition of young people with SEN to adult life and services. This report aims to shed light on how young people with SEN or LLDD have been prepared for adult life and adult services, and how planning for this transition might be improved. The research looks at policy and practice in six local authorities, through interviews with 49 professionals, parents and young people.

Explicating caregiving by mothers of children with complex needs in Ireland: a phenomenological study
This qualitative phenomenological study explored mothers' experiences of caring for a child with complex needs.

A novel self-evaluation tool to assess the team function of a child protection team
Objective: The aim of this study was to develop a reliable and valid self-evaluation tool for use by child protection team (CPT) members.

Contextual and family factors associated with negative assessment of children’s health
Background: The health and well-being of children are intimately linked to their families’ physical, emotional and social circumstances. Evaluation of children’s health has most often been based on parental responses. This work investigates whether proxy health, family context and household factors are associated with child’s poor health reported by parental figures.


UKNSC: Consultation on revised guidelines for newborn blood spot sampling
The UK Newborn Screening Programme Centre has reviewed the Guidelines for Newborn Blood Spot Sampling, and welcomes comments from interested parties. The consultation period began on Friday 23rd September 2011 and ends at 5pm on Monday 24th October 2011.


For details of these and many other events see the Calendar of Events on the ChiMat website

Trial of Therapeutic Assessment in London (TOTAL): the two year impact of therapeutic assessment for adolescents presenting with self-harm
Seminar on a research project which set out to determine whether Therapeutic Assessment (TA) versus assessment as usual (AAU) reduces the number of Accident and Emergency (A&E) self-harm presentations over 2 year follow up period in adolescents presenting with self-harm.

Location: London
Start date: Monday, 10th October 2011

Child and adolescent health and well-being: confronting parental alcohol misuse and its effect on children
With the Government currently in the process of developing its alcohol policy, this symposium offers an opportunity for social workers, education and health practitioners, third sector practitioners and key stakeholders to explore how best to confront parental alcohol misuse and safeguard children against its harmful consequences.

Location: London
Start date: Thursday, 10th November 2011

Mentalization based therapy for parental conflict
This course aims to provide mental health professionals with an introduction to Mentalization Based Therapy for use with parents in conflict – Parenting Together (MBT-PT) and how to apply the approach to parents whose poorly resolved and sustained conflicts are adversely affecting their children’s development and mental health. It will have particular application for those working with parents during or after separation or divorce. Applicants should ideally hold a mental health qualification and should have experience of working therapeutically with parents and families.

Location: London
Start date: Friday, 18th November 2011

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