Video Interaction Guidance

The service champions that have been such a crucial part of Support from the Start have had regular shared learning time, in which they exchanged ideas, proposals and problems. From the outset the champions were looking for ways for services to be more positively focused on very young children – prebirth – three, recogising the cricitcal importance of these years to childrens development.

Janice Macleod, (School nurse team leader) in particular has been indefatigable in her pursuit of the importance of attachement theory for the practise of frontline staff. She now chairs a multi agency working group which is leading on the development of training and practise development that will support staff to incorporate attachment theory into practise. Janice initiated a range of contacts – local, national and international in her pursuit of the goal of incorporating attachment theory into practise. Very productive relationships have been developed with East Lothian Councils Educational Psychology team, academics from a range of universities, researchers and practioners from a range of agencies and national agencies. In particular Janice established a working relationship with Penny Rackett an educational psychologist from North Suffolk who is particular proponent of the use of video interaction guidance (VIG) as a tool to improve attachment in the very early years.

VIG is a well established method in Psychology. It is also a Scottish invention being based on the work of Colwyn Trevarthen a  Scottsih psychological researcher and I believe an East Lothian resident. It is a method or technique that requires carefully trained practitioners with excellent communication and interpersonal skills, who need access to detailed supervision. However, there  is a simplicity to the method that is appealing – basically it helps parents / carers to see the positve aspects of their communication with very young children and by so doing helping them to build on the strenghts that they do have. An excellent website give a full description of what VIG is and how it is used in various settings and age groups. http://www.videointeractionguidance.net/index.html

The website describes VIG as follows:

Video interaction guidance is an intervention through which a “guider” aims to enhance communication within relationships . It works by engaging clients actively in a process of change towards realizing their own hopes for a better future in their relationships with others who are important to them. Guiders are themselves guided by the values and beliefs around respect and empowerment.   These include a belief that people in troubled situations do want to change, a respect for what clients are managing to achieve in their current difficulties, and a conviction that the power and responsibility for change resides within clients and their situations

This link gives a short but detailed descriptin of the evidence base for VIG an how it works http://www.parentinguk.org/files/downloads/JennyCrossVIG.pdf

 

Baby Extra

Baby Extra is an antenatal intervention developed in Holland aimed at enhancing attachment postnatally.

The intervention is time limited, non stigmatising, low cost, builds on existing practise and research and appears to be very successful. Penny Rackett, educational psychologist, gave a very interesting presentation about the programme and described the design and early stages of a pilot in Suffolk aimed at replicating the intervention in a British context.

I couldnt help thinking that if this quality of intervention had a market in the same way as some drug therapies do then investors would be falling over themselves to get the rights to develop and test it further. Instead its left to an intrepid front line professional to lead the way on top of an already busy workload with minimal resource. If there any readers of this blog with capital to invest in a social intervention that has the potential to make a difference then this might be your baby.

Baby Extra

Poster SRIP Baby Extra 2009

Can we support parents ante-natally to improve attachment post birth?

Penny Rackett educational psychologist from Norfolk was invited to talk about her research into interventions before birth that are designed to enhance attachment once the child is born.

Penny gave a presentation to a wide range of practitioners and managers at a twilight  seminar on Thursday 3rd February and the next day met with the members of  a  Support from the Start working group looking at a range of  initiatives and training needs around utilising recent research and development on attachment theory. 

The first presentation below reviews current research on what works in attachment theory and practise. The second presentation reviews research on assessment of attachment behaviours ante-natally.

East Lothian presentation 1

Assessment